Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/06/06 for Raglan House

Also see our care home review for Raglan House for more information

This inspection was carried out on 13th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a comfortable, clean and homely atmosphere for a well established group of residents. Residents are supported by an experienced staff team who are committed to upholding the aims and objectives and normalisation ethos of the home. Staff receive training to ensure they remain competent in undertaking their duties and responsibilities. Staff have a good understanding of residents needs in order to meet them sufficiently. The views of residents are sought and the service is tailored to meet the needs of the individuals. Residents are supported to maintain links with the community, to maintain independence and to lead fulfilling lives. The health care needs of residents are carefully monitored and the home has good working relationships with other professionals from both Health and Social Care Agencies. One comment card read, "they communicate any problems clearly & act on our advise well" Staff continue to be aware of maintaining a balance between offering external activities and respecting peoples age and needs.The home offers a nutritious diet, consulting with individuals as to their preferences. The home is well managed by the new owner Mrs Kelly and her business partner Mr Patrick Matthews. Mrs Kelly owns and manages the home and is a positive "hands on " provider who continues to enjoy the day to day work with and for the residents. One resident described Raglan House "as my home" another said "Caroline (Registered provider) is really lovely I can tell her anything".

What has improved since the last inspection?

The staff training matrix has been reviewed and the new owner is keen to invest in staff training. The lounge has been redecorated and new fixtures and fittings purchased. Two residents have Person Centred Plans, which are easy to read and reflect their personal interests, aspirations and practical needs. The Registered providers have purchased a new vehicle, which is accessible for all the residents.

What the care home could do better:

The dining room needs to be redecorated, however, please note this work is planned for July 2006. Consideration needs to be given how the physical environment of the home might need to be adapted in the future to meet the needs of the older residents. The Registered provider has already approached the Borough Council concerning the viability of having a ramp installed to ease access to the rear of the building. The Registered provider needs to relocate the laundry facilities from the staff room into a more suitable area. Work needs to continue to update the policies and procedures, which were operational at the time the new Registered providers purchased Raglan House.

