Inspection on 11/01/07 for Laurelston

This inspection was carried out on 11th January 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Laurelston 20/09/07

Laurelston 05/01/06

Laurelston 27/07/05

Laurelston 23/11/04

Laurelston 29/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Laurelston And Copperbeech Silverne Drive Whitby South Wirral Cheshire CH65 6TA Lead Inspector Maureen Brown Key Unannounced Inspection 11 January 2007 09:30 Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 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 Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 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. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Laurelston And Copperbeech Address Silverne Drive Whitby South Wirral Cheshire CH65 6TA 0151 355 3637 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) www.hft.org.uk Home Farm Trust Kerry Ann Winstanley Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 8 service users in the category of LD (learning disability) 5th January 2006 Date of last inspection Brief Description of the Service: Laurelston and Copperbeech are two units providing personal care and accommodation to eight residents with a learning disability. It is owned by Home Farm Trust Limited and is located in Whitby, which is close to Ellesmere Port and shops, pubs and other local amenities. Laurelston and Copperbeech are two separate buildings, which are adjacent to each other. Laurelston is a two-storey building providing accommodation for six residents. Copperbeech is a single storey building, which accommodates two, more independent residents. All of the bedrooms are single, two of the bedrooms have en-suite facilities. Access between the ground and first floor in Laurelston is via the stairway. The area to the front of the home is used for car parking and the garden to the side and rear of the home is well maintained and accessible to residents. The staff team consist of the manager who is supported by seven support staff. The fees at Laurelston and Copperbeech are between £636.80. Optional extras include personal items, chiropody, some activities and hairdressing. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 11 January 2007 and lasted seven hours. Maureen Brown carried out the visit. Feedback was carried out with the manager at the end of the visit. This visit was just one part of the inspection. Before the visit the home was also asked to complete a questionnaire to provide up to date information about them. Questionnaires were also made available for service users, relatives, staff and other professionals to find out their views. Other information since the last key inspection was also reviewed. During the visit various records were looked at and a tour of the home was undertaken. A number of service users and staff were also spoken with and they gave their views about the service. All the key standards were assessed and most were met. One previous requirement remains outstanding. The overall rating for Laurelston and Copperbeech is good. What the service does well: What has improved since the last inspection? Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 6 So that prospective residents and relatives can have relevant information about the home the statement of purpose and function and service users guide has been brought up to date, however not all residents had an up to date copy. Annual reviews had been brought up to date and regular records of activities completed by residents are now kept in the care plans so that staff and family members are able to see what a particular resident has been doing. To ensure that the manager supports staff, all staff now receive an annual appraisal with records kept. Also staff now receive mandatory training and specialist training in line with the Certificate of Registration. Satisfaction surveys for residents and relatives have not been developed since the last visit, but views are obtained in other ways such as individual time, residents meetings and the service users forum. The health, safety and welfare of services users are now protected by safe working practices including having an up to date gas safety certificate. 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. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 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 Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 2. Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Good information is provided for residents to make a decision about moving into the home. EVIDENCE: The home’s Statement of Purpose and Function, the Service Users Guide and a copy of the most recent inspection report were available to residents and staff were aware of these documents. The Statement of Purpose and Service Users Guide were reviewed in February 2006. They contained all the necessary information required for people to make an informed choice about the home. Among the details included were, the home’s environment, mission statement, aims and objectives, decision-making, meals, and visitors. Also included was care practices, promoting health and wellbeing, spiritual needs and taking risks. The document is written in plain English and available in large print and picture format. The previous requirements regarding the Statement of Purpose and Service Users Guide being brought up to date had been met. However, many changes have occurred over the last year including changes of Responsible Individual, Manager and legislation, which need to be reflected in the service users guide. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 9 The pre assessment process includes documents from the placing authority, Care Programme Approach and a written assessment. The assessment covers all the information required to ensure that the home can meet service users needs. Included were Next Of Kin information, personal support and care needs and medical information. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 10 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 & 9. Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Two residents care plans were seen during this visit. These were comprehensive but were in a poor state of repair with duplication of some documents. Each contained personal information, visiting professionals sheet, risk assessments, personal support and daily routines, review sheets and service delivery agreements. The care plans seen were drawn up in consultation with the residents and family and were based on their assessed needs and risks. Annual reviews of the care plans had not been completed. It is recommended that reviews be undertaken. The daily records have much improved since the previous visit and there was a good record of people’s day-to-day activities. These now enable staff and Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 11 family members to see what a particular resident has been doing. The records were well written clearly and were signed by carers. The service users make their own decisions about all aspects of daily life with support from the staff team. Service users confirmed this in the questionnaires returned and in discussions on the day of the visit. A range of risk assessments are in place, which are directly, linked to each service users abilities. They are reviewed annually and were up to date. Assessments included using public transport, going to a nightclub, staying in alone, self-medication, attending work, handling food and going to the shops. Residents confirmed they had chosen the décor and furniture within their own bedrooms and it was seen that each bedroom reflected residents’ personality and preferred taste of décor. Residents’ meetings were held in the main lounge and the last meeting was held in September 2006 with six of eight service users attending. Issues discussed included outings, the home and Any Other Business. The previous meeting was in April 2006. It is recommended that these occur on a more frequent basis. Residents spoken to confirmed that they were involved in these meetings. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17. Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Residents’ were able to take part in a range of activities. Personal and family relationships were encouraged by the home and the staff team supported people with this. EVIDENCE: The residents said that family and friends visited and were made welcome by the staff. Residents shared with the inspector the contact they had with family members and said they could choose to see visitors within their own room or in the shared areas of the home. All the residents have access to the local community and had the opportunity to make friends with people who don’t share their disability. Three residents had paid work in the local area. On discussions with one person they said they really liked going out to work. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 13 Two service users also attend the local college and are currently studying catering and aromatherapy courses. They also attend Home Farm Trusts head office for Information Technology skills training. At the time of this visit seven of the residents were out and about in the community, but returned home during the time of the visit. Details of significant dates are recorded on the care plans and birthdays are celebrated and remembered. The service users have chosen their own goals for the next year and have been supported by the staff in completing this. This includes going out and about in the local community, planning holidays both at home and abroad and going to attractions further a field in this country to places such as Alton Towers, Cadbury World and Blackpool. Some service users have also planned weekends in London to see concerts and the theatre. Leisure time varies from going out or staying in and watching a DVD/Video, listening to CDs or the radio or having a cookery lesson in house with Olivia. Relationships within the home are good. There is a friendly rapport between service users and staff and staff act as friends and are seen as such by service users. Service users have developed relationships outside the home and have other personal friendships. Going out and about in the community and socialising with others achieves this. Daily routines are very good. Service users go to college, work, out and about in the community, stay in and relax, and complete chores around the home. Service users confirmed that the week’s menu is produced on a Sunday evening when they all sit around the table and discuss what they would like for the following week. Service users are involved in the purchasing of food. The menus provided a wide range of meats, fish and fresh vegetables. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. Storage and administration of medication is appropriate ensuring service users health is promoted. EVIDENCE: Personal support required by service users is described in the care plan. Service users needs relate to prompting and general support rather than specific care needs. Within the care plan descriptions of how the residents preferred to be supported in their daily routines were documented. Service users were dressed differently according to their own choice. Healthcare needs were being met, however access to this information was difficult to easily obtain. Records were seen of past appointments to consultants, dentist and opticians. Also visits to GP and opticians were seen. Changes in healthcare needs are documented in the health notes. From questionnaires GP commented that “the staff were always helpful”, all the GP’s stated that they were satisfied with the overall care provided. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 15 The home had a policy on the administration and storage of medication that was available to all staff members. Storage of medication was appropriate and kept in the sleep-in room. The monitored dosage system issued by Boots the Chemist was used. The medication administration sheets seen were signed and up to date. No controlled drugs were used at this time, however appropriate facilities were available if required. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 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. Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Residents and relatives were satisfied with the support they received from the manager and staff. Clear policies and procedures were in place to ensure that residents were protected from abuse, neglect and self-harm. EVIDENCE: A copy of the complaints procedure is in the Statement of Purpose and Function and Service Users Guide. Each service user has a copy of this. The procedure includes CSCI details. No complaints had been received by the home or the Commission since the last visit. A complaint file was available and no complaints had been recorded recently. The complaint form is also available in picture format for service users. Service users and relatives confirmed that they were aware of the complaints procedure and would speak to the staff or manager if they had a problem. The home had the local authority “no secrets” policy available and the manager confirmed that they would follow these guidelines in the event of an alleged or suspected case of abuse. The homes policy on protecting adults with learning disabilities from abuse included information about reducing the risk, spotting the signs, types of abuse and what to do in the event of witnessing abuse. Staff spoken with confirmed that they had a good understanding of the potential indicators of abuse and what to do if they became aware of an Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 17 allegation of abuse. Documentation confirmed they had received protection of vulnerable adults training. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 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): 24 & 30. Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The home provides a clean and comfortable environment for the people to live in. EVIDENCE: The home is furnished in a domestic style. Residents said bedrooms were decorated to their preferred style and staff stated that residents had helped to choose the colour scheme for the lounge and dining area. The home was clean, tidy and free from any unpleasant smells. The grass and garden areas were well kept. Residents said “they liked living at the home” and that “they were happy with the environment”. They said that staff had a free and easy rapport with them and this was seen during the inspection. The atmosphere within the home was very good and staff chatted to residents in a friendly manner. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 19 The home is well maintained both internally and externally. Since the previous visit Laurelston has had a new kitchen fitted, the shower room has been retiled and is due to be decorated and in Copperbeech the laundry has had new air bricks following a problem with condensation and damp and is going to be redecorated. The communal areas and in a good state of repair and the manager stated that they were going to be redecorated next year. The road leading to the property is un-adopted and is in a poor state of repair. The home has had complaints regarding the potholes and potential damage that could be done to service users using this access and to vehicles. Home Farm Trust have filled in some of the potholes immediately outside their property but have been advised that if they continue to do this then they will become liable for this. The manager said that she would look into requesting the council to adopt the road. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 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): 32, 34, 35 & 36. Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. Service users are protected by the homes recruitment policy and practices as they are consistently followed. EVIDENCE: At the time of this inspection the agreed staffing levels were met. One person in charge and two support workers were on duty. Observed day-to-day supervision of staff was good and the staff team confirmed that they were supported by the manager in their delivery of care to residents. The staff said that formal supervision was conducted on a regular basis and records were kept. Documentation confirmed that supervision sessions were held on a regular basis. Issues covered in supervision include staffing issues, training, tenants and Any Other Business. Appraisals were completed annually following a previous requirement. Five of seven staff had NVQ level II in Care, one is working towards this and one is due to start. Mandatory training included first aid, fire awareness, food hygiene and medication training. All staff had completed mandatory training following a previous requirement. Health and Safety and Adult Protection Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 21 were other courses most staff had undertaken. Most staff had completed specialist training in line with the Certificate of Registration following a previous requirement. The recruitment procedure had been followed and ensured that all the staff employed were suitable to work with vulnerable people. Two staff files were examined and these showed that pre-employment checks were carried out. Amongst the documentation available were application forms, two references and Criminal Record Bureau checks. All staff had completed a medical questionnaire. Copies of supervision notes and certificates of courses undertaken were also available. The files were up to date and well presented. The last staff meeting was held in October 2006 and six of seven staff attended. Issues discussed included service users, holidays, supervisions, annual leave, Control Of Substances Hazardous to Health and Any Other Business. The previous meeting was in January 2005. The manager said that a staff meeting was planned for January 2007. It is recommended that staff meetings be held on a more frequent basis. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 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, 39 & 42. Quality in this area outcome is good. This judgement was made using available evidence including a visit to this service. The health, safety and welfare of the service users are protected. The views of service users are obtained and influence the running of the home. EVIDENCE: The registered manager had left the service and a new manager has been appointed. The new manager has worked as senior support worker for a year and as a manager for three years for Home Farm Trust. Prior to that she worked for the Wirral Autistic Society for nine years. She has NVQ IV in care and the NVQ assessors’ award. She is currently undertaking the Registered Managers award. The new manager is currently applying to be registered with the Commission. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 23 Safe working practices included visits from the fire safety officer and the environmental health officer, which had been completed satisfactorily. The electrical safety and insurance certificates were in place and up to date. Fire alarm tests were being undertaken on a weekly basis and records kept. Emergency lighting tests were also being carried out on a monthly basis with records kept. All staff had received fire awareness training. The gas safety certificate had been brought up to date following a previous requirement. The accident book was examined and information was stored in line with the Data Protection Act 1998. Records showed that A & E intervention had not been required with the accidents recorded. Residents’ questionnaires were not used but information obtained during the Person Centred Planning process, which examines how the resident is and what they like about living at the home. The service users have a service user forum at the head office. There is an advocacy service available and staff act as advocates when requested to do so. Discussions with service users happen on a daily basis and service users are able to voice their wishes and concerns. This was observed during the inspection, where open and honest discussions took place. The Quality Assurance policy states that purchasers, service users and families will be contacted every two years. Questionnaires were not available and it is suggested that questionnaires are used in line with policy recommendations. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 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 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 Refer to Standard YA1 YA1 YA6 YA6 YA6 YA36 YA39 Good Practice Recommendations The registered person should ensure that the statement of purpose and service users guide are updated in line with changes in responsible individual, manager and legislation. The registered person should ensure that all service users and the Commission receive a copy of the updated statement of purpose and service users guide. The registered person should ensure that the poor state of the care plan files is addressed. The registered person should ensure that annual reviews are undertaken. The registered person should ensure that resident meetings are undertaken on a more frequent basis. The registered person should ensure that staff meeting are undertaken on a more frequent basis. The registered person should ensure that quality assurance questionnaires are used in line with policy recommendations. Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 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 Laurelston And Copperbeech DS0000006611.V291642.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!