Inspection on 01/10/07 for Ravensknowle Road

This inspection was carried out on 1st October 2007.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ravensknowle Road 21/11/06

Ravensknowle Road 25/01/06

Ravensknowle Road 13/10/05

Ravensknowle Road 08/03/05

Ravensknowle Road 17/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Ravensknowle Road 128 Ravensknowle Road Dalton Huddersfield West Yorkshire HD5 8DN Lead Inspector Alison McCabe Key Unannounced Inspection 1st October 2007 1.00pm Ravensknowle Road DS0000026327.V352038.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 Ravensknowle Road DS0000026327.V352038.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. Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ravensknowle Road Address 128 Ravensknowle Road Dalton Huddersfield West Yorkshire HD5 8DN 01484 536080 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) lmacdonald@bridgewoodtrust.co.uk Bridgewood Trust Limited Ms Mary Catherine Monaghan Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st November 2006 Brief Description of the Service: Ravensknowle Road is a care home providing personal care and accommodation for eight adults with learning disabilities. It is operated by the Bridgewood Trust, a voluntary organisation that provides a range of services to adults with learning disabilities. The home is situated in the Dalton area of Huddersfield, adjacent to a park and a short distance from shops and community facilities. There is a bus route within close proximity and Huddersfield town centre is a ten minute drive away. The home consists of an adapted detached property built over three floors with a stair lift between the ground and first floor and ramped access to the front door. All the bedrooms in the home are for single occupancy, one of which has ensuite facilities. The home has a garden and there is a car park to the front of the building. The current scale of charges at this home is £350.56 - £466.24. All individuals living at the home contribute towards transport costs. The service provider ensures that information about the service is available to prospective and current individuals by way of the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit to this home was unannounced and conducted between the hours of 1pm and 5.15pm. As part of this inspection, information provided by the home’s manager in advance of this visit has been used. This included information about people living at Ravensknowle Road, their relatives and professionals involved with them, so that surveys could be sent out asking their opinions about the service. Completed surveys were received from eight people living at the home, two relatives and one care manager. Staff surveys had not been returned at the time of this report. The manager explained that as they had been addressed to her, and she had been in annual leave, these had not been distributed to staff. Any issues of concern raised in completed surveys from staff will be addressed directly with the home and referred to in the next inspection report. During the visit, the inspector had the opportunity to meet with the manager, and people living at the home. Time with staff was limited as there was only one staff member on duty at the time due to staff sickness. The inspector saw communal areas of the home and looked at records relating to staff, management and people living at Ravensknowle Road. The inspector would like to thank all those involved for their hospitality and assistance during this visit. What the service does well: Before people move into the home, their needs are properly assessed. Staff empower and support people to make decisions about their own lives and take reasonable risks. Excellent opportunities are offered to people to participate in a variety of activities both in the home and in the community Staff offer good support to people to enable them to maintain contact with their families and friends. Good food is provided. Individuals are supported to have their health and personal care needs met. Medicine management is good. The home has a clear complaints procedure and people know how to use this. Ravensknowle Road is a clean and comfortable environment. Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 6 Staff have positive relationships with the people living at the home. Staff receive training relevant to the service they are providing. Recruitment practice is good. All the required checks on staff are carried out before they work at the home. People benefit from living in a well run home with an effective staff team. There are good policies and procedures in place to protect individuals from harm or abuse. The home is good at seeking the views of the people who live there. 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. Ravensknowle Road DS0000026327.V352038.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 Ravensknowle Road DS0000026327.V352038.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 quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People needs are appropriately assessed before they move into the home. EVIDENCE: Since the last inspection, there have been no new admissions to the home, and the same eight people continue to live at Ravensknowle Road. Those records looked at contained evidence that individuals’ needs are assessed prior to them moving into the home. All people living at the home completed a survey as part of this inspection and all indicated that they were given sufficient information about the home to help them decide if it was the right place for them. Ravensknowle Road DS0000026327.V352038.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 adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported to make decisions about their lives and take reasonable risks as part of an independent lifestyle, however further development of some areas of individual care plans and risk assessments is necessary to ensure that consistent care is being delivered. EVIDENCE: Care plans relating to all individuals were examined. Whilst there is some good information available about how to meet individuals’ needs, some areas were rather vague and would benefit from more detail. Care plans did not always include relevant information about areas where people need support. Goals are identified and agreed for individuals however there was not always evidence to demonstrate whether or not these had been met. Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 10 Risk assessments are in place, however there is a lack of clear understanding about assessing and managing risks. Some of the information seen in individuals’ records indicated that potential risks to people had not always been appropriately assessed. It was noted that information that should be part of the care plan had been identified as risks when there was no evidence to suggest that there was any risk. For example, an identified risk was recorded as ‘personal appearance’, with the action to minimize the risk recorded as ‘needs help putting on a tie’. The manager reported that all care plans and risk assessments would be reviewed soon as new formats had been introduced; she had been instructed by her seniors not to change care plans until the new system had been implemented. Fortunately, people living at Ravensknowle Road are able to tell staff what their needs are, however an agreed, up to date written care plan and risk assessments must be maintained to ensure consistent care is delivered. The matter of appropriate care planning has been raised at this home repeatedly and must be addressed as required under the Care Homes Regulations 2001. Further training may be beneficial in the area of risk management and care planning. Through discussion with people living at the home it is apparent that people are supported to make decisions about their own lives and are given appropriate information and assistance to support them in this. An example of this was seen in records, whereby an individual has been given good support to make decisions about where to live in the future. There was evidence that where necessary, support has been sought from family, friends or other professionals. There is evidence that people are supported to take reasonable risks as part of an independent lifestyle. Ravensknowle Road DS0000026327.V352038.