Inspection on 04/01/08 for Hillcote

This inspection was carried out on 4th January 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hillcote 21/12/06

Hillcote 19/02/06

Hillcote 16/08/05

Hillcote 07/03/05

Hillcote 23/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Hillcote 66 Bidston Village Road Birkenhead Wirral CH43 7QT Lead Inspector Beate Field Unannounced Inspection 4th January 2008 10:45 Hillcote DS0000018897.V356032.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 Hillcote DS0000018897.V356032.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. Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillcote Address 66 Bidston Village Road Birkenhead Wirral CH43 7QT 0151 670 0306 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) Alternative Futures Limited Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only adults with a learning disability may be accommodated. Date of last inspection 21st December 2006 Brief Description of the Service: Hillcote is registered to provide personal care for up to five adults who have learning disabilities. Alternative Futures Limited, a registered charity, operates the home. Alternative Housing Association owns the premises. Each resident has a single bedroom. There is easy access to toilets and bathrooms. A large dining room and lounge are available and a domestic style kitchen. The home provides a secure garden that residents are free to access as they wish. The home is located in a residential area, close to shops and supermarkets and can be accessed by public transport. The home provides a minibus, which gives residents the opportunity to go out individually or together. At the time of the inspection, the weekly cost for the service is £1130.00. Items not covered by this fee includes chiropody, television licence (if television in own bedroom), haircuts, presents, toiletries and confectionary and some activities. A service user guide and a statement of purpose, which describe the services offered at Hillcote, are available for potential residents and their relatives and social workers to refer to. Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection report is based on a visit to the home, information received about the service since the last inspection and by questionnaires completed by the manager that gave information about the day-to-day running of the home and questionnaires completed by relatives, a health care professional and staff. During the visit to the home time was spent looking at a sample of records and policies and procedures and talking to the manager. A tour of the home was undertaken. The inspector spoke with one of the people who use the service and with staff and observed the care provided to residents. What the service does well: What has improved since the last inspection? Decorative works have taken place since the last inspection and new furnishings have been purchased to improve the home environment. The flooring in the bathroom upstairs has been replaced in accordance with a Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 6 requirement made at the last visit to the service. The medication practices have been reviewed and there is an improved system for managing the medication. 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. Hillcote DS0000018897.V356032.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 Hillcote DS0000018897.V356032.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): 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process would ensure that the service is only offered to individuals whose needs can be met at the home. EVIDENCE: No new residents have come to live at the home since the last inspection. All new residents are admitted only after a detailed pre-admission assessment has been completed. The manager and service manager carry out an initial assessment. Information is gathered from the residents’ carers, health service professionals and any other relevant agencies. The initial assessment covers all of a residents’ needs including their communication, religious and cultural needs. The potential resident is offered the opportunity to visit the home to meet current residents and staff to make sure that everyone gets to know one another before eventually moving in. Hillcote DS0000018897.V356032.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): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Staff are not always provided with the information they need to fully support the residents. EVIDENCE: The care files include a pen picture of the resident, the person centred plan, daily routines, risk assessments, what makes a good day for the resident and a personal dictionary. The personal dictionary contains information around the communication needs of the residents and is in the process of being further developed. A daily record is made of the well being of each resident every day. Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 10 One of the care plans seen did not have a complete person centred plan. This resident has been at the home for over 12 months. The behaviour management guidelines for this resident were not sufficiently detailed to provide staff with the information they need to fully support the resident and safeguard the well being of the other residents at the home. There have been incidents of this resident exhibiting aggressive behaviour towards the people who live at the home. There was no evidence of a recent review having taken place of each aspect of the residents’ care plans. Some care planning information had not been reviewed in the last 12 months. Staff need to have access to up to date records in order to be able to fully meet the needs of the residents. Residents could be better supported by the arrangements for reviewing their care plans as social and health professional from the placing authority or an advocate are not routinely invited to attend a review or asked to comment on all the residents current care plans. Staff reported that one resident does not appear to be compatible with