Inspection on 14/06/06 for Claremont Road Care Home

This inspection was carried out on 14th 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Claremont Road Care Home 04/06/07

Claremont Road Care Home 13/12/05

Claremont Road Care Home 12/07/05

Claremont Road Care Home 03/02/05

Claremont Road Care Home 15/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Claremont Road Care Home 4 Claremont Road Sherwood Rise Nottingham NG5 1BH Lead Inspector Susan Lewis Key Unannounced Inspection 14th June 2006 10:00 Claremont Road Care Home DS0000002248.V299266.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 Claremont Road Care Home DS0000002248.V299266.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. Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Claremont Road Care Home Address 4 Claremont Road Sherwood Rise Nottingham NG5 1BH 0115 841 3005 0115 985 7579 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) Nottingham Community Housing Association Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. service users shall be within category LD Date of last inspection 13th December 2005 Brief Description of the Service: Claremont Road provides 12 places for adults with learning disabilities. It is a large detached property that is located close to the centre of Nottingham. The home is also conveniently situated for public transport, local shops and community facilities. The property has a private rear garden. The home is accessible to people who are wheelchair users. There is a minibus provided for residents use. Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. This unannounced inspection was carried out by one inspector over 7 hours and was the first key inspection for the 2006/07 inspection year. A partial tour of the building took place with communal areas and a selection of bedrooms inspected. Staff and care records were inspected, a number of residents and staff were spoken with throughout the day. What the service does well: What has improved since the last inspection? What they could do better: The Registered Person must ensure that support plans detail how residents needs are to be met enabling care to be provided in a way that residents choose, plans must also be kept under review and amended where needs have changed. An immediate requirement with a timescale of 22/06/06 was set regarding the risk assessments for residents. Residents must receive appropriate risk assessments to enable them to be involved in activities of their choice and that risks are minimised to support this choice. Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 6 Where specialist advice has been sought such as a dietician, this must be evidenced in a clear way on the plan including what action needs to be taken and then this must be monitored to ensure that it is effective for residents’ welfare. The Registered Person must ensure that sufficient staff are employed who are competent and experienced to meet the needs of the residents. Staff had been employed but due to other staff leaving and secondments this has now reduced staff numbers again. Although the Registered Person has been sending in some information regarding regulation 26 of The Care Home Regulations 2001, they have not met the information required in the regulation and as such the registered person must improve these documents. 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. Claremont Road Care Home DS0000002248.V299266.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 Claremont Road Care Home DS0000002248.V299266.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 and 5 The quality in this outcome area is adequate. Only social services funded residents have their individual needs assessed prior to moving to the home, although each resident has contract there are not written in style appropriate to the needs of the residents. EVIDENCE: Three support plans were viewed for the purpose of this inspection and all had extended community care assessments carried out by social services. Nottingham Community Housing Association does not have a method of carrying out a needs assessment for individuals who are self-funding. Ensuring prospective residents who enter the home, as self-funding residents would have their needs assessed and know that they would be met prior to moving into the home. Plans viewed had been developed in the most part using the assessment from social services, however it was apparent that there were notable exceptions where it was clear there was a need but there were no support plans in place. This potentially places residents at risk. All residents had a copy of their contract. However, a requirement was made at the last inspection to provide a contract in a format appropriate to residents needs. This has not been met but it will be changed to a recommendation as all residents do have a contract. Claremont Road Care Home DS0000002248.V299266.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 and 9 The quality in this outcome area is poor. Residents are not assured that their assessed and changing needs are reflected in the support plan and are not supported appropriately to take risks. EVIDENCE: The three plans viewed showed that the plans were not always generated from the assessment; they did not always cover the residents assessed needs and potentially placed residents at risk as a result. Although they set out in some cases restrictions of choice and freedom agreed by service users there were not always linked risk assessments detailing what the risk was or how to minimise it. It was not always clear whether the plan was drawn up with the residents or a representative. Plans were available only on the SuRe computer system or as print off from the computer, therefore not available to residents whose