Inspection on 10/10/06 for Perrywood House

This inspection was carried out on 10th October 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Perrywood House 09/10/08

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Perrywood House 78 Rockingham Road Kettering Northants NN16 9AA Lead Inspector Mrs Kathy Jones Unannounced Inspection 10th October 2006 01:40 Perrywood House DS0000067630.V314709.R02.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 Perrywood House DS0000067630.V314709.R02.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. Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Perrywood House Address 78 Rockingham Road Kettering Northants NN16 9AA 01536 522151 01536 522671 kathrynclark@btconnect.com www.consensussupport.com Consensus Support Services Limited 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 Caroline White Care Home 7 Category(ies) of Learning disability (7), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within the category of MD, Mental Disorder excluding Learning Disability or Dementia, may be admitted to Perrywood House unless that person also falls within the category LD, Learning Disability i.e. Dual Disability The maximum number of persons to be accommodated within Perrywood House is 7 This is the first inspection since registration under Consensus Support Services Limited. 2. Date of last inspection Brief Description of the Service: Perrywood House provides personal care, support and accommodation for up to seven people with Prader-Willi syndrome. Perrywood House is part of Gretton Homes and has been owned by Consensus Support Services Limited since 05/06/06. Perrywood House is located on the outskirts of the town centre of Kettering, close to shops, other local amenities, health centres and public transport. Residents are all accommodated in single bedrooms with en-suite facilities. The house is indistinguishable from other large houses in the area. There are three storeys with a shared lounge and dining room on the ground floor. All bedrooms are single and have en-suite bathrooms. The following fees were provided by the registered manager as being current at the time of submission of the pre-inspection questionnaire on 15 August 2006: • Fees range between £1,486.39 and £2,353.44. The fees include personal care, accommodation, meals and laundry. Additional charges include hairdressing at a cost of £2.50 to £15. Other costs include personal toiletries and make up, papers, magazines and comics. Gretton Homes provide £130 and a meal allowance towards the annual holiday. Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. All standards identified as ‘key’ standards and highlighted through the report were inspected. The key standards are those considered by the Commission to have a particular impact on outcomes for residents. Inspection of the standards was achieved through review of existing evidence, pre-inspection planning, an unannounced inspection visit to the home and drawing together all of the evidence gathered. The pre-inspection planning was carried out over the period of two and a half hours and involved reviewing the service history, which details all contact with the home including notifications of events reported by the home, telephone calls and any complaints received. A pre-inspection questionnaire submitted by the registered manager, two comment cards from residents, two from general practitioners, four from social workers and one from an advocate. This was the first inspection carried out since the registration of the current owners, therefore there were no previous inspection reports relevant to the service. The information gathered assisted with planning the particular areas to be inspected during the visit. The unannounced inspection visit covered the afternoon and early evening of a weekday. The inspection was carried out by ‘case tracking’ which involves selecting residents’ and tracking their care and experiences through review of their records, discussion with them, the care staff and observation of care practices. Two residents spoke with the inspector during the inspection however all were offered the opportunity. The management of residents’ medication was reviewed and a sample of staff files were reviewed to check the adequacy of the recruitment procedures Communal areas were viewed and observations were made of residents’ general well being, daily routines and interactions between staff and residents. Feedback on the inspection findings was given to the registered manager during the inspection. What the service does well: The strengths of the service can be summarised best by comments received from a resident in a questionnaire received prior to the inspection. “The home is the fantastic place I could ever be because staff have helped me. My health is a lot better being on a diet and exercise twice a day. You can go home as often as you can. Gretton Homes deal with PWS (Prader-Willi Syndrome) really well” Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 6 The comments made were all supported by comments received from other residents and professionals involved with the residents. Residents views of their care and support needs are taken into account prior to moving to the home and then following admission they are involved in agreeing the support that they need from staff. Residents have weekly programmes, which include a wide range of activities based on their particular needs and interests. The activities include college courses, community activities such as visiting the cinema or pub, church services, trips out, clubs such as a swimming club. Residents spoken to were very positive about the exercise and healthy eating programme and saw it as being beneficial to their health and well being. As described above in one resident’s comments they were full of praise for the support given by staff. The premises are well decorated and comfortably furnished providing a pleasant and relaxing environment for residents. Perrywood House is well managed. Staff are committed to meeting the needs of residents and staffing levels, recruitment and training are good. 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. Perrywood House DS0000067630.V314709.R02.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 Perrywood House DS0000067630.V314709.R02.