Inspection on 17/10/06 for Ryde House

This inspection was carried out on 17th October 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ryde House 20/10/08

Ryde House 13/11/07

Ryde House 29/11/05

Ryde House 16/06/05

Ryde House 08/12/04

Ryde House 08/04/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Ryde House Binstead Road Ryde Isle Of Wight PO33 3NF Lead Inspector Liz Normanton Unannounced Inspection 17th October 2006 09:20 Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ryde House Address Binstead Road Ryde Isle Of Wight PO33 3NF 01983 564004 01983 564008 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) Mr John Raymond Clewley Mrs Miranda Cruz Clewley Mrs Miranda Cruz Clewley Care Home 24 Category(ies) of Learning disability (24) registration, with number of places Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person can be accommodated in the category of MD as agreed by CSCI 29th November 2005 Date of last inspection Brief Description of the Service: Ryde House is a residential care home providing care and accommodation for up to twenty-four people with learning disabilities. The home is a Grade 2 listed building that is approached via an extended private drive, and has extensive grounds leading through gardens and woods to a private beach. The proprietors are currently building four new ten bedded purpose built units, which will be used to re-house the service users currently living at Ryde House. There is a golf course adjacent to the drive and a garden centre in the grounds. Ryde House is owned by Mr and Mrs Clewley and managed by Mrs Miranda Clewley. Weekly Fees:£413.91 Ryde House DS0000012530.V310059.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 and focussed on what the Commission considers to be core standards for a care home for younger adults as defined in the Department of Health (DOH) National Minimum Standards. Information was gathered from a variety of sources, which included data being sent to the Commission prior to the site visit, discussion with four service users, written feedback from six service users, feedback from five relatives discussion with three staff, the deputy manager and the viewing of staff and service users’ files. This information was then triangulated to access outcomes for people living at the home. The overall outcome was that the residents and relatives are satisfied with the service provided at the home with the exception of one relative who believed staffing numbers could be higher at weekends. What the service does well: What has improved since the last inspection? What they could do better: Ensure that each individual has a risk–assessment undertaken in respect of undertaking activities and going out into the community. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 6 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. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective people to use the service and their representatives have the information needed to choose a home, which will meet their needs. EVIDENCE: The most recently admitted resident moved into the home in 2005 following several visits to the home, building up from a couple of hours to whole days. The resident also attended meetings with the manager and health professionals to ensure that the home could meet their needs. There was evidence that the manager of the home had undertaken a needs assessment of the person. Following admission the resident was able to test drive the placement for up to six weeks to ensure that they were happy with the home. In discussion with the resident they stated that they have settled in well at the home. The majority of other residents living at the home have lived there for many years. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although the home provides comprehensive support plans these should be person centred and service users should be encouraged to participate in the six monthly review of their support plan. Service users are able to make choices about their lives. Service users are able to take risks on a daily basis, however the home should identify risks for each individual and ensure that measures are put into place to minimise the risks and that this information is held on service users’ files to inform staff. EVIDENCE: Four of the service users’ support plans were viewed and contained details of support required in personal care, behaviour management, medication, mobility, health, leisure activities, likes/dislikes (this list is not exhaustive). The support plans were comprehensive and are reviewed on a six monthly basis. In discussion with the deputy manager they explained that service Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 10 users are not involved in the review of the support plan due to lack of capacity or lack of interest. Each individual’s support plan can now be accessed on the home’s computer and changes to a person’s needs can be made as required. Support plans were not presented in a format, which would be understandable to the service users and were not person centred. The home operates a key worker system, which enables residents to have a one to one relationship with a member of staff who will support them out in the community, writing letters to relatives, reading correspondence etc. Several service users spoken with knew their key worker’s name. In discussion with the deputy manager they stated that service users are able to make choices on a daily basis, which includes what time to retire or awake, what clothing they will wear, what meals they would like, etc. The deputy manager explained that one service user had decided not to go on holiday this year and this decision was respected. Service users can also choose whether they want to engage in their life skills development, i.e: household tasks such as cleaning, vacuuming, etc. At the time of the unannounced inspection service users were observed making choices. Service users are able to take risks on a day-to-day basis, however the risks being taken and steps required to minimise the risks are not always documented on service users’ files. There were no risk assessments on the four case files, which were chosen at random. The deputy was certain that the home did undertake risk assessments and was able to provide evidence of a risk assessment having been undertaken for one service user, which was comprehensive but could not explain why risk assessments were not available on all service users’ files. There was evidence that the manager had undertaken a generic risk assessment of risks in the home. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individuals’ expectations. EVIDENCE: The activities enjoyed by service users are detailed in their support plan. Support staff, enable service users to go out into the local community to pubs (for a bar meal and to play pool), swimming, bowling, shopping, cinema etc. Service users religious and spiritual needs are met, with two service users attending church and also attending the Causeway. There is a disco held in the home every Friday night. At the time of the unannounced inspection a large percentage of the service users were out at the day centre, which is situated in the grounds of the Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 12 home. The deputy stated that one service user goes to Sunnycrest Nursery one day a week and attends art class twice a week. Service users are supported in the local community to visit the hairdressers, dentists, opticians, clothes shopping, etc. The service users have access to public transport and the use of the home’s vehicle. The deputy confirmed that all the service users are registered to vote; one resident is political and exercises their right to vote. Support staff have not received specific training in the Disability Discrimination Act 1995 but three staff spoken with knew how to identify discrimination and would feel confident to challenge people if they ever experienced this out in the community. Support staff are employed in sufficient numbers to enable service users to have a good quality of lifestyle. Service users are encouraged to maintain family links. In discussion with one service user they said “ I am going to their sister’s house for tea tonight”. The deputy manager stated that at least eight people have varying contact with their family, which includes overnight and weekend stays plus holidays. Service users’ families are welcome to visit the home at any time. Service users have opportunities to meet people and make friends when they are out at the day centre, out in the community and within the home. One service user stated that they had a boyfriend living at the home. The deputy manager explained that nobody at the home was involved in an intimate relationship but that service users’ rights to have an intimate relationship would be supported by the home. In discussion with the deputy manager he confirmed that eight service users have a key to their own room and that all bedrooms are fitted with locks. Support staff were observed calling service users by their preferred name. During the unannounced visit service users were observed accessing all areas of the home. One service user was observed in the kitchen being supported in making hot drinks. Key workers have the responsibility of opening mail for those people they support; those people with capacity open their own mail. A record of housekeeping tasks is written as part of the support plan and service users are encouraged to develop independent life skills. The home has a no smoking policy, however those service users who do smoke can have a cigarette in the covered porch area of the home. One service user was observed exercising their choice to smoke. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 13 The inspector sat with service users in the dining room at lunchtime and observed service users bringing their own meal to the table. There was a choice of lasagne or jacket potatoes, with various fillings. The portion sizes were good and the food looked well presented, was nutritional and wholesome. In discussion with several service users they confirmed that the food is always good. The manager is responsible for menu planning and knows which foods are popular amongst the service users. Food likes and dislikes are written on to individual’s support plans. Fresh fruit and vegetables are provided to the home daily. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual health needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Details of how much support was required in respect of meeting an individual’s personal care was evidenced in the four service user support plans. Nobody living at the home is in need of nursing care. All personal support is provided in private. Service users are supported in the way they prefer. Four family members and two friends were satisfied with the care provided at the home. In discussion with several service users they stated that they felt well cared for. One service user who has had mobility difficulties had been provided with a walking aid. Service users are supported externally from the learning disabilities team, and support staff can access this service for support and advise in relation to individual service users as required. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 15 The health care needs of service users are included in the support plan. Each service user is registered with a general practitioner (GP). Service users have access to aromatherapy, dental treatment, eye care, foot care, residents’ health needs are monitored by the support staff and referrals to GP or appropriate specialist are made as required. All service users have annual health checks. Evidence of in-house training included, oral hygiene, foot care, breast awareness, women’s health, sexual health, care for older people. In discussion with the deputy manager they explained that nobody living at the home currently self-administers their own medication due to incapacity to take on this responsibility. The administration of medication is undertaken by senior staff that have received BTEC training and in-house training. Records of medications administered are kept on Medication Administration Records (MARS) charts and a sample of these was viewed and had been signed. No service users are currently taking controlled drugs. The home has a separate safe storage facility for controlled drugs. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 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 the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home 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: The home’s service user guide includes a residents right to complain, this has been provided in a pictorial/word format, which is understandable by the service users and information has been kept to a minimum. Information on how to make a complaint is also available to relatives. The home’s procedure is to deal with minor complaints as they arise. Formal complaints are passed up to the manager. In discussion with several staff they demonstrated that they understood the home’s complaints procedure. There have been no complaints since the last inspection. The home adheres to the Isle of Wight Adult Protection procedures. In discussion with the deputy manager they stated that new staff are informed about adult abuse awareness as part of their induction training and that all senior staff have been trained in this area by social services. Since the last inspection an investigation was undertaken by CSCI following receipt of an anonymous letter indicating bad practice and possible abuse. The allegations were not substantiated. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 17 The home’s financial policies and practices safeguard the service users from financial abuse. In discussion with several staff they were able to demonstrate that they understood the adult protection procedures and would implement the “whistleblowing” policy if necessary. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 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 the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is not purpose built but has been adapted over the years to provide a safe, accessible and well maintained environment for the needs of those currently living there. EVIDENCE: Only a partial tour of the building was undertaken which included all communal areas, which were found to be clean, comfortable, safe and well presented. The deputy manager highlighted the fact that the lounge had recently been decorated. One service user showed their bedroom to the inspector and this was personalised to suit their taste and interests. It has been recognised by the proprietors that the building does not fit with current best practice, as it is an old building accommodating twenty-four service users and none of the bedrooms have en-suites. Plans to develop the service have begun with the building of four separate houses, which will accommodate ten people. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 19 The home has a good infection control policy and staff adhere to the home’s procedures to reduce the risk of infection. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users safety is promoted by the homes recruitment policy and procedures. The home is committed to the development of staff through training, which enables them to undertake their roles and responsibilities as support workers. EVIDENCE: To ensure the home operates a robust recruitment procedure four staff files were viewed and were found to contain all relevant information except for one in which there was only one reference. There was evidence that a reference had been sought and the administrator agreed to chase up the second reference. A reference for the past employer was evident on all four files. Three of the four employees had been employed in the home prior to the return of the Protection of Vulnerable Adult (POVA) checks in discussion with the manager they stated that confirmation that people were cleared by POVA had been received by telephone. In discussion with three support staff they confirmed that they have been provided with training, which included health and safety, food hygiene, fire safety and infection control. Two of the staff spoken with were fairly new Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 21 employees and confirmed that they had been shadowed in post at the start of their employment and had induction training. Training certificates were in evidence in staff files. In discussion with the deputy they stated that the staff have also had training in the area of challenging behaviour and restraint. They went on to explain that home’s ethos is to use non-evasive interaction. Restraint is only used as a last resort and would be gentle touching, for major problems the police would be called. Senior staff responsible for the administration of medication have had medication training. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed by a qualified experienced manager. The home has a number of systems in place for quality assurance monitoring but these could be expanded upon to ensure that stakeholders and service users are able to make comments about the service. The home has a good record of meeting relevant health and safety requirements and legislation. EVIDENCE: The manager is a registered learning disabilities nurse and has owned and worked in the home for the last twenty years and has a wealth of knowledge and experience of working with people with learning difficulties. She is currently undertaking a National Vocational Qualification (NVQ) level 4 in management. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 23 With regards to quality assurance, the proprietors have recognised that the existing building no longer meets with current standards and as a result of this they are building four new ten bedded units, which will provide service users with a purpose built environment which will better suit their needs. The home is still being maintained as required with the lounge having been recently decorated. In discussion with the deputy manager they explained that the home does not have any formal means of quality assurance monitoring, however service users relatives are encouraged to raise ideas/issues with the home. They explained that the home had introduced service user meetings but that these had not been productive and have now ceased due to people’s lack of interest. The views of stakeholders are not sought. Service users are not informed of inspections as these are now unannounced. Service users were able to speak with the inspector privately and collectively at the inspection. The home updates policies, procedures and practices in light of changing legislation and good practice advice from the Department of Health. Details in a returned relative comment card indicated that they have quarterly meetings with the manager and social services, which enables them to discuss any problems. The health, safety and welfare of service users and staff is generally promoted and protected. Staff have received training in the relevant areas as discussed earlier in the report. One person is designated to undertake weekly fire tests and records of these was evidenced. In discussion with three staff they were able to demonstrate that they understood the home’s fire procedures. The Environmental Health Department had visited the home the week before this inspection visit and was satisfied with the home. Health and Safety posters were posted around the home. All cleaning products considered harmful to health are risk assessed and stored in a locked facility when not in use, as in line with the home’s COSHH procedures. Records of accidents/injuries are kept on service users’ files and CSCI are notified as required. The proprietors/registered manager have undertaken a generic risk assessment of all potential hazards/risks in the home to staff and service users Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 24 and have considered how the risk can be minimised or eliminated to ensure the ongoing safety to all. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 2 x x 3 x Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 26 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 YA9 Regulation 13 (4) (b) (c) Requirement You are required to ensure that risk assessments are undertaken for all service users with regard to any risks to health and safety associated with activities/outings service users partake in. Timescale for action 30/01/07 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 YA6 Good Practice Recommendations Service users would benefit from the development of a support plan in a format that they can understand. The service users should be at the centre of the support plan, which ought to be written in the first person. The service users should be given opportunities to participate in the reviewing of their support plan. Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Ryde House DS0000012530.V310059.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!