the others due to their having greater communication skills and being more able to carry out day-to-day living skills. The compatibility of the residents should be assessed at each review to ensure that the placements are meeting all the residents’ needs. Care needs to be taken to ensure that records are kept up to date. Some staff said that up to date information from meetings with health care professionals around how to support a resident were not recorded. The manager confirmed that records of outcomes of meetings had not been routinely completed. The records and a discussion with staff indicated that residents are assisted to make decisions about their lives in accordance with their abilities. Communication guidelines assist in this process. Records of residents likes and dislikes, routines and preferences around daily living, such as what time they like to get up and the activities they enjoy also ensures their choices are respected. It is recommended that the home expand this and use photographs to further aid the decision making process. The 3 staff spoken with were very knowledgeable about the needs of the residents and appeared to have a good relationship with them. Residents appeared relaxed and content when with the staff. Questionnaires returned by relatives indicated that they consider that the care needed is given and that the residents are supported to live the life they choose. One comment made was “We think that Alternative Futures provide a very good service for our relative and others in their care.” Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 11 Hillcote DS0000018897.V356032.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 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have a lifestyle that in general meets their needs and provides opportunities for their social and personal development. An improvement to the staffing levels will provide the residents with greater opportunities. EVIDENCE: Suitable activities are provided to suit the residents’ choices, needs and abilities. A daily diary report is completed for each resident, which, details what the resident has done each day. Records showed and staff spoken with said that the residents where possible, make use of community facilities such as local pubs, shops and public transport. The home is located close to shops Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 13 and other community resources. The home has its own transport, which enables community participation. The staff spoken with said that they consider that the residents have good access to opportunities to encourage their personal development both within the home and in the local community. Staff reported that there has been times when the home has not had three staff available on each shift and this has led to some residents not being able to take part in activities outside of the home. The manager reported that this has led to problems planning activities in advance for the residents. A discussion with the service manager following the inspection indicated that a full time member of staff will be joining the service shortly and that this will address the staffing shortfalls identified. Family contact is promoted where this is possible. Relatives who completed a questionnaire said that the home always helps their relative to keep in touch. The staff are aware of the importance of keeping in contact with family. Throughout the visit staff were observed asking the residents’ opinion and giving them choices of snacks and drinks. A choice of meal was available. A record of residents likes and dislikes and dietary needs is available. Advice is obtained from a dietician if this is required. Hillcote DS0000018897.V356032.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are well supported by the home’s policies and procedures for dealing with medicines. EVIDENCE: Personal care tasks are undertaken by care staff of the same gender where possible. There are appropriate arrangements in place to ensure that personal care tasks are undertaken with privacy and dignity. There is clear information available for staff on residents’ personal care routines that indicate their preferences. Observations indicated that staff promote the dignity of residents and that they are supportive and caring towards them. Staff interviewed were very aware of the personal support needs of residents. Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 15 Residents have access to a range of medical/health and social care professionals. As already indicated care needs to be taken to ensure that a record is made of the outcome of any meetings with these professionals so that staff have access to up to date information. Procedures for managing specific health needs are available. Training is provided to staff around meeting specific health needs. None of the current residents are able to self medicate. The home has a medication policy and procedure in place. Staff who administer medication have all received training around the safe handling of medication and their competence to administer medication has been assessed. The organisation has introduced a new policy of annual assessments of competence of staff to administer medication. The home receives advice and guidance from the local pharmacy as necessary. The medication administration records and corresponding medication were inspected and were found to be accurately maintained. Medication is stored safely and securely in the residents’ own bedrooms. Records showed that all residents’ medication had been reviewed by their General Practitioner. A questionnaire completed by a health care professional indicated that “The home usually seeks and acts upon advice and that medication is always appropriately managed”. Hillcote DS0000018897.V356032.