CARE HOME ADULTS 18-65 Raglan House 3 Carlton Road South Weymouth Dorset DT4 7PL Lead Inspector Marion Hurley Key Unannounced Inspection 13 & 14th June 2006 11:00 th DS0000065962.V300094.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 DS0000065962.V300094.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. DS0000065962.V300094.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Raglan House Address 3 Carlton Road South Weymouth Dorset DT4 7PL 01305 784192 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) raglanhouse.hotmail.com Mrs Caroline Elizabeth Kelly Mr Patrick James Matthews Care Home 7 Category(ies) of Learning disability (7) registration, with number of places DS0000065962.V300094.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. As at present, one named person (as known to CSCI) to be accommodated in the category of mental disorder. Four named people (as known to CSCI) to be accommodated in the category of LD(E) and three people in the category of LD (18-65). Date of last inspection Brief Description of the Service: Raglan House is a registered care home accommodating seven adults who have a learning disability within the category of Young Adult (18-65). Four of the residents now fall in the Older Peoples category being over the age of 65 years. There is currently one vacancy. The service aims to promote normal living, autonomy and choice for all the residents in accordance with their individual assessed needs, abilities and preferences. On the ground floor there is a lounge, kitchen and dining room, two bedrooms, a toilet, utility area and short walk way/porch through to a separate activity room. On the first floor there are four bedrooms, a bathroom and separate toilet. On the top floor there is a staff room, separate staff sleeping in room and bathroom. The property is situated on a corner plot having garden on three sides. Level access is available from the front of the house and via steps from the rear of the building. At this stage none of the residents living at Raglan House require the use of any aids or adaptations but as four people are already in the Older People category consideration will need to be given as to how adaptations and/or aids could be safely installed in this older style property to ensure residents can continue to access the home. Raglan House is within easy access of local amenities that include shops, a leisure centre, a park and the main sea front. There are both local and out of town bus and train services to Dorchester and Wareham, Poole and Yeovil. Visitors are always welcome and copies of previous inspection reports available. Raglan House has off street parking for two vehicles. Current fees are £350:00 per week. DS0000065962.V300094.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place over five hours and was carried out as an unannounced inspection. Discussions were held with the Registered provider Mrs Kelly, two members of the staff team and four residents. Care plans for three residents were examined and records and documentation checks completed. The Registered provider and staff were available throughout the inspection and were helpful and able to provide the appropriate information needed. No additional visits have been undertaken since the last inspection in November 2005. There have been no reported accidents or incidents and no complaints or concerns have been raised internally or to the CSCI. A total of 5 comment cards were returned from health and social care professionals with no identified concerns. What the service does well: The home provides a comfortable, clean and homely atmosphere for a well established group of residents. Residents are supported by an experienced staff team who are committed to upholding the aims and objectives and normalisation ethos of the home. Staff receive training to ensure they remain competent in undertaking their duties and responsibilities. Staff have a good understanding of residents needs in order to meet them sufficiently. The views of residents are sought and the service is tailored to meet the needs of the individuals. Residents are supported to maintain links with the community, to maintain independence and to lead fulfilling lives. The health care needs of residents are carefully monitored and the home has good working relationships with other professionals from both Health and Social Care Agencies. One comment card read, “they communicate any problems clearly & act on our advise well” Staff continue to be aware of maintaining a balance between offering external activities and respecting peoples age and needs. DS0000065962.V300094.R01.S.doc Version 5.2 Page 6 The home offers a nutritious diet, consulting with individuals as to their preferences. The home is well managed by the new owner Mrs Kelly and her business partner Mr Patrick Matthews. Mrs Kelly owns and manages the home and is a positive “hands on “ provider who continues to enjoy the day to day work with and for the residents. One resident described Raglan House “as my home” another said “Caroline (Registered provider) is really lovely I can tell her anything”. 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. DS0000065962.V300094.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 DS0000065962.V300094.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 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. There have been no admissions to the home for over two years. EVIDENCE: The present group of residents living at Raglan House are very established and for some people Raglan House has been their home for many years. There have been no admissions for over two years. However, the Registered provider is aware of her roles and responsibilities in relation to ensuring the admission of prospective residents is in line with requirements stated in the National Minimum Standards. DS0000065962.V300094.R01.S.doc Version 5.2 Page 9 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 is adequate. This judgement has been made using available evidence including a visit to this service. Care Plans provide staff with the information they need to satisfactorily meet the residents’ individual needs. The home ensures that arrangements are in place to meet the identified health care needs of the residents. The documentation confirms that residents receive support and assistance from staff in order to make decisions about their lives. Records are stored and handled in a confidential manner. DS0000065962.V300094.R01.S.doc Version 5.2 Page 10 EVIDENCE: The home has gathered a wealth of information about each individual’s life, their likes and dislikes, lifestyle choices and any significant events in their lives. Medical and social histories are recorded for each resident and this information helps staff understand the residents’ emotional and physical well being. Information was in place to guide and direct staff concerning the type and amount of support each resident requires and likes e.g. with personal care, emotional support, healthcare, preferred daily routines, social activities and communication. However, despite