Inspection on 15/11/05 for Cherrywood House

This inspection was carried out on 15th November 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cherrywood House 19/03/09

Cherrywood House 21/03/07

Cherrywood House 01/06/05

Cherrywood House 10/11/04

Cherrywood House 04/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Cherrywood House 6 Eastfield Park Weston Super Mare North Somerset BS23 2PE Lead Inspector Catherine Hill Announced Inspection 15th November 2005 09:45 Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cherrywood House Address 6 Eastfield Park Weston Super Mare North Somerset BS23 2PE 01934 621438 01934 415143 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) Parkcare Homes (No. 2) Limited To be appointed Care Home 12 Category(ies) of Learning disability (12), Mental disorder, registration, with number excluding learning disability or dementia (6) of places Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 6 persons with additional mental health needs (MD). May accommodate up to 12 persons with learning disabilities, aged 1864 years, requiring personal care only 1st June 2005 Date of last inspection Brief Description of the Service: Cherrywood House is registered to provide personal care for up to 12 people aged between 18 and 64 with a learning disability, six of whom may have additional mental health issues. This service is geared towards supporting people with significant challenging behaviour in a homely setting. The home organises a range of external activities for each resident, and offers intensive support - often one-to-one - to enable them to maintain close links with their families and to increase their independence. Cherrywood is in a residential area of Weston-super-Mare, close to local amenities and public transport routes. The home is on three floors and has one ground floor bedroom with an ensuite. Each person has their own bedroom. The home is not accessible to wheelchair users due to the steps at the entrance. The home is operated by Parkcare No.2 Ltd, a subsidiary of Craegmoor Healthcare. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, carried out over the course of one day from mid-morning until late afternoon. As the acting manager, Maggie Fisher, has been registered since the last inspection, the inspection focused on management and administrative aspects of the running of the home, but the inspector also spent time with residents and staff to find out their views. Seven visitors had completed CSCI comment cards prior to this inspection, and staff had supported seven of the residents to complete cards too. Everyone had positive comments to make about the standard of care and the attitude of staff. People felt that they can raise any minor concerns with the manager. Effective communication and a very thorough recording system support the high standards of practice seen. Residents needs are thoroughly assessed and well-documented, and there are effective systems in use for allocating staff support where it is needed. Staff get excellent training opportunities, and many have NVQs. Staff constantly give residents positive reinforcement, and regular one-to-one input is rostered. The interactions the inspector observed were skilled and consistent, and staff demonstrated a good understanding of their roles. There is evidently a high level of commitment from the team to improving residents quality of life. While the environment is generally very pleasant and well suited to residents needs, many areas need redecoration or refurbishment. What the service does well: Cherrywood House caters for some highly dependent people, many of whom have behaviour that really challenges the service. Staffing levels are well above the minimum, allowing for the levels of support indicated as needed in residents care plans. The team approach strikes a good balance between being very flexible and immediately responsive, and providing clear structure to residents lives. Staff were adopting an adult-to-adult approach to the residents. Staff get a lot of training, and come across as a confident and competent team. Individual staff bring very different skills and qualities to the group, and there is evidently a strong mutual respect within the team. Each person has a good range of regular, interesting activities that suit their individual tastes and needs. Residents also have regular, planned one-to-one days with their key workers. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-5 Prospective residents get up to date information before coming to stay at the home, and the thorough assessment helps to ensure that the home will be able to meet their needs. The contract is not in a service-user-friendly format. EVIDENCE: The Statement of Purpose has been updated since the last inspection, and now includes current details on the homes management. This is a very concise document, which is posted in the hallway. It doesnt include the fire procedure and complaints procedure, but copies of each are posted in the hall nearby. Residents assessments are very in-depth, with lots of extra information added as staff get to know the person better. The residents contract and statement of terms and conditions in current use are not very accessible to them. Alternative versions of these must be drawn up in formats more likely to be understandable to residents, with staff support as necessary. