Inspection on 22/12/08 for Darwell House

This inspection was carried out on 22nd December 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Darwell House 04/01/08

Darwell House 26/06/07

Darwell House 24/10/06

Darwell House 07/06/06

Darwell House 28/10/05

Darwell House 23/04/05

Darwell House 29/11/04

Darwell House 26/05/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Darwell House Grange Court Maynards Green East Sussex TN21 0DJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Caroline Johnson     Date: 2 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Darwell House Grange Court Maynards Green East Sussex TN21 0DJ 01435866468 01435867519 darwell@evesleighcaregroup.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Evesleigh (Kent) Ltd Name of registered manager (if applicable) Mr Kevin Richard May Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 15. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Darwell House is registered for fifteen adults with a learning disability. The home is a large, two storey, detached property. There is a large amount of communal space, separate kitchen and dining facilities and sufficient bathrooms and toilets. The service stands alongside its sister home [Springmeadow], in several acres of ground in Maynards Green, near to Heathfield town, with shops and public transport links. Some of the land is utilised by service users for sport, allotments and gardens. Care Homes for Adults (18-65 years) Page 4 of 30 care home 15 Over 65 0 15 Brief description of the care home Information on the current range of fees charged is normally within the homes statement of purpose/service user guide. See summary section of this report for details of the current fees. Extras charged are for personal items. Inspection reports are not routinely sent out to families and advocates after each publication although a copy is kept on display in the reception area of the home and can be obtained via the manager. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: For the purpose of this report the people living at Darwell House will be referred to as residents. As part of the inspection process a site visit was carried out on 22 December 2008 and it lasted from 10:30 am until 5:00 pm. The registered manager facilitated the inspection. Over the course of the inspection there was an opportunity to meet with the majority of the residents. In addition time was spent with the deputy manager and with two members of care staff. A full tour of the home was undertaken. Two care plans were examined in detail. In addition records seen included; staff rotas, training, medication, menus, health and safety, quality assurance and leisure activities. Care Homes for Adults (18-65 years) Page 6 of 30 The last inspection on this service was completed on 4 January 2008, and at that time, the manager had only been appointed a short time. He has since been registered with the Commission. In addition, in the past couple of months he has also taken on the role of registered manager at Spring Meadow, a sister home on the same site as Darwell House. The fees for the service range from 1220 to 1762 pounds per week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 30 Care Homes for Adults (18-65 years) Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents receive detailed information about the services on offer. Ensuring that the guide is available in a range of formats could enhance this further. Evidence: The home is currently registered to provide accommodation for fifteen adults with learning disabilities. However, following a service development meeting during the summer it was decided that at most, the home would cater for ten residents. At the time of this inspection there were eight residents. There are plans to refurbish the building. There is a detailed statement of purpose in place. Within each care plan there was a contract/terms and conditions of residence in place that had been signed by the resident. In addition there was a service user guide. It was acknowledged that further work is required to make the guide more person centred in line with the individual needs of the residents. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: Staff described a good admission procedure and in relation to one resident admitted since the last inspection, they confirmed that the resident had visited the home in advance of the move, staff also visited the residents previous placement and staff training had been provided on the specialist needs of the individual. In addition, to accommodate the needs of another resident the staffing arrangements were reviewed and increased. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The quality of the support plans in place is very good and with better record keeping in some areas this could be enhanced even further. Evidence: Two support plans were examined on this occasion along with extracts from other care plans. Following the last inspection of the home extensive work has been undertaken to improve the care planning system. The home has adopted the person centred planning approach to care planning. Each care plan seen contained a wealth of information about the current abilities and needs of the residents. There was information about their daily routines with a description of what their best and worst working day could look like. Information also described how residents communicate, what they need to stay healthy, their weekly timetable and things that are important to them. In each case there were a range of risk assessments in place. Monthly reports were Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: also in place and reviews are carried out annually. In relation to one residents review notes, the minutes were very brief, it was not clear who attended the meeting and the residents goals had not been discussed. In the care plans seen the goals were not clear. Staff spoken with were clear about the direction they were heading in relation to supporting residents with their goals. Residents meetings are held regularly and records show that everyone is encouraged to have a say. House issues, menus and activities are discussed and an action plan is drawn up to identify who has responsibility to sort out any issues raised by residents. Staff advised that a new keyworker list had been drawn up following the last meeting as some of the residents had requested a change. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are given excellent opportunities to participate in a wide variety of stimulating activities to meet their individual needs. Improved record keeping detailing progress with activities could enhance this further. Evidence: Each of the residents has an individual weekly programme of activities that they participate in. Three programmes were seen during this inspection. Records showed that residents have opportunities to work on the land, to attend college and to attend a local day centre. There is a very good balance between opportunities for personal development, skill development, leisure and using the local community. Programmes seen included feeding the animals on site, attending horticulture courses, cooking courses, swimming, bowling, music appreciation, cinema, photography and pub visits. