Inspection on 13/11/08 for Hart House

This inspection was carried out on 13th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hart House 14/11/06

Hart House 09/12/05

Hart House 23/03/05

Hart House 28/09/04

Hart House 26/01/04

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Hart House 91 Hamstel Road Southend on Sea Essex SS2 4NF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Carolyn Delaney     Date: 1 3 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: Hart House 91 Hamstel Road Southend on Sea Essex SS2 4NF 01702619611 F/P01702619611 harthouse1@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Helen Dawn Venning Type of registration: Number of places registered: Mr Richard Jeremy Hart,Mr Stephen David Hart care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Hart House provides accommodation for up to eight adults who have a diagnosed mental health disorder or illness including drug induced psychosis, schizophrenia and compulsive obsessive disorder. The home provides short-term rehabilitative care from six to eighteen months. However residents living at the home have been supported for longer periods according to their progress with treatment etc. Hart House is a residential style property situated close to Southend on Sea town centre. People living at the home have their own personal accommodation and access to attractive, homely communal areas, including lounge / diner, kitchen and a well-maintained garden. The fees charged by the home range from £800.31 - £1,013.74 per week. 0 8 Over 65 2 2 Care Homes for Adults (18-65 years) Page 4 of 29 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was a routine unannounced inspection, which included a visit made to the home between the hours of 11.30 and 18.45 on 13th November 2008. As part of the inspection process we looked at information we have received about the service over the last twelve months including notifications sent to us by the manager of any event in the home, which affects residents such as injuries, deaths and any outbreak of infectious diseases. We also looked at the information the manager provided us with in the homes Annual Quality Assurance Assessment. This document is a self-assessment which the registered provider / owner tell us what they do well, how they evidence this and the improvements made within the previous twelve months. We sent surveys to the home for residents, staff, their families and healthcare professionals to complete and tell us what they think about the home. We received surveys from three residents Care Homes for Adults (18-65 years) Page 6 of 29 and two staff. The views and comments expressed by these people were reflected in the report. When we visited the home we spoke with three residents and five members of staff. We also observed how staff interacted with residents. During the site visit, records including residents care plans and assessments, and staff training files were examined. A brief tour of the premises was carried out and communal areas including lounge and bathrooms were viewed. In addition some residents bedrooms were viewed. Information obtained was triangulated and reviewed against the Commissions Key Lines for Regulatory Activity. This helps us to use the information to make judgements about outcomes for people who use social care services in a consistent and fair way. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 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 9 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. People who move into the home can usually be assured that their assessed needs will be met. Evidence: The manager told us in the Annual Quality Assurance Assessment that before a person moves into the home an assessment of their needs is carried out and they visit the home for a trial period to help determine whether the home will be suitable for the individual. The manager also told us that on occasions information provided by commissioners, (health and social care teams who pay for care packages including placements for people in care homes), is not always accurate and has not in the past given a true picture of a persons behaviour. This has led to the home being unable to care for two people admitted and a breakdown in their placement. Three people had moved into the home since the last inspection. We looked at records for two of these people. There was no evidence available that the manager had assessed their needs before they were offered a place in the home. The manager told us that she had visited both before they moved in. There was evidence of the Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: discussions held with both residents and commissioners in planning both admissions. We spoke with both residents during the inspection visit and they told us that they had been asked if they wanted to move into the home. They also said that they had visited and stayed for a trial period. One person told us I came and stayed for a weekend and told them I wanted to move in. The other person told us they had visited before deciding to move in and that they had come along way since moving in and were happier here than in any other place they had lived in. Both residents had a contract which described what they receive for the fees charged and the rights and responsibilities of both residents and the home. We spoke with five members of staff during the inspection. They told us that they receive information about each resident so that they can best support them. 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. Residents assessed needs are well met and they can be sure that they would be able to make decisions about how they live their lives. Evidence: The manager told us in the Annual Quality Assurance Assessment that care plans are developed and reviewed with residents. She also said that staff support residents to make decisions about their lives and to take risks as part of their independent lifestyles. We looked at the care plans for two residents. There was information about each persons needs and some information about their choices and preferences. However set goals did not reflect residents personal aspirations and what they want to achieve. The goals set reflected outcomes which staff want rather than those of the individual residents. We discussed this with the manager who said that she would work with staff and residents to make care planning more person centred (more about each person and their needs). We looked at plans and saw that staff review these each month and record where Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: progress has been made or where there have been problems. Where necessary care plans are amended. Residents who we spoke with and those who completed surveys told us that they can make decisions about what they do and that they spend their time as they choose to. Two residents told us that they lacked motivation sometimes. One person said there is so much choice so I dont know what I want to do. Staff assess and record risks to residents health and welfare. Residents are encouraged to take risks, in an appropriate and safe way as part of being independent and their rehabilitation such as going out alone. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home enjoy a lifestyle which suits their needs and wishes and prepares them for moving out of the home and living more independently in the community. Evidence: The manager told us in the Annual Quality Assurance Assessment that each resident has an activity plan which is led by the individual and that residents are encouraged to participate in community life. We looked at activity plans during the inspection and there was very little planned activities for some residents. On the day of the inspection three residents were in the home for the most part of the day. They spent their time sitting in the lounge area listening to music and chatting. Residents told us that they can spend their time as they choose. One person told us that they were due to start courses in motivational skills in the near future. Another person said that they were Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: interested in music. There was no evidence that any possible opportunities had been explored for this person. One person works as a volunteer in a local care home and is interested in working in this field. The manager and staff are supporting this person to find a suitable place so that they can undertake a National Vocational Qualification in care work. Another resident was completing this qualification in office administration. Staff assist residents to apply for any social benefits, which they are entitled to and to seek employment if they wish to. Residents told us that they can invite their family and friends to spend time with them in the home. Friends and families are invited to events the home such as birthday celebrations and parties. As part of each persons rehabilitation programme some residents take responsibility for purchasing food and preparing meals. During the inspection we observed residents making snacks and preparing their evening meal. We looked at food supplies in the home. There was a good range of foods including fresh and frozen meats, fish, fruits and vegetables. Residents told us that they enjoy meals. 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. Residents have their assessed mental and health care needs met. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that residents are are supported by a consistent and trained team of staff who know them well. She told us that residents are supported to access advocacy services where this is appropriate and residents we spoke with confirmed this. Three residents who completed surveys told us that staff treat them well and listen to what they say. We looked at the care plans for two residents. Each persons healthcare needs were clearly recorded with a description of the support and encouragement to be provided by staff. We saw that staff reviewed each residents care plan with them each month. Staff recorded the progress made with the plan. This helps to ensure that staff are kept up to date with each persons needs. Residents are encouraged to be independent and take responsibility for attending health and medical appointments. One resident told us that they had travelled alone by train to attend a clinic appointment. They told us that they were very proud of this achievement and that it had improved their confidence. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: Staff monitor residents weight and encourage them to eat healthily and to take exercise as part of a healthy lifestyle. Staff undertake training to understand and manage diseases and illness such as diabetes and epilepsy so they are able to support residents. Each resident is encouraged to develop skills to be able to manage their medicines as part of their rehabilitation and preparation for moving out of the home to live more independent lives. Staff assess potential risks and then develop a staged plan where residents are supervised initially until they are confident and competent to safely keep and administer their medicines. Residents undergo regular blood tests to ensure that medication levels are appropriate. Staff attended a planned training session on safely managing medicines on the day of the inspection. We looked at how medicines were stored and how staff keep records. Medicines were stored securely. Staff kept accurate records in respect of when medicines were received into the home. 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. People living in the home are well cared for and safeguarded from abuse. Evidence: We were told by the manager in the Annual Quality Assurance Assessment that there is a complaints procedure and that all complaints and concerns are taken seriously and investigated. We looked at the policy when we visited the home and it clearly described how a person may make a complaint. Three residents who completed surveys told us that they knew who to speak to and how to make a complaint if they were unhappy. One person told us that they could speak with an advocate (an independent person who may act on behalf of the individual) if they needed to. We spoke with two residents during the inspection and they told us that they had no complaints and that they were happy with the home. Staff who spoke with us and those who completed surveys said that they would inform the manager if anyone raised concerns or made complaints. The manager told us that one complaint had been made since the last inspection. One resident made a complaint about another residents behaviour towards them. Details of the complaint were recorded and the manager investigated the issues and recorded their findings and the action taken. Staff have access to the homes policy for safeguarding people from abuse. The policy was not clear in respect of the managers responsibilities when dealing with any allegations of abuse including reporting to the relevant safeguarding teams. This would Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: help to ensure that all allegations are dealt with appropriately. There is a whistle blowing policy which helps protect people who work in the home from repercussion should they need to report an allegation of abuse. Staff undertake training to help them recognise signs of abuse and to report any incidents appropriately. Residents told us that staff treat them well. We observed how staff and residents engaged and interacted with each other. Residents appeared very comfortable and at ease with staff and could hold open and frank discussions with them. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean, safe and comfortable home. Evidence: The manager told us in the Annual Quality Assurance Assessment that the home is clean, ambient and in keeping with other homes in the area. Residents who completed surveys told us that the home is always clean and fresh. As part of their rehabilitation programme, residents take responsibility for keeping communal areas and their bedrooms clean and tidy and staff support and assist where needed. During the inspection we spoke with three residents and they told us that they liked the home. One person said it is very homely and not at all institutionalised like some places. One resident showed us his bedroom. This was nicely decorated, bright, clean and warm. Residents share a large combined lounge and dining area and a modern well equipped kitchen with oven, hob and microwave facilities. There is a separate laundry area with a domestic washing machine and dryer. The manager told us that some carpets have been replaced and a new washing machine and dryer had been purchased within the past twelve months. We looked at records in respect of routine services, repair and renewal of equipment used in the home. These were all up to date and evidenced that equipment such as Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: heating and hot water systems, gas, electrical and fire detecting and fighting equipment is maintained in good working order. The manager told us that they would like to see the garden area improved so as to make it more attractive for residents to use. During the inspection we spoke with one member of staff who is a keen gardener. This person had complied a scrap book with ideas, hints and tips for growing vegetables and some residents told us they grew and cooked their own vegetables and earlier this year. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are very well cared for by a team of staff who know them and their individual needs, are recruited thoroughly, trained and supported appropriately. Evidence: The manager told us in the Annual Quality Assurance Assessment that staff are recruited thoroughly and complete a structured twelve week induction to ensure that they are suitable and skilled to care for and support residents. Residents who completed surveys told us that staff have the skills and experience to care for them. One person said that staff always listen to me and support me. Two members of staff completed surveys and they told us that they would like to have more training about mental health conditions to help them better understand and support residents. When we visited the home we spoke with five members of staff and some told us that they were due to commence a distance learning course in understanding mental health and illness which is provided by a local college. Staff told us that they enjoyed working in the home and they were very well supported with ongoing training and supervision. We looked at training and supervision records and these showed us that there is a comprehensive and structured programme to train and support staff so that they can care for residents properly. Staff are supervised and have regular one to one Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: discussions with the manager or her deputy to discuss progress, training needs and any issues they may have. A minimum of two members of staff are employed during the day. Extra staff are employed if there are planned outings or if residents need to be escorted out of the home. At night residents are supported by one waking staff and one sleep in person who will be called upon if needed. We looked at staff rotas and we saw that staffing levels are maintained and that staff do not work excessive hours without appropriate time off. This helps to ensure that staff are fit to support residents. Each resident has a member of staff allocated to them who acts as key worker and a point of contact if they wish to discuss any issue about their care and support. We looked at how staff are recruited. Three people had been employed since the last inspection and we looked at the records for two of these. The manager uses an agency to select people as candidates for employment. The agency carries out checks such as references and confirming each persons identity. We looked at records for both people and there was detailed information about their skills and previous employment. Checks including references from previous employers, PoVA First and Criminal Records Bureau (CRB) disclosures had been carried out. These checks help to ensure that people who work in the home are suitable and that residents will be safeguarded from abuse. The manager had not interviewed the individuals before they were employed. This would further help to ensure that people who are employed are suited to caring for residents. Once a person is employed they commence a twelve week structured Skills for Care induction which is nationally recognised and helps staff to familiarise themselves with the homes routines, policies and the needs of residents. We saw records which evidenced this. On completion of the induction staff commence National Vocational Qualification (NVQ) level 2 training in care. There is a core team of people who have worked in the home since it opened and this helps to ensure that residents are supported in a consistent way and that their care and support is not affected by a high turnover of staff. During the inspection we observed staff and residents to interact positively. Residents appeared very at ease and could openly express their views to 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is well managed and run in their best interests. Evidence: The manager is a qualified registered mental health nurse who has over 16 years experience in managing care homes. She has managed the home since it was first opened and registered. She provided us with a detailed and comprehensive Annual Quality Assurance Assessment. In this she told us of the improvements made to the service within the past twelve months, areas where more could be done to enhance the experiences for residents and planned improvements for the next twelve months. Residents and staff who we spoke with during the inspection all spoke very highly of her. Staff said that were supported and residents said they can always speak with her about any issues they may have. The manager has a very open approach to management of the home. Residents and staff meet regularly to discuss any issues which affect them. Residents, their families and health care professionals are contacted annually to give their views about the home by way of a survey. The Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: manager told us that over the past few years the response to these questionnaires as dwindled and that residents have said they are fed up filling in forms. However we could see that residents have lots of opportunities to comment about the home through regular meetings, one to one sessions with the manager or senior staff and care plan reviews. The homes environment is well maintained and the manager complies with any requirements made by the local fire authority and environmental health department following their annual visits. 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 2 14 An assessment of a persons mental and physical health care needs must be carried out by an appropriately qualified person before they are offered a place in the home. This must be done so as to help determine that the home will be suitable and to minimise the risk of breakdown in placements. 05/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 Care plans should be written with more resident involvement so that they reflect individuals goals and aspirations. More could be done to ensure that residents are involved in meaningful daytime activities which reflect their interests, diverse needs and capabilities. The homes safeguarding policy should be updated to include details of the local safeguarding teams and the managers responsibilities for reporting any allegations. Page 27 of 29 2 14 3 23 Care Homes for Adults (18-65 years) 4 34 The manager should interview people before they are employed to help determine that they are suitable and competent to care for the people living in the home. 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. You have been warned!