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 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. In general, the home’s policy and procedures protect residents’ from abuse. Some improvements are needed to the arrangements for auditing the residents’ financial records. EVIDENCE: Relatives, advocates and health and social care professionals have access to a suitable complaints procedure, which gives them a clear picture of how to raise a concern or complaint on behalf of a resident. There have been no complaints to the home or to the CSCI since the last inspection. The staff spoken with were aware of the content of the complaint procedure and how to respond to complaints. The home has a detailed policy and procedure with regard to the protection of vulnerable adults and the procedure for whistle blowing by staff. The 3 staff spoken with demonstrated an awareness of how to ensure residents were protected from abuse. Staff are provided with training on how to manage adult protection issues. Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 17 There have been some incidents of a resident being aggressive towards other residents. Appropriate referrals have been made to social services. As already indicated the behaviour management plan to support this needs to be updated and more detailed in order to fully support the residents at the home. Records available at the home showed that the finances of residents are in general appropriately managed. A discrepancy was found in one record. The manager arranged for a financial audit to be carried out by a member of staff from the Alternative Futures Head Office, which led to this matter being resolved. The manager reported that a weekly audit of the financial records is undertaken by either himself or the deputy manager who is not based at the home and who works at the service one day per week. This discrepancy was not identified. Consistency in the arrangements for auditing these records is perhaps needed in this area in order for this to be effective. Hillcote DS0000018897.V356032.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, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in safe, comfortable surroundings. EVIDENCE: Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 19 The home provides a comfortable environment and is well maintained and furnished. Decorative works have taken place since the last inspection and new furnishings have been purchased to improve the home environment. The residents’ bedrooms are personalised. The bedrooms are suitably furnished and provide enough space. Communal space is provided in a large lounge area and a large dining room. Bathrooms and toilets are within easy reach of bedrooms and communal areas. The home provides a wellmaintained and good size rear garden. One resident particularly enjoys spending time in the garden. Areas of the home inspected during the visit were clean and tidy and free from offensive odours. Support workers carry out both domestic and catering duties as part of their role. There is a laundry room with a washing machine and drier and sluicing facilities. Records and a tour of the home showed that steps have been taken to ensure the safety of residents at the home. Hot water temperature regulators have been fitted to the hand basins, bath and shower. Windows seen were fitted with restrictors to limit the width of opening. Records show that the gas, electrical wiring and portable electrical appliances are safe. The fire alarm and emergency lighting are tested by staff at the home to make sure they are working properly. Staff take part in fire drills and fire safety training. Hillcote DS0000018897.V356032.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): 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements need to be made to the staffing arrangements at the home to ensure that at all times there are sufficient staff available to meet the needs of the residents and ensure that their lifestyles and social activities are promoted. EVIDENCE: Questionnaires were completed by 6 staff and three staff were interviewed during the visit to the service. Staff said that there have been times when there have been insufficient staff available to enable residents to attend appointments or to take part in activities outside of the home. The manager confirmed this and reported that 3 staff are needed during the day and evening but there have been times when only two staff have been available and some occasions when only one staff has been on duty for an hour between shifts. Sickness levels in other services operated by Alternative Futures were given as the reason for this by the service manager. The service manager reported that a full time member of staff is to join the service shortly which will Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 21 help to address this. There needs to be a sufficient number of staff available to meet the needs of the residents at all times. Staff reported that they are not getting the support they need from the manager. The staff said this is because information is not passed on to them about meeting the needs of the residents’ and as supervision is not taking place on a regular basis. The manager said and records showed that supervision has not been occurring 6 times a year as recommended in the National Minimum Standards for Care Homes for Younger Adults. The last team meeting was held in December 2007 and the manager reported that team meetings and supervision dates have been planned for the next 12 months to ensure that they take place on a regular basis. The staff spoken with and those who returned questionnaires said that they get a good induction to working at the home and receive relevant training. Comprehensive induction and foundation training is provided to staff. Staff are then encouraged to undertake an NVQ 2 in Care, which includes training around caring for people with a learning disability. The home has 11 care staff and one manager. 