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 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): 6-10 Residents needs are well documented and staff have clear guidance about what support is needed. Minor changes would demonstrate residents involvement better. Residents confidentiality is protected. EVIDENCE: Care plans are divided into distinct areas of need, and provide exceptionally clear guidance on the support that staff should be giving. Action plans are phrased positively around what the person is able to do for themselves. Different staff each gave the inspector very similar information about individual residents needs, and responded consistently to residents in accordance with the agreed written strategies. This consistency between written guidance, actual response, and staff understanding indicates very effective communication among the team and a good understanding of their roles. Care plans focus on the support required. The aims noted in them are mainly those of the team. While these are very worthy - for example, promoting the persons dignity - the overall quality of care plans would be improved if the residents own aims were incorporated. One person was keen to learn to wash Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 10 their own hair, and this could usefully be built into their care plan as a way of ensuring their involvement and commitment. The inspector suggested that a summary sheet of each persons own goals, supplemented by pictures, is drawn up for each resident to keep in their room if they wish. Those residents who are able should be invited to sign their care plans: this can act as a reminder to both residents and key workers that plans should be person-centered. Residents personal care records are exceptionally informative and detailed. There is a wealth of individual risk assessments that supplement the very detailed care plans, and many of these are cross-referenced with supplementary information on the best strategies to adopt. The inspector suggested that a front sheet is compiled for each residents file, listing all the care plan issues covered, all the risk assessments, and any other supporting guidance: this would help to ensure that staff are aware of all the detail available in various places within the file, and would help to draw their attention quickly to any particularly significant issues, for example the possibility of allegations being made and the need for two staff to work with a person. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 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): 11-17 EVIDENCE: Many of the residents are doing courses at the local college, either during the day yearly evening. Each person has their own timetable of activities, and many people have one-to-one support form staff to access community based activities. One of the staff took a few people to the pub in the late afternoon. Residents said that this is a regular short trip out. A visiting aromatherapist will give residents a hand massage. There is a small room set aside upstairs especially for the purpose of massage, and this has a proper table for residents who like body massage. Key workers support residents and their families to stay in touch. Residents are often taken to visit families, and staff will support residents to participate in social events with their families if necessary. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 12 Menus are based on residents known preferences and on the suggestions of those people who are able to express their ideas. The menus seen showed that people are offered a balanced and interesting diet. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 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 Residents have good, well organized support with personal care. EVIDENCE: Each person has regular health checks, and staff liaise closely with other health care professionals. It would be easy, with such high staff levels, for staff to relate to each other primarily, but staff coming on duty greeted people equally and were quick to initiate interactions with the residents. Staff responded immediately and positively to any approaches from residents. When people needed support with personal care, staff gave this promptly and tactfully. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 14 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 Residents and relatives views are listened to and taken seriously. EVIDENCE: There is a very clear complaints procedure for residents to use with support from staff. The homes staff have also produced an abuse awareness leaflet for residents. This is an excellent document for staff to work through with clients, providing clear information supported by relevant pictures. There is a comprehensive abuse policy that is in line with North Somersets No Secrets guidance. A copy of the whistleblowing procedure is posted in the hall. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 15 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 The environment is comfortable and safe but some areas need refurbishment. EVIDENCE: Cherrywood house is a lovely building that is generally very pleasant and wellsuited to residents needs, but some areas are in need of redecoration and refurbishment. There are several spacious communal rooms, and an art room. A small room has been converted into a massage room with a proper table for the visiting aromatherapist to use. There are lots of nicely kept potted plants around the home, and many walls are adorned with framed photographs of the residents. There is a secure area of the back garden where residents can go out unsupervised. Staff have been creative in their efforts to tailor the environment to individual residents needs, but despite evident attempts to make the place comfy and homely, a lot of areas are starting to look shabby, with worn wallpaper and chipped woodwork. The downstairs lounges and hallway are starting to look very tired and worn, and the music room lounge will need recarpeting in the near future. The carpet Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 16 in the medications office is very badly stained. This may be from repeated spillage of liquid medications, and staff said that they try to scrub the carpet occasionally. The inspector suggested that a carpet shampooer maybe a useful piece of equipment to protect and maintain clean carpets. If this does not improve the carpet to a satisfactory standard, the carpet will need to be replaced. The cafe needs repainting. The sofa and are chair in this room looked tired and scruffy, and must be replaced. The carpet in this room is dreadfully stained and must be replaced. Some furniture in a couple of bedrooms was damaged and missing items such as drawer fronts. Most of the doors around the building have been numbered with marker pen. The inspector advised that, if it is important to number the doors, this is done with proper signage to look more homely. In lots of the bedrooms, the paint doesnt go quite to the edge the ceiling or the top the wall. The manager said that staff tend to paint residents bedrooms. It is heartening that staff are willing to do something so far outside their job description in order to benefit the residents, but they cannot be expected to be skilled in this area, and Craegmoor must ensure that redecoration is carried out satisfactory standard. In essence, the staff team asks residents to modify their behaviour and respect their environment, so it is important that the quality of the environment gives the residents the message that they too are valued and respected. The wood of the step of the fire escape door near the sleeping-in room is rotting, and many windows and doors are starting to look in need of replacement. The kitchen is in a poor state. The counters are very stained and worn, and some of the units are rotting or coming apart. The grout of the tiles is stained very dark brown near the floor and above the counter tops. The wood of the window above the rear sink is soggy, and the sealant at the back of the sink has gone. The paint on the edge the windowsill by the cooker is darkened and has bubbled, as if with heat. The cooker itself is of an old fashioned design, which staff need to get on the floor to light. It is recommended that the cooker is replaced. It is hoped to convert the basement to a self-contained flat for one of the residents to allow a high level of support in a comparatively independent living situation. One-to-one staffing would be provided at all times that the occupant was at home. There are plenty of bathrooms and toilets around the home, and staff have been really creative with blinds and curtaining in these rooms, making them feel really welcoming. However, the flooring in most of these rooms is scuffed and worn. Three bedrooms and all the toilets and bathrooms are due to have new flooring fitted. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 17 The nonslip mats in some of the bathrooms were badly mildewed. The manager said that new mats are on order. Some of the towels seen were each stained and very tatty around the edges. There were only about half a dozen spare towels in the linen cupboard, and most of these were also rather tatty. New towels are needed, in sufficient quantity to ensure that residents have a satisfactory supply of clean, pleasant-to-use towels. Some of the light cord pulls in the bathrooms have become very dark and greasy-feeling with use. If cleaning does not improve these, they will need replacement. One of the residents tends to remove toilet rolls and hand wash from the toilets. The inspector suggested that staff consider using wall mounted, lockable toilet roll holders and hand wash dispensers. There are many designs available, so it should be possible to choose something that will be in keeping with the homely environment. The flush on the toilet halfway up the stairs is not working properly. One of the washing machines broke down almost 3 months ago and staff are having to carry heavy baskets of laundry up and downstairs to use the other machine. The manager reported that the machine is due to be fixed the day after this inspection. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 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): 31-36 Residents are well protected by the staffing systems in place. EVIDENCE: Rotas show that there is a minimum of 4 staff on duty but that staffing levels are usually much higher. There are two or three staff on duty throughout the night. Rotas also clearly indicate which staff are allocated to give residents one-to-one support. Each different role has a very thorough job description and a separate person specification. Each of the staff files sampled contained a contract, evidence of identity checks, references, and criminal record checks. Staff training records are particularly clear and it is easy to see at a glance who has had what training. A master record is kept that shows the dates each staff member last had statutory training, and copies of any certificates are kept on individuals files. Craegmoor has recently brought out a new induction and foundation training package, designed in consultation with BILD (British Institute for Learning Disabilities). Staff have excellent training opportunities, and as well as statutory training have done courses on mental health, bereavement, and counselling. Recent Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 19 training includes manual handling, health and safety, control of substances hazardous to health, infection control, crisis prevention intervention, abuse awareness and equal opportunities. Almost all the staff hold a current Appointed Persons first aid certificate. This course is much more in-depth than the basic first aid training. All four senior staff and six other staff have NVQ3, and 10 others have NVQ 2. This exceptionally high ratio of qualified staff is reflected in the high standards of care and the skilled responses that were evident during this inspection. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 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): 37-42 The home is well managed, although there is an outstanding issue that has not been formally responded to by Craegmoor regarding the support the organization offers to the manager. EVIDENCE: The manager, Maggie Fisher, has been in post for over a year but has only recently been registered. She has worked in a senior capacity at other homes for people with learning disabilities and is undertaking the Registered Managers Award. During her time in post, she has promoted the already high standards of practice, improved some of the recording and administrative systems, and developed the sense of team identity. Staff described a friendly team whose members look out for each other. Support and communication are good. Seniors are seen as approachable, interested and supportive. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 21 The manager said that she needs to check with headquarters before ordering supplies such as new towels. The inspector advised that this arrangement should be reviewed, as the homes manager should not have to request permission to order such basic and essential items. The deputy manager is responsible for arranging much of the training, and is himself qualified to give training in a variety of subjects. He also has delegated responsibility for health and safety in the home, and has developed a very thorough system of carrying out and recording health and safety checks. There is a wide range of clear, thorough procedural guidance that is kept under regular review. A new supervision system was brought into use over the summer. This is effective at prompting regular supervision sections and yearly performance appraisals, but tends to focus on staff performance as a company employee rather than on how the person fulfils their role with the residents. The inspector noted that these records are sent to Craegmoor headquarters, and are therefore not confidential between the employee and the manager; staff are likely to be more honest in supervision if they feel that the records will remain confidential unless exceptional circumstances. It is recommended but Craegmoor reconsider this practice. All staff are having fire instruction at least every six months at present. The inspector reminded the manager that staff covering night-time duties must have fire refresher training at least every three months. Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 4 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cherrywood House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 x DS0000008117.V254672.R01.S.doc Version 5.0 Page 23 no 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 YA24 Regulation 23 Requirement Residents bedrooms must be decorated to a satisfactory standard. Timescale for action 15/05/06 2. YA24 23 The cafe, downstairs lounges and hallway must be redecorated. 15/03/06 The carpets in the music room and cafe must be replaced. The carpet in the medications room must either be cleaned to a satisfactory standard or replaced. Badly worn flooring in toilets and bathrooms must be replaced. Stained light cord pulls must be replaced. Worn or broken furniture must be replaced. Most of the doors around the building have been numbered with marker pen. If it is important to number the doors, this must be done with proper signage to look more homely. New towels are needed, in 3. YA24 23 15/12/05 Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 24 4. 5. YA27 YA42 23 23 sufficient quantity to ensure that residents have a satisfactory supply of reasonable quality towels. The flush on the toilet halfway up the stairs must be repaired. Staff covering night-time duties must have fire instruction at least every three months. 22/11/05 15/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA5 YA6 Good Practice Recommendations The residents contract and statement of terms and conditions should be available in versions that are more likely to be understandable to residents. Residents own aims should be incorporated in their care plans. Those residents who are able should be invited to sign their care plans. The kitchen cooker should be replaced. Craegmoor should reconsider the current practice of sending staff supervision records to headquarters as a matter of course. The arrangements for ordering new supplies of basic, essential items should be reviewed to ensure that the manager is able to acquire these quickly. 3. 4. 5. YA24 YA36 YA43 Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Cherrywood House DS0000008117.V254672.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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