Inspection on 08/08/05 for Riverside Drive

This inspection was carried out on 8th August 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Riverside Drive 11/05/09

Riverside Drive 19/06/08

Riverside Drive 24/04/07

Riverside Drive 09/06/06

Riverside Drive 01/02/06

Riverside Drive 14/10/04

Riverside Drive 18/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Riverside Drive 112 Riverside Drive Mitcham Surrey CR4 Lead Inspector Liz OReilly Unannounced 8th August 2005 10:00 am 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 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 Stationary 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. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Riverside Drive Address 112 Riverside Drive Mitcham Surrey CR4 020 8640 8279 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) London Borough of Merton CRH Care Home 8 Category(ies) of PD Physical Disability (2) registration, with number LD Learning Disability (6) of places Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th October 2004 Brief Description of the Service: 112 Riverside Drive is a care home providing personal care and accommodation for eight younger adults with learning disabilities, up to two of whom may have physical disabilities. The home is staffed and managed by the London Borough of Merton social services department. The premeses are owned by a housing association. The home was purpose built on a site set back from a residential road in Mitcham. All residents are provided with their own single bedroom. One bedroom is furnished with en suite facilities and tracking. A passenger lift is available to access the first floor. An enclosed garden is provided to the rear of the premeses. Parking is available to the front of the home. The home is close to bus and tram links. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one regulation inspector on 8th August 2005, over five hours. The inspector had the opportunity to meet all residents and to talk to four residents. The inspector examined records, part of the environment and speak to staff in the home. What the service does well: What has improved since the last inspection? Since the last inspection of the home residents have started taking holidays from the home. Two residents have been on holiday. Plans were being made for two residents to take a holiday abroad and others to take a holiday in this country. This is the first year residents have had the opportunity to take a holiday since the home was opened. Work has been carried out to improve the garden area with the installation of a gazebo and a new path has been added. This improves the garden facilities for residents and provides access to other areas of the garden to residents who use a wheelchair. Staff informed the inspector that opportunities for training had improved over the last six months. This assists in ensuring residents are supported by a well informed and trained staff group. The home have produced a statement of purpose and service user guide which provides clear information on the service provided. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 6 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. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 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 standard(s) 1, 2 & 4 Adequate information is available to residents on the home via the statement of purpose and the service user guide. The service user guide needs more work to provide more accessible information on key issues. EVIDENCE: Since the last inspection of the home a statement of purpose and service user guide have been produced. The housing association have produced a contract setting out the terms and conditions of occupancy in a written and pictorial form. The complaints procedure for the home included in the service user guide has been produced in a more accessible format. However further work needs to be carried out to ensure that other parts of the service user guide is made more accessible. All residents are assessed by staff from social services prior to admission to the home. The home is provided with a copy of this assessment and carry out their own assessment before anyone is admitted. This ensures that staff have a clear understanding of and are able to meet individual needs. Before making any decision about moving into the home prospective residents are invited to visit the home for varying lengths of time including overnight stays to allow them to “test drive” the home. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 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 standard(s) 6 & 9 Further work needs to be carried out on individual care plans to provide a more personalised plan, with clear goals, for each resident and to provide individual care plans in an accessible format for individuals. To ensure that information on the changing needs and wishes of residents is available to staff care plans must be reviewed at least six monthly. EVIDENCE: One care plan examined was dated July 2004. A second care plan was not dated or signed by staff or the resident. To ensure that up to date information is made available to staff on the individual needs and wishes of residents care plans must be reviewed a minimum of six monthly or more frequently should there be any significant changes. Care plans were seen to set out tasks relating to needs and certain likes and dislikes. The care plans set out actions to be taken and by whom but do not record outcomes and the tasks seen were non specific e.g. needs to be introduced to new surroundings and environments. Action needs to be taken to set out clear goals on the needs and wishes of individuals to ensure that Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 10 residents receive personalised care. The lack of clear timescales and outcomes does not provide a clear framework for keyworkers. The daily recording needs to relate to the care plan to provide evidence that the care provided is in line with residents wishes and needs. Staff should review the way in which care plans are used to ensure that these are working documents. Guidance was seen to have been provided by other professionals, in one instance a speech therapist, but this information was not included in the care plan for this individual. Care plans must be developed and updated to include information on all needs. Good information was seen to be available to staff on communication techniques and the interests on one of the files examined. The daily plan for one resident indicated that they were attending a day centre on a regular basis. This information was out of date. None of the residents spoken to at the time of this visit were holding their own or a copy of their care plan. Staff should ensure that the care plan or copy of the plan is held by the resident concerned unless there is a clear and recorded reason not to do so. In order to support residents to develop independence individual risk assessments were seen to be in place. Staff must ensure these documents are signed and dated. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15 & 17 Residents are provided with opportunities to attend local day centres on a regular basis. The lack of appropriate transport facilities does not allow for all residents to participate in activities in the community. The majority of residents are supported to participate in activities outside the home. Residents were seen to enjoy the meal on offer at the time of this visit however further work needs to be carried out on ensuring all residents are provided with a varied and healthy diet. EVIDENCE: The majority of residents attend local day centres on a regular basis. Residents spoken to were happy with the centres they attended. One resident has ceased to attend and staff were in the process of looking to offering alternatives for this person. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 12 The majority of residents have one “community day” during the week when they spend time going out with staff. Information supplied by residents and staff indicated that these trips out had become less varied than at the time of the last inspection of the home. Staff should ensure that the wishes and aspirations of residents to participate in activities and or make visits to places of interest are included in the care planning process. Since the last inspection of the home three residents have taken a holiday in Skegness, two residents were planning to go away in November and two residents were planning to take a holiday abroad in October. Comments from residents who have already taken their holiday indicated that they very much enjoyed the experience. As noted at previous inspections the financial arrangements for holidays do not meet the National Minimum Standards which state that the option of a seven day annual holiday should be included as part of the basic contract price. Arrangements are in place for residents to take part in evening activities including keep fit classes and a local Gateway club. Three residents attend churches of their choice. One resident attends a Saturday club on a regular basis. Residents discussed their individual interests with the inspector and these were seen to be reflected in the equipment and décor in their own rooms. As noted previously the lack of appropriate transport does not allow for all residents to take up opportunities for leisure activities in the community. Residents confirmed that they can invite friends and family to visit them in the home and that they choose who they see and when. Residents also confirmed they could meet with friends in the privacy of their own room should they so wish. To ensure that the rights of residents to develop and maintain intimate personal relationships are understood by staff and residents a clear policy on relationships is in place and included in the service user guide. All residents spoken to at this visit stated they enjoyed the food on offer. Those residents who were unable to make comments were observed to enjoy the meal with some residents taking second helpings. Staff monitor the weight of residents. It was noted that the record of weights was recorded in some instances in kilos and other instances in pounds and stones. Staff should agree on the form this record should take. In order to ensure that all residents are in receipt of a varied and healthy diet staff must maintain a clear record of food. Where individuals have chosen something other than the main planned meal a record of what was provided as an alternative must be kept. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 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 standard(s) 18 & 20 The privacy of residents was seen to be respected. Residents confirmed that they made their own choices about times for getting up, going to bed and other activities in the home. The health care needs of residents are met. EVIDENCE: Staff were observed to offer intimate personal care and support to residents in a discreet manner which respected residents privacy and dignity. Female residents always have a female member of staff available on duty to provide intimate personal care. Staff were observed to offer advice to residents on personal hygiene. All residents are registered with local GP practices. Arrangements are in place for residents to access dental and optical services. District nurses and community psychiatric nurses provide support and care for residents as required. At the time of this inspection staff were administering medication for each resident. The health and welfare of residents was seen to be protected by the appropriate management of medication in the home. A record of all medication given to each resident is maintained. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 14 The registered persons must ensure that the allergy section on the medication administration sheet is completed for each resident. This was the subject of a requirement at the last inspection. At the time of this inspection this had not been complied with. In order to further ensure the health and safety of residents arrangements must be made for staff administering medication to receive accredited training on the management of medication. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 Policies and procedures are in place to protect residents from abuse and to deal with complaints. The protection of vulnerable adults has been identified as a staff training need. EVIDENCE: The complaints procedure has been produced in a pictorial form to make the process more accessible to residents in the home. The information available to residents and visitors includes the contact details of the Commission. Systems are in place to record any complaint along with the details of any actions taken and outcomes. Residents spoken to said they would go to a particular members of staff if they had a complaint and they felt confident they would be listened to. To ensure the protection of residents all staff have been required to read the protection of vulnerable adults policy and procedures. The deputy manager informed the inspector that this issue had been identified as a training need for the staff group and arrangements were in place for all staff to receive training which will be completed over the next six months. Certain members of staff have received training on restraint and plans were being made for the remainder of the staff group to be included in the training provided at the day centre next door to the home. Residents can deposit money in the home for safekeeping. Individual records are retained for each resident in relation to cash and valuables held. It was noted that changes had been made to the recording which had made the system more complex and less simple to check. This system should be Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 16 reviewed. Receipts were seen to be retained for all expenditure and checks were carried out on money held on a regular basis. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 Residents are provided with a comfortable well maintained environment. EVIDENCE: Residents are provided with comfortable domestic style furnishings of good quality. It has been noted in previous inspection reports that the dining table and chairs provided are not suitable for this home as residents who require the use of a wheelchair at all times are unable to use the table. CCTV is in place at the front and rear of the building. It is agreed that the CCTV which monitors the garden area will not be in operation when residents may wish to use the garden which protects the privacy of individuals. Since the last inspection of the home a gazebo has been erected in the rear garden along with a paved walkway. This enhances the garden area for residents and allows those who use a wheelchair more access to the garden area. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 18 The home was found to be clean, tidy and free from offensive odours. The levels of cleanliness throughout the home seen at this visit was very good. Residents have access to a well equipped laundry area which is situated so that soiled laundry does not have to be transported through the dining or the kitchen area. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35 Residents were seen to be supported by sufficient staff to meet their needs at the time of this inspection. Further work should be carried out in relation to staff training. EVIDENCE: Four staff are available on each shift during the day when all residents are staying in the home. At night one member of staff is awake with one member of staff sleeping in the home who can be called on to provide assistance or advice. These staffing levels were seen to be sufficient to meet the needs of the residents in the home at the time of this inspection. At the time of this inspection the home had four staff vacancies and was in the process of arranging advertisements for these posts. To ensure that residents are supported by staff who are familiar with their needs and wishes arrangements have been made for regular agency staff and or bank staff to fill these vacancies on a temporary basis. Copies of certificates issued following training courses are held on individual staff files. A sample of files were examined and it was noted that certain members of staff had taken part in a number of training courses. However other files indicated that staff had not participated in training to the same extent. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 20 In order to ensure that residents are supported by a well informed and knowledgeable staff group the registered persons must ensure that an assessment of individual training needs is carried out as well as an assessment of the training needs of the staff group as a whole. Action must then be taken to set up a programme to meet the assessed needs. In order to ensure the health and welfare of residents, the registered persons must ensure that all staff receive training in food hygiene. Staff must be provided with appropriate training on moving and handling which relates to the needs of the residents in the home. The registered persons must ensure that sufficient staff have completed training to be qualified first aiders so that a qualified first aider is available on each shift. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Staff take steps to protect the health and safety of residents and visitors to the home. However further work needs to be carried out to ensure that staff take action when monitoring indicates equipment is not operating within safe limits. EVIDENCE: To ensure the health and safety of residents, staff carry out regular checks on equipment, keep a record of any accident and maintenance checks within the home. The records of fire testing, fire drills, hot water temperatures, accidents and fridge and freezer temperatures were examined. Weekly testing of the fire alarm system is carried out. Staff and residents take part in regular fire drills with risk assessments in place for any individual who may not respond to the fire alarms in place. Checks are carried out on the temperature of hot water accessible to residents. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 22 It was noted that fridge and freezer temperatures were recorded as significantly above recommended safe levels on a number of occasions. Staff must ensure that where checks indicate equipment is not operating at safe levels a record of the action taken must be made. As noted previously training in food hygiene, first aid and moving and handling must be carried out to ensure the health and safety of residents in the home. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 2 2 3 x 2 Standard No 31 32 33 34 35 36 Score x x 3 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Riverside Drive Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 24 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 6 Regulation 15 Requirement The registered persons must ensure that care planning documentation is signed and dated. Care plans must be reviewed at least six monthly or more frequently if required. Care plans must set out the full needs and wishes of residents with clear measurable goals and timescales. 2. 9 13(4) (timescale of 20.03.05) The registered persons must ensure that risk assessments are signed, dated and reviewed at least six monthly as part of the review of care. The registered persons must take action to ensure that all residents have access to suitable transport facilities to meet their needs. The registered persons must ensure that an up to date, accurate record of food is retained in the home. (timescale of 20.12.04 not met) Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 25 Timescale for action 1st October 2005 1st October 2005 3. 13 12 1st October 2005 4. 17 17(2) Schedule 4 (13) 1st October 2005 5. 20 13(2) the allergy section of the medication administration record is completed for each resident. (timescale of 20.12.05 not met) The registered persons must ensure that all staff who administer medication are provided with accredited training. The registered persons must ensure that a training and development profile is compiled for each member of staff. A training needs assessment for the staff team as a whole must be carried out. The registered persons must ensure that prompt action is taken with a record maintained for any faulty equipment. The registered persons must ensure that all staff are provided with training on food hygiene. Sufficient staff must be provided with first aid training to ensure that a qualified first aider is available on each shift. All staff must be provided with training on moving and handling relevant to the needs of the residents in the home. 1st October 2005 1st December 2005 1st October 2005 6. 20 13(2) 7. 35 18(1)( c) 8. 42 13(4) 23(2)(c ) 18(1)(c ) 13(4) 1st October 2005 1st October 2005 9. 42 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 1 Good Practice Recommendations The registered persons should ensure that the service user guide is made available to residents in an accessible format. G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 26 Riverside Drive 2. 3. 6 27 The registered persons should ensure that care plans are held by residents unless there are clear and recorded reasons not to do so. The registered persons should review the systems for recording individual finance. Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Ground Floor - CSCI 41-47 Hartfield Road Wimbledon SW19 3RG 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 Riverside Drive G54-G04 S33994 Riverside Drive V243339 100805 Stage 4.doc Version 1.40 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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