Inspection on 27/06/05 for Rockleaze

This inspection was carried out on 27th June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rockleaze 21/04/09

Rockleaze 06/05/08

Rockleaze 03/07/07

Rockleaze 01/08/06

Rockleaze 12/12/05

Rockleaze 07/01/05

Rockleaze 13/07/04

Rockleaze 09/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Rockleaze 56 Lower Hanham Road Kingswood South Glos BS15 8QP Lead Inspector Jackie Hargreaves Announced 27 June 2005 09:30 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. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rockleaze Address 56 Lower Hanham Road Kingswood South Glos BS15 8QP 0117 9673395 Mr Jonathan Short 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) Mr Jonathan Short Care Home for Younger People 13 Category(ies) of LD Learning disability for 13 registration, with number OP Old age for 13 of places MD Mental Disorder for 13 Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 13 persons aged 25 years and over who may have learning disability and/or mental disorder Date of last inspection 7th January 2005 Unannounced Brief Description of the Service: Rockleaze is a large double fronted Victorian property which has been significantly extended. It is in an elevated corner position on the Lower Hanham Road and provides excellent views over Bristol from first floor rooms. The buildings and gardens are well kept and the front garden provides seating for residents. Considerable work has been undertaken interally over the last year and this is now nearly complete. The rooms are furnished to a high standard and the home is pleasant and comfortable for the residents. Local shopping and other amenities in Hanham are within walking distance and the Kingswood shopping area is a short drive away and enjoyed by residents. The home is on a bus route accessing both places and the centre of Bristol. The home also has its own transport with an easy access vehicle, enabling either small or larger groups to go on trips from the home. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out in one day over nine hours. The manager was available throughout the inspection to advise the inspector on procedures for admissions, planning with residents to meet their personal and healthcare needs and aspects of management such as staffing arrangements. All residents were spoken with informally during the day or on their return from their day activities. Three residents were more formally interviewed. Discussions focussed primarily upon consultation and decision-making, participation in home life, independence, staff support, complaints and activities. Records and/or procedures were looked at regarding admissions, care/life planning, staffing arrangements and aspects of health and safety. Care plans and life plans for three residents were scrutinised in detail and checked against care notes. Some aspects of care and support needs were discussed with residents and staff to look for evidence that the support provided was consistent with the principles of rights, independence, choice and inclusion. Staff were helpful and cooperative throughout the inspection visit and enabled residents to contribute to the process. What the service does well: Residents spoke positively about the services and support they were receiving and feedback from relatives supported these comments. The promotion of individual choice by enabling residents to make their own decisions as a normal part of ordinary everyday living was particularly evident throughout the inspection. Staff training was encouraged. Staff were well motivated and supported and their achievements commended. There was good evidence of staff working well together with the manager as, ‘part of the team’ and staff felt confident that their views were taken into account. Paperwork and files were well organised to facilitate effective working. Residents healthcare needs were being addressed with particular attention being paid to providing full personal and sensitive support to a resident during a period of illness. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 6 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. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 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 Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 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) 1,2,4,5 Admission procedures are satisfactory. However, information about the home and written terms and conditions were not sufficiently up to date or user friendly to enable a person to make a fully informed choice about the home. EVIDENCE: The residents guide to the home and the Statement of Purpose detailing the facilities and services provided were available for inspection. The manager was updating the Statement of Purpose and improving the guide format by including pictures. This will make it more user friendly for people with reading difficulties. The home had one vacancy. A prospective resident had visited the home with family members. This was commented upon by two residents who said they had met and spoken with the person. The home had admitted one new resident in March 05. Information on file, including a needs assessment was scrutinised and the admissions process discussed with the registered manager and later a member of staff. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 9 There was good evidence that the home had taken care to ensure the prospective resident had been properly introduced to the home and was being offered a place only after considering their views of the home, what it could offer the person and a formal evaluation of their a trial stay. Although the persons initial assessment had not addressed day activities, arrangements were made for the prospective resident to visit the home with a support worker from the persons day centre and for day centre services to be maintained to provide continuity for the resident. The inspector was not able to fully discuss the residents experiences around admission as the person was out attending day centre activities for most of the day. However, the inspector was later able to establish that the resident,liked the home. The homes written admission procedure was not studied on this occasion and will remain a focus for the next inspection. Terms and conditions of residency between the home and residents were in place although these needed to be further updated in line with specifications listed in National Minimum Standard 5. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 Residents were enabled to make decisions on aspects of daily living and care and self help planning was well organised. However, the home needs to demonstrate in more detail how all aspects of residents assessed and changing needs are being met. EVIDENCE: Files containing information relating to three residents, including self help plans for daily living and care plans were studied and discussed initially with the manager and later with a staff member. Overall, files were well organised and information clearly written. When not in use files were held secure in a locked cupboard. Residents self help plans demonstrated good work being undertaken by the home in enabling residents to develop skills and achieve greater independence with domestic and daily living tasks. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 11 Care plans were well indexed although needed more detailed information on some aspects of residents care needs to enable staff to provide the right assistance, at the right times in ways that residents preferred and need. A resident who had been admitted and discharged from hospital in April 05 needed re-assessing and the care plan reviewing accordingly to ensure all staff were fully aware of changes in care needs and to demonstrate they were being met. Discussions with the manager focussed upon making improvements to residents plans to demonstrate their full participation in the planning process. The manager was fully aware of current developments in person centred planning with people who have learning disabilities to achieve high quality of planning and the best outcomes for each person. He demonstrated a commitment to the concept by his attendance on a person centred planning course and being proactive in obtaining input from an external advisor to facilitate person centred planning in the home. A staff member interviewed at length had input into residents plans and was knowledgeable about the residents and their needs that she described in positive ways with emphasis upon application of residents rights, choice and independence in her daily working practices. Equally, staff spoken with informally related to the inspector ways of working that enabled residents to make their own everyday decisions as a normal part of ordinary everyday living. Residents were consulted about the support provided through a review process. Four residents were asked about their participation, consultation and decision making on aspects of daily living relating to personal and house decisions. Collectively residents confirmed they had been involved in making decisions on home improvements such as choosing wallpaper, new beds and food. Individually, residents provided examples of how they made day to day choices including choice of household tasks, making purchases, when to go to bed and how to spend their time. One person said, I can do what I want in the house and this comment was supported by another resident who said, I have a choice of whether I want to do things. Residents had been encouraged to advocate on their own behalf and were confident and free with their opinions when talking about a compatibility issue in the home that was being addressed. One resident said he had wanted to be able to have his own money and staff had helped him to achieve this goal. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,15,16 The home is creating opportunities for residents personal development and for promoting independence. EVIDENCE: Documented evidence in residents self help plans demonstrated their participation in daily routines and activities that promoted independence. Discussions with residents and staff about planning daily routines further evidenced that residents were supported to participate in domestic activities and were offered choices including laundry, cooking and cleaning. One resident said he chose to put the bins out. Another resident was supported to grow tomatoes. Two residents spoke of going to shop independently. One person had expressed a wish to look at independent living. This request was was properly followed through and referred for re-assessment by a social worker. Residents were offered keys to their rooms. One resident said, I can keep my room locked. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 13 Residents spoke of visits and telephone calls with friends and of special friendships. Families were able to visit whenever they wished. The visitors book recorded several visits made by relatives. Photographs of family and friends were displayed in residents rooms. One resident had been on holiday with a relative to Sidmouth. All residents were over the age of 55 and half over the age of 70. All residents had planned weekly activities and four residents attended day activities at resource or activity centres on specific days of the week. Leisure activities and residents integration into community life were not fully explored on this occasion and will remain a focus for the next inspection. However, there was evidence of Church involvement and membership of the League of Friends. Residents were offered day trips and a holiday during the year. Residents spoke of holidays to Minehead, Burnham on sea and Blackpool and a holiday was being planned. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Individual personal support is provided to meet residents personal and healthcare needs, including the administration of their medication in ways that promote independence and privacy. Continence promotion should be addressed with professional input and outcomes of all health needs made clear to demonstrate they are being fully addressed. EVIDENCE: No residents were fully dependent upon staff for their personal care needs. Two staff described how they assisted residents with their personal care in ways that enabled residents to maintain independence and privacy. For example, using prompts and, encouragement. Each resident had a key worker who related closely to the person and monitored continuity of support from the staff team. One resident gave a good example of how this coordinated support benefited him during a hospital admission by ensuring that hospital staff were aware of his needs and that he felt supported. This person said his key worker, wrote down how I could get on alright, and confirmed that other residents, the manager and staff visited almost every day. There was good evidence that this person had been well supported while in hospital. One resident said he went to hospital to visit this person and, went back again the next night. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 15 There was evidence that the home referred to professionals from the community learning disability team and communicated with activity centres to coordinate personal support when necessary for the benefit of residents. Discussions with the manager around a residents experiences with continence issues at the home and day centre indicated the need for further input by a continence advisor for professional assessment and advice. There was a professional appointments file that contained good detailed notes. The home should ensure that separate records held on residents health service needs and check ups fully corresponds with outcomes noted in this file to demonstrate that all health needs are being addressed. No one currently self administers medication. Medication procedures were implemented in the home. Records were well kept. The pharmacist visited the home to check procedures in Nov 04. No issues were found. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 Complaints procedures are in place and followed, however, information for residents should be made more user friendly. All staff should be fully equipped to carry out their adult protection responsibilities to ensure the welfare of residents. EVIDENCE: Complaints procedures were discussed with two residents who stated they, had no complaints, and if they did have a complaint they, would see staff, who, would sort it out. The homes complaints procedure was displayed in the hallway and should be made more user friendly for people with reading difficulties. One complaint had been made in the home by a resident about another resident on 6 April 2004 that related to the only previous complaint made in November 2004. There was evidence that the manager had taken the complaint seriously and was addressing the issues raised. A referral had been made to the community learning disability team for assessment and advice and in the meantime the manager had put in place strategies for dealing with issues raised in the complaint. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 17 There was a protection of vulnerable adults policy in the homes office that was not scrutinised at this inspection. A staff member interviewed demonstrated knowledge of procedures for suspected or alleged abuse and said that she had received refresher training with another staff member. However, training that includes local protocols and procedures between the local authority and the local constabulary had not taken place since May 2003 and must be undertaken to ensure that all staff are updated on how to carry out their adult protection responsibilities. This training was noted as planned on preinspection information supplied by the home. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 18 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) 24,26 The home is suitable for its intended purpose and provides a good standard of accommodation for the residents currently accommodated. EVIDENCE: The premises were clean, comfortable, safe and homely. All areas were accessible for the residents accommodated. A programme of re-decorating and refurbishment of bedrooms has been undertaken including the provision of new beds. Furniture, fittings and decor of rooms were of a high standard. One resident spoken with about his room said that he had chosen his wallpaper, bed and TV. Discussions with staff on improvements to rooms also evidence that other residents had input into choosing decor and furnishings. Rooms viewed had been personalised with photographs, pictures and other personal items that reflected their interests and lifestyles. The manager has demonstrated forward planning for reducing numbers of residents to no more than ten sharing a staff group, dining room and other communal shared areas by 2007 to comply with standard 24.3 of the National Minimum Standards for adults. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 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) 31,32,33,35,36 Residents are supported by a responsible, positive staff team who receive training and supervision to enable them to meet residents needs and monitor their performance. EVIDENCE: All staff members spoken with during the inspection had good attitudes towards their work. The inspector observed well established, positive relationships during interactions between staff and residents and staff morale appeared high. A staff member interviewed confirmed she had a job description that reflected her roles and responsibilities and the aims of the home. The manager had supported staff autonomy for training initiatives. The inspector discussed training provision with a staff training coordinator who described the processes in place for ensuring that all new staff complete induction training to National Skills for Care standards. A staff member also confirmed that she had attended external National Learning Disability Award accredited training. Five staff have achieved NVQ level 2 in care and two staff were due to undertake this award in July 05. Several certificates of achievement were displayed in the home. Delegated space and equipment was provided for staff training. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 20 Staff reported good working relationships. One staff member said the home had a good staff team. Another staff member said she enjoyed working in the home and the team, worked well together. Staff confirmed they could, have private discussions at any time with the manager and received planned, recorded supervision 2/3 monthly when they would ‘go over everything’ and were supplied with a written copy of discussions that took place. Staffing levels were satisfactory to meet the needs of residents currently accommodated. The duty rota showed a minimum of two staff on duty with at least three staff on duty between 12 and 5pm to enable activities to take place. There was a waking night staff on duty and a back up person sleeping in, which may be the manager. Staff members reported sufficient staff numbers and that the manager was in the home, most of the time. Staff undertook domestic and cleaning duties. There was a part time vacant domestic post. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 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) 38,42 The manager demonstrated good management skills and the home was run in an open and inclusive manner. Residents welfare and safety was generally promoted although identified shortfalls need to be addressed. EVIDENCE: Two staff members interviewed and staff spoken with on a more informal basis were very complimentary about the levels of support and supervision they received from the manager. They said they felt enabled to voice opinions or concerns. One staff member related that the manager was ‘part of the team’. Another person said staff had ‘good communication’ with the manager, felt confident he listened to their views and would, come back with answers after taking their views into account. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 22 There was evidence that health and safety in the home was promoted although two shortfalls were identified. Records looked at relating to aspects of health and safety were as follows: • • • • • • • • Portable appliance testing was carried out in January 05. The fire log was up to date. The last fire drill was undertaken on 7 June 05. The fire alarm safety certificate dated 14 March 05. A fire risk assessment had not been undertaken. Infection control guidelines were in place and had been read by staff. Eight staff held current First Aid Certificates dated June 04. Nine staff held certificates in food hygiene dated November 04. A risk assessment for the premises had not been undertaken. Evidence of maintenance records and checks relating to Environmental Health, heating, gas and electrical systems, the emergency call system and control of hazardous substances were supplied by the home with pre-inspection information. Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 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 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x x Standard No 11 12 13 14 15 16 17 3 3 x x 3 3 x Standard No 31 32 33 34 35 36 Score 2 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rockleaze Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 2 x D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4(1)(c) Requirement Ensure that information contained in the homes statement of purpose is up to date and corresponds with the details listed in Regulation 4 (1)(c) Schedule 1. The service must ensure that staff receive updated training to ensure they are able to carry out their adult protection responsibilities. Ensure that a risk assessment of the premises is undertaken. Ensure that the fire risk assessment is updated. Written terms and conditions of residency between the home and residents must be updated to correspond with specifications required in National Minimum Standard 5 . Timescale for action 30.10.05 2. 23 13(6) 30.11.05 3. 4. 5. 42 42 5 13(4)(a) 23(4)(a) 5(b) 30.11.05 30.11.05 30.11.05 Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 25 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 Residents Guide to the home should be made more user friendly for people with reading difficulties by including pictures/photographs of the home and the facilities and services provided. Residents care plans should demonstrate in more detail how all aspects of residents assessed and changing needs are being met. Ensure that professional assessment and advice is sought from a continence advisor to deal with a current issue. Records held on residents health service needs and check ups should refer to outcomes of professional appointments to demonstrate how residents health needs are being addressed. 2. 3. 4. 6 19,31 19 Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG 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 Rockleaze D56 D05 S3352 Rockleaze V226327 270605 Stage 4.doc Version 1.30 Page 27 - 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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