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 quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live fulfilling and active lives, have good contact with friends and family and are provided with a healthy and nutritious diet. EVIDENCE: People living at Ravensknowle Road lead active and fulfilling lifestyles. Records show that people regularly access the local community for both leisure and educational activities. A range of activities is available in the home, and individuals are free to choose how they would like to spend their time. Some individuals spoken to on the day of the inspection reported enjoying going out to parties, going for meals and to the pub and going on holiday this year. A new television has recently been purchased for the lounge, and people living at the home said they were very pleased with this. It was raised at the last inspection that on some occasions individuals had little choice about whether they would rather stay in if the majority of others wished to go out because of Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 12 a lack of staff available at the home. Since then, additional staffing hours have been made available for approximately three shifts per week, so that there is a member of staff available to support people at home if they choose not to go out. The manager reported that these hours could be used flexibly to fit in with what individuals want to do and have planned. Individuals spoken to confirmed that they can have visitors when they choose to, and that they are supported to keep in touch with their families and friends. There was evidence in daily records that individuals are encouraged to invite friends round for a meal or to spend time at Ravensknowle Road. Surveys completed by relatives of people living at the home confirmed that they are made to feel welcome and that good support is given to their relative to keep in touch. There was evidence that peoples rights and responsibilities are respected. Individuals spoken with, said that they choose how to spend their time, and that they all participate in domestic tasks around the home. People can have a key for their bedroom if they so wish. Individuals were complimentary about the staff that support them and all indicated on the surveys that the staff treat them well. Observations during the inspection confirmed this and there was evidence of respectful and positive relationships between staff and people living at Ravensknowle Road. People living at the home participate in planning the menus. Staff generally prepare the evening meal as people often have plans for the evening and by the time people arrive home from work, college or day placements there would be limited time to prepare and cook meals. Individuals did report however that they enjoy baking and helping with food preparation. There was a good range of healthy and fresh foods available, and everybody spoken to said that they liked the meals that were provided. Individuals confirmed that they were offered a choice of meals and could always have an alternative if they didn’t like what had been prepared. There was evidence in care plans that some individuals are responsible for making their own packed lunches. People living at the home explained that one individual has been doing much more cooking lately in preparation for moving into more independent living. It is positive that staff and people living at the home have supported this. Ravensknowle Road DS0000026327.V352038.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 quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Individuals’ personal and health care needs are met at this home and medicine management is good. EVIDENCE: People living at this home require little support with their personal care. Care plans contained some information about how people prefer to be helped in this area, although some information was vague and needs more detail, as it is open to interpretation. This is particularly important where movement and handling is necessary. It was noted in records that where an individual requires support with this, there was no movement and handling risk assessment and insufficient information to guide staff about the agreed ways of moving and handling the individual. A requirement has been made in respect of this. People living at the home told the inspector that they choose when to get up, go to bed, have a bath etc and said they were happy with the support provided by staff. Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 14 Records examined showed that people are supported to have their health care needs met. There was evidence that people attend healthcare appointments when necessary and that appropriate action is taken in the event of concerns regarding people’s health. A survey completed by a care manager indicates that people’s health care needs are attended to appropriately and that medication is managed correctly. Medication and medication administration records were looked at. The records were in good order, and medicines stocks tallied with the records. Good systems are in place for checking medication to ensure if errors are made they are picked up quickly. The manager has an excellent understanding of why individuals have been prescribed their medication. It would be good practice to record this information in individuals’ records so that all staff have a clear understanding of why medicines have been prescribed. Guidance for the use of ‘as required’ (prn) medication is in place so that staff are clear about under what circumstances ‘as required’ medication should be administered. Medication is stored securely, and medicines that need to be kept in a fridge are stored in a locked box in the domestic fridge. None of the people living at the home currently self medicate, although this is something the manager reported she would be looking into with individuals. Ravensknowle Road DS0000026327.V352038.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 quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at this home are protected by clear complaints and safeguarding procedures. EVIDENCE: A clear complaints procedure is in place and there was evidence in the resident meeting minutes that this is discussed on a regular basis to remind individuals of their right to complain. Completed surveys from people living at the home and relatives, all indicated that they were aware of the procedure and were confident about raising any concerns. Individuals spoken to all said they had no complaints and enjoyed living at Ravensknowle Road. The adult protection procedure (safeguarding) has been amended since the last inspection, following concerns raised by the CSCI about how people were being protected in the Bridgewood Trust. The manager reported that all staff had received training about the new procedures and it had also been discussed on an individual basis during support and supervision sessions with the manager. Evidence of this was seen is staff records. Information provided to the CSCI from the home prior to the inspection states that no complaints have been received and no safeguarding referrals have been made in the last twelve months. Ravensknowle Road DS0000026327.V352038.