Inspection on 21/11/06 for Fairburn Vale

This inspection was carried out on 21st November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fairburn Vale 03/11/05

Fairburn Vale 23/05/05

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

CARE HOME ADULTS 18-65 Fairburn Vale Wheldon Complex Wheldon Road Castleford WF10 2PY Lead Inspector Gillian Walsh Key Unannounced Inspection 21st November 2006 10:15 Fairburn Vale DS0000062963.V312749.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 Fairburn Vale DS0000062963.V312749.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. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairburn Vale Address Wheldon Complex Wheldon Road Castleford WF10 2PY 01977 521786 01977 521787 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) Fairburn Health Care Ltd Ms Julie Ann Robson Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10), Physical disability (10), of places Terminally ill (5) Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Each of the two units within the home will be staffed with a minimum of two carers at all times; and staffing levels will be increased, using the Residential Forum staffing model, in accordance with assessed care needs. Each unit will have a RGN, Level 1, on duty at all times. The home’s full-time manager will be supernumerary to the care and nursing rota. 3rd November 2005 2. 3. Date of last inspection Brief Description of the Service: Fairburn Vale is a new purpose built facility offering nursing and social care within dedicated units to 10 people between the ages of 18 - 65 with physical disability which may include some mental disorder due to trauma or illness, who require permanent residential care, and 10 people between the ages of 18 - 65 with physical disability which may include some mental disorder due to trauma or illness who have a potential to return to the community. The home shares a site with two other care homes situated on the outskirts of Airedale village and Castleford town centre. There are limited local facilities, although this is partly compensated for by the home having access to a minibus which is used to take residents to nearby shopping and activity centres. Secure garden areas are available and residents have use of patio areas accessed from the home. All bedrooms are single, ensuite and well equipped. Communal areas are spacious and comfortable. The home benefits from the services of a physiotherapist based at the home. The manager informed The Commission for Social Care Inspection on 21 November that fees currently range from £856.55 to £2253.07 per week. Extra charges are made for toiletries, chiropody, hairdressing, some activities and holidays. Copies of the Service User Guide are placed in each resident’s bedroom and are sent to all prospective residents. Further copies of the Service User Guide and the Statement of Purpose are available in the entrance hallway and on request from the office. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection of the home. As part of this full inspection, one inspector from the Commission for Social Care inspection (CSCI) undertook a visit to the home. The visit started at 10am and finished at 5pm on 21 November 2006. The inspector’s time was spent speaking with residents and staff, reviewing documentation and taking a tour of the home. Alongside this visit, the service provider was asked to complete a preinspection questionnaire which was returned prior to the site visit. Questionnaires were sent to residents, their relatives, visiting professionals and GPs. 9 resident questionnaires were sent out with 9 received back. Of the 15 relative questionnaires sent out, 4 were returned. Of the 3 General Practitioner questionnaire sent, 3 were returned, and of the 9 social worker questionnaires sent, 4 were returned. Questionnaires returned gave positive feedback but mainly through ticks in boxes rather that direct comments. Wherever possible, comments received have been quoted in this report and include a comment from a specialist district nurse who said “Using this multi-disciplinary approach enabled the service users’ and their families’ needs to be met physically, psychologically, socially and spiritually” and a resident who said of the home “it’s great, you couldn’t get better”. In writing this report, information and evidence was not only obtained by way of visiting the home but also from notifications and information obtained by CSCI and from the last CSCI inspection report. In gathering evidence, CSCI undertook case tracking, reviewed documentation, sought feedback from residents and their families, staff, the home’s manager and other relevant stakeholders, and undertook relevant observations and discussions with residents, taking into account their communication abilities and whether or not they wished to speak with the inspector, which the majority had indicated they did not. The inspector would like to thank residents and their relatives and staff for their time and assistance during this inspection. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 7 Care plans should be further developed to include, where appropriate, individual aims and aspirations as part of the rehabilitation programme. Care plans relating to social, educational and recreational needs need further development to demonstrate the very good work being done with residents in the home. 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. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 8 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 Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 9 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): 2. Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Wherever possible, prospective residents are not offered a place at the home until the staff at the home can confirm that they are able to offer care to meet with their needs. EVIDENCE: Three of the care plan files seen contained a copy of the pre admission assessment document completed by the home’s manager. All of these assessments had been completed during a visit to the prospective resident, in the environment they were in, immediately prior to their admission to Fairburn Vale. All of the assessments contained details of the person’s medical condition, past medical history and details of their lifestyle history. Copies of other assessments completed by health or social care professionals are also obtained. One of the residents whose file was seen had been admitted to the home on an emergency basis. In this case, information had been obtained by telephone from health and social care professionals previously involved in this person’s care. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 10 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): 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. Residents are fully involved in the development of their individual plan and are supported and encouraged to make decisions about their lives and how they would like to be assisted. Risk taking is supported and encouraged as part of an independent lifestyle. EVIDENCE: During the inspection visit, care records for four residents were examined. All of the records contained a number of relevant, up to date and regularly reviewed assessments, the outcomes of which, together with pre admission and other specialist assessments, help in the development of care plans. All of the care plans seen contained detailed information about the person concerned and how they would like staff to assist them in meeting their needs. Promotion of independence and personal choices are included in all areas of Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 11 the care planning process and this is supported by an outline of the person’s preferred daily routines. Discussion took place with the manager about how care plans should be further developed to include, where appropriate, individual aims and aspirations as part of the rehabilitation programme. Care plans relating to social, educational and recreational needs need further development to demonstrate the very good work being done with residents in the home. All of the care plans had either been signed by the resident concerned after it had been discussed with them, or note had been made that the care plan had been read out to the resident where they are not able to sign. As part of the rehabilitation process, and to promote independence, residents are supported to take reasonable risks as part of their daily lives. This is considered within the risk assessment process and plans are developed to ensure that the risk is managed as safely as possible. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are given support and encouragement to access employment, education and leisure activities, both within the home and the local community. Relationships with family and friends are supported and residents’ rights are fully respected by staff. Meals are nutritious and are enjoyed. EVIDENCE: One of the residents spoken with during the inspection currently enjoys helping out with jobs in the home working with the handyman and with other household chores. The manager said that she and the activities organiser are working together to try to find employment for this person, hopefully in a garden centre. Another resident had been attending the local library doing a course of their choice. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 13 The activities organiser talked about how she is putting together a list of information about courses available in local colleges and libraries for residents to look at and hopefully choose to participate in. Residents regularly go out, either using public transport or the mini-bus, to local shopping centres, activity centres, pubs and restaurants, and two people are supported to attend the local church on a weekly basis. Two residents said how they had enjoyed a recent trip out to go swimming with staff; the activities organiser said that she hoped to make this a regular occurrence and is also looking into arranging horse riding through riding for the disabled. The activities programme within the home is currently being developed but is very much led by what residents choose to do. Residents are supported, where appropriate, to maintain contact with family and friends. One person said how they were taken to visit a relative and the manager said that transport can be arranged to help relatives visit the home if they are unable to make the trip independently. One relative said in a questionnaire “we are always made to feel welcome”. All of the relative questionnaires received back to the Commission indicated that this was always the case. The manager said that, should a resident choose not to accept visitors, their wishes were respected. Observations during the inspection visit were that residents are very much encouraged to maintain their independence and make choices about how they wish to spend their time. Staff maintain a supportive role and their interactions with residents were comfortable but respectful. Residents’ bedrooms are viewed as their private area and those who wish to and, are able to, have a key to their own room. One resident said that staff always knock on their door before entering the room. The atmosphere within the home is very relaxed where residents’ rights to lead as independent a life as possible are respected. Staff, although in constant attendance, do not dictate the routines but support residents in what they choose to do. Some residents indicated in the questionnaires that they could not always choose what they would like to do, particularly during the evenings. This was discussed with the manager who said that she would look into this. Mealtimes are flexible and meals can be taken either in the very pleasant dining room or wherever the residents choose. The manager said that a new cook is about to commence employment at the home and that one of their first jobs will be to discuss menus with residents to ensure that the food provided is what the residents want. The lunch on the day of the inspection visit was appetising and nutritional. One resident, when asked about the food, said, “You couldn’t get better”. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 14 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): 18, 19 and 20. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Residents receive care and support to meet their physical and emotional needs in a manner entirely appropriate to their individual preferences and personal goals. Very robust systems for managing medications are in place to ensure the safety of residents. EVIDENCE: Care plans clearly outline the nursing care and personal support residents need and how they would like this care and support to be delivered. Residents confirmed, both through questionnaires and in conversation, that staff listen to them and make sure that they give assistance as required and preferred by the individual concerned. During the visit one person was observed asking for some assistance with a care issue, the member of staff said that they would be happy to help but the person said they would prefer the assistance of another member of staff. This was not seen as a problem at all and was dealt with with good humour on both parts and to the satisfaction of the person concerned. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 15 The home has the advantage of a physiotherapist with their own gym/treatment room, employed by the home to assist residents with their treatment and rehabilitation. The physiotherapist works closely with staff and residents, providing treatment, developing care plans and, on the day of the inspection visit, was escorting one person to their appointment at a local hospital for treatment to improve their mobility, which the physiotherapist would then follow up with a programme of treatment at the home. The manager and physiotherapist explained that, as some residents can be resistive to, or simply fed up with, constant physiotherapy, treatment programmes are arranged which incorporate the individual’s preferences and interests and are made into more of a fun activity. The work and dedication of all of the nursing and care staff, along with the physiotherapist at the home, has been rewarded by some excellent outcomes for current and previous residents. Staff work closely with other health and social care professionals from hospitals, particularly those specialising in neurology, and the community. One community specialist nurse sent a letter to the Commission complimenting the care given at Fairburn Vale and with regard to the care of one person said, “Using this multi-disciplinary approach enabled the service users’ and their families’ needs to be met physically, psychologically, socially and spiritually”. Since the home opened, some residents have successfully been rehabilitated to enable them to return to live in the community with support arranged through the efforts of the home working with community based teams. One resident summed up the care by saying “it’s great, you couldn’t get better”. Systems relating to management of medications were checked during the inspection visit. Very robust procedures have been put in place and maintained to ensure a safe and well-managed system. This includes allocated staff being given supernumery hours to dedicate to managing medications. