Inspection on 17/11/08 for Holles Street Short Breaks Service

This inspection was carried out on 17th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Holles Street Short Breaks... 19/05/08

Similar services:

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Holles Street Short Breaks Service Holles Street Worksop Nottinghamshire S80 2LJ The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Stephen Benson Date: 1 7 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 33 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: Holles Street Short Breaks Service Holles Street Worksop Nottinghamshire S80 2LJ 01909535220 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): kathryn.clark@nottscc.gov.uk Nottinghamshire County Council Name of registered manager (if applicable) Mrs Kathryn Margaret Clark Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 10 0 care home 10 learning disability Additional conditions: The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Learning disability - Code LD. The maximum number of service users who can be accommodated is 10. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Holles Street is a care home providing support including personal care and accommodation for up to 8 younger adults who come to the home for a short break and an emergency placement for up to 2 younger adults. . The home is owned by Nottinghamshire County Council and is located in Worksop close to shops, pubs, the post office and other amenities. The home was opened in January 2008 and consists of a purpose built bungalow which has three separate units, 2 four bedded and 1 two bedded. All of the homes bedrooms are single, and have en-suite facilities. Three bedrooms have tracking hoists fitted. The home has an enclosed garden that is well maintained and easily accessible. There is ample car parking available. The front and side entrance are monitored by close circuit television cameras. The manager said that any Care Homes for Adults (18-65 years) Page 5 of 33 payments are means tested and information about the amount paid is confidential. Further information about the home is available in the Statement of Purpose and Service User Guide. Care Homes for Adults (18-65 years) Page 6 of 33 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 33 How we did our inspection: This is what the inspector did when they were at the care home The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our second visit to the home since 1st April 2008. This inspection involved one inspector and an expert by experience; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. We sent survey forms entitled Have your say about... and 5 of these were returned. The main method of inspection used is called case tracking which involves looking at the quality of the care received by a number of people living at the home. We also use Care Homes for Adults (18-65 years) Page 8 of 33 evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the care home does well People are able to choose how they spend their time and risk assessments are carried out as to what they are able to do. People can carry on attending a day centre or other placement if they want to, go into the local town and on trips further afield. Families can either visit or phone people on a short break if they wish to and people are able to choose their own daily routines. People receive the level of support they require and there is appropriate equipment available to assist with anyone who needs assistance in moving. Peoples healthcare needs are attended to and there are two clinical nurses employed to provide guidance to staff on healthcare matters. Care Homes for Adults (18-65 years) Page 9 of 33 The premises are well designed and maintained. They are brightly decorated and everywhere is kept clean. Staff know how to prevent the spread of infection. Staff are recruited following a thorough recruitment process which includes carrying out checks and taking up references. The service has suitable management arrangements in place and people can express their views on the service provided. What has got better from the last inspection People are assessed to go before a short breaks panel to allocate the number of nights they can have. Staff from the short break service will then carry out a pre admission phone call to the persons carers to see if there have been any changes to their needs. Care plans are then prepared and updated detailing how peoples needs are to be met. Care Homes for Adults (18-65 years) Page 10 of 33 There is an activities programme which people are able to take part in. Medication procedures have been overhauled to ensure that people have the right medication when they come to stay for a short break and they receive their medication in a safe manner. Staffing levels have been reassessed to ensure that there are sufficient staff on duty to provide the level of support required. What the care home could do better Show in care plans where people using the service have been involved in their preparation. Staff must receive training on The Mental Capacity Act. This will enable people to make decisions for themselves they are able to. Accurate and detailed records must be kept of peoples finances and all transactions must be signed for and witnessed. This will ensure that peoples money is properly managed. Care Homes for Adults (18-65 years) Page 11 of 33 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Stephen Benson 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 12 of 33 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 13 of 33 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The needs of people coming for a short break are known to staff. Evidence: It was stated on the Annual Quality Assurance Assessment that, Our service is one of 4 Notts County Council Short Break Units. Service users who have been through the panel process and given an allocation of nights are able to visit all the establishments and choose which unit they wish to make their booking at, unless there is a specific support need that dictates one unit over the others. People are encouraged to make introductory visits before booking a stay. Allocations are based on extended community care assessments completed by social workers. An individual plan is then compiled based on the assessment and further information obtained from the service user, carers and other professionals. There are 2 qualified nursing staff based at the unit who undertake specific health care assessments. Care Homes for Adults (18-65 years) Page 14 of 33 Evidence: There has been one person admitted in an emergency since our last visit and there was a community care assessment for the person on their file. For people using the short break service there is a pre admission phone call made to the persons carers to see if there have been any changes since the person last used the service. A record is made of these phone calls and records examined showed they always take place prior to the person coming for a short break. A question on our survey form was, Were you asked if you wanted to move into this home. Six people said yes and one said