CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE
Roop Cottage Wakefield Road Fitzwilliam Pontefract West Yorks WF9 5AN Lead Inspector
Tony Brindle Key Unannounced Inspection 16th July 2007 11:00 X10029.doc Version 1.40 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 Roop Cottage DS0000006207.V338570.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 Older People and 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. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Roop Cottage Address Wakefield Road Fitzwilliam Pontefract West Yorks WF9 5AN 01977 610918 01977 610918 kana541@aol.com 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) Dr R R Kanani Mrs M R Kanani Mrs Anne Egley Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (13) of places Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 20th July 2006 Brief Description of the Service: Roop Cottage, a home providing accommodation and care with nursing for a mixed category of service users (Older People and Younger Adults), is situated on the outskirts of the village of Fitzwilliam, a small village 8 miles from the city of Wakefield. The home is not too far from a small number of local shops and a pub. The home is privately owned and registered for older people and for younger adults with a physical disability who are accommodated in dedicated units. The accommodation is provided over two floors, older persons being based on the upper floor, younger persons on the ground floor. The rooms are single occupancy and two rooms have en-suite facilities. The gardens are accessible and of a good size. The current fees for July 2007 are £373 plus a nursing care contribution per week per person. The service provider ensures that information about the service is available to prospective service users and the current service users by way of the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the care home. The inspector spoke with people living at the home, the registered manager and staff members. While at the home the inspector had a look around the home, looked at some of the paper records. Before a visit to the home took place, surveys were sent out to people living at the home, their relatives and health and social care professionals who have dealings with Roop Cottage. Several of the surveys were returned before the visit took place, and the feedback that people gave was positive. Some of things people said included: • “I like living at Roop Cottage”. – Person living at the home • “The staff are great, and they always are ready to help and support me.” - Person living at the home • “My relative is really happy at Roop Cottage, I’m really happy for him”. – Relative of a Person living at the home The inspector would like to take this opportunity to thank everyone for their hospitality and assistance during this inspection visit. What the service does well:
People who use the service and/or their representatives are given the information needed to decide whether the home is appropriate for them, and if the service will meet their needs. People have their needs assessed and a contract given to them which clearly tells them about the service they will receive. The home does not provide intermediate care. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. The quality of life for people living at Roop Cottage is enhanced by way of being able to take part in a variety of activities organised by the staff at the home, by maintaining contact with their relatives and through enjoying good quality food. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. The planned refurbishment of parts of the home would further enhance people’s quality of life and living environment. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 6 Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. 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. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP 3 and 6 YA 2 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service and/or their representatives are given the information needed to decide whether the home is appropriate for them, and if the service will meet their needs. People have their needs assessed and a contract given to them which clearly tells them about the service they will receive. The home does not provide intermediate care. EVIDENCE: The records show that the home has developed a Statement of Purpose and Service User Guide that is given to people and their families to help when
Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 9 deciding whether or not to move into the home. The Statement of Purpose is specific to the individual home, and the people cared for. It clearly sets out the objectives and philosophy of the service and is supported by a Service user Guide. The guide details what people can expect and gives a clear account of the specialist services provided, quality of the accommodation, experience of staff and how to make a complaint. The manager explained that admissions are not made to the home until a full needs assessment has been undertaken. The records show that assessment is conducted sensitively and involves the individual, and their family or representative, where appropriate. The manager explained that where the assessment has been undertaken through care management arrangements she always receives a summary of the assessment and a copy of the care plan. The manager explained that admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the person. People are given the opportunity to spend time in the home. One staff member explained that people who live in the home are provided with a Statement of Terms and Conditions/Contract; this sets out in detail what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the individual. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Op 7 8 9 10 YA 6 9 16 18 19 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Personal healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in each person’s plan. One person living in
Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 11 the home said that personal support is based on their needs and preferences. Adding to this, the manager explained that the delivery of personal care is individual and is flexible. Observations made while at the home showed that staff respect the privacy and dignity of the people they are working with. One person living in the home said that they are supported and helped to be as independent as possible and can take responsibility for their personal care needs if able to do so. One person living in the home said that they have access to healthcare and that the staff make sure that they have regular appointments and visit local health care services as required. The records show that the health care needs of people who are unable to leave the home are managed by visits from local health care services. One person living in the home said that they have the aids and equipment they need and these are well maintained. The records confirmed this. The records show that staff have access to training in health care matters and are encouraged and given time to attend training on specialist areas of work. One member of staff said that the company offer them a lot of very good training. The manager explained that the home has medication policy supported by procedures and practice guidance, which are used by the staff. The medication records were seen to be in good order. Feedback from people who completed our survey indicated that they were satisfied with the way that the staff at Roop Cottage dealt with healthcare issues. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 12 13 14 15 YA 12 13 15 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The quality of life for people living at Roop Cottage is enhanced by way of being able to take part in a variety of activities organised by the staff at the home, by maintaining contact with their relatives and through enjoying good quality food. EVIDENCE: One person living in the home said that they have the opportunity to develop and maintain important personal and family relationships. One member of staff said that help with communication skills is given by the staff team, both within
Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 13 the service, and when accessing the community to enable people to fully participate in daily living activities. The manager explained that she has consulted people living at the home about possible day placements at day centres, and about taking part in community based activities, depending on the level of support they require, and some people have shown an interest. (The records confirmed this.) However, she and her staff have not been able to secure any placements due to a lack of availability via the Local Authority Support Services. The manager confirmed that she would continue to support people to seek alternative day time activities as and when required. People living at the home said those times for getting up/going to bed, baths, meals and other activities are flexible to a certain degree, and where needed, guidance and support regarding personal hygiene (e.g. to wash, shave) is provided. People added that they choose their own clothes, hairstyle and makeup and their appearance reflects their personality. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 14 Complaints and Protection
The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 16 and 18 YA 22 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: A relative who was visiting the home said that the home has an open culture that allows people to express their views, and concerns in a safe and understanding way. One person living in the home said that they can say when they are unhappy with the ways they are treated. The manager explained that the service has a complaints procedure. This was seen to be clearly written and easy to understand. The records show that the policies and procedures for Safeguarding Adults are available and give clear specific guidance to those using them. One member of staff explained how the procedures work in practice and gave a good account of when incidents needed external input and who to refer the incident to. The records show that there have been no Safeguarding referrals made since the last inspection. The records show that the training of staff in the area of protection is regularly arranged by the manager. Other training around dealing with physical and verbal aggression is also made available to staff as needed.
Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 15 Environment
The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 19 and 26 YA 24 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. The planned refurbishment of parts of the home would further enhance people’s quality of life and living environment. EVIDENCE: A relative who was visiting the home said that the home provides a nice, pleasant environment for the people who live in the home. One person living in
Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 16 the home confirmed this saying, “The home is very pleasant, a safe place to live and a nice place to be”. One person living in the home said that they are encouraged to personalise their bedrooms. One member of staff said that the shared areas provide a choice of communal space with opportunities for people to meet their relatives and friends. This person added that people can meet their relatives or friends in private if they so wish. One person living in the home confirmed this. The bathrooms and toilets were seen to be fitted with appropriate aids and adaptations to meet the needs. A number of people living at Roop Cottage said that the recent redecoration of the home had made a huge difference to the feel of the place. The décor was seen to be pleasant. The manager explained that further redecoration was planned and that people living at the home had had input into choosing colours of paint. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 17 Staffing
The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 27 28 29 and 30 YA 32 34 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: The records show that staff members undertake external qualifications beyond the basic requirements. e.g. National Vocational Qualifications (NVQ). Accurate job descriptions and specifications were found on file, which clearly define the roles and responsibilities of staff. One person living in the home said that the staff are “lovely, with caring and even though they are busy, still make time for you”. The manager explained that there are consistently enough staff available to meet the needs of the people using the service, with more staff being available at peak times of activity. The records show that the staff receive relevant training that is focussed on delivering improved outcomes for people using the service. One member of staff spoke about receiving induction
Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 18 and foundation training, and was looking forward to more in depth training by way of starting an NVQ. The records show that the service has a good recruitment procedure that clearly defines the process to be followed. The staff files that were checked showed that the manager obtains the correct checks, such as a Protection of Vulnerable Adults and Criminal Records Bureau checks and appropriate references, before a person starts work in the home. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 19 Management and Administration
The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 31 33 35 and 38 YA 37 39 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager.
Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 20 EVIDENCE: The records held by the Commission show that the manager has the required qualifications and experience to run the home. The records show that the home works to a clear health and safety policy. Discussions with staff showed that they are aware of the policy and the records show that they are trained in health and safety issues. The manager undertakes checks such as fire safety, risk assessments and audits to ensure there is safe living and working environment. The records show that the home owner is also involved in monitoring the systems operated by the home. Records were seen to be of a good standard and are routinely completed. One person living in the home said that they are aware of safety arrangements such as what to do if there’s a fire, and if they either see, or are involved in an accident/incident, such as a fall. A member of staff explained what they would do if they witnessed an accident/incident. Their explanation was satisfactory, and centred around keeping people safe, assessing their well being, reporting it appropriately and seeking medical help as required. This may include calling an ambulance or calling a GP. The records show that the manager ensures risk assessments are completed and taken into account in planning the care and routines of the home. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 X 3 3 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 YA12 Good Practice Recommendations The manager and staff should continue to make contact with external providers and commissioners to ensure that people living at the home are able to enjoy a full and stimulating life style with a variety of options to choose from. The manager should seek the views of people and consider their varied interests and abilities when planning the routines of daily living and arranging activities both internally and externally. The manager and staff should continue to make contact with external providers and commissioners to ensure that people living at the home are able to enjoy a full and stimulating life style with a variety of options to choose from. The manager should seek the views of people and considered their varied interests and abilities when planning the routines of daily living and arranging activities both internally and externally. The manager and staff should continue to make contact with external providers and commissioners to ensure that
DS0000006207.V338570.R01.S.doc Version 5.2 Page 23 2. YA13 3. YA14 Roop Cottage people living at the home are able to enjoy a full and stimulating life style with a variety of options to choose from. The manager should seek the views of people and considered their varied interests and abilities when planning the routines of daily living and arranging activities both internally and externally. Roop Cottage DS0000006207.V338570.R01.S.doc Version 5.2 Page 24 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
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