Inspection on 07/12/07 for Highviews

This inspection was carried out on 7th December 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Highviews 30/01/07

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 Caroline Johnson Key Unannounced Inspection 7th December 2007 10:20 Highviews DS0000014262.V352435.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.V352435.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.V352435.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.V352435.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 30th January 2007 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.V352435.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Home’s Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Highviews will be referred to as ‘residents’. As part of the inspection process a site visit was carried out on 7th December 2007 and lasted one day. During the visit there were opportunities to meet with the one of the owners, with three staff and all of the residents. A full tour of the building was undertaken. A wide range of paperwork was examined including two newly introduced person centred plans and two care plans. In addition record keeping was seen in relation to staff training, quality assurance, staff and family meeting minutes, health and safety, maintenance and medication. In advance of the inspection user survey cards and comment cards were sent to the home for distribution to residents, relatives and visiting professionals. All of the residents completed the user surveys and three relatives and one visiting professional responded. Comments from residents included ‘Nice residents, kind carers and good manager’. ‘I am very happy’. ‘Nice room, sea view, nice staff, good managers’. ‘I feel safe’. Two residents stated that they ‘don’t like it when residents argue’. Comments from relatives included: - ‘I don’t think anything needs improving. I think an excellent job is done by the staff’. ‘They are welcoming when we visit my daughter and very helpful’. A visiting professional commented ‘It gives the residents a sense of family and belonging’. What the service does well: Staff were observed to treat residents with respect and dignity. There is a stable staff team who are given regular opportunities to update their knowledge and skills and those spoken with had a good understanding of the needs of the residents. All but one staff member has completed NVQ (National Vocational Qualification) to level two or above and the staff member who has not completed the course is currently studying for level two. In relation to residents’ activities there is a good balance between activities that provide opportunities for personal development and recreational activities. Staff feel well supported. The atmosphere in the house on the day of inspection was very relaxed and homely. Family meetings are held weekly and this is an opportunity for residents to make choices and decisions about menus and activities for the following week. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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.V352435.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.V352435.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with detailed information upon which to make a decision about accommodation. EVIDENCE: There is a detailed statement of purpose in place, which was update in November 2007. The service user guide is also very detailed and although this meets the requirements of the Regulations it is not clear how many of the current residents would be able to read and understand the document. Following discussion it was agreed that a more user-friendly document would be beneficial. The home is in the process of updating their brochure. There have been no new admissions to the home since the last inspection. The home has a good history of being very thorough in assessing and preparing prospective residents for admission to the home. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 9 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of the work carried out to date on the person centred planning is excellent. Emphasis needs to be placed on linking the PCPs to the care planning process so that there are not two systems in place with different goals running at the same time. EVIDENCE: Since the last inspection the home has introduced person centred planning (PCP). This has involved extensive work and is not fully completed yet, however the standard of the work carried out to date is very good. Care plans and person centred plans were examined in relation to two residents. As part of the PCP process, monthly one-to-one sessions have been arranged with each resident. The resident decides whom they would like to attend. Minutes are kept of the meetings held. The PCPs include very detailed Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 10 information about the individual resident, the people that are important to them, what they like about their life, what they want to stay the same, what they would like to change and the support they need to make the changes happen. Plans are short-term and long-term. In each of the resident’s bedrooms there is a chart that has been decorated showing all the above information. A resident spoken with stated that she has had two meetings so far, she really enjoyed them and is looking forward to her next meeting. It is a real ‘opportunity to talk and to feel listened to’. Real changes have happened as a result of the meetings such as new opportunities to develop skills in food preparation and another resident said that she wanted to do cleaning around the house and this has happened. Staff advised that the process has been invaluable and that they have found out lots of information about the residents that they previously didn’t know. Alongside this process there are individual care plans with long and short-term goals. Although the goals are reviewed regularly some of the goals set are very broad and as a result not easily measurable in terms of progress. There was very little reference in the daily records to progress made. Risk assessments have been carried out and are reviewed at regular intervals. A requirement was made at the last inspection of the home that where appropriate, residents’ relatives or their representatives have the opportunity to be involved in reviewing individual care plans. It was reported that only three of the residents have relatives that are in contact with them on a regular basis. They have been invited to annual reviews and gave input to that process. As recommended at the last inspection of the home all care plans are now typed so that they are easier to read. Family meetings are held regularly where a variety of topics such as house issues are discussed and residents are encouraged to have their say. Minutes are kept of the outcome. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents have access to a wide variety of interesting and stimulating activities. There is a good balance between activities that provide opportunities for personal development and recreational activities. EVIDENCE: All of the residents attend day centres or college placements, some full time and some part-time. In addition there are a wide range of activities provided in-house. An activity book is kept to record what each resident has done on a daily basis. Staff advised that residents have reading and writing sessions, some enjoy knitting and colouring and occasionally baking a cake. Regular trips are also arranged to the cinema and shopping. At the time of inspection residents were busy writing Christmas cards and doing Christmas shopping. Plans had been made to go to a local pantomime and to attend various Christmas parties. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 12 Residents enjoy an annual holiday and those spoken with stated that they are trying to decide where they would like to go next year. One resident stated that she would like to go to America and another stated she would like to go to Spain. Staff advised that they have a family meeting every Tuesday and this is when topics such as holidays are discussed. Staff bring in holiday brochures to assist the residents in making a decision about holiday destinations. One resident advised that she attends an advocate group once a month called ‘Speak Out’ and that she is the representative for her day centre at this meeting. A couple of the residents have regular visits from family and others are supported to maintain contact with relatives either by phone or in writing. There is a four-week menu in place. To assist residents in making decisions about the food they eat there are now photos of all the food choices available in the home. This has been an extensive piece of work and has assisted residents to make more informed choices and decisions about the food they eat. Records of meals served indicate that residents receive varied and well balanced diets. There is a rota on display in the kitchen showing the tasks that residents carry out to assist in the running of their home. One resident advised that within the past few months she has developed new skills such as making an omelette and she wants to continue to develop more skills in cooking. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good arrangements in place to ensure that the healthcare needs of the residents are met. EVIDENCE: Residents are supported to attend a wide range of healthcare appointments to meet their individual needs. Residents have annual opticians appointments, six monthly dental appointments and six weekly chiropody appointments. Staff were seen to be courteous and to treat residents with respect and dignity. The home has sought specialist advice from the continence advisor in relation to supporting one resident. The majority of the residents have a diagnosis of mental health as well as their learning disability. One resident currently sees a psychiatrist on a regular review to monitor her medication. Residents’ individual weights are monitored on a monthly basis but the outcome is recorded separately to their individual care plans. As a couple of the residents have care plans in place to assist Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 14 them in reducing their weight it would be better if this record was stored in the care plan. Medication is stored appropriately and records seen of medication administered to residents were in order. It was reported that there is a returns book to record all medication returned to the pharmacy but the book had gone along with the recently returned meds and was due to be returned to the home the following Sunday. There is a homely remedies policy in place. Staff received training on medication two years ago so arrangements will need to be made for staff to receive an update in this area. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good systems in place to ensure that all complaints and any suspicion or allegation of abuse is dealt with appropriately. EVIDENCE: The complaints procedure has been reviewed and updated and it now includes the contact details for the Commission. Records showed that there had been one complaint recorded since the last inspection. The complaint received was in writing. Action was taken to resolve the complaint and the complainant was contacted by telephone with the outcome. One relative who completed a comment card in advance of the inspection advised that they did not know how to make a complaint should they wish to. Residents spoken with confirmed that they knew to whom they would speak to if they had a concern. It was reported that all staff completed a refresher course on the subject of adult protection and prevention of abuse. The policy and procedure relating to abuse and adult protection has been reviewed and updated since the last inspection of the home. One adult protection alert has been made by the home since the last inspection. The home dealt with the situation appropriately and no action needed to be taken by Social Services. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 16 Records were seen in relation to the management of two residents’ finances. All records seen were in order. One resident manages her own money independently and a solicitor monitors this. In relation to all other residents there is a declaration in each file regarding the home managing money on behalf of the residents. It does not state each resident’s entitlements and how it will be managed on behalf of the residents. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and decorated to a good standard. EVIDENCE: The home remains well decorated and furnished to a good standard. There was a very relaxed atmosphere and residents gathered in the dining area on returning from their activities to talk about their individual day’s activities. Communal areas consist of two lounges and a separate dining room. In one of the lounges there is a dining table to accommodate one resident who chooses to dine alone. There is also a computer in this room for residents’ use. In the garden there is a large fishpond and decking area. Residents stated that they like using the garden area in the summer months. Bedrooms are decorated to a very good standard. All the rooms are different and they reflect the very different personalities of the residents. Staff support Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 18 residents where necessary with cleaning their individual bedrooms and staff have responsibility for all other cleaning duties throughout the house. All of the staff team have completed training on infection control. There is a no smoking policy in the home. Records provided showed that the whole outside of the house has been painted. All woodwork inside the house had been painted, two toilets have also been painted and decorated, and the downstairs bathroom floor was changed. Fire door guards were fitted to some of the doors to ensure residents safety. A requirement was made at the last inspection of the service that the home be kept free from offensive odours. This was with reference to one area of the home only. The home has sought specialist advice, changed the flooring in this area and they have also changed the mattress on the bed and although they continue to work very hard to keep this area free from odours, the problem persists. It was reported that they would continue their efforts to deal with the problem. It should be noted that the odour is confined to one room only. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff receive regular training updates to ensure that they remain equipped to meet the needs of the residents accommodated. EVIDENCE: As recommended at the last inspection of the home the staff rota now includes the designation of each staff member. The rota shows that there is always two care staff on duty throughout the day and one member of staff provides a sleep-in duty at night. All of the staff team completed a fourteen-week asset (level 2) course, on the subject of dementia. Staff recruitment records were seen in relation to one member of staff. The home has an excellent checklist in place to ensure that all records required by the regulations are in place. The home has been very thorough in ensuring that all required documentation was sought. All new staff complete a four week initial induction to the home and as soon as possible they attend a two day induction course run by Brighton and Hove Council. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 20 It was reported that with the exception of one new staff member, all mandatory training is up to date. One staff member attended a training course on epilepsy. Arrangements have also been made for two staff to attend training on mental health and for two to attend a course on aggression and violence. With the exception of one staff member all staff have completed NVQ level two or above. The one staff member that has not completed the course is currently studying for the qualification. The deputy manager is also studying for NVQ level four. A staff member spoken with stated that the support she receives is ‘fantastic’. Staff meetings are held regularly and there is always an opportunity to say what you want and if you did not feel able then the regular one-to-one sessions provide another opportunity. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and there are good measures in place to ensure the health and welfare of the residents and staff. Attention needs to be placed on ensuring that there are written policies and procedures in place on all areas referred to in the national Minimum Standards. 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 and he was also an enrolled nurse in Psychiatry. He has eleven years experience of managing care homes. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 22 Minutes were seen of the last two staff meetings. The minutes were very detailed but were hand written and not so easy to read. The meetings reflected that a wide variety of topics were covered including time spent ensuring that all staff were fully up to date on changes in residents’ needs. They minutes don’t always reflect the individual contributions of the staff team members. As part of the home’s quality assurance system, satisfaction questionnaires were recently sent to the relatives of the residents. At the time of the inspection four questionnaires had been returned. All were positive. One relative asked for a copy of their relatives’ review minutes and the owner confirmed that these were sent to them. It is not current practice to collate responses and provide feedback but the owner advised that this could be done. In addition a resident satisfaction questionnaire was also distributed and everyone completed a copy. Again feedback will be provided to residents on the outcome. Overall the response was very positive but a few residents scored a lower number for how residents get on together. An annual audit is carried out to determine if the home is meeting standards. The document used is very detailed and is closely linked to each of the standards. It was last completed in December 2006 and will be carried out again next month. In advance of the inspection process user survey cards were sent to residents and comment cards were sent to relatives and visiting professionals to seek views on the quality of the care provided in the home. All of the residents completed the user surveys and three relatives and one visiting professional responded. Comments from residents included ‘Nice residents, kind carers and good manager’. ‘I am very happy’. ‘Nice room, sea view, nice staff, good managers’. ‘I feel safe’. Two residents stated that they ‘don’t like it when residents argue’. Comments from relatives included: - ‘I don’t think anything needs improving. I think an excellent job is done by the staff’. ‘They are welcoming when we visit my daughter and very helpful’. A visiting professional commented ‘It gives the residents a sense of family and belonging’. Information provided prior to the inspection indicated that there are several policies and procedures that are not yet in place. In relation to health and safety there are a number of checklists in place to ensure that all equipment is tested and serviced on a regular basis. Records showed that all risk assessments have been reviewed within November 2007. Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 23 Highviews DS0000014262.V352435.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 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 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 3 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 x Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 25 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 YA6 Regulation 15 (1) (c) Requirement Goals set for residents must be broken down into easily achievable steps and record keeping must show the progress made. Timescale for action 15/02/08 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. Refer to Standard YA1 YA19 YA23 Good Practice Recommendations The service user guide should be a more user-friendly document. Records of each resident’s weights should be kept in their individual care plan. A record should be kept in each care plan detailing individual resident’s entitlements in relation to finances and how the home intends to manage money on behalf of each resident. Policies and procedures should be drawn up in relation all areas referred to in appendix 2 of the National Minimum Standards. 4. YA40 Highviews DS0000014262.V352435.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone 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.V352435.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!