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 16 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): 22 and 23. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents and relatives are confident that that their views are listened to and acted upon. Policies, procedures and staff training are in place to protect residents from abuse and harm. EVIDENCE: Residents indicated in questionnaires that they would know who to speak to if they had any concerns; they also indicated that staff listen to what they have to say. Only one of the relatives, who responded to the Commission’s questionnaire, said that they were not aware of the home’s complaints procedure. Anther relative said that staff always listen to their comments. The complaints procedure is included within the Service User Guide, a copy of which is in each resident’s bedroom. Since the last inspection the home has received three complaints, all of which are well documented to evidence that they have been dealt with appropriately in accordance with the home’s own complaints procedure. Training records show that all staff have received training in adult abuse awareness and are currently receiving further training delivered by Wakefield Metropolitan District Council (WMDC) regarding their own procedures relating to protection of vulnerable adults. Copies of WMDC’s policies and procedures for the protection of vulnerable adults are available in both units of the home. Fairburn Vale DS0000062963.V312749.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): 24 and 30. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a spacious, clean and comfortable home with furniture and equipment available, both communally and individually, to meet their needs. The inclusion of the gym/physiotherapy room is invaluable to the rehabilitation process. EVIDENCE: The communal areas were clean and comfortable and furnishings are modern and suitable for the needs and lifestyles of the residents. This includes an area for residents to make their own drinks and snacks and the physiotherapy room. Bedrooms are spacious, nicely furnished, personalised and include equipment as needed by the individual resident. All rooms have fittings to enable people to have their own telephone and computer. One person was proud to show the inspector their bedroom which they have furnished with personal items and posters. Some redecoration of bedrooms is happening with residents choosing their colour schemes and décor. The manager explained Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 18 how staff had spent many hours assisting one person with very limited communication skills, to go through various paint charts until they were able to understand how the person wanted their room to be decorated. This has now been done to the satisfaction of the person concerned. All areas of the home appeared clean and hygienic. Fairburn Vale DS0000062963.V312749.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): 32, 34 and 35. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents are supported by an effective and appropriately trained staff team, all of whom have been properly checked to protect people in the care. EVIDENCE: Observations made during the inspection visit, and residents comments, evidence that residents are supported by a team of staff with a range of skills appropriate to the needs of the residents. This includes an on site physiotherapist who develops individual programmes for residents who require this intervention and an activities organiser who is developing programmes relating to employment, education and leisure. On employment, all staff undertake a period of induction training, arranged by the company, which is in line with the Skills for Care Council’s induction standards. All staff then follow a training programme which incorporates mandatory and specialist training relevant to the care needs of residents at the home. The training programme with details of when staff have received, or are due to receive, training and updates was seen during the inspection visit. The Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 20 manager said that staff have recently received training in management of syringe drivers from the McMillan nurses and some staff are about to undertake some specialist neurological training. NVQ training in care is ongoing for all care staff. Records show that three staff hold the level two award, with a further five currently studying for it. One person has also commenced training for the level three award. During the inspection visit personnel records for four members of staff were seen. All of the documentation and checks required by Regulation to protect residents had been obtained. Records show that all staff receive regular supervision from their line manager. Fairburn Vale DS0000062963.V312749.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): 37, 39 and 42. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home where quality monitoring is in place to ensure that the home is run in their best interests. Policies and procedures in relation to health and safety are in place and followed to protect residents and staff. EVIDENCE: The manager is an RGN with many years of experience of neurological and neurosurgical nursing and is currently in the process of completing the registered managers award as well as keeping up to date in other areas of training. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 22 A system of quality monitoring is in place at the home which includes questionnaires being sent out on an annual basis to residents, their relatives, staff and other professionals concerned with the service. The most recent report in relation to this audit was seen during the inspection visit. In addition to this, regular resident and staff meetings are held. The manager said that she only attends resident meetings if invited to do so. Quality monitoring visits, as required under Regulation 26, are made to the home with copies of the report forwarded to the Commission. Records relating to health and safety, including fire alarm testing, water temperatures and fire drills, were seen to be up to date and in good order. Confirmation was given by the manager to the Commission, within the pre inspection questionnaire, that other systems relating to health and safety within the home are checked and serviced appropriately. Fairburn Vale DS0000062963.V312749.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 X 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 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 4 13 3 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 YA6 Good Practice Recommendations Care plans should be further developed to include, where appropriate, individual aims and aspirations as part of the rehabilitation programme. Fairburn Vale DS0000062963.V312749.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Fairburn Vale DS0000062963.V312749.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. 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