CARE HOME ADULTS 18-65
Hitchin Road (9) 9 Hitchin Road Stevenage Hertfordshire SG1 3BJ Lead Inspector
Louise Bushell Unannounced Inspection 28th October 2005 10:00 Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 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 Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 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. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Hitchin Road (9) Address 9 Hitchin Road Stevenage Hertfordshire SG1 3BJ 01438 352 395 01438 742 865 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) Life Opportunities Trust Audrey Alldrick Care Home 7 Category(ies) of Learning disability over 65 years of age (7), registration, with number Physical disability over 65 years of age (7) of places Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 8th March 2005 Brief Description of the Service: The home was first registered with Hertfordshire County Council on 1st April 1998. 9 Hitchin Road is an Edwardian family home that has been renovated and adapted to provide care for seven elderly people who have learning and or physical disabilities. The home consists of seven single bedrooms, two on the ground floor and five on the first floor. A passenger lift is installed to access the upper floors. There is hoist tracking fitted to the main lounge, all bedrooms, bathrooms and toilets. The communal facilities on the ground floor include a large family style lounge overlooking the gardens to the rear of the house, dining room with interconnecting hatch to a well-equipped kitchen. There are also two assisted bathrooms, toilet facilities, a sluice room and a laundry room. The home is situated close to the town of Stevenage, on a busy trunk road leading to the A1(M) and Hitchin. There is access to various community services. The staff use their cars and the home has its own specially adapted minibus to escort residents to various facilities and services in the community. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was first inspection of the year and presented as very positive. Time was spent with a senior member of staff, discussing polices, procedures and looking at documentation. Time was also spent with the service users, engaging with them with support from staff and seeking their views. A tour of the premises took place and included the garden area. What the service does well:
There are many positive aspects to the home; these include the key worker system that is up and running. This system ensures and supports the staff in maintaining all documents that are relevant to the service users. Coordinator meetings occur in which staff receive support in the effective management of care plans, thus ensuring that all files are extremely well organised. Each service user has an allocated key worker and in each bedroom a board is displayed that identifies the key worker and the link worker to the service user. Following discussion with some of the staff it was established that they have all received the General Social Care Council Code of Conduct. These were also available in the home for agency staff. The management structure ensures that at all times including a weekend there is a manager on duty to support the staff and service users as needs arise. All bank and agency staff are provided with a basic induction and the home provides a quick reference ‘need to know’ file ensuring that specific needs of the service users are being met at all times. The documentation in home makes it clear that positive working relationships are maintained with other relevant professional. Health records were well maintained and showed a clear path of intervention and support. One service user is being supported with a specialist diet and appropriate support and advice is received from the dietician who is working closely with the staff. Each service user has a detailed and signed contract in place, which defines and explains their individual rights and responsibilities whilst residing at Hitchin Road. Clear assessment paper work is completed for all new service users. This is comprehensive and provides as a valuable tool in ensuring that initial needs are identifies and can be met by the home. Each service user has completed assessment paper work, which were available for inspection. Each member of staff holds a defined role and responsibility. In addition to the core roles that they hold each person is delegated an additional internal system to monitor. These systems appear to be very effective and ensure that the management of the home is maintained to a high standard. Each member of staff has received food hygiene training. Complimentary therapy is promoted and includes art therapy, aromatherapy and sensory sessions. The home also actively promotes the involvement of
Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 6 outside advocacy support services and volunteers to empower, promote and enable service users to maintain external support and links. Service user bedrooms are extremely well maintained and each are decorated to service users taste. Staff should be commended for their efforts. One part of the garden has been developed into a sensory section with sensory plants and flowers, including wind chimes and ornaments that make animal noises What has improved since the last inspection? What they could do better:
Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 7 The staff that have not yet received adult protection training must attend to ensure a base line awareness by all for the protection of the service users. Each care plan to be individually signed and reviewed, thus ensuring service users changing needs are being updated on both guidelines and care plans. The weekly internal activity chart to be updated and a system put into place to make it more visual for the service users. Social events record must be maintained if the system has been introduced. 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. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Prospective service users are able to make informed choices about where to live, thus empowering user self-determination. Individual aspirations and needs are fully assessed ensuring that care is tailor made for the service user. Each service user has a detailed written statement of terms and conditions thus ensuring that their individual rights are supported and protected. EVIDENCE: A comprehensive Statement of Purpose is held within the home and all current and prospective service users are provided with a copy. The Statement contains information for the service user to make an informed choice about where to live. The content is suitable to meet individual needs. Full assessments of each service users needs and aspiration are made before the service user moves into the home. The assessments carried out in the home are continuously taking place supporting and monitoring individual progress and needs identified. Qualified and competent people complete the assessments. The home also receives and seeks external specialist support to meet the individual service users needs. Following discussions with a senior member of staff it was determined that the home works closely with other relevant professionals and receives full-competed referrals from social services if the service users is being funded. Together the pre assessment and the information received from other professionals enables the staff and the service user to build a care plan which is tailor made to meet individual needs, aspirations and choices.
Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 10 The admissions procedure to the home includes trial visits for the service users to make an informed choice about where to live. The trail visits are tailored to meet individual need and form part of the admissions procedure to the home. The visits enable the service users in making positive choices through active empowerment about whether they are happy with the home and also for the home to determine if they are able to meet the service users changing needs. A contract is then drawn between the home and the service user. The contract includes the terms and conditions within the home and the rights of the service user. Contracts were held on service users files and were signed by the manager of the home and the service user and / or representative. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 10 Individual needs and choices within the home are being promoted to encourage and empower service user self-determination, participation and consultation. EVIDENCE: Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 12 Following discussions with a number of service users residing in the home and staff on duty, it was established that every effort is made to actively seek individual and group views. Due to the complex needs of the service users, each person has an allocated link worker and coordinator. Many of the service users have access to external advocacy services, which support them in making empowering choices in their lives. Relative and family and or friend involvement is encouraged were possible. Regular service user meetings occur where feedback is sought and minutes are recorded. Clear actions are taken following the meetings to monitor the viewpoints of the service users and for the staff in the home to ensure that wherever possible they are meeting their individual aspirations and needs. A recent service user meeting raised the issue regarding a new television and a digital free view box, consequently this has now been purchased and feedback from one particular service user determined that they were very happy. Service users confirmed that encouragement, support and advice is provided on an individual basis to empower service users to make decisions within their lives. Individual daily notes and guidelines for the service users were seen. All service users are supported within the Care Management Framework and frequent reviews occur to ensure changing needs are continuously assessed and reviewed. The ethos within the home is that the care plans of each individual are owned by the individual. The system appears to be effective as a working document and focuses on service users individual goals and aspirations. There is a need to ensure that all care plans are reviewed individually, thus ensuring that all changes in care plans, guidelines or special dietary requirements are brought forward from the notes to the care plans. The documents held within the individual files demonstrated that the choices and the desires of service users had been sought. Service users and staff were able to provide confirmation that they were aware of their individual care plans and that their consent had been sought for a variety of processes within the home, this includes the administration of medication. Confidentiality training forms part of staff induction and the Life Opportunities Trust organisation has policies on confidentiality and data protection which are made available to service users and their relatives/carers. All information within the home is handled with care and respect. All personal notes and files detailing information on the service user are locked away. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 14 Personal development opportunities are encouraged for all service users ensuring that individual rights and responsibilities are recognised and supported. An opportunity for engagement in activities within the home occurs. The home encourages inclusion into the local community thus enabling integration into community life. EVIDENCE: The home has access to a mini bus and allocated drivers. Staff support and encourage all service users to maintain and develop social, emotional, communication and independent living skills. The involvement and encouragement of the service users in a variety of tasks was observed throughout the inspection. The home is centrally located, and is within a short distance form shops and the local community amenities. The home values and seeks to reflect racial and cultural diversity of service users through celebration of, and awareness of different cultures, religions and festivities. During the inspection staff and service users were observed to interact equally with one another.
Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 14 Service users are supported appropriately to take part in activities in the home. Individual needs, choices and preferences are always considered. A record of activities is maintained within the daily recording system. Service users access the local community services frequently and visit the local area, enjoying going out for lunch and shopping. The social activity record sheet must be updated and maintained. An activity planner was available and displayed the activities and locations of day care provided for the service users. A detailed timetable was available for the activities that are provided at the day centres. The staff discussed the internal activities that occur with the service users and the plans to develop the activity chart to make it more service user friendly in its format and also to include the structured activities provided such as art therapy, aromatherapy and sensory sessions so all are aware of the activities available on weekly basis. Following the last inspection day care provision has been arranged for the service users, over a number of different sessions, tailored to meet service users individual preferences, needs and choices. When discussed with a service user, they appeared to express that they were happy with the day care provided. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 Service users physical and health needs are met, ensuring that their safety, wellbeing and health is promoted at all times. EVIDENCE: Throughout the inspection is was clear that the skills and attitudes of staff were appropriate to meet the needs of the service users. There were positive, well balanced respectful relationships between the service users and the staff. Service users are fully involved in drawing up their individual care plans and are able to make choices. Care planning documentation includes details of a range of specialist support services that are accessed on the basis of assessed need. Service users health care needs are being met and staff encourage service users to visit relevant specialist care provides to ensure that their health is monitored. When a practitioner visits the service user in the home all consultations take place in private. The home is able to support specialist needs within the home. Currently one service user requires a specialist diet. The home has reported that they are seeking appropriate support from specialist dieticians but are successfully managing the need of the service user. The home is actively able to support this need whilst respecting and dignifying the service user. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The complaints procedure within the home is sufficient and adequate in order for the service users to feel that their individual views are listened too. Robust policies, procedures are in place to ensure service users are protected and safe. Staff must receive full training in order to ensure a consistent approach. EVIDENCE: The clear complaints procedure is included in both the Statement of Purpose and the Service User’s Guide. The Life Opportunities Trust organisation has recently produced service users friendly complaints and compliments guide; this was being circulated on the day of the inspection. The information contained within was accurate and well structured meeting individual service users needs. All staff receive training in issues around abuse and the recognition of abuse and the home has available copies of Hertfordshire County Council’s adult protection procedure. Some of the staff have recently attended the adult abuse training and have created an information training session for the remainder of the staff team to cascade the training to them in staff meetings and in house training sessions. The information contained is well structured and organised. Positive feedback was received with regard to this process. The staff spoken with appeared to have a clear understanding of the policy and procedures to follow. There is a need for all staff to receive this external training as part of the mandatory skills required. Every effort has been made to place staff on the course, however places were limited. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 17 Robust procedures are in place to ensure that service users are protected from abuse and harm. Staff receive suitable and adequate Protection of Vulnerable Adults (POVA) training, which is currently occurring within the home. Staff employed within the home are all subject to enhanced Criminal Records Bureau (CRB). Staff personnel files were unable to be inspected due to the manager not being on site. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home’s environment is very well maintained, thus promoting a homely, comfortable safe space for service users to live. All resources and equipment is provided within the home in abundance ensuring specialist and individual needs are promoted and changing needs met at all times. Shared space both compliments and supplements service users individual space ensuring that individual space is tailored to personal style and taste. EVIDENCE: Following the last inspection a number of environmental changes have occurred and this has included the total refit of the ground floor bathroom following a flood. New non-slip flooring has been fitted and now includes a special adapted shower chair to meet the changing needs of the service users. The exterior of the home has now been redecorated and presents well. The home has retained many of its original features and has a grand entrance hallway with original tiles to the floor. The home was well maintained and clean throughout. Periodic redecoration of service users bedrooms and all communal areastakes place. A maintenance person supports the staff in the up keep of the garden area, which is currently well maintained. Following some extra funds made available through a donation, the garden area has been revampted, allowing
Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 19 for a larger patio area so all service users are able to sit outside as they wish. A small sensory garden has been constructed and service users were involved in the project with before and after photo’s taken showing the progress that has occurred. All bedrooms within the home are extremely well maintained and decorated. All service users are supported and empowered to decorate their individual rooms to their own taste and personalities. Staff should be commended for their efforts. Toilet and bathing facilities ensuring that choices and preferences can be met, and specialist equipment is available as per individual service user need. Overhead tracking and specialist bathing and showering facilities are available. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 35 Staff were able to demonstrate an awareness of their roles and responsibilities, thus ensuring that the service users benefit from a well structured and organised home. EVIDENCE: Each member of staff has a clear role and responsibility. The management of the home also allocated each member of staff an additional role and responsibility to encourage their involvement in the smooth running of the home, thus increasing staff moral and sense of purpose within a team setting. This works particularly well as this ensures internal systems are well monitored and clear actions taken and recorded as required. There is a need for all staff to receive this external training as part of the mandatory skills required. Staff stated that every effort has been made to place staff on the course, however places were limited. Due to the manager supporting a service user on a holiday, information and access to training and induction was not obtained and will be carried forward to the next report. Staff spoken with during the inspection confirmed that they receive regular supervision, however records were not inspected on this occasion. The home currently holds a number of vacancies, however active recruitment is occurring. Following the last inspection a requirement was made for there to be a minimum of four staff available between 0700 and 1700. Following the inspection thiswas introduced. However, changes have now occurred in the home and service users attend a local day care provision, the home is currently holding one service user
Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 21 vacancy, so the need is slightly less. The home are however providing the four staff at key times during the day and this will be reviewed once the vacancy is filled for the service user and staff have received their suitable checks following appointment at recent interviews. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 40 & 42 The management of the home is secure and effective ensuring that changing needs of service users are met and that the home is running meeting its aims and objectives. EVIDENCE: The relationship between the service users and the staff is well balanced with interactions observed being appropriate and supportive. The ethos and management approach creates an open, positive and inclusive atmosphere, staff and service users spoken to comment that they feel extremely supported and they feel the home is well managed. A clear commitment is made to equal opportunities, with staff and service users expressing positive views with regards to this. The service users appeared to benefit from this well structured and well run home. Service users spoken to during the inspection appeared to be extremely happy and relaxed in their environment. All staff and managers are adequately and suitably trained in order to meet the complex changing needs of the service users. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 23 The staff team and the manager are adequately trained and experienced to ensure that service users needs are being met. Periodic training occurs within the home to ensure staff development is maintained. Inspection of training records and induction did not occur as the manager was not present. There is a need to ensure that all care plans are reviewed individually, thus ensuring that all changes in care plans, guidelines or special dietary requirements are brought forward from the notes to the care plans. The home has a vast range of policies and procedural guidelines in place. All records are secure within the home and were up to date and held in accordance with the Data Protection act 1998 ensuring that service users rights and best interests are safe guarded by the homes polices and procedures. Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 X 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X 3 X 2 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Hitchin Road (9) Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X 2 X DS0000019431.V263983.R01.S.doc Version 5.0 Page 25 Yes 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 YA42YA6 Regulation 15 (1) & 13 (4) Requirement All care plans must be individually reviewed, ensuring that guidelines for the safe administration of medication and information are reflective of the details in the care plans. All staff to receive adult protection training. Timescale for action 15/12/05 2 YA35YA23 18 (1) (c) 28/02/06 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 YA14 Good Practice Recommendations It is recommended that the activity timetable be displayed in the home in a user friendly format and contain the activities provided for the forthcoming week. A record should be maintained of activities and events that the service user have taken part in. The organisation should be working within the structured induction and foundation training to meet the sector skills council specification. This has been brought forward from the The manager should collate the information received from the survey and make it available to service users,
DS0000019431.V263983.R01.S.doc Version 5.0 Page 26 2 YA32 previous 2 inspections, but was not inspected on this occasion. 3 YA39 Hitchin Road (9) inspections, but was not inspected on this occasion. Commission For Social Care Inspection, and all interested parties. This has been brought forward from the previous 2 Hitchin Road (9) DS0000019431.V263983.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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