Inspection on 30/05/07 for Derby Road Care Home

This inspection was carried out on 30th May 2007.

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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Derby Road Care Home 09/06/08

Derby Road Care Home 03/08/06

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 Derby Road Care Home Derby Road Doveridge Derbyshire DE6 5JT Lead Inspector Jo Wright Unannounced Inspection 30th May 2007 09:30 Derby Road Care Home DS0000066510.V338816.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 Derby Road Care Home DS0000066510.V338816.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. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Derby Road Care Home Address Derby Road Doveridge Derbyshire DE6 5JT 01543 437030 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) dovehousederbyroad@hotmail.co.uk Milbury Vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd August 2006 Brief Description of the Service: Derby Road Care Home is a large detached house. It is surrounded by large gardens. All areas of the building and garden are accessible to the people who live there. There are a number of communal areas including a large lounge. All bedrooms have en-suite bath or shower room. The residents have shared access to a large log cabin within the grounds of the home next door, it has a sensory room and an activity room. Derby Road Care Home provides long term care for adults with a learning disability. Transport to access the community is also provided. The current weekly fees range from £1995 to £2370. The weekly fees are specific to each individual resident and are dependent on their assessed needs. People living at Derby Road Care home purchase their own toiletries and clothing, and pay a contribution towards any deliberate and wilful damage to the building. They also contribute £35 a week towards the running of the communal vehicle. This information was provided on 30th May 2007. Information about the availability of the inspection report is included in the Service User Guide, which is provided to each person living at Derby Road Care Home. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of the key inspection for this service. One inspector carried out the site visit over 6 3/4 hours. During this visit, time was spent speaking with residents and staff, and observing the daily routine within the home. The records for two residents were looked at in depth, as well as records relating to the general running of the home. A partial tour of the building was also undertaken. No information was received from the service prior to this site visit. Information held on file, such as notification of incidents, was used to inform areas to look at during the site visit. 10 surveys were sent out following the site visit, 3 relatives, carers and advocates surveys and 1 health professional surveys were completed and returned. The information within the surveys has been incorporated into the relevant sections of the report. What the service does well: What has improved since the last inspection? Staff have been provided with training on safeguarding adults procedures and how to deal with difficult situations. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Derby Road Care Home DS0000066510.V338816.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 Derby Road Care Home DS0000066510.V338816.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient needs assessment information ensures that needs of the people using the service are identified and met. EVIDENCE: People living at Derby Road were provided with an individual copy of the Service User Guide, which had been personalised to their needs. Good use had been made of symbols and pictures in the Service User Guide to assist the people living there to understand the document. The four people living at Derby Road have been living together since before the last inspection in August 2006. One person spoken with confirmed that they had been given the opportunity to visit prior to deciding to move in. Detailed information about individual peoples needs was available in the two files looked at during this site visit. Good use had also been made of information obtained from health care professionals, previous placements and families in the assessment of needs of each individual. There was evidence to support that regular reviews were taking place and the information updated as required. Derby Road Care Home DS0000066510.V338816.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concise care planning and risk assessments ensure that residents’ needs are being met in the way that they choose. EVIDENCE: Information relating to people living at Derby Road was recorded in several different documents. The manager and one resident spoken with confirmed that they were developing an essential lifestyle plan, which would guidance for staff on how to care for a person in their preferred way. Information from the assessment of needs had been developed into care plans/risk assessments. The manager had developed a person profile for each resident that was used to assist new/agency staff. This contained information about the resident preferred routine and personal care needs. The files and the profiles contained sufficient information to enable staff to deliver care in a consistent way. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 10 The risk assessments recorded any limitations that were placed on residents and why, but also enabled people to take responsible risks. Although residents do not go out into the community unaccompanied, they have unrestricted access to all communal areas and the enclosed garden to the rear of the house. Information within the surveys indicated that usually the people living at Derby Road were supported to live the life they choose. However, carers clarified this with comments about the lack of structured activities in accordance with individual preferences as a reason for why this was not achieved (see Lifestyle Section). The health professional who responded commented that this could be achieved ‘with adequate risk assessment and adherence to care plans’. . Derby Road Care Home DS0000066510.V338816.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15, 16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ wellbeing may be significantly affected by the lack of structured social and recreational activities. EVIDENCE: People living at Derby Road do not have individual activity programmes, and consequently they have limited structure to their day. They are only occasionally involved in meaningful activities of their choice and activities consist mainly of going for a drive, walking around village or walking to the shops, and are often used as a distraction. Although staff have started to record activities that people are involved in, the range of activities are limited. These observations were supported by comments within the carer surveys. One carer felt that their relative ‘had not benefited from one to one care’ and that although the staff had been provided with a list of favourite activities, Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 12 these had rarely been organised. Another carer comments that their relative ‘said that they were bored’, ‘needs more stimulation and things to look forward