Inspection on 13/10/06 for Natal Road (36)

This inspection was carried out on 13th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Natal Road (36) 20/08/07

Natal Road (36) 02/02/06

Natal Road (36) 12/07/05

Natal Road (36) 02/03/05

Natal Road (36) 28/06/04

Natal Road (36) 02/03/04

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 Natal Road (36) 36 Natal Road Ilford Essex IG1 2HA Lead Inspector Ms Harina Morzeria Key Unannounced Inspection 13th October 2006 14:00 Natal Road (36) DS0000025911.V313937.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 Natal Road (36) DS0000025911.V313937.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. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Natal Road (36) Address 36 Natal Road Ilford Essex IG1 2HA 0208 514 8689 0208 514 8689 mgauri@hotmail.com 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) Mrs Sumiran Sharma Mrs Veena Mehta Mrs Veena Mehta Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mild to moderate level of disability. Date of last inspection 2nd February 2006 Brief Description of the Service: 36 Natal Rd is a residential home registered to care for three younger adults with learning disabilities. The home is a terraced house in a residential area close to Ilford town centre, with good public transport links, a park and other community facilities. The house is an ordinary domestic property which is adequately maintained and appropriately furnished. All the service users occupy single bedrooms. Shared facilities include a lounge/dining room. A small garden is also available for the service users enjoyment. One bedroom is located on the ground floor as well as a toilet/ shower. There are two bedrooms upstairs plus a staff sleeping in room and a bathroom/toilet shared between the service users upstairs. The manager and staff ensure that the service users enjoy an active social life via membership of various groups and organisations. All of the service users attend day care services. The staff take the service users out on a regular basis to local pubs, cinema, restaurants as well as their chosen places of worship. Family and friends are welcome to visit at any time. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an announced inspection. The inspector spoke to the staff on duty and both the service users. This home is a sister home to another home in the locality. It is jointly owned and managed by the same provider/ manager, which enabled the inspector to combine the assessment of some of the standards. Hence, the focus of the inspection at this home was aimed at assessing whether the staff were meeting the individual needs of the service users by examining service user files, tracking care by examining daily records, and interviewing staff to gauge their understanding of the home’s policies and procedures and how to implement these to meet the service users’ needs. Another purpose of this announced inspection was also to check that the home were meeting the requirements from the previous inspection. Discussion took place with the registered manager, assistant manager, and a senior carer. A tour of the home was made and a number of staff and care records were examined. The Inspector would like to thank the service users and staff for their input during the inspection. What the service does well: The home is small and friendly and runs as a ‘family unit’. Service users are consulted and involved in the day-to-day running of the home wherever possible. Staff in the home have a good understanding of service users support and personal care needs and are able to respond and communicate easily and effectively. Staff spoken to said that their main aim was to make sure that service users were happy and well looked after. Service users are relaxed and said that they enjoyed living at the home. One of the service users attends a day centre and also participates in social and home based activities. One other service user has now ‘retired’ and is looked after at home by care staff. The staff in the home support service users to participate fully in all aspects of community life. Opportunities are provided for service users to experience and join in activities both inside and outside the home. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4 Quality in this outcome area is good. This judgment has been made using the available evidence including a visit to the service. A pre -admission procedure is in place to gather information about prospective service users to assess their needs. Prospective service users and their relatives are able to visit the home prior to their admission. Trial stays are offered before the service user decides if they wish to live there permanently. EVIDENCE: Both current service users have been resident at the home since 1997/1998. At the time of inspection there was one vacancy at the home. The files for these service users were examined and were found to contain an assessment that had been undertaken prior to their admission to the home. A detailed pre-admission assessment procedure is now in place. Through examination of service users’ files and daily records the inspector ascertained that the staff working at the home are able to meet the needs of the individuals through the service they deliver. The staff have the skills, ability and qualifications to meet the assessed needs of the service users. There have been no new admissions to the care home recently. The inspector is satisfied that the above process would be followed by the service when a new referral is made. The inspector was shown a booklet, called “ME” which incorporates a wide range of issues aimed at discovering a persons wishes, feelings and Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 9 aspirations as well as future aims and objectives which the deputy manager wishes to introduce and hope to use as a tool to further develop the service users’ existing care plans. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 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 outcome area is good. This judgment has been made using the available evidence including a visit to the service. Service users’ health, personal and social care needs are set out in an individual plan of care, and provide staff with sufficient information about how to meet the service users’ individual needs on a day-to-day basis. Staff provide service users with assistance and support to enable them to make decisions about their own lives. Risk assessments are in place for each service user. EVIDENCE: Two service users are accommodated at 36 Natal Road. They have been residing here since 1997. Each service user has a care plan. The service users require varying levels of assistance with personal care from the staff. The care plans for both the service users were examined. Staff and service users were asked about the care being provided. Each service user has an individual care plan which outlines the service users’ individual needs and how these would be met. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 11 Evidence was seen that the service users are involved in regular activities outside of the home daily. Service users confirmed that they are given choices about their daily lives particularly at weekends regarding, waking up and going to bed, outings and meals and are consulted by staff on a daily basis. Evidence was seen on daily logs that the service users are encouraged to carry out household tasks according to their capabilities. Risk assessments are in place for the different activities that service users take part in and service users are supported by staff to carry out their chosen activities within this framework. One service user has now retired from the day care centre she attended and is therefore at home supported by a member of staff. She said she is asked daily what she wants to do and often goes out with staff to the library, shopping or for a walk. She continues to go out in the evenings via the various club memberships. The service users and their representatives are encouraged to attend the reviews and participate in this process. The outcome of reviews is recorded and maintained on file. Service user meetings take place approximately once a month and issues discussed and agreed are recorded. Service users require varying levels of support with their finances and this information is included in the individual’s care plan. Where support is needed, the reasons for, and the manner of support are documented. The manager must ensure that the level of support required is regularly reviewed. The home is friendly and is run as a “family unit”. Meals, activities, house routines and house issues are discussed on a daily basis and all members of the home are fully involved. The daily routine is adapted dependant on the movements and preferences of individuals. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 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): 11,12,13,14, 15,16,17 Quality in this outcome area is good. This judgment has been made using the available evidence including a visit to the service. Service users have opportunities for personal development and are able to take part in appropriate leisure activities within the local community. Service users rights are respected and responsibilities are recognised in their daily lives. Service users enjoy the meals and are asked on a daily basis to choose from the menu which they have already agreed. EVIDENCE: Each service user has an individual planned activity programme, which takes account of the service user’s preferences, interests, experiences, age and capabilities related to their disability. Service users attend specialist day centres and participate in leisure activities in the community including, shopping, cinema and eating out. All the service like to go to church on Sundays. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 13 The service users always have an annual holiday and look forward to choosing the type of holiday they go on. The staff prepare and cook the meals with some involvement from the service users and staff know what each person likes to eat. One of the service users is able to help clear up after meals which promotes his independence skills. Service users said that they enjoyed the food and that the staff asked them what they would like to eat daily. The inspector was informed that service users choose to have a light meal in the evenings if they have had a heavy cooked lunch at the day centre. Service users spoken to stated that they enjoyed the food and are offered choice on a daily basis. Special diets are catered for. Staff support and encourage the individuals to pursue their own interests and hobbies. Staff support service users to maintain family links and friendships inside and outside the home and their involvement is encouraged with individual service user’s agreement. Relatives and friends are able to visit at any time and no restrictions are placed on visiting times. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 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 The quality in this outcome area as good. This judgment has been made using the available evidence including a visit to the service. The service users receive personal support in a way that they prefer and require. The daily records show that service users’ physical and emotional health needs are met appropriately within the home. The medication policy and procedure are clear and staff have received training to ensure safe administration of medication to the service users. EVIDENCE: The service users residing at Natal Road require varying levels of support from staff to carry out personal care. A recommendation has been made elsewhere in this report that care plans and risk assessment for service users are updated as service users needs change. Service users’ physical and emotional health needs are met by staff who understand their needs and provide appropriate assistance as required. All the service users are registered with a GP, dentist and optician. Access to other health professionals is obtained as and when required according to specific needs. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 15 The care plans identify areas where staff input is required. Two of the service users require individual support from staff regarding their health needs and staff are aware of how to meet their particular needs. Regular contact is maintained with the service users’ key workers at their respective day centres, in order to communicate any problems or concerns during the daytime which may have an impact at home. Staff from the home prepare and present reports at the annual reviews held at the day centres for each of the service users. Sufficient policies and procedures for the handling and recording of medicines in the home are in place. Staff have received an appropriate level of training regarding medication administration. The inspector was informed that the pharmacist is ready and willing to provide any assistance to the staff upon request. A record is maintained of the current medication for each service user and the staff working in the home have received updated medication administration training. Medication administration records were now being appropriately completed. The inspector recommends that for each service user a highlighted page of the service users’ specific condition, any regular medication being taken, any allergies and complications as well as a detailed list of contacts is kept at the front of the service users’ file for quick and easy reference. Records examined showed that service users are seen by a dentist, optician, district nurses, dietician and a GP as and when required. Staff also support service users to attend outpatient clinics. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 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 The quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. The manager and staff make every effort to sort out any problems or concerns and make sure that service users and their relatives feel confident that their complaints and concerns are listened to and acted upon. Staff working in the home have received training in Adult Protection/ Abuse Awareness however, the adult protection policy and procedure is required to be reviewed and updated so that staff adopt a proper response for reporting any suspected or witnessed abuse. EVIDENCE: A complaints policy and procedure is available which all the service users and their representatives are aware of. It is also pinned up on the notice board in the hallway at the entrance to the home. No complaints were logged in the complaints book and the inspector was informed that staff quickly resolve any issues before they result into complaints. A complaints log book is in place and the manager is aware that all complaints/dissatisfactions however minor, are to be logged in this book, showing how these are resolved within written timescales so that these can be tracked, highlighting any patterns emerging which may require action. There is a written policy and procedure for the protection of vulnerable adults. However this is required to be reviewed and updated in order to ensure that staff are aware of the procedure to follow in the event of an allegation being Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 17 made. Staff confirmed that they have received basic abuse awareness training and were aware of the signs and symptoms of abuse. Natal Road (36) DS0000025911.V313937.