Inspection on 11/04/07 for Jomar House

This inspection was carried out on 11th April 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jomar House 24/03/09

Jomar House 05/03/08

Jomar House 04/10/06

Jomar House 24/04/06

Jomar House 18/01/06

Jomar House 11/07/05

Jomar House 04/01/05

Jomar House 21/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Jomar House 38 Townhouse Road Old Costessey Norwich Norfolk NR8 5BS Lead Inspector Mrs Judith Last Unannounced Inspection 11th April 2007 02:00 Jomar House DS0000027579.V336366.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 Jomar House DS0000027579.V336366.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. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jomar House Address 38 Townhouse Road Old Costessey Norwich Norfolk NR8 5BS 01603 745974 NO FAX # Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Mark Cocker Mrs Joy Cocker Not applicable Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registration of two people with a learning disability refers solely to the two people currently accommodated at Jomar House and who are named in the Commission’s files. Only these people can be accommodated at Jomar House. 4th October 2006 Date of last inspection Brief Description of the Service: Jomar House is a care home providing personal care and accommodation for 3 adults with learning disabilities. The Proprietors are Mrs Joy Cocker and her son Mr Mark Cocker. Mrs Joy Cocker lives on the premises and is the manager. The home is located in Old Costessey on the outskirts of the city of Norwich. The Home is close to shops, pubs and all other local amenities. The accommodation is provided on two floors and all service users have single bedroom accommodation. The Proprietor, Joy Cocker lives in the home and shares all communal facilities with the services users. The home has an attractive garden with a patio area. The Proprietor has three dogs and a cockatoo that live as part of the family. The home has steps to the back and front and would not be suitable for adults with mobility difficulties. At the time of the inspection there were two people living at the home, and one vacancy. The charge for each person is £1392 per month. It includes food and domestic services (laundry, heat and light), and also transport in the provider’s car. Residents are required to fund their own personal expenditure and holidays. The provider has inspection reports in the room used as an office, which is accessible to people at the home. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups which assess how well a provider delivers outcomes for people using the service. We got information to help with this from the owners, the records we saw, and from talking with people. Both people living at the home sent written comments to us and they were helped to do this by people they knew who do not work at the home. One relative sent us written comments. One person told us that everything was going well and they did not want to talk to us. The visit to the home lasted three and a half hours. What the service does well: What has improved since the last inspection? Joy and Mark Cocker have done a lot of the things we said they had to do after we last visited. They have worked hard to improve the way people’s needs are set out and the records they keep. These show much more clearly what needs to be done to support people living at the home. The people living there have discussed what is in the plans and also what to do if they have any concerns, with Mrs Cocker and have signed the book showing this. This improvement can now be built upon. The plans and records are organised much better. Mrs Cocker has improved the way she keeps and records medicines. She has also done some of the training she needed to do. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Jomar House DS0000027579.V336366.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 Jomar House DS0000027579.V336366.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. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This represents an improvement since the last visit. Were existing systems to be followed and used fully in future, the outcomes would be met. Mrs Cocker has improved the way she records people’s needs and choices. However, no admissions can be made at present. EVIDENCE: The records seen show that people’s needs are now written down more clearly, as are their likes and dislikes. There is a recording sheet for showing when situations have changed and may require a change in support. The requirement made at the last inspection is met. Conditions of registration mean that no more people can be admitted to the home for the time being. Mrs Cocker confirms it is not her intention to seek further admissions and therefore a change in conditions in the near future. Jomar House DS0000027579.V336366.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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This represents an improvement since the last visit, when outcomes in this area were considered poor. There has been an improvement in setting out people’s needs in an individual plan, including setting out risks so that people can have some independence and make some decisions. People can be more confident their needs will be addressed. EVIDENCE: Care plans include more and clearer detail than previously. They now set out the personal care and support needs of service users (in a narrative style). They list some of the risks to which people might be exposed and how these are currently managed. However, these are not broken down to show elements, who would be exposed and how likely the hazard to occur or how severe the risk might be. A recommendation has been made. Records of day-to-day activities are held separately and show care plans were discussed with people living at the home when they were revised in January. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 10 People living at the home have signed the relevant entries in their notes and one person told us they know what is in their plan and are happy with it. They also handle some of their money. Where access is restricted and Mrs Cocker has the cashpoint card and money for safekeeping, the reason for this is written down now. However, she says she does not keep records of the amount of money held and the dates on which this was given to her or returned to service users. A requirement has been made. Mrs Cocker had encouraged one person to have a short period alone in a shop without review and consultation about the associated risks. She says this was an effort to increase the person’s independence. However, it contradicts the person’s care plan agreed with other professionals, which refers to supervision at all times. The care plan also limits some social interaction as agreed with professionals and Mrs Cocker does not always follow the care plan. A requirement has been made. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have opportunities to take part in activities they enjoy both inside and out of the home. They are able to maintain appropriate family relationships. However, improvements could be made in presenting some more information and opportunities on a day-to-day basis for new experiences for people. EVIDENCE: Records show better what people are interested in and what opportunities they have to fulfil these interests. One person confirms opportunities to go swimming, doing a computer course, and day care two days each week. One person continues to work at a garden centre. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 12 Mrs Cocker says that she is not very good with the computer and that one of the people living at the home helps her to use it. The person concerned confirms this and that they are now able to use the computer to play some simple games. This represents an improvement. Records show people go out for meals, to clubs, play bingo and pool, and go out shopping. One person goes to football matches when Norwich play at home. The person spoken to says that they like these outings and have enough to do not to be bored. Both people were looking forward to a holiday in Italy in September which one person says they have helped to plan. A comment card from a relative says that the service performs well in taking people out and about. There is scope for increasing opportunities for people to do new activities and things that are more age appropriate although they express overall satisfaction with the opportunities open to them. Records show that people have opportunities to meet people and to see their relatives. A relative’s comment card says that the care home enables the person concerned to keep in touch. People living at the home are involved and included in Mrs Cocker’s family activities. People living at the home help to keep their rooms tidy and care plans show how capable they are of carrying out tasks like ironing, preparing sandwiches for packed lunch, making hot drinks and loading the washing machine. One person confirms participation in some of these tasks, and also that they will be going for training in food hygiene with Mrs Cocker. Neither person has a key for their room, although both say they do not want one, and one says they could not use it properly. Both comment cards say that people can keep things that are theirs private. Given that this is a stable and long-standing home for the two people living there, this does not affect outcomes. One person does not have the freedom to use their bedroom in the evening, as the lighting is very subdued. However, there have been improvements in records to show why this needs to be the case and that the consultant psychiatrist was involved in the decision regarding this restriction. This has been to achieve an improvement in the person’s sleeping habits. Comment cards show that one person chooses what to eat sometimes, and one says they do choose. The person spoken to says that the food is very good. The record that Mrs Cocker keeps shows a range of food on offer and that people have the opportunity to eat out. Care plans show where it is necessary to monitor and tailor food and diets, and also where there has been weight gain or loss. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This represents an improvement since the last visit when outcomes were considered adequate. Service users receive support in the way they need and their personal care needs are met. People’s health care needs are almost met records and training could better support this. Medication is managed in a way that enables independence where appropriate, but also protects service users. EVIDENCE: People living at the home do not need a lot of help with personal care. This means that there is little impact upon them in this regard arising from care being delivered primarily by Mrs Cocker. One person needs assistance to put on one sock only. Records show Mrs Cocker has secured some advice from an occupational therapist but that she has not been able to help with a suitable aid. This is being followed up by referral to a physiotherapist. Discussions with Mrs Cocker show that one person needs supervision and encouragement to complete a set of exercises. The person concerned confirmed what these were, how and when they were to be done. However, in records of care delivered there is no reference to any prompting or encouragement in this area. A recommendation has been made. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 14 Mrs Cocker has made efforts to obtain training to underpin practice in assisting a person to manage their diabetes. This has not yet been completed although she says that it has now been booked for July. The requirement remains outstanding. She has introduced a new recording sheet for appointments and outcomes of visits to health professionals. This means it is clearer to see that health care needs are being addressed and followed up. Chiropody is arranged for the person with diabetes based on records and discussion with the person. Medication was securely stored. One person prepares their own compliance aid and this is kept in a small locked tin. Mrs Cocker opens it, as the person cannot manage the key. Both keys are kept together. A recommendation has been made. She says that she periodically checks that the person has completed the compliance aid accurately and has taken medication appropriately. This is recorded on the medication administration record (MAR) chart, but not on the date on which it was checked. A recommendation has been made. The remaining bulk of the person’s medication is secured in a filing cabinet in the small office. This was found locked and the key had been removed. This represents an improvement on the last inspection. MAR charts record the amount of medication delivered added to any balances that remain. These have gradually improved over a number of inspections. Mrs Cocker administers one person’s medication and signs the MAR charts. These are taken from the original packs labelled with the dosage instructions. There were no omissions on the charts seen. The care plan records that one person has declined the opportunity to manage their own medication and prefers Mrs Cocker to do it. At the last inspection, Mrs Cocker was concerned that one person could not appropriately administer their own inhaler. She had not reviewed the risk assessment. However, the inhaler has now been replaced with tablets and so the situation has been resolved. Mrs Cocker says she has repeated her training on the basic handling of medicines. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This represents an improvement since the last visit, when outcomes in this area were considered adequate. People feel their views are listened to and acted on and that they are protected. EVIDENCE: Daily records show that Mrs Cocker has discussed with people living at the home how they would make a complaint. The people living at the home have signed the entries in the records showing the discussion and clarifying it. One person told us they know who they can talk to if they have concerns and where to go for advice. A relative completing a comment card says that they know how to make a complaint and says Mrs Cocker has always responded appropriately to any concerns about care. Mrs Cocker has a certificate showing that she has completed training in basic abuse awareness as required at the last inspection. Both people living at the home completing comment cards say that they feel safe, and one person we spoke to confirms that they have no concerns and are very happy at the home. The other person said that they did not wish to talk to us as they were fine and everything was going well. The care plans now list the sort of valuables that Mrs Cocker holds for safekeeping on behalf of residents. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 16 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 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from a comfortable home that is clean and hygienic. EVIDENCE: The home has a good history of compliance with these outcomes. Communal and kitchen areas were seen. These were clean and tidy with no obvious hazards. People living at the home enjoy the company of the owner’s dogs. The home is not accessible to people with physical disabilities as the front door is accessed by means of steps. There is no assisted passage to the first floor. However, Mrs Cocker does not set out to offer accommodation to people who have additional disabilities other than their learning disabilities, and is restricted to offering accommodation only to the two existing service users for whom this is not a problem. Mrs Cocker has arranged to attend training in basic food hygiene and one of the people living at the home, who helps prepare packed lunches and drinks, will also be going. (Confirmed by the person concerned.) Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 17 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): 33 People who use the service experience good quality outcomes in this area. There are no staff employed at the home against which to evaluate standards, but Mrs Cocker is able to support the two service users and help them meet their needs. EVIDENCE: Review notes confirm that purchasers are aware one person spends short periods of time alone in the home and that they consider this acceptable. At other times, people join activities together. People living at the home are happy with their lifestyles and opportunities to go out and about indicating that, at present, no additional staffing is needed. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 18 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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This represents an improvement on the last visit when outcomes in this area were poor. Mrs Cocker has updated her knowledge in some areas to improve the way people benefit from her management of the home and has made some progress in consulting with people so that their views can underpin the development of the home. Some further work is needed to show that the health, safety and welfare of service users is wholly promoted and protected. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 19 EVIDENCE: Since the last inspection Mrs Cocker has arranged to attend some relevant training. She has attended training in the protection of vulnerable adults, and in health and safety. She has also arranged to attend food safety training and has also repeated her training in the handling of medicines. She has joined a local group where she can make links with other people who provide services and so look at some more training opportunities. Mrs Cocker says it has proved difficult to secure appropriate induction training as she is also the registered manager, but she has secured the workbooks for the common induction standards. A recommendation has been made. She has not yet attended training for diabetes or any that is directly relevant to learning disability issues to help improve her understanding and awareness of up to date practice. These requirements are outstanding and repeated. Since the last inspection, Mrs Cocker has discussed whether people living at the home would like to see improvements or changes. Their comment cards say that they have meetings to discuss what is good and what should be changed. However, Mrs Cocker has not looked at how the service performs overall against National Minimum Standards. Given the Commission is introducing an annual quality assurance audit for owners to complete and that she has discussed ideas with people living at the home, the requirement has not been repeated at this stage. Mrs Cocker is aware of shortfalls in health and safety arising from her training recently. She identifies particularly that there is no fire risk assessment at present. She also acknowledges that further work could be undertaken to break down and clearly identify risks in other areas. A requirement has been made. She states that the fire detection equipment is “hard wired” as is considered appropriate by the fire service. Records show this as tested in January. The boiler is due for service shortly and there is a contract in place for this. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 20 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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 x 32 x 33 3 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 x 12 2 13 2 14 x 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 x 2 x 2 x x 2 x Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 YA7 Regulation 17.2 Sch 4.9 Requirement There must be a record of money handled by the owners on behalf of people living at the home and when and how much is returned to them. This is to show they are involved in decisions about managing it and to protect them from abuse. The support identified as necessary in care plans and agreed with other professionals must be given. This is so people’s needs can be met. (If the person’s needs have changed then Mrs Cocker needs to discuss any changes with the person and with the other professionals.) 3. YA19 10.2, Mrs Cocker must do some 10.3, 12.1 training in diabetes so that she understands and can support people properly to meet health care needs. 31/07/07 Timescale for action 30/06/07 2. YA9 12.2, 13.1.b 30/06/07 Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 22 4. YA37 9, 10, 12 Outstanding requirement The manager must ensure that she identifies and completes training to ensure her knowledge of learning disability issues and good practice is up to date. This is so the needs of people living at the home can be better understood and met and opportunities increased. Timescale of 01/07/06 and 31/01/07 have not been met. 31/07/07 5. YA42 23.4 A proper fire risk assessment 30/06/07 must be completed to help ensure the safety of people living at the home. 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 way risks are written down and assessed should be reviewed so that all issues are looked at, to show people are not exposed to undue risk, and that their choices are not unnecessarily restricted. Daily records should show that the owners have helped people do things considered beneficial by other professionals, like exercise programmes. This will help show how people’s health needs are being met. Medication keys should be separated so they are less likely to both go missing. This is so that people can receive the correct medication at the right time. Records should show the day that checks are made on medicines so that people can continue to manage their own medication safely. DS0000027579.V336366.R01.S.doc Version 5.2 Page 23 2. YA19 3. YA20 4. YA20 Jomar House 5. YA37 The manager should use information from the induction workbook to continue the work with care records so she can continue to improve the way people’s care needs are assessed and set out in their individual plans. Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Jomar House DS0000027579.V336366.R01.S.doc Version 5.2 Page 25 - 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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