no. Another question was, Did you receive enough information about this home before you moved in so you could decide if it was the right place for you to which seven people said yes. Care Homes for Adults (18-65 years) Page 15 of 33 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Peoples needs are clearly written down in a plan of care so staff can provide them with the support they need. Evidence: Care plans are prepared prior to people coming for a short break and are reviewed after each visit and updated where necessary. A sample of care files seen showed they had been reviewed and updated. Care files were well organised with current information easily accessible and previous information available if needed. Care plans were written clearly and had some pictures to help understanding. Care plans seen gave clear guidance as to the support people require. There was evidence seen that carers are involved in the preparation of care plans, but did not show if the person concerned is. Staff said plans are reviewed after each stay, using the post stay monitoring forms. Care Homes for Adults (18-65 years) Page 16 of 33 Evidence: Plans showed what choices people are able to make, and staff said that people make the choices they are able regarding everyday living. Staff spoke of recognising the differences in what people are able to do in order to promote their independence as much as possible. The manager said future plans include developing the use of pictures and symbols in the home to assist people with making decisions. One person spoke of discussing her care plan with staff. In our survey we asked people if they make decisions about what they do each day. Three people said they always did, three people said they sometimes did and one person said they hardly ever did. Everyone said they can do what they like during the day, evening and weekend. One person told the expert by experience he can go out when he wants and he is encouraged by staff to be as independent as possible. There were risk assessments seen in the care files, and staff said they have had training in carrying out risk assessments. One person had a risk assessment for looking after her own razor. One person told the expert by experience that staff stay with her when she showers for safety reasons, due to her medical condition, which makes her happy. Care Homes for Adults (18-65 years) Page 17 of 33 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are provided with opportunities to fulfill their social and educational interests. Evidence: A bus was seen collecting some people to go to a day centre. The manager said where it is felt that it is in peoples best interest to maintain day time places they try to do so. One person was seen getting ready to go to a local womans group. The manager said they have introduced a weekly meeting where people can put forward ideas of what they would like to do. Staff said there are two activities coordinators who discuss activities in these meetings and the person who does the rota will include anything planned when allocating staff. Staff said they are limited sometimes as they do not have many drivers, so they do not get to use the mini bus they share with another short break service, very often. The manager said they sometimes use taxis and will be looking at using the train as Care Homes for Adults (18-65 years) Page 18 of 33 Evidence: well as trying to increase the numbers of drivers they have. Staff were seen playing a card game with one person and a computer games console has been purchased. The expert by experience commented in the activity room there was a board showing what activities would be happening on each day. These activities can be changed if people wish. The board is changed every Wednesday. A good selection of activities are offered in house, including arts, crafts, board games, indoor bowls, Nintendo games, parachute and darts. the activities offered outside of the home involve using community based activities. These include college, shopping, bowling, lunch out, theatre, going into town and walks in the local park. The expert by experience felt there is something to meet everyones needs. One person told the expert by experience that he attends weekly house meetings. He also said he enjoys walking round the lake in the park and going out to eat and shopping. Another person said she attends a club twice a week and staff are helping her to make some cards which she likes. One person went out with a member of staff to get some tickets for a wrestling show later in the week. As the majority of people are using the short break service there is limited contact with their families, as they may well be away. One person who is staying at the service for a longer period told the expert by experience her family come to visit and they can go to her room. Staff always offer her visitors a drink. Staff said each person can decide on their own daily routine and that days are planned around the wishes of the service users. One person told the expert by experience she likes to go to church every Sunday, and it was written in her care file that she did. The expert by experience said people who are able to can make themselves snacks and drinks and those that cannot are helped by staff. As everyone was out at lunchtime and the cook was on leave it was not possible to inspect the catering arrangements, but these were assessed as being good at the last visit. Care Homes for Adults (18-65 years) Page 19 of 33 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Personal support is provided according to each persons needs. Peoples medication is being managed a lot better. Evidence: Staff said they will provide as much personal support as needed, whether that is prompting someone or providing full support. They try not to take away from people skills they already have. Staff said they have various aids, including tracking and manual hoists, to assist with moving people. One person was seen doing her own laundry, and one person told the expert by experience staff are supporting her to use a bus. Another person told the expert by experience he does not like to have a bath or shower but with staff support has one every other day. There are two clinical nurses employed who are available to give guidance about healthcare issues. Care Homes for Adults (18-65 years) Page 20 of 33 Evidence: A record is made of all healthcare appointments and one person told the expert by experience that someone will go with her to a forthcoming hospital appointment. A visit was made to the service by a pharmacy inspector on 22 07 08 to give some guidance over managing medication. The manager said this was very helpful and they are looking at piloting a system where doctors prescribe any medication directly to the service so they can be certain they have the correct and sufficient medication. Staff were seen checking medication out to people who had finished their break at the service. Medicine Administration Records were seen in peoples files and these were fully completed. Care Homes for Adults (18-65 years) Page 21 of 33 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are