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, 4 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The admission process takes account of prospective residents views and provides assurances that their needs can be met. EVIDENCE: Questionnaires received from two residents prior to the inspection confirmed that they felt that they had received enough information about the home before moving in and that they had been asked if they wanted to move in. A resident told the inspector during the inspection that they were happy with their decision to move to the home and that it met their expectations. There is quite a thorough and lengthy assessment process, which starts with obtaining information from the prospective resident and their family and information from the placing authority. This information was in place on the residents care file, it provided clear information about the resident’s needs and showed that the prospective resident’s needs had been taken into account. Information requested from families includes individual hobbies and interests and cultural and religious needs. The registered manager advised that the next step was a home visit to the prospective resident and their family however there were no records on file to Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 9 evidence this part of the assessment process. The inspector was advised following the inspection that in this particular case it was decided that a home visit was not necessary. Following the gathering of information if it is decided that the prospective residents needs are likely to be met at Perrywood House the resident will start a series of assessment stays at the home which vary in length according to individual needs. Residents told the inspector that they are able to give their views as to if their needs are being met and that these are taken into account. A questionnaire received from a resident stated that it was their decision to move to the home. A completed questionnaire received from a professional involved in the placement of a resident described the first visit to the home and said that they were made very welcome and were impressed by the professionalism. Records reviewed for one resident during their assessment period showed that good daily notes had been kept, which showed how the resident was settling into the home and the activities and outings that they had been involved in. Perrywood House DS0000067630.V314709.R02.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 judgement has been made using all the available evidence including a visit to the service. Residents are encouraged and supported to make decisions about their lives, increase independence and achieve their personal goals. EVIDENCE: Residents said they were fully involved in the development of their care plans and discussion with staff identified that they have a good understanding of residents’ needs. There are regular staff meetings where residents’ needs are discussed and information from the assessment process is available to staff. Discussion with staff identified that care plans are not routinely developed until towards the end of the three month assessment stay and records for one resident showed that the only care plans in place two and a half months in to the resident’s stay were for self care skills. Care plans are considered to be important documents to guide staff in ensuring that residents receive appropriate care and support based on their assessed Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 11 needs. Advice was given to the registered manager to consider developing an interim care plan and to have this in place from admission. Discussion with residents and staff identified that staff encourage residents to develop their independence and work towards achieving personal goals and being supported to take responsible risks. On the day of the inspection a member of staff had gone into the town centre with a resident and described how staff were working with the resident to build skills and confidence in order that the resident is able to go to the local shop independently. The registered manager discussed some planned changes to the care planning system, which would identify more clearly how residents’ are working towards achieving personal goals. Residents are encouraged to make decisions about their lives; an example of this given by a resident was choosing college courses. Perrywood House DS0000067630.V314709.R02.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): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. Residents’ are supported and encouraged to lead fulfilling lives. EVIDENCE: Residents said they have busy lives and enjoy a wide range of activities based on their individual needs and interests. Each resident has an individual timetable, which identifies educational and leisure activities and these indicate that efforts are\made to find particular activities at which individuals can excel. For example one resident is particularly good at swimming and has joined a local swimming club, another enjoys archery and staff have contacted local clubs. Residents seemed happy with the structure of the timetable however there is some flexibility. A questionnaire from a resident stated, “You don’t have to do everything on the timetable because you are not forced to do something you don’t want to.” Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 13 Many of the activities that residents take part in are community based activities, such as the cinema, bowling. Trips out to places such as country parks are arranged at weekends. On the evening of the inspection residents were going out to a local pub for a drink. Staff advised that residents get on well together as a group and usually enjoy going out together however they have the choice to stay at home. Residents also have allocated time within their timetable to relax in the house and pursue individual hobbies such as cross stitch. Any cultural or religious needs are taken into account in the development of residents’ weekly planner with at present four residents choosing to attend church. Residents said that they are able to invite friends and families to the house. The routines of the home are based around residents’ needs and their programme of activities. Staff are respectful of residents’ privacy and their bedrooms are seen as their personal space. A resident said that there are staff who cook and clean however residents are also expected to develop their daily living skills and do some domestic duties on a rotational basis. Domestic duties include hovering and dusting, mopping and sweeping floors and tidying rooms. Residents also take it in turns to make drinks at meal times. Due to residents’ all having Prader-Willi Syndrome, meals are carefully planned around ensuring that residents’ calorie intake is appropriate for the individual. The menus are varied; take account of individual preferences and two residents spoken with said they were happy with the meals provided. The teatime meal served on the day of inspection looked appetising. Perrywood House DS0000067630.V314709.R02.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 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. Residents receive encouragement and any necessary support to manage their health with healthcare services and advice accessed appropriately. EVIDENCE: Residents spoken with were happy with the personal support they receive. Records and discussion with staff confirm that the emphasis is on encouraging residents to be as independent as possible with personal care. Routines for getting up and going to bed are based around individual activity programmes. Records show that healthcare services are accessed appropriately for residents and discussion with staff confirmed that where a residents’ needs change or difficulties arise in meeting needs advice is sought from relevant health professionals. Comments received in questionnaires from two General Practitioner practices confirm that staff communicate clearly with them, work in partnership and have a clear understanding of residents needs. Residents are supported in leading healthy lifestyles and exercise and diet form a major part of this. Residents have a good insight into their condition and a Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 15 questionnaire from a resident stated “my health is a lot better being on a diet and exercise twice a day”. A sample check of residents’ medication confirmed that the management of medication is good, with records kept of medication received and administered. A staff member advised that they had received training in the management of medication and training records confirm that all staff have received this training. Perrywood House DS0000067630.V314709.R02.