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: Staff also advised that some of the residents attend local poultry shows where they show their hens and eggs and the home has been know to win prizes in these areas. Individual wishes are respected as far as possible and one resident chooses to attend church regularly through the week. Another resident works closely with the maintenance man. The planners seen were excellent and showed that the diverse wishes of the residents are taken into consideration. However, record keeping does not always back up that the activities have actually happened or if they did happen, what progress was made. It was noted in individual care plans that there was an activity monitoring chart to record each activity, how long the activity lasted, when and where it took place, who was there and what worked well and what didnt. These forms have yet to be introduced. Residents are encouraged to maintain contact with family and friends. One resident now travels independently to visit their family. Other residents write letters or are supported to write to relatives. At the time of this inspection a number of residents were going to their relatives to spend time over Christmas and staff assisted in the transport arrangements to enable this to happen. Residents are encouraged to participate in activities around their home for example cleaning their individual bedrooms, setting and clearing tables. In addition they are supported to attend to their own laundry and some of the residents are involved in food preparation. One resident has completed a basic cooking course at college and he is continuing to cook with some staff support in the home to maintain his skills and to increase his range of meals. He decides his meals on a daily basis. There is a summer/winter menu in place but a staff member advised that they go through the menus once a month and swap meals around if necessary to accommodate residents wishes. Menus seen showed a good variety of well-balanced and nutritious meals served. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by the systems in place to manage their healthcare needs. Evidence: The arrangements in place for the storage and handling of medication were in order. Records are kept of all medication returned to the pharmacy and there are also records in place of all medication signed in/out as part of social leave. Where medication is prescribed on an as required basis there were detailed guidelines on the medication, what it is prescribed for and when it should be given. It was reported that the pharmacist visits the home periodically to check on the storage and administration of medication. A senior staff member carries out a weekly drugs audit and there is also an overall monthly audit. It was noted that where residents suffer from epilepsy there were detailed guidelines in place on epilepsy management and the guidelines had been reviewed by the local CLDS (community learning disability service). The homely remedies list had been signed by the GP. In addition the GP had signed their agreement in relation to administration of specialist medication for the treatment of epilepsy. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: Records showed that residents were supported to attend regular healthcare appointments such as dental, opticians and chiropody. Individual weights are monitored on a monthly basis. Some of the residents receive specialist advice and support in relation to their health care needs. Each of the residents has a health action plan in place and it is reviewed regularly to ensure that individual needs continue to be met. There was a very good rapport observed between staff and residents and there was a lively and jovial atmosphere in the home. One of the residents has died since the last inspection of the home. Staff advised that the residents coped well with their loss and residents were supported to attend the funeral. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are procedures in place to ensure that anyone wishing to make a complaint can do so. Evidence: There is a detailed complaint procedure in place and in addition there is a simplified version of the procedure in place, which is on display in the home. There is also a copy of the complaints procedure in the service user guide. The manager advised that there have been no complaints since the last inspection. The home cares for people who at times can present with challenging behaviours. All of the staff team are offered training in Pro act scip manoeuvres. On the day of inspection a number of staff were receiving training on this subject. Over a number of inspections there has been a repeat requirement in relation to the need to review the policy on restraint. The policy was reviewed and updated in October 2008. The policy is detailed and includes the organisations expectations of how staff should respond in situations where restraint is required. It makes it clear that restraint should only ever be used by staff that have received training on the subject. In addition staff should follow guidelines on how to restrain that have been agreed at a multi-disciplinary meeting. It was noted that where there were guidelines in place in relation to behavioural Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: management they had been agreed with the professionals involved. All staff spoken with commented on the reduction in the number of incidents that used to occur in the home. This they contributed to a clearer direction in relation to the management of behaviour along with a more consistent approach used by the staff team. There is a detailed procedure in place on the protection of vulnerable adults. Records showed that six staff still required up to date training on the protection of vulnerable adults. However, the manager advised that the staff-training matrix had not been updated following the last round of training and that further training had been booked to be held early in the New Year. Staff spoken with during the course of the inspection were clear about the action they would take if they suspected abuse. Care Homes for Adults (18-65 years) Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The accommodation provided is basic but adequate. However, once the plans to develop the service have been implemented this will ensure that residents are provided with a very good standard of accommodation. Evidence: The home is currently registered to accommodate a maximum of fifteen residents. At the time of the visit there were eight people in residence. The organisation is currently making plans for the refurbishment of the property which will involve dividing the building up into smaller units. At the time of this inspection there were two flatlets for individual residents. Each flatlet contained a bedroom, lounge and bathroom area. One of the flatlets also contained a kitchen, an office and staff sleep-in room. It is acknowledged that there is an institutional feel to the building and that work is required to upgrade the property and to make it make it more homely in design. Having said this, individual bedrooms have been personalised, they reflect the individual tastes and personalities of the residents and they are homely. One resident who moved to the home recently told the inspector that he had the choice of two bedrooms and that he had chosen the colour scheme for his bedroom. As the building is large staff now carry two-way radios so that they can maintain contact Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: should the need arise. There is a wide choice of communal areas to spend time in including an activities room, which is used for arts and crafts. The grounds surrounding the property are extensive offering areas for recreation, horticulture and animal husbandry. Staff record any maintenance issues that they find in a maintenance book and records seen showed that issues are generally repaired the same day or the next. All areas of the home seen were clean. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good training opportunities are provided to enable staff to meet the needs of the residents and with closer attention this would ensure that everyone is up to date in all areas of training. Evidence: Staff levels appeared sufficient. It was reported that there could be up to eight on duty for a morning shift including the manager and deputy. There are four staff in the afternoon plus a twilight staff member working 4.30 to 10.00pm twice a week. The staff-training matrix showed that there were lots of gaps in staff training. However, it was reported that the staff-training matrix had not been updated to reflect some of the more recent training. In addition there was evidence to show that further mandatory training had been booked for staff to attend early in the New Year. Training in ProAct scip was being provided on the day of inspection. The manager is currently awaiting a date for further training in person centred planning. The majority of the staff team have attended specific training to meet the complex needs of some of the residents. It was noted that two of the residents have attended some of the staff mandatory training such as basic food hygiene and fire safety. Four staff have completed NVQ (national vocational qualification) level two, five have level three and Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: the deputy manager is currently studying for level four. In relation to staff recruitment, two staff files were seen. In each case there were detailed records in place showing that thorough checks had been carried out as part of the recruitment process. However, the manager was reminded of the need to ensure that one reference should be from a previous employer not a work colleague. The staff supervision matrix showed that there were some gaps in staff supervision. However, statistics for December showed some improvement. Of the files seen staff would have had on average four to five supervisions over the course of the year. The manager advised that he was confident that they have turned the corner and supervision would now be more regular. A staff member spoken with stated that they were very supported. There is a good team and an excellent manager who has made a lot of difference. Another staff member stated that when the manager was new in post he initially took on everyones supervision and clarified expectations on both sides. Now this task has been handed back to seniors to do. One of the staff spoken with stated that they are due to complete training on providing supervision in the near future. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems in place to ensure that the home is managed well and these are continuing to be developed and improved upon. It is essential that aspects of the management of residents finances be clarified. Evidence: The manager has completed NVQ level four and the RMA (Registered Managers Award). Staff meetings are held monthly. Minutes of the meetings held in November were seen and included detailed instructions for staff to ensure that everyone was clear about what was expected of them. Staff spoken with confirmed that the manager has increased staff morale and the team is now working cohesively to ensure consistency of approach for the residents. There was good cross-referencing between issues raised in the house and individual residents diaries and the handover between shifts showing that all staff are kept up to date with changes. As part of the homes quality assurance system a compliance officer for the company carries out an unannounced visit to the home once a month to report on the conduct Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: of the home. Following each visit an action plan is drawn up of areas that need to be addressed. In addition to this a further report is carried out detailing the views of the staff and residents that were met with during the visit. Following the last inspection a service development plan was drawn up detailing how the company sees the home developing in the coming years. Timescales for development plans have yet to be decided. It was reported that satisfaction questionnaires had just been sent to the families of the residents via the head office but at the time of the inspection none had been returned. Satisfaction questionnaires are completed with residents periodically and details of the outcome were seen in individual care plans. It was noted that the service user comment cards were not dated, but daily activity plan questionnaires were dated and signed by the residents. The home also audits progress in a number of areas including health and safety, medication and kitchen hygiene. There is a policy in place on the management of finances. It says that a financial profile will be completed for each resident and there is a format in place for this. However, this has yet to be done. Records were seen in relation to two residents. In each case the records in relation to day-to-day expenditure were in order but in relation to the overall management of finances there were issues that need to be resolved. It was reported that the homes policies and procedures manual was completely updated in 2008. Records provided in advance of the inspection showed that the home ensures that electrical equipment is monitored and serviced at regular intervals. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 14 16 The registered person must ensure that they can demonstrate that individual activity programmes have been offered and the outcome recorded. This will enable residents to take part in appropriate leisure activities. 31/03/2009 2 24 23 The registered provider must ensure that plans for the development of the service must be sent to the Commission along with the proposed timescales. This will ensure that service users live in a homely, comfortable and safe environment. 15/04/2009 3 41 9 The registered person must 15/04/2009 clarify the arrangements in place for the management of residents finances and ensure that residents have sufficient monies available to pay for their Page 28 of 30 Care Homes for Adults (18-65 years) accommodation and activities. This will ensure that record keeping in relation to the management of residents finances is transparent. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 The registered person should continue to develop the person centred planning approach and record keeping should clearly show how residents are actively involved in this process particularly in relation to goals they have identified. The registered person should ensure that in relation to staff recruitment, one reference should be from the most recent employer not a work colleague. 2 34 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!