the records containing valuable information the current written format of the assessments and care plans are not easy to read and not in a suitable format for the residents. The Registered provider is very aware of this problem and is working to replace the existing style of records with person centred files for each resident. Although staff were clearly able to demonstrate a sound understanding of the diverse and changing needs of individual residents and were able to provide clear examples of how these were being met, the records did not reflect the same level of detail. Reviews of the care plans need to be meaningful providing a record of any significant changes in the residents’ well being and how their changing needs continue to be met. Daily records, routines and observations during the inspection showed that residents are encouraged and supported to make decisions and choices about their daily lives and future planned choices.e.g. choosing new fixtures and fittings and colour schemes for the lounge, menus, and holidays/ outings. Personal risks arising from activities are assessed, however, more details stating how the resident needs to be supported to manage the risks would enhance these records. Records are held securely and the Registered provider was aware of talking about individuals in a confidential private manner. DS0000065962.V300094.R01.S.doc Version 5.2 Page 11 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 is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to maintain family contacts and to participate in activities within the local community. Dietary needs of the residents are well catered for with a balanced and varied selection of food available. EVIDENCE: Three residents showed the inspector their bedrooms, which were highly individualised and, as well as being comfortable, reflected their interests and enthusiasm. All three residents said that they enjoyed living at the home and got on well with the staff. All three residents were enthusiastic and communicative. Residents talked about the different things they do which included, annual holidays, picnics, shopping trips, going to the theatre, and outings with clubs i.e. Gateway Club and Mind Alive. The home has recently purchased its own vehicle an RV- People Carrier. DS0000065962.V300094.R01.S.doc Version 5.2 Page 12 Some residents attend local day services, others, access Colleges. One resident described their day, which had included doing some local shopping, and then a visit to the dentist. Residents are supported to manage their financial affairs and all monies held on their behalf are kept securely in the safe. Residents are encouraged and supported to make financial choices when out shopping or on trips and holidays. The home follows a four weekly menu plan, although the set menu is flexible and may change according to the day’s plans and activities. The range of meals provided continues to be appropriate. It is evident that individuals are offered regular drinks and snacks during the course of the day and there are no restrictions on accessing the kitchen if any of the residents wish to make another drink or snack. Staff keep a record of all meals eaten. One resident enjoys helping with household tasks and regularly lays the two small tables ready for tea. It was evident that this person enjoys helping out and set about the task enthusiastically. DS0000065962.V300094.R01.S.doc Version 5.2 Page 13 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 is good. This judgement has been made using available evidence including a visit to this service. Routines are flexible and based around the wishes of the residents, with their preferences respected. The healthcare needs are met including the safe handling and administration of their medication. EVIDENCE: The three care plans examined provided documentary evidence that the views of residents are taken into account and acted upon. Routines are flexible according to residents’ needs and wishes e.g. mealtimes, participation in activities. Some residents are involved in the preparation of food and in keeping the kitchen tidy and other household duties. It was evident through available documentation that appropriate access to health care services and the promotion and maintenance of health for each resident continues. The home continues to support residents with visits to GP, dentist, chiropody and optician. Where necessary individuals’ psychological health needs are monitored and reviewed regularly. DS0000065962.V300094.R01.S.doc Version 5.2 Page 14 There appeared to be a very positive relationship between staff and residents A member of staff described how they supported one of the residents with their personal care. It was evident from this discussion that the preferences of the resident are acknowledged and their privacy respected. The Registered provider told the inspector of the processes for administering, recording, storing and disposal of medication. They demonstrated a sound understanding in this area. All staff have successfully completed an accredited training course in Medicine Administration. The Pharmacist representing the Primary Care Trust reviewed the medication procedures in June 2006. There were no issues arising from this review. DS0000065962.V300094.R01.S.doc Version 5.2 Page 15 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 is good. This judgement has been made using available evidence including a visit to this service. Residents are listened to and the home has appropriate procedures in place in order to respond to any concerns raised. Staff have received training in the protection of individuals from possible risk of harm or abuse. EVIDENCE: The complaints procedure for the home is provided in both a standard written format and is also available on an audiotape, which is suitable for the residents. Information as to how to complain or raise a concern is provided within the Statement of Purpose/Service User Guide. No complaints have been recorded in the complaints log or received by CSCI since the previous inspection. It was evident through discussion with residents that they are confident in raising any concerns and that they would be able to go to any member of staff with any issues of concern. One resident said, “I can talk to them all” another said, “they are very good, I like them they look after me.” There are appropriate policies and procedures in place ensuring the protection of vulnerable adults. All staff have attended POVA training. DS0000065962.V300094.R01.S.doc Version 5.2 Page 16 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 is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is generally good providing residents a comfortable, clean and homely environment. EVIDENCE: A tour of the building and garden was undertaken during the inspection and three residents showed the inspector their bedrooms. The home is in keeping with the local community, and is near to local shops and amenities. There are bus services available for access to other parts of the town and both bus and train services to other towns