Inspection on 04/11/08 for Firlawn

This inspection was carried out on 4th November 2008.

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

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

Other inspections for this house

Firlawn 07/11/07

Firlawn 07/11/06

Firlawn 09/06/06

Firlawn 09/12/05

Firlawn 03/05/05

Firlawn 11/11/04

Firlawn 28/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Firlawn 402 Chessington Road West Ewell Surrey KT19 9EG     The quality rating for this care home is:   one star adequate 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: Lisa Johnson     Date: 0 4 1 1 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. the things that people have said are important to them: They reflect 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 29 Information about the care home Name of care home: Address: Firlawn 402 Chessington Road West Ewell Surrey KT19 9EG 02087860514 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jess Puah Type of registration: Number of places registered: EMAS Ltd care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category 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 category: Learning disability - LD Date of last inspection Brief description of the care home Firlawn provides services for up to four service users. The property is a bungalow, which has a large lounge/dining room and small separate sitting area, single bedroom accommodation, kitchen, laundry and two bathrooms. One room has en-suite facilities and the three other bedrooms are sited near to the bathroom. The cost per resident per week is £884 and holidays, personal items, one-to-one support and complementary therapies are extra and charged separately. The bungalow is located on a main road, with parking for 4 cars. There is a large garden to the rear of the property which is shared by the companys sister home Oaklawn next door. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 4 Care Homes for Adults (18-65 years) Page 5 of 29 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: one star adequate 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: This site visit was part of a key inspection. The site visit was unannounced and took place over five hours commencing at 10:45 am and finished at 2:45 pm. Mrs. L Johnson Regulation Inspector carried out this visit. The Service was represented by Mrs. J Puah Registered Manager. Prior to this visit the manager sent us information in the Annual Quality Assurance Assessment (AQAA). This document provides us with information about how well the service is meeting outcomes for people living there. We recieved surveys from three people who represent people living in the home including relatives and we recieved surveys from two health care professionals. During Care Homes for Adults (18-65 years) Page 6 of 29 this visit we spoke to two people who live in the home and two relatives. We also had the opportunity to speak to the person who owns the home. During this visit a tour of the home was conducted. Care plans, risk assessments. medication administration records, staff training records and policies and procedures were seen during this visit. We we would like to thank the people living in the home, their representatives and the management of the home for their time, assistance and hospitality during this visit. What the care home does well: What has improved since the last inspection? What they could do better: The Service must continue to ensure that at all times there are sufficient staff on duty and that an ongoing review of the dependency of people is maintained. Improvements are needed in ensuring that the staff rota is up to date and reflects the hours worked by staff. The General Social Care Code of conduct must be bought to staffs attention so that they are aware of their responsibilities when working in social care settings. The registered manager must ensure that they consult the environmental health department in respect of the risk assessments carried out about the uncovered radiators in the home. The manager is making some progress in developing feedback surveys but these need to be introduced for people living in the service and their representatives to enable them to give their views about the care and support provided. Care Homes for Adults (18-65 years) Page 8 of 29 Improvements have occurred since the previous visit, however we were unable to demonstrate that the provider could sustain these as monthly quality monitoring visits are not conducted by the registered individual on a regular basis. Therefore the quality rating reflects this. 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 9 of 29 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 29 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 peoples needs are assessed prior to admission to the home Evidence: The home has clear procedures for admitting new people into the service. Preadmission assessments are conducted prior to any person moving into the service ensuring that their needs can be met. An assessment was sampled for one person which covered health and personal needs, daily living skills and information had been sought about their likes and dislikes. A community care assessment is also obtained. Opportunities are available for prospective new people and their representatives to visit the home and spend time there. A person living in the service told us that they were able to visit three times before moving in. Care Homes for Adults (18-65 years) Page 11 of 29 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. People are provided with a care plan, which records their individual needs and they are supported to make decisions with assistance. People are supported to take risks as part of an indipendent lifestyle Evidence: Each person has a care plan in place and four were seen during this visit. Care plans include information about peoples health, personal, comunication, lifeskills and social needs. Care plans are discussed with people and their representatives but the manager is advised that they should get written agreement from people and or their representatives. Information seen in care plans demonstrated that these are reguarly reviewed. The home is making good progress with the implementation of person centred care plans which are accessible people being formulated in pictures. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: The home holds meetings with people in the home which are recorded . Surveys recieved from people, relatives and health care professionals state that people are supported with assistance to make decisions about their daily lives and to live the life they choose. Care plans now include information about peoples likes and dislikes. One person spoken with during the visit said that since he has lived at the home he can stay uptill late in the evening which meets their preference. The Service has developed some documents that are accessible to people including complaints but this would benefit from being expanded to include a range of other documents. People living in the service are unable to manage their finances indipendently and it was reccomended that where people require support this should be recorded in the care plan The home has implemented a range of risk assessments including moving and handling, choking, diabetes management and for activities. These are reguarly reviwed and updated Care Homes for Adults (18-65 years) Page 13 of 29 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. People are provided with a range of activities and engage in leisure pursuits. People are supported to take part in the local community and their rights and responsibilities are respected. The home is able to demonstrate that people are provided with a wellbalanced and nutritious diet. Evidence: Each person has a weekly activities timetable in place. During this visit two people left the home to attend day services. A range of therapies are provided including music, relaxation and hand massage and person receives memory activities The home benefits from having a wheelchair accessible vehicle to enable people to access the local community. During this visit two people left the home to go out for lunch. There are opportunities to go out shopping, eat out at restaurants and visiting the pub. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: We were told that outings take place at the weekend, which are planned, although staffing levels at weekends needs reviewing to ensure flexibility in carrying out activities. People living in the service maintain links with their families and friends and some visit often. During this visit one person received a visit from their family. Surveys received from relatives expressed their satisfaction about the care and support their relative receives The manager was present during this visit who had a good knowledge of peoples individual needs who spent time talking to people and was attentive, caring and respectful. The home has four weekly menus in place, which are based on peoples known preferences likes and dislikes. Records are now maintained of any alternative meals provided. The menu was observed to be varied and well-balanced and dietetic advice is obtained. Due to people going out for lunch at the time of this visit we were unable to view the meal, although one person told us that the food is good. Care Homes for Adults (18-65 years) Page 15 of 29 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. People receive personal support in the way they prefer and their health needs are met. People living in the service are protected by the homes medication administration practices. Evidence: Each persons care plan contained information about their health and personal needs and how this is to be supported. The home is also in the process of developing health action plans which are recorded in an accessible format. One persons care plan identified that one person has dementia and that they require full assistance with their mobility. This person has been provided with a hoist, wheelchair, specialist bed, chair and pressure relieving cushions. This person requires transfer with the assistance of two staff which was provided during this visit. Information seen in this persons file demonstrated the involvement of other health care professionals including a nursing assessment and support is provided by district nurses where this is required, continence specialist and psychology . Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: Another persons care plan contained detailed information about their health and personal needs. Plans were in place for supporting this person with their epilepsy and monitoring charts were in place. This person also attends the diabetic clinic and dietetic advice has been sort. Records are maintained of all health care specialist and health screen appointments. A health care professional confirmed that the home made contact with them and said, The home looks after their clients on an individual basis, they know their clients well and how to care for them. Another health care professional sad, there is good communication with regard to the clients physiotherapy needs. Two health professionals stated that peoples privacy and dignity is respected. A relative stated on behalf of a person living in the service said, I am very happy and settled, I have complex medical needs all of which are catered for very well by my carers. The homes medication policies and practices were examined. Medication is administered and dispensed t using the medidose system (MDS). Only staff who have received training administer medication. Medication was stored and locked away appropriately. All medication administered had been signed for. Systems were in place for the receipt and disposal of medication. There is a medication policy in place and the manager was advised to refer the Commissions guidance to ensure that this up to date. Care Homes for Adults (18-65 years) Page 17 of 29 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. Peoples complaints are listened to and acted upon and they are protected from abuse . Evidence: There is a complaints procedure in place, which is available in an accessible pictorial format and is provided to each person. The home maintains a register for recording any complaints, although none have been received since the last visit. No concerns or complaints have been brought to the attention of the Commission. Surveys received from two relatives stated that they knew how to make complaint and a person spoken with during this visit knew who they could talk to if they were not happy. A relative surveyed said, All the staff are very good and if my relative show signs of any unhappiness they are there. Another person stated on behalf of their relative, My family visit weekly and are able to guage whether i am happy or not, also the carers know me well and are able to tell if i am unhappy. The service has whistle blowing safeguarding vulnerable adults from abuse procedure and the home has obtained the updated local authority safeguarding vulnerable adults from abuse procedure. Three staff files sampled indicated that staff have recieved safeguarding training. Since our previous visit one mattr was referred following the local authority safeguarding vulnerable adults from abuse procedures which has been closed. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: Care Homes for Adults (18-65 years) Page 19 of 29 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. People live in a well maintained, comfortable, homely and safe environment. Evidence: Firlawn provides a homely and comfortable environment. There is a large lounge/dining area and separate kitchen. Over the last year the home has been made more accessible to people with wheelchairs and a portable ramp is available. The home is decorated and furnished to a good standard. There is well maintained garden and there is a summer house which is shared with the home next door for people to enjoy in the summer months. Bedrooms viewed were comfortable and personalised and one bedroom had an aquarium. Specialised chairs are available and one person is provided with a specialist bed. The cupboard containing substances hazardous to health has now been provided with a lock. During this visit the home was observed to be clean and hygienic and and there were no pervading odours. There is a separate laundry area. There are cleaning schedules in place and staff files sampled demonstrated that they had received infection control training. A relative surveyed said, the home is always clean and fresh. Care Homes for Adults (18-65 years) Page 20 of 29 Care Homes for Adults (18-65 years) Page 21 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing levels in the home need to be continually reviewed ensuring that people are provided with the right support. Further improvement is needed to ensure that staff are aware of their roles and responsibilities.People are supported by staff that are trained and competent to carry out their role and they are protected by the homes recruitment policies and practices. Evidence: There are six regular care staff as well as the registered manager employed in the home. At the time of this visit there were three people present in the home . One person was waiting to be collected to attend day services. We were informed that since the previous visit the staffing levels have been reviewed due to the admission of a fourth person. Day staff arrive on duty at an earlier time to provide two members of staff at peak times and in the afternoon a second member of staff comes on duty at 4pm to provide two staff in the evening. This was recorded on the duty rota , however the staffing levels for peak times in the morning were not recorded. The duty rota seen was also not up to date and it was required that an upto date, accurate record must be be maintained ensuring that people are supported by appropriate numbers of staff ensuring their wellbeing and safety. A health care professional surveyed said, Occassionally there is insufficient staff to cover everbodies individual needs. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: We were informed that during the day there are never more then two people in the home due to them attending day services. During this visit the responsible individual also spent time in the home assisting with support as he is based in the home next door. We were informed that at weekends extra staffing is provided for planned activities but the rota also did not record where extra staff were provided and when staff came on duty at 4pm. Therefore the manager must ensure that an ongoing review of the dependency of people and the number of staff on duty must lead to appropriate staffing levels at all times. Since the previous visit the home has now completed individual training schedules for each member of staff which now clearly identifies dates when staff have received statutory training. There was evidence to suggest that staff have received training in moving and handling, infection control, safeguarding, food hygiene and first aid Training takes place both internally and externally and we were informed that staff have received training in dementia awareness although the manager is advised to maintain a written record of when this training was conducted and the members of staff who attended. Some staff training certificates seen demonstrated that they had received epilepsy awareness training. Currently five out of seven care staff hold National Vocational Qualifications (Level 2) or above and two other members of staff are completing the training. New staff receive induction and information was available on staff files, although it is recommended that this is run in line with the Skills for Care core induction standards. Recruitment records were sampled for three members of staff which contained the required information including full application forms, two written references, enhanced police check (CRB) and protection of vulnerable adult first checks (POVA). During discussion with the manager they were not aware of the General Social Code of Conduct which must be bought to the attention of staff. Care Homes for Adults (18-65 years) Page 23 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an experienced manager in post. Further improvement is needed in ensuring that the home is run in the best interests of people living there.The health, welfare and safety of people is promoted Evidence: The registered manager is a trained leaning disability and mental health nurse. The manager also holds a National Vocational Qualification (Level 4) in management and teaching and assessing certificates. Some of the financial responsibilities are shared with the responsible individual Mr. Puah. Information supplied in the AQAA states that there is good communication between the manager, staff, relatives and other services. Regular staff meetings are held and a health care professional surveyed said, The manager has been very professional and helpful during my contact with her and the home. Information seen during this visit showed that the responsible individual has not carried out monthly quality visits on a regular basis in line with the regulation. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: Therefore it is required that a written report must be completed monthly and maintained in the home for inspection ensuring that the home is being regularly audited and run in the best interests of people living there. We were informed that the manager meets relatives on a regular basis although the manager is required to carry out feedback surveys to gain the views of people living in the service, their relatives and stakeholders about the care and support provided. The manager showed us some information that some draft work is being completed. Information seen during this visit demonstrated there are a number of systems in place to promote the health and safety of people living in the service. Monthly health and safety audits are conducted, regular fire drills and alarm checks are conducted and written records were maintained confirming that water temperature checks are carried out. Information supplied in the AQAA stated that the servicing and maintenance of equipment used in the home is up to date which was confirmed by records seen during this visit. Substances hazardous to health were now safely stored in a locked cupboard. At the previous visit it was required that risk assessments were conducted in respect of the uncovered radiators which has been completed, although this must be discussed with the environmental health office ensuring that these are robust. Care Homes for Adults (18-65 years) Page 25 of 29 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 26 of 29 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 31 18 The registered person must ensure that the General Social Care code of Conduct is bought to the attention of staff. This is to ensure that they are aware of their roles and responsibilities working in a social care setting 07/01/2009 2 32 18 The registered person must 07/12/2008 ensure that an ongoing review of of the dependency of people and the number of staff on duty takes place and an accurate record of the times that staff are on duty is recorded. This is to ensure that there is sufficient numbers of staff on duty at all times to meet the assessed needs of people and to meet the services statement of purpose and aims and objectives Care Homes for Adults (18-65 years) Page 27 of 29 3 39 24 The registered person must ensure that a system is put in place to gain the views of people living in the service and their representatives This is to ensure that the home is meeting their aims and objectives as stated in the statement of purpose 07/01/2009 4 39 26 The registered person must conduct monthly quality monitoring visits and maintain a written record in the home to be made available for inspection inspection This is to ensure that the home is run in the best interests of people living in the home 07/12/2008 5 42 13 The registered person must 11/12/2008 consult with the enviromental health department in respect of the risk assessments undertaken for the uncovered radiators. This is to ensure the the welfare and safety of people 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 8 It is reccomended that where people require support to manage their finances this should be recorded in their individual care plan It is reccomended that staff induction meets with the Skills for Care core induction standards. 2 32 Care Homes for Adults (18-65 years) Page 28 of 29 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 © (2008) 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 29 of 29 - 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. 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