CARE HOME ADULTS 18-65
New Ridley Road, 27-29 27-29 New Ridley Road Stocksfield Northumberland NE43 7EY Lead Inspector
Mary Blake Key Unannounced Inspection 12 May and 2nd June 2008 09:00
th New Ridley Road, 27-29 DS0000000613.V362226.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 New Ridley Road, 27-29 DS0000000613.V362226.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. New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service New Ridley Road, 27-29 Address 27-29 New Ridley Road Stocksfield Northumberland NE43 7EY 01661 - 844112 01661 844 113 newlife.care@btinternet.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) Newlife Care Services Limited (wholly owned subsidiary of Minster Pathways Limited) Care Home 9 Category(ies) of Learning disability (9) registration, with number of places New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. All persons may also have a physical disability Date of last inspection 23rd May 2007 Brief Description of the Service: New Ridley Road comprises two modern semi-detached bungalows connected internally by a communal lounge. The home is set at the head of a private road in its own grounds and provides ground floor accommodation for nine adults with a learning disability, some of whom also have a physical disability. The home was purpose built approximately nine years ago. All bedrooms are for single occupation. Each unit has a kitchen and lounge/dining area. Although there are no en-suite facilities, each bedroom had been fitted with a hand washbasin. The home is close to the centre of Stocksfield, giving easy access to local transport systems, shops, leisure amenities and the wider community. The home does not provide nursing care. The current weekly fee is £741.16. Additional charges are made for hairdressing, aromatherapy, clothing, leisure activities and toiletries. Copies of the Commission’s inspection reports were available to visitors, staff and residents. New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that the people who use this service experience adequate quality outcomes.
Before the visit: We looked at: • Information we have received since the last visit on 21st May 2007. • How the service dealt with any complaints and concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff and other professionals. The Visit: An unannounced visit was made on 12th May 2008 and a further visit was made on 2nd June 2008. During the visit we: • Talked with people who use the service, relatives, staff, the acting manager and visitors. • Looked at information about the people who use the service and how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills and training to meet the needs of the people they care for, • Looked around the building/parts of the building to make sure it was clean, safe and comfortable. We told the acting manager and regional manager what we found. What the service does well:
Staff were kind and considerate when helping people who use the service. People who use the service and their relatives explained the admission process; this usually includes a visit from the manager. This helps new people identify their own needs and enables staff to meet their needs during their stay. New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 6 The premises were pleasantly furnished throughout. Each of the bedrooms visited were nicely decorated and furnished. There were no unpleasant odours present in the building. A person who used the service said that he was very satisfied with the care and support provided by New Ridley Road staff and felt that staff listened to his opinions and views. A person who used the service said that he enjoyed the meals served at New Ridley Road. The acting manager adopted a positive approach to the inspection process and was willing to engage in a constructive debate about inspection outcomes. What has improved since the last inspection? What they could do better:
The home’s statement of purpose and service user guide must be reviewed and updated to reflect changes in the ownership of the home. The statement of purpose and service user guide should be made available in an easy to understand version. This will help ensure that people wishing to use the service have access to all of the information they might need to help in their decision making. A recognised system of Person Centred Planning (PCP) must be used within the home. This will help people to receive more individualised support and a better quality of life and experience. All staff to complete training in person centred planning. This will help provide staff with the skills and knowledge they need to implement PCP. Each person living at the home must have an up to date moving and handling risk assessment and management plan. Staff must be familiar with each person’s assessment and management plan and follow the guidance contained within them. This will help to ensure that people are moved and transferred in line with the risk assessments and management plans that have been New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 7 developed for use within the home and reduce risks to both staff and the people living at New Ridley Road. A person centred activity plan is devised for each individual. Staff must know how to provide stimulating activities for people with profound learning disabilities. This will help to ensure that people are able to lead a fulfilling and stimulating life that suits their needs and abilities. Staffs’ training in key statutory areas must be updated on a regular basis. This will help ensure that staff have the skills and knowledge they need to provide people with safe care. Staff must receive regular formal supervision and an annual appraisal. This will help ensure that staff are well supported, appropriately supervised and aware of their responsibilities in protecting the welfare of people living at the home. Prepare an annual development plan. This will help people who use the service, and their families, to see that there is a written programme that sets out how the home’s furnishings, fittings and fabric of the building are to be renewed, repaired and improved. They will also be able to see how the provider intends to improve the care and services provided at the home. The required fire risk assessment and prevention checks must be carried out. Staff must receive fire safety training, and participate in fire drills, at the frequency set down by the fire service. This will help protect people from serious harm and danger. The provider must undertaken monthly visits to the home in order to be satisfied that progress is being made to requirements and that people who use the serviced, relatives, management, staff and supporters are happy with the care being provided. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. New Ridley Road, 27-29 DS0000000613.V362226.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 New Ridley Road, 27-29 DS0000000613.V362226.