Inspection on 26/08/06 for Mayfair Avenue

This inspection was carried out on 26th August 2006.

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 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

Mayfair Avenue 25/07/07

Mayfair Avenue 13/02/06

Mayfair Avenue 10/02/05

Mayfair Avenue 19/08/04

Mayfair Avenue 27/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Mayfair Avenue 29 Mayfair Avenue Whitton Middlesex TW2 7JG Lead Inspector Sandy Patrick Unannounced Inspection 26th July 2006 10:00 Mayfair Avenue DS0000017383.V304570.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 Mayfair Avenue DS0000017383.V304570.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. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mayfair Avenue Address 29 Mayfair Avenue Whitton Middlesex TW2 7JG 020 8715 5920 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) Richmond Homes for Life Trust Mrs Sarah Jane Baron Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th February 2006 Brief Description of the Service: 29 Mayfair Avenue is a care home for four service users who have a learning disability. The home is owned and managed by Richmond Homes for Life Trust, a small non-profit making organisation providing accommodation and support in the London Borough of Richmond. The home is situated in a residential road in Whitton, close to the high street, transport links and leisure facilities. The Registered Persons have produced a Statement of Purpose, which includes information on the aims and objectives of the service. The weekly charges are £948. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 26th July 2006 and was unannounced. Three of the residents spent most of the day at the resource centre which they attend. The other resident was in hospital at the time. The Inspector met with the Manager and staff on duty and was made welcome at the home. The CSCI contacted residents, their families and staff prior to the inspection and asked them to complete questionnaires about their experiences of the home. Three residents completed the questionnaires and said that they were happy and well cared for. They said that the staff listened to them and treated them well. They all knew who to speak to if they were unhappy about their care. One person wrote, ‘I am very happy living here at 29 Mayfair Avenue’. Three relatives completed questionnaires. They wrote that the staff made them welcome at the home. One person wrote, ‘the staff are always friendly and helpful’. They said that the staff supported residents to stay in contact with them, kept them informed and involved in making decisions. All of them felt that the home understood individual needs of residents. Some of the things relatives wrote about the home were, ‘The staff, without exception, are wonderful. The house is spotlessly clean and beautifully decorated, a real home from home’, ‘the atmosphere is always happy’, ‘my wish is that all residential homes could be as good at 29 Mayfair Avenue’, ‘The home provides a very happy and homely environment with good care of residents’ and ‘I am very satisfied with the service. My relative is happy and is well looked after’. Four members of staff completed questionnaires. They described thorough recruitment procedures and said that they received good support and training. They were asked what they thought the home did really well. They said, ‘The individual needs of the residents and their day to day support are our number one priority’, ‘The way we support residents and each of the residents has the right to do what they want’, ‘The quality of support is high for residents’ and ‘I feel Mayfair Avenue has a flexible approach in meeting the needs of residents who all have different needs and levels of support’. One member of staff said that they felt increased staffing levels would help residents to have more opportunities for individual outings. One staff member wrote, ‘I have worked at the home since it opened. I have always been happy here and working for Richmond Homes for Life Trust. They put the residents needs first. They give good support to the staff’. Staff on duty said that they were happy and that they were well supported. One staff member went to visit the resident who was in hospital during the inspection. They took treats and food and demonstrated a genuine concern for Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 6 their wellbeing and a dedication to making them as happy and comfortable as possible whilst in hospital. What the service does well: What has improved since the last inspection? What they could do better: The home has made excellent progress throughout the year. There have been improvements to medication practices and a small number of additional changes need to take place. The kitchen at the home is looking old and worn and would benefit from replacement. Individual training profiles for staff need to be developed. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 7 The staff should continue to work with other professionals to look at how person centred care can be further developed and so that residents can try new things and follow their dreams. Residents have been involved in creating a DVD guide for the home. The Manager and staff should think about other ways to involve residents in developing new projects and in interviewing staff. The Manager should involve residents and staff in innovative ways to monitor the quality of the service. 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. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 The overall quality in this outcome group is good. This judgement has been made using evidence including a visit to the service. There are appropriate procedures for the assessment and admission of residents. The residents are given clear information within licence agreements and are helping to create a DVD guide to the home. EVIDENCE: There is a Statement of Purpose and Service User Guide for the home that have been designed to be accessible and meaningful for residents. The organisation is currently making a DVD guide. Residents are involved in this and are being filmed undertaking daily activities at home and at their day centres. There are appropriate procedures for the assessment and admission of residents but there have been no changes to the resident group in the last year. The organisation has developed licence agreements which give good, clear and accessible information to residents. They contain photographs, pictures, symbols and plain English to help describe the terms and conditions of Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 10 residency. The information includes the responsibilities of residents and the organisation and how to make a complaint. The licence agreements have been signed by all parties and an accompanying document states who has helped explain the content to each resident. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 The overall quality in this outcome group is good. This judgement has been made using evidence including a visit to the service. Individual needs are recorded within care plans and guidelines. Residents are supported to take risks where appropriate. EVIDENCE: Each resident has a care plan. These give clear information on their individual needs and how these can be met. Care plans are well organised and include information from health care professionals and other people involved in giving care and support. Care plans are regularly reviewed. Daily notes and monthly reports are made by staff to help monitor how well care and support is being given to each resident. Care plans are regularly reviewed. The staff should think about how they can make care plans and other information more accessible and meaningful for individual residents. There is a good range of risk assessments which look at individual activities and how residents can be supported to take risks. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 12 Residents at the home are able to make choices about the food that they eat, their environment and activities. They all have their own key to the home. The staff have started to work with other professionals to look at how they can use a person centred approach to care planning. They should continue to work in this area looking at how information can be made more accessible, how residents can have more control and choice over their lives and how they can be more involved with the running of the home. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 The overall quality in this outcome group is good. This judgement has been made using evidence including a visit to the service. Residents are supported to pursue a varied range of activities both within and outside of the home. Residents are supported to stay in contact with friends and family. Residents are able to choose from a varied and healthy menu. EVIDENCE: The residents take part in a wide range of educational and leisure activities. They each have a full timetable of regular activities, designed to meet their needs and wishes. These include art and craft, music, learning Makaton, learning road and travel safety, going to the cinema, bowling and aromatherapy. Residents make good use of the local community and regularly walk to shops, cafes and the resource centre. Residents have lots of friends and families who they see regularly. The residents are members of local clubs Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 14 and take part in different leisure activities. Staff help them to understand about healthy living and diets. All residents have been or are going on holiday. Residents take part in some household tasks, such as cleaning, gardening and laundry. The Manager spoke about contact residents had with their families. He clearly values the importance of close family. Families are welcome to visit the home whenever they want and some of them come for meals and special events with residents. Families who contacted the CSCI said that they were made welcome and were kept well informed. The residents chose the weekly menu and help to shop for and prepare the food. Menus were balanced and varied. The kitchen is well stocked with fresh food. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The overall quality in this outcome group is good. This judgement has been made using evidence including a visit to the service. Residents’ personal and health needs are appropriately recorded, monitored and met. Medication is appropriately stored and administered. Some improvements to records are needed. EVIDENCE: Information on health and personal needs is recorded within care plans. Some of the health needs of residents have changed over recent months. The records made by staff are comprehensive and show how they have worked with other professionals to meet health care needs. There is evidence of good monitoring. One resident was in hospital at the time of the inspection. The staff on duty said that they visited daily, and one member of staff visited and took some treats and drinks during the inspection. One of the residents has also visited. The staff have been working closely with other professionals to support residents who have had changes in need. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 16 There is an appropriate medication procedure. Medication is suitably stored, administered and recorded. Since the last inspection regular audits of medication have been arranged. Medication practices have improved. Medication records were accurate but did not always show how much medication was held when it was carried over from one month to the next. The allergy section on medication administration sheets was not completed in all cases. All staff have been trained by the supplying pharmacist. One resident is prescribed ‘as required’ medication which is intrusive. The Manager has liaised with other health care professionals to obtain guidelines for support and administration of this medication. All staff are trained in this area. There are no guidelines regarding the use of this medication when the resident is at the day centre. The Manager should liaise with day service staff and must make sure there is a clear procedure in place. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The overall quality in this outcome group is good. This judgement has been made using evidence including a visit to the service. There are suitable procedures in place to help residents to make a complaint and to protect them. EVIDENCE: There is an appropriate complaints procedure and residents know who to speak to if they are unhappy about their care. There have been no complaints made about the service in the past year. The London Borough of Richmond has a Protection of Vulnerable Adults Procedure which the home follows. The organisation has its own procedures on abuse and whistle blowing and all staff are expected to read and understand these. Residents all have their own bank accounts. Small amounts of cash are held on behalf of them. Records of these are kept. The balances and amounts of cash are not checked daily although the Manager checks these amounts weekly. The Manager must make sure residents’ money is safe and should arrange for sufficient checks. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 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, 25, 26, 27, 28, 29 & 30 The overall quality in this outcome group is good. This judgement has been made using evidence including a visit to the service. The environment is well maintained, homely, comfortable and clean. Residents have personalised the home and it reflects their tastes and interests. EVIDENCE: The building is a pleasant semi detached house in a residential road. The home was attractively decorated and furnished throughout and had been personalised with belongings, pictures and plants. There is a good size garden to the rear. Residents are consulted about colour schemes and décor. The Manager said that he plans to buy new furniture for the lounge in the near future. There is a large crack on one side of the building. The Manager reported that a surveyor is analysing this to see what work needs to be done. Panels on the front door need replacing. All residents have their own single bedrooms and have personalised these. There is a large lounge and separate dining room, which have been made homely and comfortable. The kitchen is large and there is a dining area within this. The kitchen is looking worn in some areas and some furnishings and Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 19 fittings are broken and need repair or replacement. There is a shower room and a bathroom and separate WCs. The home is suitably equipped to meet the needs of residents, including the provision of grab rails in the bathrooms and garden. The home was clean and hygienic throughout on the day of the inspection. Residents are involved in household tasks. There are appropriate procedures for infection control and laundering of clothes. The staff are responsible for the maintenance of the garden and this takes them away from time with the residents. The Manager said that he is going to arrange for a gardener to attend to some of this. One resident enjoys participating in gardening and the staff will support them to do the things that they want to do in the garden. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 The overall quality in this outcome group is good. This judgement has been made using evidence including a visit to the service. The residents are supported by a stable and well established staff team who work well together and are supported and trained appropriately. Recruitment procedures are designed to protect residents. EVIDENCE: There are good systems of communication between staff and a range of information telling them about their roles and responsibilities. The Manager commended the staff for their dedication, hard work and approach to their jobs. The staff on duty said that they were well supported and were happy. The Manager said that the staff worked well as a team and were supportive of each other. The Manager said that he and another Manager were interviewing for part time staff the week after the inspection. Staff files indicated thorough recruitment practices and pre employment checks made on all staff. Staff completing surveys about the home confirmed this. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 21 The staff are supported to undertake NVQs. The Manager is undertaking Level 4, the senior support worker has achieved her Level 3 and other staff are undertaking NVQ Levels 2 and 3. Individual training profiles are not in place and the Manager must develop these. The Manager said that he is looking at staff training needs and has identified where training needs are. All staff have recently attended training in medication and further training in protection of vulnerable adults and first aid. Regular team meetings are held and minutes of these indicate that staff are well informed and are able to contribute their ideas and opinions. The staff who contacted the Inspector said that they had regular supervision meetings. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 & 42 The overall quality in this outcome group is good. This judgement has been made using evidence including a visit to the service. The residents are supported by a well managed service. Regular checks on health and safety and quality are made. Further work to improve quality monitoring would help the Manager and staff to see what areas of the service need to be improved. EVIDENCE: The Manager started work at the home in January 2006. Previous to this he was employed as the Deputy Manager in another of Richmond Homes For Life Trust. He said that he was applying to be registered with the CSCI at the time of the inspection. The Manager said that he is pleased with his work at the home and has enjoyed working with the residents and staff. He demonstrated a good knowledge of the home and talked about his plans for improvements and developments. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 23 The Manager said that the organisation were very supportive and senior managers were always available when he needed them. He said that training and support for staff was well organised There are good systems for record keeping and information is easy to find. Records are accurate and have been dated and signed. The organisation arranges for regular checks by representatives of the Board of Trustees. The reports from these visits are not always sent to the CSCI and should be. The Manager should consult with residents, staff and other stakeholders to look at how further quality monitoring can take place. The local authority have developed standards for measuring quality based on the views of people with learning disabilities who live in the borough of Richmond. The Manager should use these to develop systems for measuring the quality of the service. The staff make regular checks on health and safety and fire safety and these are recorded. Any concerns and risks are appropriately reported and acted upon. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 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 3 2 3 3 3 4 3 5 4 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 3 2 3 X 3 X Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 25 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 YA20 Regulation 13(2) Requirement The Registered make sure: 1. Person Timescale for action must 15/09/06 The Allergy section of medication administration records is completed. The amount of medication held is appropriately recorded as carried forward on each medication administration record sheets. 2. 2. YA20 13(2) The Manager should liaise with 30/09/06 day service staff to make sure there is a clear procedure regarding the action day service staff should take for the resident who is prescribed intrusive medication. The Registered Person must 30/09/06 develop individual staff training profiles outlining training needs DS0000017383.V304570.R01.S.doc Version 5.2 Page 26 3. YA35 18 19 Mayfair Avenue and training achieved. (Previous timescales 30/06/05, 30/11/05 & 31/05/06) 4. YA37 9 The Manager must make an 31/10/06 application to be registered with the Commission for Social Care Inspection. (Previous timescale 30/04/06) 5. YA39 26 The Registered Person must 30/09/06 make sure copies of the monthly quality inspections by the Board of Trustees are forwarded to the CSCI. Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 27 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 staff should think about how they can make care plans and other information more accessible and meaningful for individual residents. The Manager should consider how information can be made more accessible, how residents can have more control and choice over their lives and how they can be more involved with the running of the home. The Manager should consider ways in which further information could be made more accessible to service users. 2. YA7 3. YA7 4. YA24 The Manager must make sure the crack on the side of the building is appropriately repaired. The Registered Person should consider the replacement of the kitchen and should attend to the other household repairs. The Manager should consult with residents, staff and other stakeholders to look at how further quality monitoring can take place making use of the London Borough of Richmond Quality Partnership Board standards. 5. YA24 6. YA39 Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Mayfair Avenue DS0000017383.V304570.R01.S.doc Version 5.2 Page 29 - 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. 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