Inspection on 30/01/07 for Highviews

This inspection was carried out on 30th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Highviews 07/12/07

Highviews 12/12/05

Highviews 04/07/05

Highviews 10/01/05

Highviews 13/07/04

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Insight - Eastchurch

Southfields

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

CARE HOME ADULTS 18-65 Highviews 47 Saltdean Drive Saltdean Brighton East Sussex BN2 8SD Lead Inspector Nigel Thompson Key Unannounced Inspection 30th January 2007 09:30 Highviews DS0000014262.V324084.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 Highviews DS0000014262.V324084.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. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highviews Address 47 Saltdean Drive Saltdean Brighton East Sussex BN2 8SD 01273 390610 01273 308672 drizem@yahoo.co.uk 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) Mr Driss Zemouli Miss Niki Clarke Mr Driss Zemouli Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is six (6) Service users should be aged between nineteen (19) and sixty-five (65) years on admission 12th December 2005 Date of last inspection Brief Description of the Service: Highviews is registered as a care home for up to six service users with mild to moderate learning disabilities; it does not provide nursing care. The home is a well-appointed detached property situated in a quiet residential area of Saltdean, close to shops, transport routes and other local amenities. There are three well-furnished communal areas in the home, including a quiet/music room. To the rear of the property is a large garden with an attractive fishpond. Grab rails and ramps have been installed leading to the house and garden, and there are also grab rails in the toilets and bathrooms. A bath chair is available if necessary. Parking is easily available on the forecourt and on the road outside. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current range of fees at The Highviews, as of 30 January 2007, is £600 £850 per week. Additional charges are made for hairdressing, holidays, toiletries and magazines. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours in January 2007. It found that the majority of the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were six service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with five service users, three members of staff and the Registered Manager. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. The purpose of this inspection was to monitor care practices at The Highviews and the focus was on the quality of life for people who live at the home. What the service does well: What has improved since the last inspection? Apart from routine redecoration and refurbishment, there has been little change in the physical environment of the home since the previous inspection. There were no requirements made following the last inspection. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Highviews DS0000014262.V324084.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The thorough admission policy and procedures ensure that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users know that the home is able to meet their individual care and support needs. EVIDENCE: Comprehensive and detailed information regarding the home, including a ‘Statement of Purpose ‘ and ‘Service User Guide’, has been produced and is made available to all prospective service users. Both of these documents have evidently been reviewed as recently as September 2006. However the brochure for the home does not accurately reflect the current situation, including registration details and therefore, as discussed, it is recommended that this now be reviewed and updated. Pre-admission documentation, including an ‘Initial assessment’, carried out by the manager in respect of one service user recently admitted to the home, was examined and found to be detailed and thorough. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 9 In addition to establishing whether the individual’s care and support needs can be met within the home, the manager also stressed the importance of ensuring compatibility with existing service users. As well as being invited to visit the home to look around and meet with existing residents and staff, prospective service users have the opportunity to stop overnight or occasionally for a weekend stay before moving in. The manager confirmed that new service users undergo a three month trial period at the home, followed by a thorough placement review, during which time their suitability and compatibility are fully assessed and it is established whether their identified care and support needs are able to be met. A ‘Contract of Residence’ is evidently provided to all service users and it was noted in files examined that such agreements had been routinely signed and dated by the individual service user and the manager on behalf of The Highviews. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans enable staff to meet the assessed support needs of service users in a structured and consistent manner. Systems for consultation and participation are effective. Service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: Service users individual care plans that were examined are clearly linked to the initial assessment and contain comprehensive details of their personal, psychological and emotional support needs and were found to be accurate, up to date and generally well maintained. For each service user, it was noted that a ‘Strengths and needs’ summary is in place and their individual likes and dislikes are also recorded. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 11 As well as ‘Identified needs’, ‘Goals to be achieved’ and a ‘Goal plan’ the care plans also contain comprehensive details of action and intervention to be taken by staff, to ensure that service users’ care and support needs are met in a structured and consistent manner. Service users are evidently directly involved in developing their individual care plan and, in files that were examined, it was noted that plans had been routinely signed and dated by the service user and their key worker, to agree the content and any changes made. However there is no documentary evidence that service users’ relatives or representatives currently have the opportunity to be involved in developing or reviewing care plans. Following discussion and in view of the mental capacity of certain service users, it is required that this issue be addressed. Care plans are currently written in long hand and evidently are not always that easy to read. Following discussion with the manager, it is recommended that plans be typed out, to ensure that important information is not missed and is readily accessible to all staff. Satisfactory and updated personal and environmental risk assessments were found to be in place. Service users are encouraged and supported to make decisions regarding many aspects of their daily living, including menu planning, what clothes they wear and how they spend their day. Staff spoken to during the inspection confirmed that, despite the variable and limited verbal communication of some service users, effective and regular interaction and consultation takes place constantly throughout the home. This was evident from direct observation of staff supporting service users in a professional, sensitive and respectful manner. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. Recreational facilities and activities provided in the home and accessed in the wider community include, computers, libraries, cooking, gardening, swimming, Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 13 local cinemas, theatres and restaurants. The manager confirmed that service users are regularly consulted with regarding educational and recreational opportunities. Individuals are able to choose which day centre or college to attend and select in which courses they wish to partake. This was supported by documentary evidence, in care plans that were examined, of an ‘Individual weekly timetable’ which is regularly monitored and signed and dated by the service user and their key worker. The manager confirmed that, where appropriate, service users’ family links continue to be supported, however not all service users have regular family contact. The four week rolling menus are varied and balanced and are based on service users’ identified likes and preferences. An alternative to the main meal is always available and a copy of the menu is displayed in the kitchen. A member of staff stated that, where appropriate, service users are sometimes involved in meal preparation, including making packed lunches for college and day centres. This was confirmed by one service user, spoken with during the inspection: ‘I do enjoy helping out in the kitchen’. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: In accordance with their care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, staff were observed interacting with service users in a professional and respectful manner. Positive comments received from service users support this: ‘The staff care about us and I like all of them’. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 15 Documentary evidence was in place to demonstrate that the health and emotional care needs are continuing to be met within the home. All service users are registered with local GPs and have access to other health care professionals, including district nurses, physiotherapists and dentists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Up to date, detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. The home uses a monitored dosage system (MDS) for the administration of prescribed medicines and a local pharmacist continues to carry out quarterly monitoring visit. In house staff training is provided in the control and safe handling of medicines. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. However, service users are at potential risk from abuse, through inadequate staff training and outdated policies and procedures. EVIDENCE: A copy of the home’s complaints procedure is in place for the benefit of service users, their relatives and other visitors to the home. However it was noted that the procedure makes reference to the NCSC. Following discussion with the manager, it is recommended that the policy and procedure be reviewed and amended to include updated contact details for the CSCI. All complaints are recorded and include actions taken and outcomes achieved. Regular service users’ meetings provide an opportunity for concerns to be raised and discussed before they become complaints. Service users and members of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 17 It was noted that there have been no concerns or complaints recorded by the home since the last inspection. The home has produced detailed policies and procedures relating to adult protection and abuse, including a whistle blowing policy. In line with other policies in the home it is recommended that such policies be reviewed and updated. The manager confirmed that staff have undertaken specific adult protection training, in accordance with the multi agency guidelines for the protection of vulnerable adults. However, through discussions with members of staff during the inspection and from individual training records that were examined it is evident that no relevant staff training has been provided since April 2005. As discussed with the manager, this is an unsatisfactory situation and it is therefore required that all staff receive updated training relating to abuse and adult protection. Highviews DS0000014262.V324084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is accessible, safe and clean and remains suitable for it’s stated purpose. Service users benefit from accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. EVIDENCE: The home is situated in a pleasant residential area and is in keeping with the surrounding houses. It is within walking distance of local shops, transport routes and other local amenities in Saltdean. The physical environment of the home remains largely unchanged and the well maintained décor and good quality furniture and furnishings provide a comfortable, pleasant and homely environment for service users. The manager confirmed that individuality and independence continue to be promoted within the home, as far as is practicable. This was evident from the Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 19 personalising of service users’ rooms, which clearly reflects individual tastes, preferences