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Admissions to the home are appropriately managed and people who use the service know how their needs will be met. EVIDENCE: New Ridley Road is registered to accommodate up to nine people with learning disabilities. On the first day of the inspection eight people were living there, with a new person about to come and live there after completing the preadmission process. As part of this process they had visited the home, had meals, stayed overnight and met other people who use the service and the staff. In this way they got to know the home before moving in. New Ridley Road has a Statement of Purpose and a Service Users’ Guide to provide service users and potential service users with information about the home. This needs to be updated to reflect changes and was not in an easy to follow format so was not helpful to people who use the service. New Ridley Road, 27-29 DS0000000613.V362226.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is adeqaute This judgement has been made using available evidence including a visit to this service. The system of care planning adopted by the home was inadequate and confusing. This meant that New Ridley Road staff did not always have clear guidance about how to meet peoples’ support needs. People who use the service are not fully consulted about or enabled to participate in decisions about their lives. The arrangements in place for assessing the risks posed to people as they lived their daily lives were not fully adequate. This meant that people might be subject to unnecessary risks and potential harm. EVIDENCE: The person centred plan format is currently being reviewed and updated. The quality of the information was not consistent. On sampling the plans in the new
New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 11 format these were found to be comprehensive care plans that assist people who use the service to receive the care they need. The acting Manager had ensured that all recorded information was reviewed and summarised on a monthly basis on the new care plans but acknowledges that all people who use the service will need to have the new format care plans. Peoples’ care records contained limited information about what choices and decisions people could make. Independent advocates had not been used to help identify what support people required to make daily choices and decisions. Risk assessments were in place but had not been consistently reviewed and updated. New Ridley Road, 27-29 DS0000000613.V362226.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The opportunities for people to develop and maintain social, emotional, communication and independent living skills, were not fully satisfactory. This meant that people did not always have positive opportunities to enjoy a full and stimulating lifestyle. People living at the home are provided with a good healthy diet. EVIDENCE: People who use the service are offered the opportunity to join in a limited range of social and leisure activities. They have the opportunity to use community facilities for leisure activities e.g. cinema, pub, meals, shopping although there were concerns that the homes transport had been out of use for a number of months. The provider has agreed that this will be addressed and
New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 13 that the use of suitable taxis service would be taken up enabling all people who use the service to enjoy activities outside of the home. People who use the service are offered the opportunity to experience some activities and leisure pursuits as well as supported where necessary to continue with hobbies and interests. There had been issues raised about reduction in day care service provided. Staff assist and encourage people to maintain family links as agreed and previous friendships, respecting the individual wishes of people who use the service. A review of menus is currently being undertaken and relatives commented on the quality and limited choice of food available. People who use the service said, “The food is good” “get plenty to eat and drink”. People who use the service were observed having a leisurely breakfast, coffee and lunch in a relaxed and social setting with good staff support evident. New Ridley Road, 27-29 DS0000000613.V362226.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The people who use the service receive personal support the way they prefer and their physical needs are met, although not always evident in their care plans. They are protected by the homes policies and procedures in dealing with medicines but storage is unsatisfactory. EVIDENCE: Some of the people who use the service are given personal choice and support in areas such as getting up, personal care and how they spend their time but this is limited for the people with more profound needs, as communication methods have not been developed. People who use the service individual health needs are identified and they are supported to access community health services such as doctor, district nurse, dentist and optician. They receive physiotherapy, psychiatry and psychology health support. New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 15 Staff training has been undertaken to provide awareness and additional support for health related needs but this needs to be further developed. No person who uses the service currently self medicate. The ordering, administration and disposal of medication was satisfactory. The medication storage was unsuitable and unsafe, as medicines were not within a suitable locked cupboard. This was raised with the acting manager who had taken steps to address this and a medicine trolley had been ordered. New Ridley Road, 27-29 DS0000000613.V362226.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints were satisfactory. This meant that people could be confident that their complaints would be listened to, taken seriously and acted upon. The arrangements for protecting people living at the home from harm or abuse were adequate. This meant that people are protected in their own home. EVIDENCE: The complaints procedure provided staff with guidance about how to handle complaints. The most recent admission to the home said that he would be happy to raise any concerns with staff. Other people living at the home were unable to comment. Neither the home, nor the Commission, had received any complaints since the last inspection. The safeguarding policy provided staff with guidance about how to handle adult protection concerns. There had been no concerns raised with either the home, or the Commission, since the last inspection. All staff had received or were about to have training in the protection of vulnerable adults. New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The facilities are designed to meet the needs of the people who use the service. It is homely, well maintained and clean. EVIDENCE: New Ridley Road was purpose built as a care home to provide personal care and accommodation for up to nine people with learning disabilities. The home’s has two inter-linked bungalows and runs as one home. New Ridley Road is comfortable and attractively furnished. Bedrooms are well presented and reflect their individual styles and tastes. The requirements relating to the environment had been. The home was very clean and tidy. New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. There are adequate numbers of appropriately skilled and experienced staff to care for the residents. The recruitment processes in place protect residents. EVIDENCE: Staffing rotas showed that there are now enough staff on duty to meet the necessary staffing levels and that the previous issues with staff has been resolved. Recruitment procedures within the home are safe. Records confirm that appropriate checks are carried out for staff. Applicants for employment complete an application form and two references are obtained. A reference from the last employer is requested, plus another. Any gaps in employment are explored at interview. Each member of staff receives a contract of employment and job description. Discussions with the acting Manager and staff and examination of individual staff training files confirmed that staff had undertaken refresher in some but not all of the mandatory training. Staff said that they are undertaking or had
