Inspection on 21/07/05 for Lawn House Care Home

This inspection was carried out on 21st July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Lawn House Care Home 12/03/08

Lawn House Care Home 13/02/07

Lawn House Care Home 22/11/05

Lawn House Care Home 17/02/05

Lawn House Care Home 07/10/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Lawn House Care Home 4 Lawn Road Portswood Southampton SO17 2EY Lead Inspector Richard Slimm Unannounced 21 July 2005 10:00 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 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 Stationary 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. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Lawn House Care Home Address 4 Lawn Road Portswood Southampton Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 02380 584911 Park Care Homes (No 2) Ltd Mrs Suzanne Welsh Care Home 10 Category(ies) of LD -Learning disabilty - 10 registration, with number MD -Mental disorder - 10 of places Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may only be accomodated between 18-60 years of age. Date of last inspection 16 February 2005 Brief Description of the Service: Lawn house is a large detached home close to local shops and services which provides services for up to 10 people who have a learning disability. The home is run and owned by Craegmoor Healthcare Ltd who provide care and residential care service to vulnerable children and adults across England and Wales. The accommodation is organised over 2 floors with a 3rd floor that is not used for resident access. There are 10 single rooms all with en suite WC/baths, 3 on the ground floor and seven on the 1st floor. The ground floor has an office, utilty room with staff toilet, entrance lobby and hall leading to the kitchen. The dinning room leads to the lounge area where there are french windows onto the garden that can accommodate people who have mobility difficulties. To the rear of the lounge is a small activities area. There are 4 communal resident WCs, 1 communal bath and one wheelchair accessible shower. The home has a shaft lift to the areas of the home accommodating residents. There are 2 small mezinine areas with steps near to the stair well. Lawn road is a no through road. Staffing is provided 24 hours a day, with sleep in staff at night. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on the 21/7/05, between the hours of 9 am and 4 pm. Five residents were on holiday, being supported by three staff, two other residents went on a day trip with 2 other staff, leaving one resident at home. The inspector met two residents and spent time throughout the visit with 1 resident, case tracking that resident’s care records, and validating outcomes with the manager and from observations. A tour of the building took place, with the manager showing the inspector around the home and grounds. The manager was interviewed, and assisted throughout the visit. A sample of relevant documents that formed what are known as quality assurance systems was inspected. A number of positive developments were noted, and there was evidence that residents were being provided with a safe environment. A relative who visits the home was contacted who had completed a CSCI questionnaire the day after the visit. What the service does well: What has improved since the last inspection? What they could do better: Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 6 Action had not been taken to review the practice of locking the residents’ food cupboard, and further action is needed to overcome difficulties in promoting individuality in the area of food provision, preparation, shopping and storage. Action is needed and planned this year to ensure that the front of the home is refurbished and action taken to address uneven areas of the parking area. Residents’ need increased individual support and encouragement with specific and planned input by key working staff to develop increased skills and take increased control over their independent daily living. This should include the choosing of food, planning and involvement in shopping, budgeting, storage of their food and preparation/cooking. Daily care records that monitor resident’s needs and wishes should, wherever possible be recorded with the person concerned, to increase the residents input and awareness of their personal care plans, and to encourage staff to record in a manner that avoids making value judgements. The views of the GP should be sought with regard to one resident’s sleep patterns and their current medication, and if considered necessary a review carried out by the relevant medical consultant. Medication administration systems may need review in line with the home’s statement of purpose and the promotion of resident independence and control where appropriate. Risk assessments may benefit from further development in order to promote greater independence and control by residents in their daily lives. Risk assessments should consider both issues of risk and potential benefits on an individual basis. The provider should consider the development of different media and communication systems that can be more easily understood by the resident group. Complaints procedures, and care plans could be produced in pictorial formats, and complaints procedures produced in audio or video formats. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 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 standard(s) 2 The home provides written information about the home to prospective residents. The home assesses residents’ needs and wishes. Prospective residents can make informed choices about living at the home. EVIDENCE: The home operates a key worker system that allocates specific staff members to key work with individual residents. Residents are not enabled to be fully involved in the development of their individual care plans and personal goals, as there was little evidence that staff members are recording with residents where possible. Social workers and/or care managers from the relevant commissioning agencies are involved in the assessment of new admissions to the home. Residents are assessed by the home’s manager, including risk assessment, and their needs and wishes recorded in order to ensure these needs and wishes are known among the staff group, however, there was a need to extend risk assessment to each individual as the current generic risk assessments may not be specific enough to fully enable residents to reach their full potential, and take reasonable risks, based on clear benefits and informed choices. There was evidence that assessments are updated during care reviews as necessary, and reviews inform care plans. It may be possible to use information from the review and other recording systems to promote increased resident consultation, especially with those residents’ who have limited communication skills and may be unable to use written surveys. The inspector was advised that the home does carry out surveys, and these include other stakeholders, including relatives of residents. Prospective residents are Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 9 provided with information about the home, and are enabled to visit the home. New residents are provided with copies of the home’s contract. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 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 standard(s) 6-7-9 The home plans with residents how their needs are to be met and their personal goals are to be achieved. The home promotes the rights of residents to make choices, partake in life decisions, participate in the running of the home, lead full and active lives, in a manner that promote privacy and confidentiality. Residents are partially supported to take risks as part of living a more independent lifestyle. Risk assessments need to be individualised. The manager needs to be more pro-active and innovative when considering methods of consultation with residents who have special communication needs, and further develop the staff team and key worker systems to further promote independence of residents. EVIDENCE: Care plans were in place that should enable staff to promote a person centred approach to the provision of daily support to residents. Account is taken of each individual residents needs and wishes, as well as setting achievable and relevant goals with residents’. The need for structured interventions appeared to be balanced with the need for a flexible approach, especially with residents who potentially may challenge the service. Staff members are provided with the training needed to intervene in difficult situations where aggression or selfharm are evident, and the manager, and a staff member were observed to interact positively with residents at the time of the visit. Resident’s observed Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 11 and involved during the visit appeared to be given the opportunity to make choices as to their involvement in the daily running of their home. Resident plans confirmed that they are supported to keep their own house clean and tidy and share certain tasks out between themselves thus promoting rights and responsibilities. Care plans took account of the differing support needs of residents in these areas of daily living. Residents observed appeared to be happy with the level of support provided to them. Residents may benefit from greater opportunities to be involved on an individual basis in such areas as menu planning, shopping, budgeting, food preparation and cooking. Current arrangements where food stores have to be locked do little to support individual choice, dignity and control. Residents will need increased consultation about the ongoing development of the service, and a major challenge to the service will be to develop meaningful opportunities for those people with less obvious communication skills, to be more fully involved in planning the support and developing their independent living skills. Specific staff training in empowerment and increased use of pictorial communication formats, and the use of advocates may assist in this area of service development. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 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 standard(s) 12-13-15-16-17 The home provides some opportunities for residents to develop independence and daily living skills. This could be further developed. Residents participate in their local community, and have access to a range of leisure activities, and other meaningful activities, in and outside of their home. The home promotes the rights of residents, and ensures that residents have a diet that meets their needs and wishes. Greater independence in the area of food and diet could be promoted. Residents do not always have access to their food store in a manner that promotes choice and independence, and the homes statement of purpose. EVIDENCE: At the time of the visit five residents were on holiday with staff support. Two other residents were taken out for a day trip, leaving one resident in the home. There was evidence that residents could be further enabled to take up increased opportunities for their own personal development. Residents attend a variety of different day- time activities that appeared to be of their own choice. Residents plan their own annual holidays. The manager and case records confirmed that residents were involved in a variety of different activities locally in their leisure time. Residents are provided with opportunities to feel part of, and take part in their local community, and made use of a wide Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 13 variety of social outlets. The manager confirmed that residents had been supported to vote in the recent elections. Staff arrangements appear to be consistent and staff support is made available based on the needs and wishes of the residents living at the home, with additional staffing being made available when required. Resident contact with their families is encouraged and supported. The manager confirmed that routines in the home are discussed during resident meetings the topics being based on residents’ particular interests and skills. Residents all have lockable rooms that also have individual lockable storage space. All residents have their own bank account. Arrangements for handling residents’ personal monies were found to be appropriate. Residents could potentially be provided with increased choice and control over the food they eat and when they eat it. The current practice of staff locking the residents’ food stock area does little to promote best practice. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 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 standard(s) 18-19-20 The home plans care interventions of a personal nature with residents, and/or advocates. The home ensures that the health and emotional needs of residents are met. The home needs to consult a GP with regard to the needs of one resident. The home promotes the rights of residents to take their medication in a safe way. The home currently does not fully promote independence to the resident groups’ full potential. EVIDENCE: Individual care plans identify each residents needs in the area of personal care. The home provides an en suite bath and WC to each room that could potentially be used more effectively in the promotion of residents’ independent living skills in this area of their lives. Some residents need one-to-one staff input to support them with their daily living, and the inspector was advised that this is managed via key working systems, taking into account cultural and gender issues. Care plans supported this area, and also highlighted systems to ensure that health and emotional needs were identified and met by the staff team. The home adopts a system for the administration and safe keeping of medications that may benefit from review in order to ensure this system is the best available to fully promote safety as well as resident independence. The current system appeared to offer full control by staff, with little opportunity to promote greater independence. Records and the manager provided evidence that staff members had received training in the administration and safe keeping of medications. Daily monitoring records take account of medication Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 15 issues and one issue was discussed where these, and other daily records may be useful to develop a report for the medical team, working with one of the residents. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 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 standard(s) 22-23 The home deals with concerns promptly and efficiently and listens to residents who live there. The home ensures that staff members are aware of adult protection issues, and receive regular training in adult protection. Complaint information is not provided in a format that could be readily understood by residents. EVIDENCE: The home has a written complaints procedure that is displayed in the home’s office area. There had been no formal complaints made to the home since the last inspection. Any complaints would be recorded and dealt with by the manager in line with the procedure. The provider should consider developing user-friendly formats in order to promote resident independence and understanding of the complaints procedures. The manager confirmed that staff members were able to demonstrate an awareness of adult protection policies and procedures, and had received training in this essential area. The provider is aware of their responsibilities under Protection of Vulnerable Adults legislation. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 17 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 standard(s) 24-30 The home strives to provide a homely environment, and to develop in line with the standards. The home was clean and hygienic, and residents are involved, and supported, in keeping their home as they would wish. The state of the outside of the home does not present a positive image. EVIDENCE: The registered persons have developed a written plan for the ongoing upkeep, development and maintenance of the home. There are plans to refurbish the front aspect of the home, which now needs some attention in order to meet the standards, and to avoid the home presenting a negative image of the people living at the home. The kitchen was being refurbished at the time of the visit, and there are plans for further developments in line with the needs and wishes of the resident group. The garden was well presented, however there was one area that needed attention to the west elevation of the home. The home was cleaned to a good standard, and well presented internally, however, the communal shower area is rather institutional in style. A sample of bedrooms was observed and it was evident that residents had been supported and encouraged to personalise their individual rooms. Hazardous cleaning materials were appropriately stored. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33-34-35 The home provides trained staff. The organisation is committed to staff members being trained to the learning disability award framework standards. Staff members are provided in sufficient numbers to meet the needs of the residents. Residents appeared happy with the staff members supporting them. The home has clear recruitment procedures that protect residents. Staff supervision is formalised, and annual appraisals are being provided. Regular staff meetings take place. EVIDENCE: A staff roster was available and accurately maintained. There was adequate staff on duty at the time of the visit to meet the needs of the service user group. Staffing levels were found to be in accordance with the standards and the level of need of the resident group. Regular staff meetings are held, and all staff received regular supervision from the manager, including an annual appraisal of performance. There is a clear commitment to the ongoing training and development of the staff team, including NVQ and specialist training relevant to the needs of the resident group. Staff member receive training in such areas as fire; health and safety; moving and handling and basic food hygiene. The home adopts a thorough recruitment procedure, supported by the organisations human resources department that promotes the protection of residents. Relevant records to evidence this process are maintained. Residents observed appeared to be happy with the staff team, and appeared to get on well with their staff. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39-42 The home was well run. The residents could benefit from increased opportunities to practice independent living skills. Residents appeared to benefit from a committed staff team, who consider residents views about the daily running of their home. The manager adopts an open style of management that appeared to be resident led. The management ensure that residents’ rights are protected and promoted. Relevant records are maintained in a professional manner. The health and safety of residents and staff is promoted. EVIDENCE: There was evidence that a more pro-active approach could be developed in order to ensure that the outcome for residents from the efficient running of the home fully promotes residents’ independence. Such practices as locking away residents’ food-stuffs does not promote best practice. Feedback from a visitor to the home who had completed a CSCI survey confirmed this view, as well as records, and some staff practices discussed with the manager. The recently Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 20 registered manager is training to become qualified to NVQ 4 with the registered managers award (RMA), and also has experience working in services for people with learning disabilities. The manager confirmed that staff members are supported in their role. One staff member confirmed that she enjoyed working at Lawn House. There was evidence that care is taken to ensure that the home is organised, but flexible in how it meets the support needs of residents. The inspector was unable to interview any resident with verbal skills, however, there was evidence that those residents met and observed felt at home, and were comfortable and safe. Professional systems that aim to assure the quality of the service were in place, and it was also evident that these systems were beginning to be increasingly used to the benefit of the residents. Improvements should be made to promote the involvement of residents in the development of in-house procedures and their individual care planning. Records that are required to ensure that residents are protected and their safety promoted were in place and were up to date. The home has a hard-wired fire alarm, linked to smoke detection throughout the home. Fire systems are routinely tested every week and records maintained. The home has other fire prevention apparatus that is also tested to the makers’ recommendations. Records confirmed that staff members received regular fire training. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 21 CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 2 2 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. Refer to Standard 6 Good Practice Recommendations It is recommended that efforts are made to improve the degree of opportunity available to less able residents to be involved fully in the consultation process about the running of their home. This may involve using pictorial formats and some staff development in such areas as empowerment. Residents could potentially be further encouraged and supported to become more independent in such areas as daily diet. Daily records should wherever possible be completed with the individual resident concerned. Procedures,reviews, care plans and other relevant recorded data should be presented in formats that promote access and understanding by residents. It is recommended that risk assessments for the residents be put in place on an individual basis, and assessment formats consider both benefits and risks, in order to promote residents rights to take reasonable and responsible risks in a supportive environment, while gaining greater independence. The Gp should be consulted with regard to guidance concerning one residents medication and current sleep 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 23 2. 9 3. 19 Lawn House Care Home 4. 5. 20 22 patterns. It should be established if this resident is still current on the lsit of the local learning dissability consultant. The medication administration system should be reviewed in line with the aim to promote increased resident independence, and the homes statement of purpose. Complaints procedures, and other information that should be available and understood by residents should be produced in formats that are user friendly. This may include pictorial formats, audio and/or video formats, as well as the appropriate use of advocates when needed. Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 Page 24 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Lawn House Care Home 20050818 H55-H03 S37558 Lawn House V220734 210705.doc Version 1.20 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. 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!