needs are not met by this method. It is recommended that the Registered Person use appropriate systems to ensure residents are able to be involved in developing and reviewing their support plan. Plans are reviewed regularly but there appeared to be wide discrepancy in some of the reviewing. Evidence from diary notes showed that in some cases residents needs were clearly changing or at least indicated the plan did not meet the need, yet the Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 10 review note said that ‘needs not changed’ or ‘plan remains the same’. The Registered Person must ensure that reviews ensure that support plans meet the residents’ needs appropriately. Residents spoken with were unable to tell me whether they were involved in creating or reviewing support plans. Diary notes provided some evidence that residents were able to make choices themselves about how they spent their day. Plans did indicate who acted as appointee if necessary, in plans viewed it was either a relative or Social Services, ensuring residents receive independent financial support. All care plans viewed showed a lack of risk assessing to the extent that residents were at risk. Diary notes and assessments showed that some residents had identified needs and there were no linked risk assessments or that diary notes showed that a plan might be in place but the resident was at risk from their actions and again there were no linked risk assessments. An immediate requirement was left to ensure that risk assessments were carried out to minimise any risk to residents. Evidence was seen and confirmed by staff spoken with that the new manager is aware of the shortcomings of the support plans and has plans to improve them all. Claremont Road Care Home DS0000002248.V299266.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 and 17 The quality in this outcome area is adequate. Residents are able to take part in age appropriate activities and be part of the community, they are supported to maintain contact with their family and friends EVIDENCE: Diary notes showed that residents were involved in a variety of community activities, including attending day services or having a part-time job. There was no evidence from support plans that staff actively support residents to take up paid employment or develop employment skills. It is recommended that staff encourage residents to develop these skills. Evidence was available to show that residents were offered holidays and were able to go the pub or go out for meals. Residents were able to maintain support with family and friends and they had opportunities to meet people outside of the home. Where residents have relationships, support plans are not created to show how the relationship is to be maintained and promoted as safe. It is recommended that where residents have intimate relationships that support plans are created to enable appropriate guidance and support to be given. Plans showed residents were involved in chores such as washing and cleaning their bedrooms and when this was to take place. Residents spoken with were unable to tell me if Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 12 staff respected their privacy, however staff spoken with had a good understanding of how to maintain residents privacy and staff were observed knocking on residents’ doors before entering and were seen speaking politely to residents throughout the day. There was evidence that some residents had keys to their bedrooms ensuring their privacy. On the day of the inspection residents who had not gone to day services or on holiday were seen to access all parts of the home and garden. Copies of the house rules on smoking were available to residents and a separate smoking room was available to those residents who smoke. As most residents were out for the day the main meal is in the evening and therefore was not observed, however the menu showed that residents had varied meals and residents spoken with confirmed that they liked the food and that they were able to choose what meals they wanted. Support plans showed that residents were weighed regularly. In some cases where residents were seeing the nutritionist it was not always clear what this advice was and how it was to be monitored. Claremont Road Care Home DS0000002248.V299266.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 and 20 The quality in this outcome area is adequate. Residents receive personal support in the way they choose and their physical and emotional needs are met. Residents are not protected by the home’s policies and procedures for dealing with medication. EVIDENCE: Support plans provide information on how residents choose to receive their personal support, where they need guidance and support in getting up and maintaining their personal hygiene. Diary notes evidence that referrals are made as required to health care professionals such as physiotherapist or speech therapist. Residents have key workers and continuity is maintained where possible. Residents are able to attend appointments with support and support detail if a resident is no longer attending appointments and why. Health is monitored and problems are referred to the appropriate specialist. Evidence was seen that residents are supported to access the optician, dentist and chiropodist. The medication cabinet is in the kitchen next to the cooker, it is reached by stretching over a worktop. The Registered Person must ensure that appropriate temperature records are taken to ensure that the medication in the cupboard does not go above safe limits. Also it is strongly recommended that a risk assessment take place regarding the position of the cupboard to ensure Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 14 staff are not placed at risk when they reach