Inspection on 19/04/07 for Ranmore House

This inspection was carried out on 19th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ranmore House 12/01/06

Ranmore House 02/08/05

Ranmore House 07/02/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Ranmore House 12 Fir Tree Road Banstead Surrey SM7 1NG Lead Inspector Lisa Johnson Unannounced Inspection 19th April 2007 09:15 Ranmore House DS0000058324.V333190.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 Ranmore House DS0000058324.V333190.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. Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ranmore House Address 12 Fir Tree Road Banstead Surrey SM7 1NG 01737 379481 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) ranmorehouse@tiscali.co.uk Mr Maithri Krishantha Jayawardana Mr Ranjith Hikkaduwa Liyanage Mr Maithri Krishantha Jayawardana Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One of the five adults may have a `PD` (Physical Disability) Of the five persons to be accommodated, one named person may be over the age of 65 years. 12th January 2006 Date of last inspection Brief Description of the Service: Ranmore House is a five bedded detached property situated in Banstead, Surrey. The service is registered to provide 24-hour residential care for five adults with learning disabilities. The accommodation is provided on two floors with five single bedrooms, one of which has en-suite facilities. The living area consists of two lounge/dining areas, which provide quiet areas for service users to spend time in if they wish. The service has a well-maintained and secure garden to the rear. There is ample car parking to the front of the premises. The weekly fees range from £729- £1273. Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a key inspection. The site visit was unannounced and took place over seven hours commencing at nine 9.15am and finished at Four fifty five pm. Mrs. L Johnson Regulation Inspector carried out the visit. The Registered Manager/Provider Mr.Jayawardana was present for part of this visit and Mr. Liyanage the other provider was also present for parts of this visit. Some of the people living in the home have non-verbal communication therefore their direct views about their care could not be obtained. Observations of interactions and service user responses have been recorded in this report. However the inspector was able to speak to two people to gain their views on the care provided. A full tour of the premises took place. The registered providers provided information before this visit in the form of a questionnaire. Staff training records, care plans and policies and procedures were sampled. The inspector spoke to three members of staff. The inspector would like to thank the people living in the home and staff for their time, assistance and hospitality during this inspection. What the service does well: The service provides a homely, warm and welcoming environment. The home is maintained to a good standard and well furnished. People living in the home have comfortable bedrooms. One Individual had Satellite television installed in his room and said, “staff are going to hep me choose a clock and pictures for my room”. Another individual said, “I have a dart board in my room The home has implemented detailed and comprehensive person –centred plans, which were of a high standard and have been made accessible to people by the inclusion of pictures. Plans were regularly reviewed and one individual said, “He is invited to meetings with staff”. People living in the home are supported by staff team who have a good knowledge of their individual needs. Individuals were seen to be comfortable and relaxed in the presence of staff who were able to respond well to their requests. This was seen when one person requested assistance with watching his favourite video and another individual asked staff for assistance in reading a letter. The preferences, likes and dislikes of people living in the service were clearly recorded in their care plan. One individual enjoys trains and has been supported to purchase a model railway, which was seen on display in the sitting room. Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 6 People living in the home are supported to access a range of activities. One individual said, “staff support him to go to church every week and that he was going on holiday in July”. 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. The summary of this inspection report can be made available in other formats on request. Ranmore House DS0000058324.V333190.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 Ranmore House DS0000058324.V333190.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The needs of People who use the service are assessed prior to admission to the home. EVIDENCE: Since the previous visit there have been three people admitted to the home. Evidence sampled indicated that pre admission assessments are completed prior to any individual moving into the home. A community care assessment was available and a written report was maintained of each assessment, which was sent back to the referring agency. Cultural and diversity matters are included in this process. It was recommended that the registered manager implement a structured pre- admission assessment format . Ranmore House DS0000058324.V333190.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are provided with an individual care plan, which records their individual needs and goals. Individuals are supported to make decisions about their lives with assistance and are supported to take risks as part of an independent lifestyle. EVIDENCE: Each person has a completed person centred care plan, which has been based on a full needs assessment including areas such as personal care, communication, safety, health, emotional spiritual and social skills. Three care plans were sampled which were detailed and structured with clear objectives and goals. Each plan consists of a strengths, needs, likes and dislikes section. One individual said that he attends meetings and care plans were regularly reviewed and updated. It was recommended that individuals or their representatives should sign their individual plans and where this was not possible that this should be recorded in the care plan. Two members of staff spoken with who act as key workers confirmed that they were aware of Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 10 peoples individual plans and are involved in completing monthly reviews and provided a good knowledge and understanding of the needs of individuals. One person has been referred for advocacy. Person centred plans included “What’s Important to me “which were detailed and pictures were provided throughout to assist individuals and involve them in decision making processes. Support plans for people with communication difficulties were detailed and informative. As the people living in the service had a varying range of need some individuals require support with their finances. It was therefore recommended that this information is included in their individual care plan. Comprehensive risk assessments were included in each individuals plan. Plans sampled included for community access, risk of choking, road crossing, bathing and for emotional support. Ranmore House DS0000058324.V333190.