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): 24,30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a clean, comfortable home that is domestic in style. EVIDENCE: Ravensknowle Road is a comfortable, spacious home that was clean and free from unpleasant odours on the day of inspection. All communal areas were seen during this inspection and these provide plenty of space. There is a large lounge, reasonable sized dining room and modern fitted kitchen. The home also benefits from having a large well maintained garden. Since the last visit, a radiator has been installed in the ground floor bathroom, as required at the last inspection. People living at the home, all reported being happy with their rooms and said they enjoyed living at Ravensknowle Road. All people living at the home have their own bedroom, with one having the benefit of an en-suite adapted bathroom. There is a second adapted bathroom on the ground floor of the home. A stair lift is in place to assist those people with mobility difficulties. Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 17 Information sent to the CSCI states that a domestic is employed for ten hours per week to keep the home clean and hygienic. The laundry is based in the cellar and is equipped with a washing machine with a sluicing facility and a tumble drier. All surveys from people living at the home stated that the home is always kept clean and fresh. Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff have positive relationships with people living at the home, are appropriately trained and competent. EVIDENCE: On the day of inspection, only the manager and one member of staff were on duty, therefore there was limited opportunity to get the views of the staff team. However, both presented as having positive relationships with the people living at the home, and were observed to interact in a respectful manner with individuals. Information received prior to the inspection indicates that two of five care staff have achieved a National Vocational Qualification (NVQ) in care at level two or above and one is currently working towards NVQ level three. There was evidence in the records that new staff complete the Learning Disabilities Award Framework (LDAF) qualification as part of their induction. Staff training records show that all staff have attended a wide range of relevant training events in 2007. Good records are kept to evidence this. The Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 19 manager reported that since the last inspection a new training manager has been appointed and is supporting staff with their NVQ qualifications. Since the last inspection, only one new member of staff has joined the team. This was to replace a member of staff on maternity leave. Records showed that all the required pre-employment checks had been carried out including Criminal Records Bureau check and two written references. There was evidence that the new staff member had completed an induction and had received supervision from the home’s manager. People living at the home are involved in the recruitment process by having the opportunity to meet with candidates and give their views as to how they think they would fit in at the home. A record of this is kept. Information received prior to the inspection indicates that a review of staffing levels has been undertaken and staffing levels increased. This allows for three staff to be on duty for some shifts so that a more flexible service can be offered. The manager reported that the use of extra staffing hours is used flexibly to fit in with what people living at the home are doing. This is positive, as it has addressed the issue of people being able to choose not to go out in the evenings and there being sufficient numbers of staff available to support them at the home. Surveys completed by relatives of people living at Ravensknowle Road and a care manager state that individuals needs are being met by a staff team with the appropriate skills and experience. Ravensknowle Road DS0000026327.V352038.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): 37,39,42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Ravensknowle Road is a well run home where peoples views are taken into account and the health and safety of individuals is protected. EVIDENCE: Since the last inspection, the manager has completed the Registered Managers Award, and reported that she is now working towards NVQ level four in care. The manager, Mary Monaghan, has significant management experience in the Bridgewood Trust, and there is evidence in records that she continues to update her skills and knowledge through attending relevant training. Since the last inspection, arrangements have been made so that the manager has more time to complete management duties without being on shift as part of the allocated staffing numbers. This is positive progress. Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 21 There is a formal quality assurance system in place in addition to annual satisfaction questionnaires that are sent to people using the service and their relatives or advocates. These are usually completed before individuals’ annual reviews. People living at the home are regularly asked for their views about the service they receive in residents’ meetings, which take place every six to eight weeks. Minutes of these meetings were seen and demonstrated that people’s views are taken into account. Individuals spoken to confirmed that this is the case. Information received before the inspection showed that health and safety checks and maintenance of equipment is conducted at the required intervals. On the day of the inspection, the fire alarm was tested, and the manager confirmed that this is done every week. The manager was reminded that during the test, a check should be made of all fire doors to ensure they close fully. Accident and incident records are kept as required and where necessary the CSCI have been notified of any accidents or incidents that should be reported. Ravensknowle Road DS0000026327.V352038.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 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 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 X 3 X X 3 X Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement The registered person shall prepare a written plan as to how the service users needs in respect of his health and welfare are to be met. This should include information abut how an individual is supported in movement and handling where necessary. 15/12/05, 28/02/06 and 15/02/07 unmet. In order to protect people from harm, risks to the health or safety of people living at the home should be identified through risk assessment and actions to reduce the risks agreed. This must include risks associated with the movement and handling of people. Timescale for action 15/11/07 2 YA9 YA18 13(4)c 15/11/07 Ravensknowle Road DS0000026327.V352038.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. Refer to Standard Good Practice Recommendations Ravensknowle Road DS0000026327.V352038.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Ravensknowle Road DS0000026327.V352038.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!