CARE HOME ADULTS 18-65
Haydon Park Lodge 7 Haydon Park Road Wimbledon London SW19 8JQ Lead Inspector
Liz O`Reilly Unannounced Inspection 20th June 2006 02:00 Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Haydon Park Lodge Address 7 Haydon Park Road Wimbledon London SW19 8JQ 0208 540 0172 0208 404 0260 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Haydon Park Lodge Limited Mr Roger Smith Care Home 12 Category(ies) of Learning disability (11), Learning disability over registration, with number 65 years of age (1) of places Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home can admit two named service users 65 years and over. Date of last inspection 24th January 2006 Brief Description of the Service: Haydon Park Lodge is a registered care home offering accommodation and care for up to twelve adults with learning disabilities. The home is situated in a residential area of Wimbledon. The leisure, shopping and public transport facilities of Wimbledon are close by as is a local train station. The property consists of two houses which have been joined together. The house is not identifiable as a care home. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 20th June 2006 by one regulation inspector and one regulation manager. At the time of this visit ten residents were living in the home. The inspectors had the opportunity to speak with all the residents who live at the home, the registered manager, care staff and the registered owner. Questionnaires were left for all of the residents. Questionnaires were also provided to care staff, a sample of other professionals who are connected with the service and relatives. Nineteen questionnaires were returned to the CSCI. What the service does well:
Residents view Haydon Park Lodge as their home. Residents are encouraged to develop and or maintain their independence and expand their experiences. Residents felt that all staff, including the registered owner, were very supportive. Comments received from residents about staff included, “they are great”, “they help me a lot”. One resident said that the best thing about the home was “the staff and the owners family”. Discussions with staff and observations made at the time of this visit showed staff focus on the individual strengths of residents and offer clear choices. Staff were found to have an in depth knowledge of the needs and wishes of each resident. Staff encourage and support residents to involve themselves in activities in the community and inside the home according to individual wishes. Care is taken to ensure that residents attend religious services of their own choosing. Feedback from relatives or visitors to the home was positive. Relatives felt residents were well cared for. Staff were described as “kind and lovely people” and “always very welcoming”. Relatives were pleased with the holidays provided as well as parties, barbecues and various celebrations to which they are invited. Comments from relatives included “I don’t know of a better home where they would be so cared for and happy”, when a resident is on the phone to their family “all I can hear in the background is people laughing”. Feedback from other professionals was also very positive. The home was described as “relaxed and open, person centred where residents are respected”. The home was also described as “excellent” where staff are “extremely and genuinely caring of residents, respecting their individual needs and privacy”. Staff were felt to consult with health care professionals appropriately, knowing their own limitations but also able to solve problems themselves.
Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 6 The home is a family run enterprise and this is reflected in the family like environment. Staff made very positive comments, one member of staff described the home as a “very special place to work”. Residents are involved in day to day decision making and were seen to voice their opinions. Staff take time to listen and work in line with individual needs and wishes. All residents spoken to were aware of who to speak to should they have any problems in the home and all expressed confidence in the home manager and owner to “sort out” any problems they might have. The building is well maintained with a variety of communal space for residents to choose from. Residents made very positive comments on their individual bedrooms. What has improved since the last inspection? What they could do better:
The manager must take care to ensure that up to date checks are carried out on staff before they commence working in the home. All staff must complete an application form and be required to complete a full employment and education record. Where verbal references are sought these need to be followed up with a written reference. Further work needs to be done to ensure that sufficient staff are provided with first aid training, so that a qualified first aider is available on duty at all times. As noted in previous inspections consideration should be given to expanding the information available on the life history of residents. When staff investigate making care plans more accessible to residents they should also look into making contracts more accessible.
Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 7 The lighting in the lounge to the front of the home is yet to be finished following the refurbishment of this area some time ago. Action should be taken to complete this work. The carpeting to one staircase is in need of replacement. The management team should use the feedback from the quality monitoring within an annual development plan for the home. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 4 Quality in this outcome area is excellent. Residents are provided with good information on what they can expect from the home. Pre admission assessments are carried out before anyone moves into the home. EVIDENCE: The manager has developed a Service User Guide which aims to make the information accessible to residents. Discussions with the manager indicated that this work is continuing to try and make the Service User Guide more individualised and accessible. All residents are offered a copy of the Service User Guide. Some residents have opted to let the home keep their copy on their file. A member of staff goes through the Service User Guide with each resident to make sure they understand what they should expect from the service and have a clear understanding of what to do should they not be happy with anything at the home. The Service User Guide give residents information on their rights and responsibilities and gives clear information on the homes anti discriminatory practice in relation to race, gender, age, sexuality or religion. Staff should consider ways in which the contract for residents can be made more accessible. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 10 Before admission to the home assessments are carried out by social services and staff from the home meet with prospective residents and carry out their own assessment. Senior staff make clear efforts to ensure that they only admit a resident whose needs they can meet. The information gathered is used by the home to set up an initial care plan. All prospective residents are encouraged to visit the home for varying lengths of time before admission. This allows the person to meet with other residents and staff and see the environment before they make any decision. This also allows staff to carry out further assessments of the individual strengths and needs of the person. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. Individual care plans are produced for each resident and work is continuing to make the care plans more accessible to individuals. Observations made at the time of inspection and feedback from residents indicated that residents are fully involved in decision making. Individual risk assessments are in place and are used to support residents in expanding their experiences and promoting independence. EVIDENCE: Each resident is provided with an individual care plan which sets out their strengths and needs. Residents can hold copies of their care plan if they so wish. Care plans contain good information on the personal likes and dislikes of individuals. As noted in previous inspection reports consideration should be given, where possible, to expanding the information available on the social history of individual residents. Residents were seen to make their own decisions on day to day activities. Regular residents meetings ensure that all residents are consulted on major issues in the home, have opportunities to voice their opinions and to discuss anything that they are not happy with. Residents confirmed and were
Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 12 observed to participate in all aspects of life in the home according to their strengths and wishes. Residents were seen to be confident in expressing their opinions to staff and staff were observed to listen and respond to comments in a positive manner. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. Residents gave very positive comments on the support they receive to expand their experiences and take part in activities within and outside the home. Residents are supported to keep in touch with family and friends. The home has a clear policy on intimate personal relationships which support the rights of residents. Residents are provided with a varied, healthy diet which takes into account individual preferences and needs. EVIDENCE: Residents are involved in a wide range of activities in and outside the home. Residents felt they were well supported in attending regular activities outside the home and in trying out new activities if they wish. The home provides a number of communal areas which residents use to pursue their individual interests. Residents informed the inspectors that they enjoyed playing snooker, watching videos, watching sports, using karaoke machine, listening to music, chatting with staff and other residents and helping with domestic tasks. Outside the home residents are supported to attend religious services of their choice, clubs and a variety of day centres and classes. Residents also stated
Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 14 that they enjoyed going shopping, attending Salsa and rock and roll dance classes, going to the cinema and bowling, independently or with the support of staff according to their needs. Residents informed the inspectors that they enjoyed and helped plan at least one sometimes two holidays each year. They also stated they enjoyed garden parties and various celebrations within the home. Relatives and neighbours are invited to events in the home. Residents are supported to seek employment either paid or voluntary. One resident has voluntary employment in a number of organisations. Staff were observed to work with residents within and outside the home on an individual basis and communication between staff and residents is excellent. Staff are well informed and active in respecting residents rights and promoting the rights of residents in the community. The home has its own transport but residents are also encouraged to use public transport either independently or with support from staff. Residents were very complimentary about the food provided in the home. Residents are consulted on the menu and offered choices on a day to day basis. Residents can assist with the preparation of meals if they wish. Feedback from relatives indicated they were often invited to share a meal when they visited the home. The dietary needs of residents in relation to cultural, religious or health needs are met. Staff are well informed on the preferences of individual residents. Facilities are available for residents to make their own drinks and snacks and several residents were observed to make use of this facility. Staff monitor the weight of residents and seek advice if any problems arise. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 18, 19, 20 & 21 Quality in this outcome area is excellent. Care is taken to ensure that residents are supported according to their wishes. The physical, emotional and health needs of residents are met. Medication is well managed. Staff support residents to deal with illness and death within the group. EVIDENCE: Care is taken to ensure that those residents who require personal care are provided with appropriate support. Staff monitor the health of individual residents and ensure that residents have access to health care services as required. The home has good links with the local community learning disabilities team. All residents are registered with local GP practices. Staff support residents to attend health care appointments. Feedback from health care professionals indicated that the home was viewed as providing an excellent service. Medication is well managed and stored securely. As noted in the last inspection report staff who administer medication must be provided with accredited training on medication. One resident administers their own medication. Risk assessments are carried out for any resident who administers their own medicine and staff make regular checks to ensure that residents continue to manage their medication appropriately. Regular visits are made to the home by health care professional to monitor medication.
Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 16 Since the last inspection of the home one resident became ill and subsequently died. The home owners and managers made significant efforts to ensure that this resident could remain in the home by purchasing specialist equipment and converting a kitchen to a bedroom. Arrangements were also in place to increase staffing levels should this prove necessary. Staff sought advice and support from social services and palliative care teams. All residents were offered the option of attending the funeral. Staff were observed to support residents when they wished to talk about this resident. All residents had bereavement counselling available to them should they need further support. Information on the wishes of individuals in relation to terminal illness and actions to be taken following their death is sought and recorded to ensure that staff are able to meet these wishes. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 22 & 23 Quality in this outcome area is good. The home has a clear complaints procedure in place. An accessible version of the complaints process has been developed. Staff are well informed of their roles and responsibilities regarding the protection of vulnerable adults. EVIDENCE: Residents spoken to were well informed on what to do and who to contact if they have a complaint. Residents expressed confidence in the staff to help them with any complaint. The home has in place a system for recording any complaints along with any actions taken. The home has not received any complaints since the last inspection. The CSCI have not received any complaints about this home. All staff receive training on the protection of vulnerable adults and are aware of who to contact should they have any concerns. The home has its own policy and procedure for the protection of residents and a copy of the local authority procedure is available to staff. To assist in ensuring the safety of residents, further work needs to be done to make sure the appropriate checks are carried out on staff before they start work in the home.( See Staffing section) Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 18 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 the following standard(s): 24, 25, 28 & 30 Quality in this outcome area is excellent. Residents are provided with a comfortable, homely environment with a number of communal rooms. The home is clean and hygienic. EVIDENCE: The owner continues to maintain the home to a good standard and look at ways of improving the environment for residents. At the time of this inspection plans were being made to up date one of the bathrooms and make this more accessible. Residents have access to two separate lounge areas, two dining/sitting areas and a snooker room. The garden is very well maintained and also provides a number of separate seating areas. Residents were seen to take advantage of the different areas to engage in a variety of activities. Residents were very happy with the facilities available to them took pride in showing the inspectors the home including their individual bedrooms. Residents bedrooms were furnished and decorated to a good standard and residents have individualised their own rooms with the addition of pictures, posters and personal items.
Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 19 The carpeting to one of the staircases is showing signs of wear and tear and needs to be replaced before it becomes a hazard. The main lounge to the front of the house has been refurbished but the lighting has yet to be completed. All areas of the home seen were clean and tidy and free from offensive odours. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. Residents benefit from a stable staff group which ensures continuity of care. Staff are provided with good opportunities for training including NVQ training. Further work needs to be focused on the recruitment process. EVIDENCE: Staff gave very positive comments on the home and their experience of working there. A number of the family owners family also work in the home on a part time basis. The home owner and his wife also work in the home on a regular basis. Agency staff are not employed in this home. Residents therefore benefit from a consistent staff group who were found to have a very good knowledge of their individual needs and strengths. Residents informed the inspectors that they were very happy with the staff and their individual keyworkers. Residents expressed a great deal of faith and affection for the home owner and the manager. Staff attend various training courses held by the local authority as well as taking part in NVQ training. It was noted that records of the full up to date checks on staff prior to starting work in the home were not there for all staff. The manager must make sure that up to date criminal records bureau checks are carried out and two written
Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 21 references are obtained for all staff members. Application forms must be completed and a full record or employment and education must be kept for all staff. Any gaps in employment will need to be investigated. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. Residents benefit from a well motivated manager. A system for monitoring the quality of care provided is in place which includes seeking the views of residents. Staff carry out regular checks to ensure that the health and safety of residents, visitors and staff are protected. To assist in ensuring the health of residents staff must be provided with training on first aid. EVIDENCE: The home manager is in the process of completing NVQ level four training. Staff and residents expressed confidence in the manager and felt well supported by the manager and owner. The manager and staff continue to look at ways of improving the service. Opinions on the quality of care provided is sought via questionnaires to residents and relatives. This feedback is collated and presented in a report. A copy of this report has been provided to the CSCI. Consideration should be given to including health and social care professionals in those questioned.
Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 23 Residents can also feedback their opinions via residents meetings and individual meetings with their keyworkers. The results of the last questionnaires indicated high levels of satisfaction with the care provided. Consideration should be given to using the results of feedback to inform an annual development plan for the home. Health and safety checks are carried out by staff. A fire risk assessment was carried out in January of this year. Fire alarms are tested on a weekly basis and regular fire drills take place. Staff check the temperature of hot water accessible to residents to ensure it is not above recommended levels. Records show checks have been carried out on portable electrical equipment. A record of the temperature of fridges and freezers is maintained. The manager must make sure that sufficient staff have received the appropriate training to allow for a qualified first aider to be available on each shift. Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 x 28 4 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 4 3 x 3 x x 2 x Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 25 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 YA20 Regulation 13(2) 18 (1) Requirement The registered persons must ensure that all staff who administer medication are provided with accredited training. (Timescale of 01/04/06 not met.) The registered persons must ensure that the carpeting to the stairs in the home are replaced. Timescale for action 01/01/07 2. YA24 16(1) (c) 23(2)(p) 01/01/07 3. YA34 4. YA42 The registered persons must ensure that the lighting fixtures are installed in the lounge area. 19 The registered persons must 01/10/06 ensure that appropriate checks are carried out on all staff prior to commencing work within the home. 18(1)13(4) The registered persons must 01/01/07 ensure that sufficient staff are provided with first aid training to allow for a qualified first aider to be available on each shift. (Timescale of 01/05/06 not met) Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA5 Good Practice Recommendations The registered persons should ensure that residents contracts are produced in a format or language suitable to the individual resident. The registered persons should ensure that care plans are provided in an accessible format for individual residents. The registered persons should consider, where possible, expanding the information available with regard to residents social history. The registered persons should ensure that a training needs assessment is carried out for the staff team as a whole to ensure the planned training meets the needs of the home as well as the individual needs of staff members. The registered persons should use the information received from the quality monitoring questionnaires to inform the annual development plan for the home. 2. YA6 3. YA6 4. YA35 5. YA39 Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Haydon Park Lodge DS0000027209.V300760.R01.S.doc Version 5.2 Page 28 - 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!