and districts. Raglan House provides a suitably furnished home that meets the needs of the individual residents. Residents said they had been involved in choosing the wallpaper and furniture and fittings for the recently decorated lounge. Two of the residents described the shopping trip to choose the wallpaper, which was clearly an enjoyable and important event. DS0000065962.V300094.R01.S.doc Version 5.2 Page 17 Residents’ bedrooms are individualised through their personal possessions. One resident said they always locked their door and were responsible for their own key. The home is well lit and ventilated and the newly decorated lounge is attractive and light. All areas of the house were clean, hygienic and odour free. The laundry is currently located in the staff room and needs to be relocated where the walls and floor are readily cleanable i.e. floor and wall finishes which are impermeable. This recommendation was discussed with the Registered provider who hopes to move the laundry equipment in the near future and thereby fully meet the standard. (30.4) DS0000065962.V300094.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 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 is good. This judgement has been made using available evidence including a visit to this service. There is an effective staff team employed at the home with varying levels of qualifications and experience. The recruitment procedures and records are well maintained. There have been no staff changes for over two years. Staff are up to date with statutory training in order to carry out their responsibilities competently. The staff team understand their roles and responsibilities in order to meet the needs of the residents. EVIDENCE: Details of staff employed were provided and staff rotas available. Discussions with the Registered provider, regarding the home’s practises in respect of staff recruitment, training and supervision confirmed their DS0000065962.V300094.R01.S.doc Version 5.2 Page 19 knowledge of the requirement and the implementation of good practice. Associated records were examined and all were satisfactory. The two members of staff spoken with clearly understood and believed in the values and aims of the home. All interactions observed between staff and residents were warm and friendly. The target of 50 of staff with at least NVQ 2 has been achieved, and two staff have NVQ 3 and a third has just commenced this level of training. The Registered provider Mrs Kelly has completed NVQ level 4. There are clear instructions in place for staff to follow in relation to daily and weekly household tasks and staff are expected to sign to indicate they have completed tasks. There are currently 7 staff employed at the home. Shifts commence daily at 15:00 and include the sleep in duty. There are currently no waking night staff on duty. The Registered provider has over the years recruited and maintained a reliable and positive team of people to work at Raglan House. DS0000065962.V300094.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 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 is good. This judgement has been made using available evidence including a visit to this service. The home is well managed with suitable systems and arrangements in place to promote the health, safety and welfare of the residents and staff. The Registered provider and staff demonstrated an understanding of their roles contributing to the smooth running of the home. This benefits residents by providing them with a stable and comfortable home. The record keeping relating to health and safety, routine equipment checks and servicing is good and this attention to detail ensures the home is run with the residents ’ rights and best interests foremost. EVIDENCE: The Registered provider, Mrs Kelly is very open and approachable and observations throughout this inspection noted the comfortable rapport both staff and residents have with Mrs Kelly. Staff spoken with were knowledgeable DS0000065962.V300094.R01.S.doc Version 5.2 Page 21 about aspects of their work and about individual residents. Residents said they enjoyed living in the home and got on well with staff. A variety of differing records evidenced that there are arrangements in place to monitor individuals health, safety and welfare, these include menus and food safety, water temperatures, care plans including specific medical arrangements, staff rota and training. The fire log was up to date with checks on all fire equipment being completed. Records examined evidenced that all staff had attended regular fire training and drills. The arrangements for the reporting and recording of accidents and untoward incidents in the home for both residents and staff were satisfactory. The Registered provider, having only taken over the business in December 2005 is still evaluating and auditing the current practises and hopes to develop more procedures in a format that the residents can easily understand. The Registration certificate and Insurance certificate were appropriately displayed. DS0000065962.V300094.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 X 2 3 3 X 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 x 30 2 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 2 3 X 2 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 DS0000065962.V300094.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 YA39 Regulation 24 Requirement The Registered Provider must produce formal quality assurance and quality monitoring systems, based on seeking the views of service users, which measure success in achieving the aims, objectives and statement of purpose of the home. Please note the Registered Provider has already started to address this requirement. Timescale for action 31/10/06 DS0000065962.V300094.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations The registered provider needs to develop care plans in a format that residents can easily understand. The Plans should describe the services and facilities to be provided by the home, and how these services will meet current and changing needs and aspirations for each resident. Please note the Registered Provider is just introducing Person Centred Plans. Risk assessments are completed but would benefit from being more personalised and descriptive of the individuals’ needs and abilities specifically relating to indivual risks and how these may be minimised. The Registered provider must be mindful that the home’s premises are suitable for its stated purpose; accessible, safe and well maintained to meet residents’ current and changing needs. Please note the Registered Provider has discussed adaptations with the Borough Council. It is recommended the laundry be relocated to ensure all elements of the standard can be fully met. The laundry equipment needs to be located in an area where the floor and walls can be easily cleaned i.e. having impermeable finishes. 2 YA9 3 YA24 4 YA30 DS0000065962.V300094.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 DS0000065962.V300094.R01.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!