Inspection on 18/07/05 for Hendon Road (3)

This inspection was carried out on 18th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hendon Road (3) 30/01/07

Hendon Road (3) 17/10/05

Hendon Road (3) 18/11/04

Hendon Road (3) 16/04/03

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hendon Road 3 Hendon Road Nelson Lancs BB9 9JL Lead Inspector Keren Nicholls Unannounced 18 July 2005 10.15am th 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. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hendon Road (3) Address 3 Hendon Road Nelson Lancs BB9 9JL 01282 690703 01282 690703 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) Pendle Residential Care Ltd. Ann Suleman Care Home 2 Category(ies) of MD Mental Disorder, excluding learning registration, with number disability or dementia 2 of places Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection. 2. A maximum number of 2 service users are accommodated in the category mental disorder, excluding learning disability or dementia. Date of last inspection 18th November 2004 Brief Description of the Service: 3, Hendon Road (accommodating 2 younger adults) is part of Pendle Residential Care Ltd. (Dispersed Homes Scheme) in Nelson. This is a semiindependent living scheme comprising 4 houses, accommodating a total of 11 younger adults who have mental health problems. The main office is located at a 24-hour staffed house at Pendleview. Hendon Road is a two bedroom semi-detached “dispersed” house, with staff support as needed by the service users. A designated house keyworker visits daily. Further support is provided by visits from the registered provider. Care workers visit in the evening and at weekend according to assessed need. On call staff support is available during the night and Pendleview provides 24-hour emergency support as necessary. Hendon Road is located in a quiet residential area, near to local shops, Nelson town centre shops and other amenities. The house has on-street parking and pleasant gardens to the front and back. Transport in staff cars is provided for service users. There are 2 single bedrooms and a house bathroom on the first floor, and kitchen, dining/lounge and living room on the ground floor. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory unannounced inspection took place between 10:15am and 1:10pm (2.55 hours). There were two service users resident at the time of the inspection. During the visit the inspector spoke with both residents and the house keyworker, and looked at written information, including records. With the permission of the residents the inspector looked at the communal rooms and examined care plans. What the service does well: What has improved since the last inspection? The new manager had been registered with the Commission for Social Care Inspection. The manager had started to review the policies and procedures to ensure that they properly protect the service users. She had set up a system to formally supervise the house keyworker and other support staff, to ensure that everyone was following procedures and that care practices respected the rights of residents to be independent and to have a fulfilling life. The premises had been improved. The pointing of the gable wall had been completed and the dining room/lounge redecorated. Residents said that the Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 6 hot water system had been sorted out and the new bedding they asked for had been provided. 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. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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 Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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) 1, 2, 3, 4 and 5 The admission procedure (giving written information and arranging preadmission visits) enabled residents to make an informed decision about whether Hendon Road was the right place for them to live. Residents had been consulted about their needs and wishes prior to admission. Trained people had assessed these needs, to ensure that they could be met by the home. In order to protect both parties’ rights and responsibilities, the home needs to ensure that individual contracts are agreed with each resident. EVIDENCE: One person had been resident at Burnley Road for some time and one service user had recently been admitted. Both residents had been given written information about the home (a Service User’s Guide), which explained the aims of the home. There were copies of these documents in each person’s file. Residents said they understood this information, about house ‘rules’ and the general rights and responsibilities of the home and themselves. The resident new to the home said that he had visited prior to his admission, to meet the other service user and to look at the house. He explained that his admission had been planned and his needs had been properly discussed with the registered manager and his referring keyworker, to ensure that the home could meet his needs. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 9 He said he was involved in his assessment through mental health Care Programme Approach (CPA) arrangements. Needs had been properly and fully assessed by trained persons under CPA and copies of these assessments were in personal files. One resident had a contract (an agreement of the terms and conditions of residence), but a contract with the person new to the home had not been finalised. The home should ensure that a contract that clearly lays down the rights and responsibilities of both the home and the resident is agreed with this service user as soon as possible. This should include terms and conditions of occupancy, room to be occupied, personal support needs, any “rules”, the fees charged and what fees cover (including a weeks holiday or equivalent – see also Standard 14.4), the rights and responsibilities of both parties (including insurances) and a summary of the resident’s care plan. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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, 8, 9 and 10 There were satisfactory arrangements to regularly review care plans with residents as part of the Care Programme Approach and in accordance with the home’s review procedures. The independent way of life and participatory care practices ensured that residents were properly consulted about, and joined in all aspects of life at the home; and were enabled to take responsible risks. Confidentiality was understood within a risk assessment framework and was respected by staff. EVIDENCE: One resident said that he was involved in his assessment and care planning through CPA arrangements. The house keyworker and the registered manager also contributed to CPA meetings and reviews. Residents said they understood the care planning process, the impact of the plan on their daily living and lifestyles and the support needed from staff. Aims for care were explicit in the care plans, as were any limitations, risk assessment and the reasoning behind this. Review dates were identified and the keyworker accompanied residents and supported them at review meetings. The way of life at Hendon Road was one of semi-independence and residents therefore made their own decisions, in consultation with each other and the Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 11 house keyworker, about how their house was run and how they occupied their time. The residents said that the policies and procedures were freely available, but personal files and other confidential information (such as financial records) were kept locked away securely. The keyworker and residents were well aware of the concept of confidentiality and had a good understanding of when information may need to be shared with others (such as community mental health workers). Residents said that they thought the staff respected confidences. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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, 15, 16 and 17. The manager and care workers enabled residents to lead fulfilling lives, and to participate in appropriate leisure and social activities of each person’s choosing. Staff respected resident’s rights and helped residents with personal development and retaining community and family links. The keyworker assisted service users to have healthy diets. EVIDENCE: The house keyworker provided flexible support for residents to regain and practice skills such as shopping, cooking and housework, budgeting and sorting out benefits. Residents said that they shared the housework between them (a new rota was being devised), but made their own arrangements for meals and keeping their own rooms as they wished. The keyworker worked closely with each person to ensure that adequate diets were maintained and appropriate food shopping was purchased. Residents said they had their own house and bedroom door keys and understood their rights and responsibilities. Residents made their own arrangements when inviting family and friends and leisure activities were a personal choice. The keyworker helped service users to achieve these choices. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 13 Residents explained that they enjoyed individual hobbies and leisure activities such as watching TV and reading. One person was expecting to go to college, was looking forward to developing his interests and going out more to football and on holiday. Holiday options were discussed. The keyworker was uncertain about how Standard 14.4 operated at Hendon Road (that residents have, as part of the basic contract price the option of a minimum seven-day annual holiday outside the home) and it was recommended that this should be discussed with the registered manager. Both residents and the keyworker were knowledgeable about facilities and events in the local community. One resident said he attended a resource centre and the keyworker provided transport for residents to go out to pub lunches, library, shops etc. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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 and 20 Personal support was provided in a flexible and individual manner, which respected residents’ dignity and independence. Keyworker staff supported residents in managing their healthcare needs. Good systems for safe administration and residents’ self-administration of medicines were followed. EVIDENCE: Residents said they made their own choices about personal routines (such as getting up/going to bed times, bathing, clothes choice, where to shop, when and where to go out etc.). Personal support arrangements were assessed and noted in care plans and support was provided by the house keyworker. Residents said that they were very happy with the help and support they had from their care worker, who respected their needs and wishes and privacy. The residents explained that hospital consultants and other mental health professionals oversaw psychiatric care and staff followed agreed care plans in respect of mental health. Residents were confident about assessing their own healthcare, but valued the support of their keyworker, who helped to make appointments and accompanied them to clinic visits. The keyworker was responsible for ensuring that regular screening checks were undertaken and recorded. Records of medical and paramedical visits were recorded in care plans. The keyworker was knowledgeable about both service users’ healthcare needs and had an Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 15 encouraging and supportive attitude. A record of drugs administered by staff was kept. Appropriate medication policies and procedures regarding obtaining repeat prescriptions; drug storage, administration and self-administration were followed. Resident’s consent to medication was recorded as part of their CPA. The keyworker had undertaken accredited medicines training to ensure safe practices were followed. Both residents said that they were satisfied with the medication procedures and one person said he was supported to safely self-administer. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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 and 23 There were good systems for ensuring that service user’s views are listened to and acted upon, with evidence that residents’ suggestions, requests, comments and complaints were satisfactorily addressed in a timely fashion. Procedures were in place to respond quickly and effectively to suspicion or evidence of abuse. Residents and staff had a good understanding of the procedures. EVIDENCE: The residents knew about the home’s complaints procedure. A copy of the procedure was seen in the policies and procedures file and in the service users guide. The residents said that in the first instance they would talk to their house keyworker or the manager if they had a problem. Residents said that they had no current complaints and that the keyworker and manager gave prompt help with all their problems. One person had in the past raised concerns with the provider. He thought that all concerns or complaints that had been raised had been dealt with appropriately. The keyworker had received training in protecting service users and had a good understanding of the action that should be taken, following the ‘No Secrets in Lancashire’ document and the home’s protection from abuse procedures. The protection procedure was available to service users. One resident explained that he understood how these worked in practice. However, the procedure needed amending to ensure that it better followed the ‘No Secrets’ guidance and did not jeopardise any investigation that may be needed in response to an allegation of abuse. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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, 28, 29 and 30 The house was small, non-institutional and suitable for its stated purpose of supported semi-independent living for younger adults who have a mental health problem. The house was comfortable and had a satisfactory standard of décor and cleanliness. EVIDENCE: Hendon Road provided spacious accommodation for two service users. The residents said they had arranged their house so that they had one living room each. There was information about room sizes in the Scheme’s statement of purpose and Service User’s Guide. Residents said that their bedroom accommodation was satisfactory and that they had recently had new bedding. The house is near to local transport, shops and other amenities and is in keeping with other houses in the locality. The residents kept their house clean with the support of their keyworker and were in the process of devising a rota to share cleaning tasks. The house Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 18 looked comfortable, bright and cheerful with sufficient and suitable light, heat and ventilation. The house was accessible to the occupants and inside there were no obvious hazards to safety. One resident new to the home said that the electrical equipment he brought with him had been tested. Residents confirmed that tests were carried out to ensure the safety of the gas appliances and in respect of testing the smoke alarms. The furniture, fittings and decoration were domestic in style and of suitable quality. The registered provider visited the house once a month to ensure that the premises are satisfactory. It was noted that any maintenance, renewal and refurbishment requirements were carried out in a timely fashion. The gable end had been re-pointed and the dining room/lounge redecorated. Appropriate assessments of the needs of the service users had been carried out and there was no current need for specialist equipment or adaptations. The residents explained that they kept the gardens tidy. To ensure the safety of residents, the concrete step to the back garden should be repaired as soon as possible. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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) 32, 33, 35 and 36 A trained and experienced house keyworker gave flexible and individual support to meet residents’ needs. Staff morale was high, resulting in staff committed to improving service user’s quality of life. Residents’ needs and wishes were promoted and protected by a good staff supervision and appraisal programme. EVIDENCE: The resident’s keyworker was a senior staff member with extensive experience in care work. She had completed a formal accredited induction training course and induction training in respect of health and safety procedures and care practices. The keyworker had successfully completed certificated courses including fire risk assessment, health and safety, moving and handling, medication management and basic food hygiene. She is an appointed first aider. She was awaiting a final NVQ 2 qualification assessment and intended to progress to level 3. The manager oversaw a formal and informal system of staff supervision and appraisal. This helped to ensure that service users received safe, individual and flexible care from staff who had proper support and supervision. The Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 20 keyworker said she felt supported. She enjoyed her job and was confident that she gave a good service. The residents held their keyworker in high esteem and said that she was “kind” and “helpful”. They valued her knowledge and skills and enjoyed good relationships with her, the manager and other staff. The staff were very reliable and contactable at any time. One resident said that he was very satisfied with his support and was finding living at Hendon Road beneficial. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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, 40, 41, and 42 A qualified and experienced registered manager, who ensured that the home was run in the best interests of the service users and who provided appropriate leadership for the staff team, was in charge of Hendon Road. Generally sound and comprehensive policies and procedures underpinned care and health and safety practices, ensuring that risks to service users were minimised. Some policies needed review. Records that assisted in protecting service users were properly kept. Systems that encouraged and enabled residents to express their views and opinions were in place. EVIDENCE: The manager had recently been registered with the Commission for Social Care Inspection. She had implemented a formal staff supervision and appraisal system and had started to review the policies and procedures, to ensure that they provided effective protection for and promoted the rights and independence of service users. This review had not been completed at Hendon Road and it was suggested that service users may wish to be involved. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 22 A full set of policies and procedures was available in the home for residents and staff. Records showed that health and safety checks had been carried out and that residents were involved in checks such as fire drills. The premises looked in good condition. Records and discussion with the residents and the keyworker showed that risk assessments had been completed and the premises and appliances maintained according to safety legislation. The residents said that they got on well together. Many things, such as household chores were discussed and shared and everyone’s contribution was valued. Residents said they could talk to the house keyworker about any matter and the registered provider visited regularly. They felt that their views were listened to and acted upon. The Scheme held the Investors in People quality assurance system award and used this as the basis for training and development of all staff involved in the care and support of service users at Hendon Road. Residents were well informed of care plan arrangements, content of records and the strengths and weaknesses of local mental health and other support services. There was a policy regarding service users access to their personal records and a confidentiality policy. Residents said that they knew what records were kept and that they could see and contribute to their personal and financial records when they wished. Personal, financial and care records were inspected with the permission of service users and were confirmed to be comprehensive, correctly kept and up to date. Residents were knowledgeable about health and safety issues, including security of the building. Fire procedures were understood. Records were inspected and showed that tests were up to date. There were no obvious hazards to health and safety and the keyworker and residents reported that all equipment in the home was in good working order and was replaced as necessary. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.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 3 3 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 2 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hendon Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 3 3 x F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement There were no requirements from this inspection Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard 5 14 23 24 40 Good Practice Recommendations The registered manager should agree a written and costed contract/statement of terms and conditions of residence with the new service user (5.1) The manager should agree holiday options (as part of the basic contract price) with the service users (14.4) The manager should amend the protection from abuse policy/procedure to ensure that it meets the requirements of No Secrets guidance (23.2) The damaged concrete step to the back garden should be repaired (24.1) That there is a review of the policies and procedures and that policies and procedures are amended as necessary to ensure that they follow guidance and are in the best interests of service users (40.6). Service users may wish to be involved in this review. Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 25 Commission for Social Care Inspection Unit 4 Petre Road Clayton-le-Moors Accrington BB5 5JB 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 Hendon Road F57 F07 S9641 Hendon Rd V229972 8.8.05 Stage 2.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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