Inspection on 27/07/05 for Griffin Lodge

This inspection was carried out on 27th July 2005.

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

Other inspections for this house

Griffin Lodge 23/05/07

Griffin Lodge 29/11/05

Griffin Lodge 02/02/05

Griffin Lodge 22/06/04

Griffin Lodge 26/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Griffin Lodge 4 & 5 Griffin Lane Heald Green Stockport SK8 3PZ Lead Inspector Kath Oldham Announced 27 July 2005 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 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 Stationary 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. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Griffin Lodge Address 4 & 5 Griffin Lane, Heald Green, Stockport, SK8 3PZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 498 0550 Royal School for the Deaf Denise Gibson Care Home 12 Category(ies) of PD - Physical Disability (12) registration, with number LD - Learning Disability (12) of places MD - Mental Disorder (12) Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2005 Brief Description of the Service: Griffin Lodge is a single storey building, set slightly off the main road, in what appears to be a quiet area of Heald Green, Stockport. The home provides accommodation for 12 young autistic deaf people. The majority of service users originate from the South of England, with one or two being more locally based, prior to moving into Griffin Lodge. All accommodation is provided in single rooms with en-suite facilities, either with a bath and/or shower. There are two main lounge areas and an additional two smaller rooms, which are currently used for a variety of activities, for example, playing pool or having quieter time. There are two domestic type kitchens, one central industrial kitchen and a main dining room, where all service users take their meals. The staffing ratio at Griffin Lodge is in keeping with the needs of the service users. The home is well placed for shopping and local amenities. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place during the day in July 2005. Comment cards were sent to a selection of relatives and friends, health professionals and service users and their comments are included in this report. The inspection included observation of staff practice, examination of records, a partial inspection of the building and conversation with staff and visitors. What the service does well: What has improved since the last inspection? The gardens in the home have been totally transformed by contractors and the efforts of service users and staff. Staff commented on the improvement in coming in to work to see the well-tended gardens and the effect this has on service users’ mood. New projects have been launched by the staff group around activity of service users and staff commented on the flexible approach they are able to provide when undertaking activity. The changes in the management of the home and the introduction of specific team leaders have assisted and supported staff to provide better support to service users. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 6 The involvement and encouragement of service users in the redecoration of their bedroom and their involvement in choosing the furniture in the lounge reflects the personalities of service users and makes the house seem and feel like home. The activities and occupation provided to service users has been changed and built upon, which has further enhanced their quality of life. The appointment of a family liaison officer should improve the communication systems in the home with relatives and families. Staff felt this was a positive appointment and will ensure that relatives have a central contact person who will be able to provide information about their cared for relative. 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. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4 & 5 Service users’ care needs were fully assessed before an admission to the home was accepted. The home encourages service users to visit the home before making a decision to move in. The contract needs some amendment to ensure that the detail is up to date. EVIDENCE: Admissions to the home are planned and gradual introductions are made for the service user to have a look around the home, meet staff and other service users over a period of time, tailored to meet the individual’s needs and abilities. One service user who was due to move into the home had a number of such visits and introductions organised for the weeks prior to the inspection. Service users’ abilities, personalities and aspirations are assessed by the home before a decision is made whether they would be suited to the home and service users and staff. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 9 A trial period is arranged to enable decisions to be made regarding the service users’ future care needs. Each service user has an individual contract in relation to the arrangements for care and conditions of residency. The service user signs the contract when this is practicable. The contract needs to be amended so that the information in relation to the Regulations is accurate and the detail is up-to-date. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 & 9 Service users’ needs and personal goals were identified and met. EVIDENCE: A thorough and detailed care plan is in place, which reflects the needs and personal goals of the individual service user. Service users are involved in planning their care where this is practicable. A placement plan is in place that details service users’ social history, what is important to them and their needs, as they perceive them. A number of staff have attended training to assist them to put the service users at the centre of planning their own care. This was evident in the sample file inspected. Service users were observed to carry out specific tasks for themselves. They were seen to prepare drinks, wash up pots, help themselves to lunch and tidy away after themselves. Staff support or observation was available and staff were discreet yet supportive to service users. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 11 Service users appear to be involved in decisions and are informed of what is acceptable in relation to their behaviour both inside and outside of the home. Five relatives said that they are consulted about their cared for relatives’ care and were informed about important matters affecting their relative. Three said they were not. Key workers are appointed to service users and those staff provide support to them as needed. Some staff are a similar age to service users and promote service users’ fashion sense and discuss everyday events and aspirations. The mature staff also play an essential role in the young person’s life through their experience. A record is kept of risks identified and details how these risks are minimised. A number of the service users at the home have challenging behaviour and their plans and risk assessments identify that they need one to one staff support throughout the day and sometimes at night. Staff assist service users to keep in touch with relatives; this is usually by letter writing. Examination of service users’ files identified letters on file, which had been sent to relatives or friends. One such letter was obviously not written by the service user; the language used was not what a younger person would say. A complaint was also made by a relative that in another letter the information was not factual. Additional forms of communication by service users with their families need to be explored. All relatives said that they were satisfied with the overall care provided at Griffin Lodge and that the “physical and personal care was excellent”. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14 & 17 Service users were in the main able to make their own choices and decisions. Dignity and personality were respected by staff EVIDENCE: Service users are taking part in the Gateway award which is a programme of activities designed to encourage personal development, increase confidence and provide opportunities for service users to make choices in order to achieve their ambitions. Service users are undertaking a variety of activities to achieve the award, the activities being designed to suit their personalities and abilities. The award operates in conjunction with the Duke of Edinburgh’s award scheme. The activities include arts and crafts, gardening at home or on the allotment, sport at college, going to the pub or learning domestic tasks. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 13 The service users have developed an interest in gardening, supported by staff, and since the last inspection they have transformed the home’s garden, have started work with seeds and cuttings in the polytunnel and are selling some of the plants at fairs held at the home. One service user recorded that they had painted the sleepers in the garden, with others commenting on their planting skills. One service user enjoys bike riding around the home and staff are hoping to provide better facilities for him to continue his riding in a more interesting setting, perhaps by having a nature trail and bike track. One service user was observed assisting staff to paint one of the bedrooms and took great pride and delight in supervising and directing the work. The service user appeared to get a lot of enjoyment by assisting staff in particular tasks and being generally useful. A number of service users have attended college to develop their computer skills, some receiving certification for their work. Activities are geared to suit the individual and although there is some structure to the day, some activities or occupation are undertaken spontaneously. A number of service users go to visit their relatives or parents and have time on holiday away from Griffin Lodge. Service users go to the shops, go out shopping or to cafes or restaurants. Relatives and friends visit them at Griffin Lodge, some more regularly than others. A record is kept of individual meals eaten by service users. This helps if there is a health problem to identify food intake and dietary needs. A menu is in place and service users choose what they want to eat. Service users are encouraged to eat well but have their own preferences and dislikes. Service users have a snack meal at lunch with the main meal being at night. The chef stated that they are made aware of service users’ likes and preferences and try their best to provide these. Service users said the food was good. The mealtimes appeared relaxed with service users coming for their meal when they chose or on their return from going out. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Service users receive sufficient support to maintain good health. EVIDENCE: Personal care is provided discreetly to service users, staff supporting service users to promote their dignity and abilities. Examination of care files identified specific personal care needs required and the frequency this support should be provided. The detail also described the way the service user liked the care to be given. Staff support was appropriate and was how one friend would support another, in a professional and sensitive way. The care and support provided to service users is detailed and recorded. Specific assessments are carried out to promote service users’ physical, emotional and health care needs. Examination of records identified the individualised health care needs of service users and included past and future appointments to see health care professionals. The outcome of these appointments was also recorded and any changes which needed to be put in place at the home. Comments received from health care professionals were positive, they said that the home works in partnership with them in looking after the service users. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 15 Examination of the medication records identified that service users were given their medication as indicated by their doctor. A record of all medicines received is kept as a safeguard for service users and staff. All staff who have the responsibility of giving out medicines have been given training and are aware of what medicines and tablets the service users are on. Staff are able to refer to documents that detail the type of medication service users are prescribed and research any possible effects the medicine has on the service user. This provides an additional safeguard to service users as any possible side effects can be easily identified. Staff said they work with doctors and district nurses and are able to ask for advice from them. Staff said they felt health care professionals listened to them and their views were respected. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Service users are able to raise any concerns and receive an appropriate response. Service users are protected from abuse. EVIDENCE: The complaints procedure is displayed on the notice board in symbols to assist service users to be aware of how to complain. A complaints record is in place and describes the complaint, the action taken and the outcome. Staff said that service users and relatives make their views and comments known to them. Five relatives said they were aware of the home’s complaints procedure. Three said they were not. One thought that maybe it was given to them previously but didn’t have a copy to hand. The majority of staff have attended abuse training and are aware of what constitutes abuse. The remaining staff are scheduled to attend this training in forthcoming months. Staff said the training was informative and increased their awareness of what constitutes abuse. The home has a whistle blowing policy. Staff were unanimous that if they had any concerns regarding their colleagues’ practice or they observed or heard of any suggestion of abuse towards a service user, they would, without doubt, report this. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27 & 30 The home provides a comfortable environment and is clean and tidy. Service users’ bedrooms are personalised and comfortable. EVIDENCE: There are two main lounges with comfortable armchairs and sofas; these have been purchased recently. The carpets and curtaining have also been replaced in co-ordinating colours to the sofas and chairs. Service users chose the colours of the furniture and went along to the retailer to try out the furniture before it was purchased. The lounges have been redecorated which compliments the room’s design and the service users’ lifestyle. The lounges have a welcoming feel and artwork is displayed. Service users were seen to be relaxing in the lounges, watching television or doing activities. Safety checks are carried out to the heating and electrical equipment to ensure that it is working properly, this in line with health and safety legislation. The records inspected confirmed these checks were undertaken. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 18 Additional rooms are within the home where activities are undertaken, for example the art room and poolroom. There are also small meeting and training rooms. A number of service users bedrooms have been redecorated. Service users have chosen the colour of their bedrooms and the design of their wardrobes and drawers. A number of service users have chosen to have blinds at their windows rather than curtains. Many of the rooms look modern and colourful. The bedrooms appear comfortable, welcoming and personalised to the service users taste. The remainder of the bedrooms are to be redecorated over an identified period of time. Many of the service users use their bedroom just to sleep others use the room for time alone. Relatives or visitors said that when they visit in their bedrooms there is nowhere for them to sit. A number of service users bedroom doors have pictures or their names on them, a couple of service users have put notices on the doors that they are private. Staff were aware of which service users they needed to ask before going in their rooms and respected service users wishes. One bedroom was being redecorated in readiness for a new service user moving into the home. Toilets and bathrooms were clean and although a little institutional in their design, had all the facilities needed for the service users that live at Griffin Lodge. Locks were in place on the doors, which were used to promote service users privacy. The home was clean throughout. Service users and staff clean bedrooms and keep the home generally tidy in addition to the cleaners. A relative said the calm atmosphere in the home impressed them when they visit. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36 The home provided an appropriate number of staff who were trained and competent to meet the assessed needs of service users. The recruitment and selection procedure is thorough and protects service users. EVIDENCE: Examination of a sample of staff files confirmed that the staff recruitment was thorough and robust, which in turn protects service users and makes sure, as far as possible, that the right kind of staff are employed. All new employees undertake a thorough induction programme in the first weeks of their employment. Staff receive in-house training and were able to benefit from a range of other training, some ‘in-house’ and some external courses. Over 30 of the staff employed at the home have studied NVQ training to level 2, 3 or 4. NVQ and British Sign language training is ongoing at the home. therefore able to communicate with service users. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Staff are Page 20 Staff have received updates to their training to make sure the techniques used are safe and are in line with health and safety guidelines. A training programme is in place for the year and includes some updates to past training and some first time training in person centred goal planning, personal development and supervisory management, health and safety and autism. Staff said they feel that they provide a good quality of care to service users. Staff receive formal supervision which is recorded and agreed by the employee. Examination of the records identified that staff’s skills and abilities are promoted and developed with support from colleagues or senior staff. Two relatives said they felt that there were not always sufficient numbers of staff on duty. Six further relatives said there were. The ratio of staff to service users is based on the assessed needs and abilities of service users. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 & 42 Guidance, leadership and supervision of staff are provided. Service users have a say in the way the home is run and health and safety practices promote the welfare of service users. EVIDENCE: A qualified manager is in place at Griffin Lodge, team leaders and senior carers are also employed. Senior managers support the management of the home. The operational director periodically visits the home. Currently, a report is not carried out, as required by Regulation. Staff felt confident in the skills of the manager and said that more senior managers were available to them. Staff also stated that they are empowered to bring new ideas and are able to put these into practice with the guidance and support of the senior team. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 22 The management style of the home is relaxed, open and transparent. Team meetings are held regularly and an equal opportunities policy is in place at the home. Staff presented as having the best interests of the service users at the heart of their work practice. Records required by regulation for the protection of service users and for the effective and efficient running of the business are maintained, up-to-date and are accurate. These include: service user care plan and risk assessments. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 2 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 3 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 4 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Griffin Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 x x x 3 x F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA5 Regulation Requirement The registered person must amend the service users contract of residency to include the correct legislation in relation to registration and amend the regulatory body and the role of the inspectors. Delete the role of the ombudsman. The registered person must continue with the redecoration of the public parts of the home in a style, design and colour which suits the needs of service users and promotes a homely environment in which to sit and relax. (Timescales of 31/10/04 and 30/04/05 not met). The registered person must visit the home at a minimum of monthly and prepare a report of that visit in line with Regulation 26. Timescale for action 20/09/05 2. YA24 23(2) Ongoing 3. YA37 26 Ongoing RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 25 Griffin Lodge 1. Standard YA6 2. YA6 3. YA7 4. 5. YA22 YA25 The registered person should arrange for more thought to be given to letter writing on behalf of service users, ensuring that the content is factual and appropriae comments are made, as would be spoken. The registered person should, when writing letters to families, involve and include the service user, ensuring the detail is factual and is written in a way which is appropriate. The registered person should further develop the communication systems within the home to ensure that all relatives are consulted with about service users care and important matters affecting them when the service user is not able to make those decisions themselves. The registered person should ensure that relatives have a copy of the complaints procedure and are aware of how to make a complaint. The registered person should provide seating in service users bedrooms or alternative rooms where they can invite their relatives and visitors. Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL7 0QD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Griffin Lodge F54-F04 s8557 Griffin Lodge v233479 270705 Stage 4.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!