protected by procedures in the service. Evidence: There is a complaints procedure that people can raise any complaints they have and there are two complaints currently being looked into. In addition there is a compliments and concerns book which had 4 compliments and 6 concerns recorded in. Compliments were about positive stays and concerns included a room not being tidied at the start of someones stay and staff not responding when spoken to. In our survey forms six people said they know who to speak to if they are not happy and one person wrote, If someone did something to me e g kicked or came into my room and touched or took away my things I would tell the staff. One person told the expert by experience that there is not anything about the service she does not like and wants to stay there. Staff were aware of the Nottingham and Nottinghamshire safeguarding adults procedures. There have been two safeguarding investigations since the last inspection. One was an incident between two service users and the other concerned the care a person received whilst on a short stay. The manager said both these were resolved without any further action being needed. Care Homes for Adults (18-65 years) Page 22 of 33 Evidence: Staff said they are told of any safeguarding concerns if it is necessary for them to know whilst someone is on a short break. One person told the expert by experience he feels safe in the service. Care Homes for Adults (18-65 years) Page 23 of 33 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The building is suitable for providing people with a short break. Evidence: The building was clean and well maintained and was accessible to people with mobility difficulties.. The expert by experience toured the building and made the following observations The home is very light, bright, clean and nicely decorated. All toilet areas were odour free. The staff notice board was easily accessible to all service users. The board has all staff photos with names underneath. Each person has their own room and can have a key to lock their rooms if they wish. All bedrooms have ensuite facilities, they also have their own thermostat control for the central heating. There are not television provided in bedrooms, but they are in communal areas. If people wish they can bring their own television in. All kitchens are adapted for wheelchair users with low sinks and work surfaces. Care Homes for Adults (18-65 years) Page 24 of 33 Evidence: One person told the expert by experience she likes to keep her room locked and has her own key. The expert by experience noted that she was very proud of this. In our survey forms six people said the building is always fresh and clean and one person said it usually is, commenting that on one occasion there was a cup or glass mark on a bedside cabinet when went in for respite. There are suitable systems in place to manage the disposal of waste and washing soiled laundry. Staff said they have had training on infection control and that protective clothing is available. Care Homes for Adults (18-65 years) Page 25 of 33 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are supported and have their needs met by a flexible staff group. Evidence: Since our last visit the manager has reassessed the staffing levels of the home and said that staffing is now adjusted according to the needs of people using the service. Staff said that staffing has improved and is done on a day by day basis depending upon the group in at the time. There are at least three care staff on duty which can be adjusted to four or five. There is always a team leader on duty who will assist if required. In our survey forms seven people said they are always treated well by staff and they act on what they say. One person commented When there are enough staff we can go out shopping or coffee etc. The expert by experience said on her arrival the reception staff were really friendly and helpful and offered her a choice of drinks and a sandwhich. The expert by experience said that people can go out when they want and this is not a problem as there are usually enough staff on duty to allow for this. One person told the expert by experience she likes the way staff change shifts as this Care Homes for Adults (18-65 years) Page 26 of 33 Evidence: gives her an opportunity to see more people, and she likes the way all the staff talk to her. The expert by experience felt that people were happy with the staff. It was recorded on the Annual Quality Assurance Assessment that all staff have had the necessary pre employment checks. Training records showed that staff receives regular training and staff confirmed this to be the case. However there has not been any training on the Mental Capacity Act, and the manager said this is something they need to address. Care Homes for Adults (18-65 years) Page 27 of 33 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There are suitable management systems in place and people can influence the running of the home. Records of peoples finances need to be tightened up. Evidence: The manager was in post for the opening of the short break service and has previously managed other residential services within Nottinghamshire County Council. The manager has a social work qualification and has completed the registered managers award. Staff said the manager was supportive and the staff team are very caring. Peoples views on the service are sought through a post visit phone call where a monitoring sheet is completed. There are weekly service user meetings and there is a carers group, where people can express their views. There is a banking system to help people manage their money whilst on a short break. Care Homes for Adults (18-65 years) Page 28 of 33 Evidence: The records were seen and these did not always have two signatures for each transaction. There was insufficient detail as to what some expenditures were for and it was not possible to identify what some of the receipts were for. One person told the expert by experience he needs support with money and another said staff help her with her money when she is out. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Dates of tests were recorded on the Annual Quality Assurance Assessment showing they are regularly carried out. Wheelchair safety inspection records were seen showing that wheelchairs are regularly checked. Care Homes for Adults (18-65 years) Page 29 of 33 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 30 of 33 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 35 30 Staff must receive training on The Mental Capacity Act 01/02/2009 This will enable people to make decisions for themselves they are able to 2 41 17 Accurate and detailed records must be kept of peoples finances and all transactions must be signed for and witnessed 01/12/2008 This will ensure that peoples money is properly managed Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 Show in care plans where people using the service have been involved in their preparation. Care Homes for Adults (18-65 years) Page 31 of 33 Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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