and interests. Positive comments from service users, spoken with during the inspection, reflected a high level of satisfaction with the home and the services provided: ‘I’m very happy here and I like my room’. There is a ramp to the secure back garden, which has a large fishpond and decking area. The home maintains a no-smoking policy, and a designated smoking area has therefore been made available outside the laundry area at the back of the building. No domestic staff are employed at The Highviews and care staff are responsible for keeping the home clean, generally maintaining a high standard of cleanliness. However on the day of the inspection it was evident in one service user’s room that incontinence is not always being adequately managed. The manager confirmed that a maintenance man and a gardener are employed and routine redecoration, refurbishment and maintenance of the property is undertaken. It was evident that new floor covering had recently been ordered for the ground floor bathroom, where a water leak has badly damaged the existing covering. Highviews DS0000014262.V324084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is always sufficient trained and competent staff on duty to meet the assessed needs of the service users. Service users are protected by satisfactory staff recruitment policies, procedures and documentation. EVIDENCE: The stable and dedicated staff team remains clearly able to meet the assessed, individual and collective needs of service users within the home. All new employees are provided with a comprehensive job description and staff spoken with demonstrated a sound understanding of their individual role and responsibilities. All new staff receive comprehensive induction and foundation training, the ‘Common Induction Standard’, which is compatible with Skills for Care (Formerly TOPSS) and is flexible and compatible with an individual’s level of relevant experience. Mandatory training is ongoing and is recorded in individual staff files. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 21 This was confirmed through discussions with staff and supported by training records examined. There are currently five care staff who hold the National Vocational Qualification (NVQ) level 2. A current duty rota was made available for inspection. However, as discussed, it is recommended that the designation of staff on duty at any time be recorded. The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Highviews DS0000014262.V324084.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a competent and experienced manager and are protected by generally satisfactory health and safety procedures. Their best interests are safeguarded by adequate and effective quality monitoring systems. EVIDENCE: The manager has completed the Registered Manager’s Award and also holds the NVQ 4 in management and care. His professional background is in the area of environmental health. He has approximately eleven years experience of managing care homes and substantial experience as a care worker before that. Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 23 From direct observation and through discussions with service users and members of staff, it is evident that the manager and his partner and co-owner continue to demonstrate a clear sense of leadership and direction. They remain clearly motivated, positive and approachable and continue to create an open and inclusive atmosphere within the home. The home continues to operate quality monitoring systems, including satisfaction questionnaires for service users, their friends and relatives. Following discussion with the owners, it is recommended that the quality assurance recording format be improved and extended to include space for any comments regarding care service provision. The manager confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Service users’ monies are held securely and it was evident that all financial transactions are recorded. The manager confirmed that the programme for the fitting of automatic door closures throughout the home, as required, is ongoing. Highviews DS0000014262.V324084.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 3 4 3 5 3 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 3 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 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 X 3 X 3 X X 3 3 Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 YA6 Regulation 15 (1) (c) Requirement It is required that, where appropriate, service users’ relatives or representatives have the opportunity to be involved in reviewing individual care plans. Timescale for action 31/03/07 2. YA23 13 (6) It is required that service users 31/03/07 be protected from potential harm or abuse by relevant and up to date staff training. It is required that incontinence be appropriately and adequately managed and the home be kept free from offensive odours. 31/03/07 3. YA30 16 (2) (k) 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 YA1 Good Practice Recommendations It is recommended that the brochure for the home be reviewed and updated to accurately reflect the current situation DS0000014262.V324084.R01.S.doc Version 5.2 Page 26 Highviews 2. YA6 It is recommended that service users’ care plans be typed out, to ensure that important information is not missed and is readily accessible to all staff. It is recommended that the complaints policy and procedure be reviewed and amended to include updated contact details for the CSCI. It is recommended that policies and procedures relating to abuse and adult protection be reviewed and updated. It is recommended that the designation of staff on duty at any time be recorded on the staff rota. It is recommended that the current quality assurance recording format be improved and extended to include space for any comments regarding care service provision. 3. YA22 4. 5. 6. YA23 YA31 YA39 Highviews DS0000014262.V324084.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Kent and Medway Area Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: 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 © 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 Highviews DS0000014262.V324084.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. 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