New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 19 completed National Vocational Qualification in Care level 2 (NVQ) or over, with nine staff having NVQ 2 or above. The home has an induction programme and the acting manager is currently developing the training programme for all staff working in the home. Staff spoke knowledgably about the individual needs of the people who use the service but were anxious about the use of person centred planning and associated paperwork. Staff meetings are used to provide additional in-house training. New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The views of people who use the service and their families are not fully supported to underpin the development of the home. Their health, safety and welfare are not always protected. EVIDENCE: The acting manager had been in post since the turn of the year and had not yet completed the fit person process with CSCI. She has subsequently left and the provider is in the process of recruitment. There have been a number of managers in recent years and this was commented upon by staff and relatives. It was noted that the acting manager had met over half of the previous requirements. New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 21 In house quality audits were comprehensive but these were not carried out consistently. Regulation require that the provider (or their representative) visit the home on a monthly basis and this had not been done, this is concerning in the light of the previous inspection, high number of requirements and the changes to management. Fire system testing and fire drills were still not being carried out sufficiently, with gaps over a six month period. The Fire Officer recommendations had not been fully met. The acting Manager was made aware of these concerns at the first visit and had began to address them as a matter of urgency. New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 2 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 X 2 X 2 X X 2 X New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 23 Yes 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 YA1 Regulation 4&5 Requirement The registered individual must update the home’s statement of purpose and service user guide to reflect the change in provider as well as any changes made because of the transfer of ownership and to make this in a format suitable for the people who use the service. Outstanding as of 01/09/07 with some progress being made 2. YA6 15 The registered individual must provide all staff with training in preparing and implementing Person Centred Plans (PCP). Outstanding as of 01/10/07 but some progress being made 3. YA7 15 The registered individual must prepare a PCP for each person living at the home. Involve (where appropriate) the person using the service, staff, relatives, advocates and
DS0000000613.V362226.R01.S.doc Timescale for action 01/09/08 01/08/08 01/09/08 New Ridley Road, 27-29 Version 5.2 Page 24 supporting professionals. The PCP devised must be in a format that can be understood by the person to whom it refers, wherever this is possible. Outstanding as of 01/12/07 but some progress being made. 4 YA6 15 The registered individual must have within people’s PCP how their communication support needs will be met. The registered individual must provide each member of staff with appropriate training in how to communicate with people who have severe learning disabilities. Outstanding as of 01/12/07 5. YA7 12 The registered individual must use the PCP process to explore what choices and decisions each person living at the home can make and that staff provide support to enable this to happen. Outstanding as of 01/09/07 The registered individual must provide an up to date moving and handling risk assessment and management plan for each person who uses the service. Outstanding as of 01/09/07 but progress being made. 7. YA12 16(2)(m)(n) The registered individual must provide staff with training in how to provide stimulating activities for people who have learning disabilities.
DS0000000613.V362226.R01.S.doc 01/08/08 01/08/08 6. YA9 13(4) 01/08/08 01/08/08 New Ridley Road, 27-29 Version 5.2 Page 25 Outstanding as of 01/12/07 but some progress being made 8 YA23 13(6) The registered individual must ensure that all staff are clear about their safeguarding responsibilities under the Care Standards Act (2000), the Care Homes Regulations (2001), the provider’s safeguarding procedures and the Commission’s good practice guidance. Outstanding as of 01/09/07 but progress being made 10. YA35 18 The registered individual must ensure that all staff update their statutory training in the following key areas: Moving and handling; Basic food hygiene; Infection control; Health and safety. Additional training Communication skills Person centred planning Promoting continence Preventative measure for pressure area skin care. Outstanding as of 01/09/07 but progress being made 11. YA36 18 The registered individual must ensure that staff supervisions are carried out at the frequency set out in the National Minimum Standards; Outstanding as of 01/01/08 but progress being made
New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 26 01/09/08 01/09/08 01/09/08 12. YA39 21 The registered individual must make arrangements to consult with staff about their views regarding the conduct of the home, and the health and safety of people living at New Ridley Road. Prepare an annual development plan for the home. 01/09/08 13. YA42 23(4) Still within timescale The registered individual must ensure that all fire safety risk assessments; equipment testing and staff training and instruction are carried out on the given timescales. Outstanding as of 01/08/07 The registered individual must ensure that all medications are stored safely. 01/08/08 14 YA20 13(2) 01/08/08 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 YA2 Good Practice Recommendations The home’s statement of purpose should be made available in a range of different formats. A nationally recognised approach to person centred planning should be adopted for use within the home. Arrangements should be made to provide people with access to an independent advocate to assist in the development of their PCP. 2. YA6 3. YA6 New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 27 4. 5 YA13 YA37 People living at the home should be provided with opportunities to use everyday community facilities. The registered individual should appoint and submit an application for registered manager New Ridley Road, 27-29 DS0000000613.V362226.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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