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 People who use the service experience excellent outcomes in this area This judgement has been made using available evidence including a visit to this service. People living in the home are provided with a range of appropriate activities and they are supported to take part in the local community and their rights and a responsibility are respected. The home is able to demonstrate that individuals are provided with a well-balanced and nutritious diet. EVIDENCE: The home provides a wide range of activities for people using the service to attend based on their needs and preferences. Person centred plans identified “How I Spend my week” section and during this visit a number of individuals were leaving the service to attend activities including attendance at day services. Each individual has a day at home carrying out their individual skills programme and one individual said, “ I make my bed and clean my room”. There are opportunities to go shopping and one individual says he likes to go the shop to buy a television magazine. Other activities provided included aromatherapy, visits to restaurants, bowling attending social groups and holidays provided with on person confirming that he was going on holiday in Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 12 July. It was observed that the hobbies of individuals were supported and one person said, “I have satellite television which he was pleased to show the inspector in his room”. Another individual likes trains and the home has purchased a model train set, which was seen on display in the sitting room. Some individuals maintain links with their families who have the opportunity to visit the home. Staff support one individual with letter writing. Another person has friends at the church that he maintains regular contact with. The choices and rights of people living in the home were promoted and were clearly identified in their personal plan. The religious and spiritual needs of individuals is respected. One individual chooses to attend a roman catholic church service and is supported by staff to attend and the home has prepared information books on a range of other religions which is available to people who may move into the home and for staff information and reference. People living in the service are on the electoral role. Individuals were observed to have access to all areas in the home with one person choosing to spend time on the trampoline in the garden. Staff were positively interacting and talking and responding to individuals. This was demonstrated when one person asked for help to put a video on and another individual requested help with reading a letter. Four weekly menus were provided the inspector, which were seen to be varied and well, balanced. The main meal is served in the evening. Choices and preferences are accommodated with individuals likes and dislikes recorded with pictures provided in the care plan giving clear instructions to staff. One individual said “I like cocoa before I go to bed”. During this visit the evening meal was being prepared which was nutritious and home baked cakes were observed. Ranmore House DS0000058324.V333190.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that people using the service receive personal support in the way they prefer, their physical and health needs are met and they are protected by the homes medication administration procedures. EVIDENCE: The home has introduced health action plans and care plans, which identify the likes and dislikes of individuals and their preferences. One individual told the inspector that he could have a lie in if he wished. During this visit privacy was respected when one person was getting dressed in his bedroom. Staff were observed to assist and give guidance to individuals. One individual likes to have a rest in her bedroom after lunch and her preference to choose this was respected. Staff said that one individual likes to spend some time on his own and the home has provided an area for this individual to spend quiet time separate to his bedroom. The health care needs and objectives of individuals were clearly documented in their care plans. One person requires a wheelchair when accessing the local community and a moving and handling assessment had been completed. Plans were sampled for three people concluded that they are supported to access a Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 14 range of health care professionals including a local general practitioner, chiropodist, district nurse, opticians, ophthalmic specialist and mental health specialists. Visits to health care professionals were recorded in the daily records, although registered providers were advised that a recording document would be beneficial which could be contained with the health action plan. The homes medication administration systems were examined and records were maintained adequately. A list is maintained of staff authorised to administer medication and photographs of individuals were available with their medication card. All medication administered had been signed for Protocols were in place for the administration of “As required medication”. Ranmore House DS0000058324.V333190.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that the views of people using the service are listened to and acted upon. One matter needs improvement to ensure that all staff receive updated training ensuring that people are protected from abuse. EVIDENCE: There is a complaints procedure in place and no complaints or concerns have been received since the previous visit. The inspector was shown a letter from a relative expressing their satisfaction with the care and support provided. People living in the home were observed to be relaxed in the company of staff. One individual said that he was “happy and liked living in the home”. The home has a copy of the local authority multi- agency safeguarding adult’s procedure and the home has its own procedure in place which makes reference to the local authority procedures and is formulated in pictures and was seen on display to ensure it is accessible to people living in the home. Two members of staff spoken with responded appropriately as to the action they would take if they ever witnessed any abuse and one new member of staff stated that policies had been brought to their attention during their induction in the home. One of the managers spoken with has completed the local authority safeguarding adults from abuse training and the registered manager has completed appropriate training. Two members of staff spoken with confirmed that they had attended training in safeguarding adults from abuse, however two other staff training records sampled did not indicate that these members of staff had received up to date training in this area. Therefore a requirement was made that this matter is completed to ensure that people living in the home are safeguarded from abuse. Ranmore House DS0000058324.V333190.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 & 30 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home have a well-maintained, comfortable, homely and safe environment. EVIDENCE: During this visit the home was observed to be well maintained and pleasantly furnished. The home is spacious providing a number of sitting areas for people to use. One bedroom has en- suite facilities and two other bathrooms are provided. There are plans to refurbish one bathroom. There is an accessible garden, which was well maintained and contained garden furniture and one individual was observed to be enjoying the trampoline, which had been purchased. Bedrooms were viewed as comfortable and reflected individuals preferences and interests with a range of personal possessions on display. One individual said, “Staff were going to take him shopping to buy a clock and pictures for his room” and another person said, “I have a dartboard in my room”. Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 17 The home was cleaned to a good standard and was hygienic. Separate laundry facilities were available. Adequate hand washing facilities and equipment were provided. Ranmore House DS0000058324.V333190.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 & 36 People using the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Competent and qualified staff supports people living in the home and they are protected by the homes recruitment policy and practices, although Improvement is needed to ensure that staff receive updated training ensuring that the needs of people living in the service are fully met. EVIDENCE: Adequate staffing levels are maintained in the service. During this visit there were three members of staff on duty, which is provided during the day. At nighttime a sleep in member of staff is provided and a senior manager is always available on call. The registered provider stated that these staffing levels meet the current needs of people although this would be reviewed if this changes. Pre- inspection information received indicated that the home has an equal opportunities policy and a staff team who are of mixed gender and have a range of nationalities. The home does not employ agency staff. The home provides a number of qualified learning disability nurses and fifty percent of care staff hold National Vocational Qualifications (level 2) or above. Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 19 Training records were sampled for three members of staff. Two individuals had completed training in fire safety, manual handling, health and safety and food hygiene. One member of staff spoken to stated that they needed to complete up dated mandatory training. The registered persons spoken with have recognised that this training is a priority including training in safeguarding adults from abuse and are in process of making applications. A requirement was made that this matter is completed to ensure that appropriately trained staff meets the needs of people using the service. The home has an induction programme, which was sampled, although it was recommended that the registered manager consult current good practice to ensure that the current induction training meets the required standards. Three staff personal files were sampled which contained the required information. Enhanced police checks are completed and the inspector was informed that staff are not employed until this information is received. Copies of the General Social Care of Conduct were present and one member of staff spoken with confirmed that this document had been brought to their attention. Ranmore House DS0000058324.V333190.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 & 40 People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service is able to demonstrate that people living there benefit from a home, which is well run although improvement is needed in gaining the views of service users to ensure that the home is run in their best interest. The health safety and welfare of people living in the service is mainly protected with one matter needing attention. EVIDENCE: The home is owned by Mr.M.Jayawardana, and Mr. R Liyanage who are both qualified nurses holding a learning disability nursing qualification. They both have a number of years experience in the provision of care to people with a learning disability. Mr Jayawardana is also the Registered Manager. An application is in process for another manager in the home to register with the commission who also holds a learning disability nursing qualification as the Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 21 present registered manager wishes to step down from this role. Staff spoken with say, “that the managers of the home are approachable and supportive”. One individual said that the managers are always available and contactable and one of them is always present in the home. Staff spoken with said that “there was good teamwork and that regular staff meetings are held”. The home is in the process of introducing self-audit quality assurance systems and the inspector saw documents. The home holds regular meetings for people living in the service to express their views. A range of policies and procedures have been implemented which are signed by staff to confirm that these have brought to their attention. Further improvement is needed to ensue that the views of people living in the home, their representatives and other stakeholders are sought by means of quality assurance questionnaires to ensure that the home is run in their best interests. Written records must be also maintained for monthly quality monitoring visits. Substances hazardous to health (COSHH) were stored securely and appropriately. Health and safety checks are completed including regular water temperature monitoring. Fire records were appropriately maintained with evidence observed that regular fire alarm checks and drills are completed. The pre- inspection information provided identified systems are in place for routine service and maintenance arrangements for the environment. Radiator covers were provided throughout the home except for two areas. It was required that this matter is attended to ensuring the health, welfare and safety of people living in the home. Ranmore House DS0000058324.V333190.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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 32 33 34 35 36 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 X 2 X 3 2 X 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000058324.V333190.R01.S.doc Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ranmore House Score 4 3 3 X 3 X 2 X X 2 X 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 YA23 Regulation 13(6) Requirement All staff must receive up to date training in safeguarding adults to ensure they are protected from abuse. All staff must receive up to date mandatory training ensuring the health, safety and wellbeing of people using the service. Quality assurance surveys must be conducted to gain feedback from people using the service and their representatives ensuring that the home is run in their best interests b) Written reports must be maintained of monthly quality visits. The risks must be assessed for the two uncovered radiators in the home ensuring the health and safety of people using the service. Timescale for action 19/07/07 2 YA35 18 (C) (i)(ii) 24(3) 26 19/08/07 3 YA39 19/06/07 4 YA42 13(4)(a) (c) 05/05/07 Ranmore House DS0000058324.V333190.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 2 Refer to Standard YA2 YA6 Good Practice Recommendations The registered person should consider implementing a preadmission form. It is recommended that people using the service and/or their representatives should sign their care plan to agree. Where this is not possible this should be recorded on the care plan. It is recommended that where people who require support to manage their finances that this information be recorded in their individual care plan. It I recommended that the registered person consider referring to the Skills for Care guidance to ensure that the homes induction training meets the required standards. 3 4 YA7 YA35 Ranmore House DS0000058324.V333190.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Burgner House 4630 Kingsgate Cascade Way Oxford Business Park South Cowley Oxford, OX4 2SU 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 © 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 Ranmore House DS0000058324.V333190.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. 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