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 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. Residents feel able to talk to someone if they have concerns and feel safe in the home. EVIDENCE: The Commission for Social Care Inspection have received no complaints. Questionnaires from four social workers, two general practitioners and an advocate state that they have received no complaints about the service. The registered manager advised that no complaints have been received by the organisation. Questionnaires received from two residents and discussion with two residents during the inspection confirmed that they have someone who they can talk to if they have any concerns or wish to make a complaint. They confirm that carers listen and act on what they say and one resident described staff as very understanding and supportive. Staff spoken to were aware of their responsibilities in relation to safeguarding the residents in their care and residents said they felt safe. Perrywood House DS0000067630.V314709.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. The home was clean, comfortable and in good decorative order providing a pleasant environment for residents. EVIDENCE: Communal areas of the home were viewed during the inspection. Residents individual rooms were not viewed on this inspection however two residents spoken to were very happy with their rooms. A member of staff took a resident out shopping during the afternoon to buy some additional storage boxes to organise their belongings in the room. The standard of décor and furnishing in the house is very good providing a pleasant and relaxing environment for residents. Residents’ choices are taken into account and a resident said when they moved into the house they were asked if they would like to change the colour scheme in their bedroom. Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 18 The house was clean and tidy and residents said they are involved in helping to maintain good standards of cleanliness. The registered manager advised that the kitchen has recently been refitted. Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. Staff training, recruitment procedures and staffing levels provide good care, support and protection for residents’. EVIDENCE: A questionnaire from a resident stated, “The staff are very fantastic and very understanding and supportive”. Discussion with two residents during the inspection confirmed this view. Staffing levels appeared sufficient to meet the needs of residents. Residents said there are enough staff to give them the support that they need and allow for some one to one time. Records and discussion with staff show that there is a commitment to staff training. For example training records show that 50 of the staff team hold a National Vocational Qualification (NVQ) at level 2 or above. The qualification is one particularly designed for staff working with people with a learning disability and provides them with a basic understanding of care practices. Two more staff have enrolled on the course. Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 20 Staff training is based around meeting the needs of residents. For example the induction process includes providing staff with an understanding of PraderWilli Syndrome. The registered manager advised that there is also a reference file that staff can access as a refresher. Additional training has been arranged for staff on de-escalation techniques on the advice of a health professional to meet the specific needs of a resident. A sample check of staff records was carried out to check the adequacy of the recruitment process. At the time of the inspection some of the staff files were incomplete, as some of the information had not been forwarded to Perrywood House from the human resources department. However following the inspection the additional information to confirm that references and criminal record bureau clearances had been received as part of the recruitment process was forwarded to the Commission for Social Care Inspection. The registered manager advised that she intended to check all staff files to ensure that all of the necessary information is available to confirm a thorough recruitment process. The registered manager advised that staff are recruited on a six month probationary period to ensure they are able to work effectively with residents. Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39,42 Quality in this outcome area is good. This judgement has been made using all the available evidence including a visit to the service. Perrywood House is managed in the best interest of residents. EVIDENCE: Perrywood House is managed in the best interests of residents. The registered manager is experienced and has achieved a registered managers award. The registered manager works on a shift system, which ensures that she is aware of the running of the home and how residents’ needs are met at different times of the day. No concerns were identified about the quality of care in the home. From discussion with the registered manager there are elements of a quality assurance system in place, though she was not aware of a formal quality assurance programme. However information received from the new organisation indicated that there may be a process for carrying out quality audits. Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 22 Residents are encouraged to raise issues as and when they arise and there are also residents’ meetings and care plan reviews, which give another opportunity. The minutes of the residents’ meetings indicate that residents are happy to raise issues and are confident that they will be addressed. Unannounced visits by a representative of the organisation are considered to be important in monitoring the standards of care provided to residents. While senior managers appear to visit the home regularly, records indicate that the formal unannounced visits specifically to monitor quality issues are not occurring every month as required. It was agreed that the registered manager would follow this issue up to ensure that all reports had been forwarded to her. The pre-inspection questionnaire submitted by the registered manager confirms that regular servicing and maintenance checks on the premises and equipment are carried out. For example servicing of the central heating system and fire equipment. Health and safety checks are carried out and the registered manager advised these are done by an independent organisation that also advises on health and safety matters. Records confirm that staff receive appropriate training in safe working practices. Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 23 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 X 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations Care plans should be developed with residents at the point of admission. Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Perrywood House DS0000067630.V314709.R02.S.doc Version 5.2 Page 26 - 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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