for medication. A bottle of spoilt medication was found with no indication of how long they had been there or what should be done with them. The Registered Person must ensure that all medication is handled according to the guidelines from the Royal Pharmaceutical Society of Great Britain and medication disposed of appropriately. Although most medication was administered using a MDS system and there were no errors in recording, PRN medication was stored separately and it was not obvious where this medication was or who it was for. Risk assessments are not carried out to see if residents are able to self medicate, however support plans state that the resident is happy for staff to administer their medication. It is recommended that all residents are risk assessed as to their ability to self medicate and the support plan developed accordingly to support their independence. Evidence was seen that the new manager was aware of the shortcomings in the medication cabinet and has plans to address it. Claremont Road Care Home DS0000002248.V299266.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 and 23 The quality in this outcome area is good. There is a complaints procedure that is available to residents and residents are protected from abuse. EVIDENCE: The Commission has not received any complaints regarding this service and the Nottingham Community Housing Association SuRe system did not identify that the home had received any complaints. The Commission does not have any serious concerns regarding this service. Residents were unable to tell if they were aware if the complaints policy or who to complain to, the copy of the complaints policy was pinned in the kitchen but was covered by other information. Staff spoken with were aware of the whistle blowing policy and understood what constituted abuse. Money is stored securely and staff were observed checking the contents at handover to ensure the money tallied. Nottingham Community Housing Association has a robust internal financial audit, which protects residents. A copy of the Nottinghamshire procedure for the Protection of Vulnerable Adults was available in the office. Claremont Road Care Home DS0000002248.V299266.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 and 30 The quality in this outcome area is poor. The home is shabby and worn and in some areas institutional in its appearance. There are procedures to maintain the home in a hygienic manner, but in some areas it is not clean. EVIDENCE: During the tour of the building only the bedrooms of those residents who were case tracked were viewed. Communal areas were dirty and shabby with the hall carpet very badly stained. Although residents’ bedrooms were personalised and had sufficient facilities in them to meet their needs they were generally untidy with carpets stained. The bathrooms were also showing signs of wear and where wall furniture had been removed there damaged areas that needed repainting. A toilet seat in one toilet was broken and in a number of bathrooms, although it was privacy glass, there was no blind at the window to ensure the residents felt totally private. One bathroom had a shower screen broken and some areas smelt musty or damp. The furniture in the communal areas was showing signs of wear and in the main lounge the chairs looked grubby. The dining room had institutional furniture and again looked worn. Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 17 There is a ramp to the front and rear of the property but only the ground floor is accessible to a wheel chair user. The laundry facilities are near the front of the building and soiled articles do not intrude on residents. The machines have suitable programmes to wash foul laundry ensuring that suitable infection control is maintained. There is a small sink providing hand-washing facilities again maintaining infection control. There are policies and procedures in infection control. Claremont Road Care Home DS0000002248.V299266.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 and 36 The quality in this outcome area is adequate. It is not clear that residents are supported by competent and qualified staff or by an effective staff team. Residents are protected by the recruitment policies and procedures and staff are supported by regular supervision. EVIDENCE: On the day of the inspection there were a number of staff seen coming and going from the home carrying out a variety of tasks. On the afternoon and early evening shift there were two staff, both relatively inexperienced. Staff spoken with understood the needs of the resident group, from staff training records it was difficult to identify who had NVQ 2 training, and so difficult to establish the competency level of the staff group. The Registered Person must ensure that staff are both competent and experienced when working in the home. A requirement was set at the last inspection to ensure that there were sufficient staff available to meet the needs of the residents. In discussion with the manager and staff it was evident that staff had been recruited earlier this year so the requirement was met at that point, however, since then some staff have left and other staff are to be seconded to another Nottingham Community Housing Association project. As a result this requirement will be carried over to the next inspection. Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 19 Staff records were viewed on 9/03/06 at Nottingham Community Housing Association head office and were found to have two references and a Criminal Records Bureau check completed. Recruitment procedures were followed and residents are protected by this action. Training records were seen but were limited and not always up to date evidence was seen that the new manager is in the process of updating this information. This standard will be looked at again at the next inspection to ensure it has been met and as such will not be scored in this report. A requirement was made at the last inspection regarding staff receiving regular supervision. Evidence was seen that the manager has created new supervision lists and staff spoken with confirmed that they now received supervision. This requirement is met. Evidence was seen that the new manager is updating the safe working practices within the home. Incidents and accidents are recorded on the SuRe system. An accident had occurred where the resident required a visit to the hospital but the Commission had not received a regulation 37 report detailing the incident. The Registered Person must ensure that all incidents that adversely affect residents are reported to the Commission. Staff spoke with said that they felt their health and safety was taken seriously. Claremont Road Care Home DS0000002248.V299266.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 and 42 The quality in this outcome area is adequate. There is no evidence to show that residents’ views underpin all self-monitoring, review and development. Health and safety is promoted but lack of appropriate recording potentially places residents at risk. EVIDENCE: There is a new manager in post and the Registered Person must ensure that an application is received by the Commission at the earliest opportunity to register her as a ‘fit person’ to manage a care home. Evidence was seen that the new manager is NVQ level 4 qualified and has previous experience in a managerial position. Nottingham Community Housing Association has an internal quality audit system and on the day of the inspection arrangements were being made for this to be carried out. Unfortunately the copy of the previous audit could not be found. The regulation 26 reports that have been submitted by the Nottingham Community Housing Association do not comply with regulation and the Registered Person must ensure that he complies with it. Health and safety within the home is monitored and staff said that it was taken seriously and were given training to ensure they knew about safe working practices. Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 21 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 2 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 1 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 2 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 22 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 YA6 Regulation 15(1) Requirement The Registered Person must, unless it is impracticable to carry out such consultation, after consultation with the service user, or a representative of his, prepare a written plan (the service users plan) as to how the service users needs in respect of his health and welfare are to be met. Plans must show how identified needs are to be met. The Registered Person keep the service users plan under review, and make necessary amendments to the plan. Immediate Requirement The Registered Person shall ensure that unnecessary risks to health and safety of residents are identified and so far as possible eliminated. Risk assessments must take place on the identified resident and appropriate action taken. Timescale for action 01/09/06 2 YA6 15(2)(b) 01/09/06 3 YA9 13(4)(c) 22/06/06 Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 23 4 YA17 14(1)(a) 5 YA32 18(1)(a) 6 YA33 18 7 YA39 26 The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users. Support plans should show clearly where a nutritionist has been consulted, what the advice is and how it is to be monitored. The Registered Person must ensure that people working in the care home are competent and experienced to do so. The Registered Person shall having regard to the size of the home, the statement of purpose and the number and needs of the service users ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. (Outstanding requirement 01/02/06) Where the registered provider is an organisation or partnership, the care home shall be visited in accordance with this regulation by the responsible individual or one of the partners, as the case may be or an employee of the organisation or the partnership who is not directly concerned with the conduct of the care home. The person carrying out the visit shall - interview, with their consent and in private, such of the service users and their representatives and persons working at the care home as appears necessary in order to form an opinion of the standard of care provided in the care home; inspect the premises DS0000002248.V299266.R01.S.doc 01/09/06 01/08/06 01/08/06 01/08/06 Claremont Road Care Home Version 5.2 Page 24 of the care home, its record of events and records of any complaints; and prepare a written report on the conduct of the care home. 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 YA5 Good Practice Recommendations The Registered Person should develop a standard form of contract for the provision of service and facilities by the registered provider to service users; that is more applicable to the needs of residents with a learning disability. The Registered Person makes the plan available in a language or format that the resident can understand. Staff should assist residents to develop employment skills. Support plans should be created to enable residents to maintain intimate relationships. Residents should be risk assessed as to their ability to self medicate. Security of the premises and residents should be based on risk assessments. 2 3 4 5 6 YA6 YA12 YA15 YA20 YA42 Claremont Road Care Home DS0000002248.V299266.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Claremont Road Care Home DS0000002248.V299266.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!