Inspection on 22/06/06 for Cedarfoss House

This inspection was carried out on 22nd June 2006.

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

The inspector found 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cedarfoss House 09/06/08

Cedarfoss House 14/06/07

Cedarfoss House 20/09/05

Cedarfoss House 14/10/04

Cedarfoss House 07/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Cedarfoss House 55 Hull Road Withernsea East Riding Of Yorks HU19 2EE Lead Inspector Sarah Sadler Unannounced Inspection 22nd June 2006 09:00 Cedarfoss House DS0000019658.V297585.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 Cedarfoss House DS0000019658.V297585.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. Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cedarfoss House Address 55 Hull Road Withernsea East Riding Of Yorks HU19 2EE 01964 614942 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) Willerfoss Homes Mrs Beverley Hutchesson Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2005 Brief Description of the Service: Cedarfoss House is a privately run home situated in the seaside town of Withernsea on the East Yorkshire coast. Service users have access to a range of local shops, services, local transport and the sea front. The home is registered for sixteen adults aged 18 - 65 who have a learning disability. The accommodation is on two floors and consists of six single bedrooms and five double bedrooms. There are two lounges, a dining room and a conservatory for the clients to use. Clients using this service also have the benefit of a garden and patio area. The home does not have lift access to the upper floor therefore service users with a physical disability would be accommodated on the ground floor. The weekly fees were provided by a manager within the organisation on the day of the inspection these range from £352 to £800 per week dependent upon the needs of the service users. Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection was undertaken as part of the routine programme of inspections. It commenced at 09.00 and was completed at 16.00 on the 22nd June 2006. On the day of the inspection the registered manager was on annual leave and the senior carer assisted the inspector throughout. Two interviews were undertaken with service users who were happy to assist with this process. Several staff members were spoken to, service user and other records were examined, and a tour of the premises was undertaken. Surveys were sent to a range of other professionals including care managers and the Community Team for Learning Disabilities as well as to relatives of service users. Eight professionals’ surveys were returned. Of these six were satisfied with the overall care in the home, one was not always happy and one did not comment. Two relatives returned questionnaires and both reflected that they were satisfied with the overall care in the home. The registered manager has forwarded notifications of incidents within the home to the CSCI, for example when service users have had an accident. They have also forwarded a pre-inspection questionnaire. Regular reports are received from the registered person following a visit to the home. There have been no complaints regarding the home since the last inspection. What the service does well: Service users who are able to are supported through risk assessments to access their local community as they wish to. Service users are happy with the support they receive with maintaining their personal care. One service user confirmed that they like the staff; another commented that the staff are “alright”. Service users felt that they would be supported to visit a health professional should they become unwell. Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 6 Service users receive good support both from specialist equipment and individual staff support with the eating of their meals. Assisting to ensure that their dietary needs are met. 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. Cedarfoss House DS0000019658.V297585.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 Cedarfoss House DS0000019658.V297585.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): 2, 4 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ needs are on the whole assessed prior to moving into the home. EVIDENCE: Service user files included an assessment of each service user completed by the staff within the home. This assessment was of a tick box type, which, reflected whether the service user had a need in this area or if they had strength. The assessment did not provide details regarding the service users individual needs and abilities, this information would assist to show how the care plan and risk assessments had been developed and could be used in future reviews of care. There was no evidence that the initial assessment has been reviewed, reflecting the changing needs of the service user. One service user commented that they were very happy in the home. However they further commented that they had not visited the home prior to moving in and that the last home had arranged for them to move here. Cedarfoss House DS0000019658.V297585.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. Service users are provided with a limited range of choice about how they live their lives and with some information to help them reach informed decisions. EVIDENCE: Service user files all contained individual plans of care that identify some areas that the service users require support with. One service user said, “Yes” to having a care plan but “No, no-one has told me what is in it. No, I don’t know what is in it”. Another service user commented, “ I have a care plan but don’t know what’s in it”. Two service users confirmed that they have key workers, but one of them did not know who this person was. Three staff interviewed confirmed that they undertake the role of key worker and had a good knowledge of the service users’ needs and interests. Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 10 Of the professionals’ surveys returned five (approx 60 ) felt that the staff understood the needs of the service users, but two (30 ) did not feel this. One did not comment but added, “They are prepared to learn”. One service user confirmed that they had recently attended a review of their care; another said that a review had been arranged but had had to be cancelled. Two of the files included details of care management reviews of the care provided. Of the six surveys where people were able to comment on the care plans, all confirmed that service users have a care plan with five out of the six stating that the plan is being followed and regularly reviewed. All service user files inspected included daily notes relating to the person concerned and recorded monthly reviews of care. However, these were not up to date, with one not being completed since February 2005. Some of these reflected the same comments each month and did not show that the individual had changed and developed, mainly that they had ‘remained settled’. Service user files included risk assessments, which covered a wide range of areas. For example, the risk of injury from hot water, which is managed with thermostatic valves being in place throughout the home. One service user was identified as able to go out on their own within the limits of acceptable risk. A staff member suggested that service users take risks as they remain at the day centre placement on their own. Another confirmed that the only risks that service users take are those by service users who go out on their own. Another stated that, if there was an activity with a risk, the manager would complete a risk assessment. When asked what choices the service users have a member of staff said, “No, they do not really make their own”. Another confirmed that one service user would “expect” their daily bath and that they choose what cereals to have at breakfast time. And another that service users choose “their own clothes, breakfast, where to go in the home, and what to watch on TV.” Cedarfoss House DS0000019658.V297585.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 adequate. This judgement has been made using available evidence including a visit to this service. Service users nutritional needs are met, and there are some limited opportunities for personal development and social activities. EVIDENCE: A service user confirmed that they “Go for a coffee and go to Victoria Centre once a week, go for rides in the minibus and to a Monday Club”. Another said that they “Go to the day centre once a week, or stop here and watch TV, that’s about it”, when asked what activities they undertook. Another indicated that they “Go to Youth club on a Monday, and have a ride out”; they do not attend local activities or the cinema and do not do any activities within the home. They further commented that they would like to do more and go out more. Service user files include details of different activities within the home, these included; personal care, cookery, watching TV, playing games and listening to music. Activities outside on the home included a ‘Monday night club’, attending a day centre, shopping and going out for walks. One service user has a Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 12 specific support plan in place, which assists them to go out into their local community, as they would wish. Another service user was seen leaving for their work placement at the beginning of the day, which they attend this several times throughout the week. Not all of the records of these activities were up to date with one person’s records being blank for a full week. Records reflected that people have the same routines each week and that activities undertaken varied dependent upon each individual and that those individuals who require a lot of support have limited and little access to their community. Service users were able to access any of the communal areas within the home as they wished, choosing when to be alone or in company. Staff and service users had positive interactions. One service user’s file included a risk assessment identifying why they should not hold a key to their own room. One service user discussed visitors and said, “My dad and mum visit, they come anytime about once a week. My sister can also visit”. Another service user confirmed that they have visitors when people attend their review. Service user records did not include details of visitors. Service users were observed to be well supported if help with the eating of their meals was needed. One service user was supported 1:1 by a staff member. This was carried out appropriately and reflected a good rapport between the service user and staff member. The lunch was well presented with service users having specialist equipment to support them with the eating of their meal. When asked about the food one service user said, “Yes, it’s alright, I like it ,yes”. Another confirmed. “I like it”. There are 4 weekly rotational menus and a record is kept of all foods eaten. Cedarfoss House DS0000019658.V297585.