to each day’ and that ‘all they seem to do is a walk or to the local shops’. The manager had recognised this shortfall and planned to develop individual activity programmes with each person as part of their essential lifestyle plans, taking into account their preferences and cultural background. Since coming to live at Derby Road, none of the residents have been on holiday. The manager stated that they are looking to arrange a holiday for later in the year. At the time of this site visit, none of the residents were engaged in education or employment. However, the manager was making enquiries about appropriate courses at a local college for one of the residents. People living at Derby Road are supported in the community by staff and do use local facilities such as the shops and public house. Staff confirmed they accompany residents to the local towns using public transport. People living at Derby Road are encouraged to maintain links with their families as appropriate. Families were welcome and several regularly visit or the resident goes to stay with them for the weekend or holidays. Observation and comments from residents and staff supported that the routine at Derby Road was flexible, and staff talked about person centred care. However, as previous stated, individuals days were unstructured and lacked meaningful activities. People living at Derby Road were involved in planning the weekly menu, and may also accompany staff to the supermarket if they wish. Records of the weekly menus were available. Derby Road Care Home DS0000066510.V338816.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concise planning and delivery of care ensure that residents’ heath personal care needs are met. EVIDENCE: Information about a person’s preferences in relation to delivery of personal care was recorded in their individual profiles. This provided clear guidance for staff and took into account privacy and dignity. Staff assisted residents to launder their personal clothing and bed linen, although care staff iron the clothes. One carer commented on their survey that ‘sometimes clothes were unironed’ and this person had concerns that their relative may go out of the home with clothes in this condition. The resident’s files looked at during this inspection supported that people living at Derby Road have access to health care professionals. However, the health professional who completed a survey commented about ‘concerns in the past 12 months regarding poor communication between carers and professionals’. This had resulted in a situation that required additional input from health Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 14 professionals being managed internally, which almost resulted in the breakdown of the placement. Since taking up post, the manager has addressed this by requesting guidance and support from health professionals and the placement is continuing, with appropriate plans of care for staff to follow in place. Medication was being managed safely, with systems in place for receipt and returns of medication. Staff were provided with clear guidelines, agreed by the person’s GP, for giving ‘as required’ medication. Staff who were responsible for administration of medication have received training, and training records supported this. The competency of staff administrating medication has not been assessed following the current manager taking up post. Derby Road Care Home DS0000066510.V338816.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Despite concise complaints procedures being in place relatives do not always feel that they are listened to and their concerns acted upon. Residents are protected from harm through staff training, polices and procedures. EVIDENCE: People living at Derby Road had been provided with a copy of the complaints procedure in a suitable format as part of their Service User Guide. The company had received a complaint for a care manager in March 2007 regarding the poor condition of the environment. Although this complaint and been investigated and responded to within the required timescale, the action outlined in the response had not been actioned (See Environment Section). The manager reported that staff have a good working relationship with the residents so are able to identify if they are upset or unhappy. CSCI has not received any complaints about the service since the last inspection. Information in the carer surveys did not support that all carers were fully aware of the complaints procedures or that the care service has always responded to concerns appropriately. One carer commented that ‘when I have made concerns it has been taken very lightly’ and other commented that they were still waiting for information about the full complaints procedure. The training records and discussion with staff confirmed that they had received training in safeguarding vulnerable adults and the whistle blowing procedure. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 16 A recent incident indicated that staff had a good knowledge of the whistle blowing procedure when they reported the poor practice of one member of staff to management. This incident was dealt with appropriately and reported to CSCI under the relevant regulation. Observation, discussion with staff and training records supported that staff were able to deal with difficult situations using non violent crisis intervention appropriately. This was supported on a comment on one of the carer surveys, which indicated that the service deals with ‘challenging behaviour’ well. Although systems were in place for managing monies for other residents, these were not always working efficiently. The money held in safe keeping for two of the three residents did not tally with the records, despite two members of staff checking this twice a day. The members of staff concerned were aware of the excess amount but not recorded any information about this or auditing the records to identify where the error occurred. Although residents’ access to money is not restricted, comments made in the carer surveys indicate that a system is not in place for ensuring the residents are given money to take with them when they go out with their families. Comments included ‘they never sent any money to buy a drink’ and ‘always asks for money for things he needs’. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25, 26, 28 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents’ wellbeing may be significantly affected by the quality of their environment. EVIDENCE: The environment at Derby Road was very poorly maintained with considerable internal damage, especially on the ground floor. This damage included broken doors and door frames, broken light switches and electric sockets, loose curtain rails, missing radiators, dado rail, skirting boards and spindles on the staircase, broken furniture, missing drawer fronts and handles, and walls with dents or holes in them. In addition the home did not look clean, as carpets and furniture were marked and stained and walls and paintwork stained where food and drinks had been spilt. These observations were supported by comments in the carers surveys, such as ‘I am appalled by the state of the house my son has to live in’. The manager stated that they were waiting for the estates department to visit and carry out the repairs. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 18 People living at Derby Road had been encouraged to personalise their bedrooms. Despite this, the bedrooms appeared sparse due to size of the rooms and the amount the furniture and belongings in them. All rooms had ensuite facilities although the flooring in one ensuite was badly stained. Staff supported residents to use the separate laundry facilities provided at the home. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Inconsistencies in the staff team means that residents are not always supported by staff with the necessary skills, knowledge and experience to fully met their needs. EVIDENCE: Derby Road does not have sufficient permanent care staff to provide the required staffing hours to meet the needs of the people living there. As a result of this, agency staff are regularly used to provide additional staffing hours. This has the potential to impact on the care provided to the people living there. This is supported by comments made in the carer and health professional surveys. Comments from carers included ‘the staff change very often ….. concerns about the skills of the staff’ and ‘more staff training and work experience in house ….. can become one of the best homes’. The health professional commented ‘There is a usage of bank staff who are not adequately trained’ and ‘There has been a high turnover of staff in the last 12 months and a dependency on the use of bank staff. Incidents have occurred when Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 20 new/untrained staff are used to the detriment of the clients’. The manager acknowledged that retention of staff is an ongoing issue and stated the company was actively recruiting. The manager stated that there were plans to develop the staff team when it is fully established. The manager hopes to develop two teams consisting of a senior member of care staff to act as team with a number of care staff. The manager also plans to redevelop the key worker role. Supervision will be linked to the staff teams, with the manager supervising the senior staff, and the senior staff supervising their team of care staff. The manager stated that when full staff team is established, the hours that she works will be dedicated to management. The current lack of management time has resulted in staff not receiving regular supervision. This has the potential to impact on the care delivered to residents as staff practice is not observed and discussed. People living at Derby Road are protected from potential harm by the recruitment procedures. Two staff files were looked at and all of the preemployment checks had been obtained. Staff confirmed that they had not started work at the home until all of the required checks had been completed. The training records and discussions with staff confirmed that they had completed an induction programme and that they were provided with training opportunities. The manager reported that 4 members of staff have achieved National Vocational Qualifications or equivalent at Level 2, although these qualifications were not specific to the care of people with learning difficulties. The staff training records indicated that not all staff had received mandatory training. This was a requirement made at the time of the last inspection. The manager reported that this was partly due to the turnover of staff and that the training had been requested through the company for all staff. Therefore the timescale for this requirement has been extended. Records were available to support this. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Ongoing staffing issues and restricted management time means that the service can not always be run in the best interest of the residents. EVIDENCE: The manager and staff team do their best to provide good outcomes for the people living at Derby Road. All staff attend training when provided, and work well together as a team. Staff spoken with commented that the manager was approachable and supportive and dealt with issues as they arose. However, due the current staffing situation, the manager does not always have the amount of management time that she should, as sometimes she is included in the care staff numbers and involved in the delivery of direct care. The manager stated that when full staff team is established, the hours that she works will be dedicated to management. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 22 The manager is relatively new in post, and stated that she will be applying for registration with CSCI when she receives her completed Criminal Record Bureau declaration. The manager has experience of caring for people with learning difficulties, but does not have a specific management qualification. The manager receives support from the operations manager, who visits on a regular basis and carries out the regulation 26 visits. Although efforts are made to consult with relatives through the annual review quality questionnaire, the manager reported that none of these have been returned. Other than planning the weekly menu, the people living at Derby Road have little input into the running of the service or the structure of their daily lives. As stated in the previous section, staff were not up to date with mandatory training. The manager was aware of the health and safety risks resulting from the damage to the building. Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 1 25 3 26 3 27 X 28 2 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA12 Regulation 16(2) Requirement Timescale for action 30/09/07 2. YA23 17(1) Sch 4 3. YA24 23(2) 4. YA35 18(1) People using the service must be consulted upon and offered a programme of activities, both inside and outside the home. This will ensure that people using the service have their social and cultural needs met. A robust system must be in place 31/07/07 for the safe keeping of residents’ monies. This will ensure that the amount in safekeeping and records are accurate at all times. A programme must be developed 31/07/07 to identify the timescales for the repair of damage, redecorating and refurbishing of the environment so that residents can live in a homely and valued setting. All staff must receive mandatory 30/09/07 training. Original timescale of 31/12/06 extended Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 25 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 YA22 Good Practice Recommendations A more proactive approach should be taken to issues and concerns raised by relatives/carers. This should ensure that people feel that they have been listened to and their concerns acted upon. Systems should be in place to ensure that residents are provided with money to take with them if they wish, when going out with relatives. Staff should be provided with regular supervision to ensure that the care they are providing is appropriate to meet the needs of the people using the service. Residents should be consulted more about the day to day running of the service. 2. 3. 4. YA23 YA36 YA39 Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 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 © 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 Derby Road Care Home DS0000066510.V338816.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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