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 quality in this outcome nearly as good. This judgment is made using the available evidence including a visit of the service. The décor, furnishings and fittings in the home are of a good standard and provide a comfortable and homely place for service users to live. Sufficient shared space is available for the service users. The home is clean and hygienic. EVIDENCE: The standard of the décor, furnishings and fittings in the home are maintained to a good standard. There is a lounge/ dining room with comfortable seating areas. Throughout the inspection all areas of the home were found to be clean, tidy and free from odour. The bedrooms are individually decorated and filled with personal possessions. Service users spoken to said that they liked their bedrooms and felt comfortable and safe in them. The staff and deputy manager stated that additional heating is during the winter months when it gets cold. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 19 There is a small garden at the back of the house which is accessed via the dining area. It is a safe area for service users to enjoy during fine weather. Natal Road (36) DS0000025911.V313937.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 quality in this area is good. This judgment has been made using the available evidence including a visit to the service. The home employs staff in sufficient numbers to meet the needs of the service users. There is a policy and procedure for the recruitment of staff which is robust and provides safeguards for people living in the home. EVIDENCE: The home continue to have a stable staff group. All staff have job descriptions and they are aware of their own responsibilities and the management structure. This is a small home and there is a close relationship between the staff and service users. The staff are aware the of the service users’ individual needs and can gauge their moods on a daily basis and provide support and encouragement accordingly. The service users benefit from the close attention paid by the staff to meet their health needs. On the day of the inspection, the inspector spoke to staff members who confirmed that they received induction training and ongoing training in essential areas such as food hygiene, health and safety, administering medication and adult protection. Evidence of staff having completed a variety of training was seen on the individual staff files. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 21 Staff also confirmed that they have completed NVQ level 2 training and one member of staff is doing NVQ level 3 training. Service users said that the staff are kind and caring towards them and know what they need. Evidence was seen that staff supervision is taking place and all staff are having formal supervision with the manager. Although staff confirmed that they are receiving regular supervision this is not adequately logged. Discussion was held with the deputy manager regarding the importance of logging supervision sessions as a tool to identify a persons training needs and how this is facilitated by the manager as well as any other issues that may be discussed which would benefit the member of staff and service user, looking at innovative ways to provide a service as well as any issues of concern to which reference may have to be made in the future for evidence and action. Staff annual appraisals are also taking place Natal Road (36) DS0000025911.V313937.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, 39,42 The quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The manager is an experienced and qualified person who has managed the home since it first opened. The home is run in a way which ensures that the service users’ best interests are safeguarded by the home’s record-keeping. Staff are aware of the lines of accountability and monitoring systems within the home are robust enough to ensure that the manager is fully appraised of any issues relating to the day-to-day running of the home and the specialist needs of the service users. EVIDENCE: The manager has completed her NVQ level 4 training and is waiting for the certificate to be issued. She is supported by a deputy manager who has also completed this training. The manager has been managing the home since it first opened and runs the home in a way which provides a safe environment for the service users and staff. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 23 The service users health safety and welfare are met by the staff working in the home. All records are held securely. Service users are aware that they would be able to have access to their records upon request. There were no accidents recorded in the accident book. Regular training is offered to staff on an ongoing basis. Health and safety checks and the associated records were appropriately completed in line with Regulation. The manager is aware that it is her responsibility to be aware of the health and safety legislation and the requirement to fully meet these standards. An environmental health officer visited the home and issued a satisfactory report. A quality assurance review of the service does take place and completed questionnaires by service users and their representatives were seen on file about the quality of the service. The deputy manager was advised of the requirement to carry out a full of quality assurance review which includes seeking the views of staff and other professionals as part of this process. Natal Road (36) DS0000025911.V313937.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 x 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 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 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 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 3 x 3 X 3 X X 3 x Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 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. 1. Standard YA23 Regulation 13 Requirement Timescale for action 31/01/07 2. YA36 18 The registered person must ensure that the adult protection policy and procedure are reviewed and updated in order to ensure that staff are aware of the procedure to follow in the event of an allegation being made. The registered person must 31/01/07 ensure that evidence is provided that supervision is taking place by logging the sessions. 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 YA8 Good Practice Recommendations Family members and service users involvement needs to be increased when care plans are drawn up in order to ensure that they are fully consulted and involved. The inspector recommends that for each service user a highlighted page of the service users’ specific condition, DS0000025911.V313937.R01.S.doc Version 5.2 Page 26 2. YA20 Natal Road (36) any regular medication being taken, any allergies and complications as well as a detailed list of contacts is kept at the front of the service users’ file for quick and easy reference. Natal Road (36) DS0000025911.V313937.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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. 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