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 adequate. This judgement has been made using available evidence including a visit to this service. Service users’ physical and personal and medication needs are on the whole met. EVIDENCE: One service user stated that they are assisted with personal care and commented, “They do it well” (meaning the staff). Service user files included bathing and continence monitoring charts, and recorded when their bedding was changed. Assessments identified if service users required support with their personal care. A service user confirmed that they are taken to the doctors and that a member of staff supports them to undertake the visit. Another confirmed, “yes take me”. Two service user files included a health monitoring form, which lists any visit to health professionals, for example a chiropodist or an eye test. One service user with specific emotional health needs monthly records reflected since September 2005 that their ‘settled phase continues, no problems or Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 14 concerns.’ Seven of the eight professionals’ surveys received confirmed that they can visit the service user in private should they wish to do so. When asked about their medication one service user commented, “I worry about my tablets, I don’t know what they are”. Another service user stated, “the staff do”. One service user’s medication is decanted by the home and provided to the service users family to administer whilst he service user stays with them on a weekend. The senior on duty confirmed that the GP and pharmacist were happy with this arrangement, however there was no documentary evidence of this. Medication administration records were up to date. Cedarfoss House DS0000019658.V297585.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 good. This judgement has been made using available evidence including a visit to this service. Service users feel supported to raise issues of concern with staff and there are procedures in place to ensure they are protected from abuse. EVIDENCE: One service user commented, “If I am not happy, I would tell Bev- she would sort it, yes I would tell them.” The registered manager confirmed in the pre-inspection material that she had received no complaints about the home since the last inspection. The Commission has received no complaints during this time. Three of the five professionals’ surveys stated that they had received complaints about the home but provided no further information. The complaints procedure now includes the contact details of the CSCI. Two staff members confirmed that they understood the Adult Protection policies and that they would report any incident to their manager, they felt that the manager would action it appropriately. A copy of the Local Authority’s policy ‘The Protection of Vulnerable Adults’ is kept within the home. The home’s staff handle service users’ personal allowances and the registered person handles all other financial issues on behalf of service users. Individual records are kept of the incoming and outgoings of service users’ monies. Cedarfoss House DS0000019658.V297585.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): 24,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a generally clean and comfortable environment. EVIDENCE: The lounge areas of the home remain clean and comfortable. The dining room furniture has also been re-organised to be more comfortable for the service users. One pair of curtains was not hung properly in the hallway. The majority of service users’ rooms are personalised and these have been fitted with flat screen televisions. New quilt covers have been purchased which make these rooms more comfortable and homely. One service user’s bedroom remains very sparse. There continues to be an unpleasant smell in the upstairs landing area. Further discussion with a representative of the organisation identified that this is an ongoing problem due to specific service user needs and that the home continue with ongoing efforts to attempt to rectify this. The first floor WC did not contain any toilet roll or facilities for hand washing. This room was also being used as a storage facility for two cleaning mops and Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 17 the bathroom had communal soaps, both posing potential risks to health. The lack of appropriate facilities for maintaining personal hygiene increases the risk of the spread of infection. The representative of the provider reflected that this situation is managed within the home due to the specific needs of the service users, however it would be recommended that the registered person continue to address possible methods for addressing this issue. Steradent was seen to be openly stored in a service users’ room; this poses a risk to the safety of the service users and the registered person must address this. One set of taps were both marked as for hot water and two water outlets produced hot water that reached 58° centigrade. An immediate requirement was issued to the home that this should be rectified and appropriate actions were taken by the registered person within the required timescales. There is a separate laundry area with washing and drying facilities. However, the washing machine was leaking and pooled water posed a risk of slipping. An immediate requirement was issued to rectify this and the registered person responded within an appropriate timescale. A copy of the agreement for the handling of clinical waste has been received by the Commission. Cedarfoss House DS0000019658.V297585.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): 32,33,34,35,36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A staff team that are well recruited, supervised and trained support the service users. EVIDENCE: Three staff confirmed that they had undertaken Moving and Handling training; two had completed fire and Protection of Vulnerable Adults training. One member of staff had received training on assisting service users with eating, diabetes and Health and Safety. Another confirmed that they had received an induction into the home, covering their role and how to complete this. There was no evidence that the induction meets the Skills for Care requirements. The duty rotas reflected that in addition to the care staff there is a senior member of staff on duty each day and that at times there is a second senior available. A senior is also available throughout the night shifts. Three of the four staff files inspected included an application form, references and Criminal Record Bureau (CRB) checks. One member of staff had references undertaken from a different source to those given by the staff member on their application form with no explanation of this. Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 19 All staff files included records of regular supervision sessions in line with the recommendation of six sessions per year. One staff member confirmed that they have regular supervision sessions. Cedarfoss House DS0000019658.V297585.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): 37,39,41,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a home that is on the whole adequately managed, but requires improvement in some areas. EVIDENCE: The manager has been registered with the Commission as the manager of this home since April 2005. Prior to this she has gained other management experience within the care sector and other management posts. A member of the management team stated that the registered manager has completed the ‘training to train’ for moving and handling, Protection of Vulnerable Adults and First Aid training over the last year. There is a quality assurance file, which includes a letter confirming that the home has met the Local Authority’s quality monitoring requirements. The quality assurance system reflects the aims and objectives of the home. Service user, staff and relatives questionnaires are issued. No questionnaires Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 21 were in place for other people with an interest in the home. The system includes for a report to be completed at the end of each section of the quality assurance system, but this has not always been completed. Regular checks are carried out on equipment, i.e. bath hoist; a weekly audit of the fire doors and equipment and records are made. The last fire drill was in May 2006, with the fire risk assessment being completed in September 2005. The staff call system was found to be working and the emergency lights were checked in October 2005. There had been a visit from the local Environmental Health officer and all the recommendations made had been met. There is a weekly checklist for car maintenance, however this was last completed in April 2006. There is Control of Substances Hazardous to Health (COSHH) record, however there are no dates to show when this information was compiled or reviewed. There is a gas safety certificate to show that the gas in the home has been assessed for safety, but this is not a landlord’s gas safety certificate. The electrical wiring certificate was found to be out of date and an assurance was given by a member of the management team that this would be completed and the certificate of evidence received to the Commission by the 10th July 2006. This was received. Cedarfoss House DS0000019658.V297585.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 X 2 1 3 X 4 3 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 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 3 36 3 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 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X 3 1 x Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA2 Regulation 14 Requirement The registered person must ensure that the assessment of service users is reviewed regularly by the homes staff with this being recorded and kept up to date. The registered person must ensure that: 1. The double dispensing of medication must not take place. The registered person must ensure that risk assessments are in place for the unguarded radiators with high surface temperatures and control measures put in place. This is an ongoing requirement with a previous compliance date of 10.06.05. Timescale for action 22/09/06 2 YA20 12,15,16 30/09/06 3 YA42 13 (4(c)) 22/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 24 No. 1 2 Refer to Standard YA2 YA6 Good Practice Recommendations The registered person should ensure that the assessment of the service users contains details of their individual needs and strengths. The registered person should ensure that service users are aware of all aspects of care including their key worker and medication. Up to date care plans and reviews will be in place. The registered person should ensure that • All care reviews are up to date. • Service users are aware of their key workers and the key worker role. • Care notes recording the lives of the service users should reflect the individuality of the service users and their changing needs and strengths The registered person should ensure that up to date records are available of the individual involvement and choices regarding activities. The registered person should ensure that an individual record of visits to service users, with details, should be kept. The registered person should continue to address different methods for reducing the risk of infection when service users needs restrict normal practice. The registered person should continue to develop the staff training towards the Learning Disability Award Framework and the attainment of 50 of the staff team holding a qualification equivalent to NVQ level 2 in care. The registered person should ensure that: 1. A risk assessment is in place regarding the provision of window restrictors. 2. The details of the COSHH file are up to date with evidence that the staff have undertaken training in this. 3 YA6 4 5 6 7 YA12 YA15 YA30 YA32 8 YA42 Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Cedarfoss House DS0000019658.V297585.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!