8 of the care staff have completed an NVQ level 2. In addition, Alternative Futures has a training development plan and training for staff around meeting residents’ needs is provided on an ongoing basis. Training around equality and diversity is provided to staff at the induction and during the NVQ. Further training in this area is planned. Staff spoken with could give examples of how to promote the rights of residents. An examination of the recruitment and selection procedures and two staff files confirmed that safe practices are being followed. A photograph was not available for one member of staff. The manager reported that a photograph is available and will be placed on the member of staff’s file. Hillcote DS0000018897.V356032.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 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management arrangements at the home do not support the best interests of the residents. EVIDENCE: The manager for the home has been in post since July 2007. The manager has several years experience of working with adults with a learning disability and has management experience. They have completed relevant care and management qualifications. Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 23 The manager is currently managing the home for 4 days per week and managing another service for 1 day. A deputy manager who is based at another service comes to Hillcote 1 day per week and acts as the deputy manager. This arrangement does not lend itself to providing consistency in the management arrangements. A full time deputy manager was available at this service but this post was vacant at the time of this visit. There are therefore less hours available for management tasks than have been available at previous visits to the service. There has been no change to the number and needs of residents at the home. Questionnaires were completed by 6 staff and three staff were interviewed during the visit to the service. The staff said that the home generally provides a good service to the residents. The staff reported that the staff team work well as a team and work hard to meet the needs of the residents. However, the staff reported concerns around the overall management of the home. The staff reported that information about residents’ appointments and outcomes of meetings with health care professionals around how to best support a resident is not always passed on. As already indicated, concerns were expressed about the staffing levels and the impact of this on the residents. The staff reported that the home has been left short of money due to confusion about when the activities and food budget need to be re-stocked. Concerns were also expressed about there not being a permanent manager for the service. The staff have made these issues known to the service manager. Following this visit the service manager reported that a full time deputy manager is being appointed to the service shortly and that by April 2008 the manager will not be managing the additional service. The service manager has been asked to provide the CSCI with a report of their investigation of the further issues reported by the staff. The staff spoken with were very knowledgeable about the needs of the residents. They had a good understanding of the home’s policies and procedures and the general operation of the home. The service manager visits monthly and writes a report and sends this to the CSCI office. One resident has an advocate; it would be beneficial if this could be extended to all the residents where appropriate. This could assist the residents to give feedback to the home. Staff in general felt that their views about the operation of the home are not listened to. The manager should review the current arrangements for obtaining the views of staff. Training around safe working practices is made available to staff as part of their induction. There is a rolling programme of training opportunities provided and refresher courses are undertaken when needed. There are policies and procedures and risk assessments available that promote safe working Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 24 practices. Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 25 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 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 26 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 YA9 Regulation 15 Requirement The registered person must ensure that care plans provide up to date information around the action staff are to take to support residents in all aspects of their daily lives. This includes ensuring that staff have access to clear information about behaviour management. Timescale for action 04/02/08 2. YA6 15 The registered person must 04/02/08 demonstrate that they are regularly reviewing the residents’ care plans. Reviews of care plans need to take place (or demonstrate that attempts have been made to do so) with significant professionals, the residents placing authority and family and advocates in accordance with the wishes and abilities of the resident. 3. YA33 YA13 18 The registered persons must ensure that at all times there are a sufficient number of staff available as are appropriate for the health and welfare of the residents. DS0000018897.V356032.R01.S.doc 04/02/08 Hillcote Version 5.2 Page 27 4. YA37 12 The registered person must 04/02/08 ensure that the arrangements for the management of the home fully support the needs of the residents of the service. The registered person must ensure that an application is made to the CSCI to register a manager for the home. 04/02/08 5. YA37 8 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 YA6 Good Practice Recommendations The compatibility of the residents should be assessed at each review to ensure that the placements are meeting all the residents’ needs. Staff should have access to supervision meetings at least 6 times per year. The manager should review the arrangements for seeking the views of staff. Further residents should have access to an advocate to assist the residents to give feedback to the home. 2. 3. 4. YA36 YA39 YA39 Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Northwest Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Hillcote DS0000018897.V356032.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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