CARE HOME ADULTS 18-65
Saeeda Saeeda 17 Green Lane Redruth Cornwall TR15 1JY Lead Inspector
Stephen Baber Unannounced Inspection 2nd November 2005 09:30 Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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 Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Saeeda Address Saeeda 17 Green Lane Redruth Cornwall TR15 1JY 01209 215029 01209 215029 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) Swallowcourt Limited Lynette Horne Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 4th May 2005 Brief Description of the Service: Saeeda is a care home providing residential accommodation to a maximum of eight adults with a learning disability. The aim is to provide a good quality of care and to work with residents to maximise their independence. Residents are supported to maintain contact with their families and to be involved in the local community. The staff team encourage independence in personal skills. The residents enjoy individualised activities and holidays. The home is an attractive Victorian property situated close to Redruth town centre. It is situated within easy reach of the town of Redruth with good access to transport and all the facilities of the town. Access to the home is not suitable for disabled people. The company provide free transport for outings out. Residents are provided with individual furnished bedrooms and shared bathrooms and shower rooms. The home is undergoing major upgrading work to all areas throughout the home. At present there is a kitchen on the lower ground floor and dining room and lounge on the ground floor. The company have invested substantially in the recent months to improve the decoration and fabric of the home. The home has a small garden and there is parking for two cars. Residents attend a range of day activities, which are mainly commissioned by the Cornwall County Council Social Services Department. Swallowcourt employs a manager and team of staff to provide care and support for the residents living in the home. The managing director and senior manager are available to provide additional specialist input and visit the home regularly to support the manager. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over two days on 31st October and 02nd November 2005. There was one inspector and the inspection lasted for thirteen hours. The Inspector looked over the building, records and documents, talked with residents and staff and observations and meal participation took place over the two days. The senior manager from the company visited over the two days and the manager said she is appreciative of his support. The inspector would like to thank everyone who was involved in this inspection, including the registered manager, staff and residents, for their kind assistance on the day. What the service does well:
The statement of purpose and service users guide clearly explains the philosophy of the home as well as the services and facilities that are provided to the residents. The new resident to the home said that she was given lots of information, which enabled her to make a decision about where she wanted ti live. Six of the eight residents have lived at the home for many years and I noted the positive relationships have been established between the staff and residents. The residents are valued as individuals and the observations made by me showed that the residents have confidence in the staff. The manager has managed to break away from the previous regimes, which tended to be regimented to the current relaxed friendly and enabling way of life for the residents. The manager has also introduced choice in everything the residents wish to do and the residents I spoke with said how much they enjoy choosing what they want to do and where they want to go. Family and friends are actively encouraged to visit the home. The resident will determine where the visit occurs. Choice has also extended to mealtimes and the residents told me they help to do the shopping and choose what they want to eat. The manager and staff monitor the nutritional input to make sure that a healthy diet is provided. Each care plan details any particular health issues an individual may experience and where necessary this also includes guidance to the staff about the care, support and any indicators of poor health they need to take account of. The company have invested in the home and there has been a big improvement in the standard of accommodation and decoration. All the bedrooms are for single occupancy and two have shower facilities. The manager and staff encourage the residents to personalise their rooms and the rooms inspected reflect the individuality of the residents. Another big improvement is in the area of staff training. Staff are provided with a range of
Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 6 training opportunities to improve and develop their skills and abilities to meet the needs of the residents. The training includes specialist courses for staff working with people who experience a learning disability as well as NVQ and core skills training. The home is well managed and the staff said that the manager supports them. What has improved since the last inspection? What they could do better:
The first impression of the exterior of the home is that it is in need of attention. It was noted that the service utility box outside is badly stained which does not give a good impression. Also a general tidy up outside would make the home look smarter. As the main road to Redruth runs past the home and the public house is near the home, the grime and dirt from vehicles and rubbish from some of the public makes the home look in need of some attention. When you enter some of the areas of the home it looks untidy. This may be due to the shortage of storage space I discussed with the manager all the items stored in the cabinet in the dining room and suggested that a unit could be purchased with doors where these items could be hidden making it look tidy. Other areas could also be improved on, which would give the impression of everything being tidy. Also the company need to give urgent
Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 7 attention to the non-working of the dumb waiter from the kitchen to the dining room. The current arrangements are unsatisfactory and priority must be given to the proper working of this facility. I discussed with the manager the resiting of the kitchen to the kitchen in the flat, which is near the facilities for the residents. She agreed to contact the Environmental Health Office and report back to me. Each person staying at the home is not provided with a written contract. This matter is going to be put right The company have six homes, three very large nursing homes and three learning disability homes. Throughout the company they are providing a structure of support with ancillary staff, domestics, training managers, accountants, maintenance personnel, support and activities assistants which provide monitoring and back up. Through their human resources, recruitment and selection, policies and procedures and training the company are improving their reputation in the eyes of the customers, stakeholders and the wider community. However the company are looking to providing a corporate approach throughout its entire homes. At present there is some fragmentation due to the fact that this consistency of approach is not common throughout the company. The policies and procedures require review and updating to reflect this consistency of approach throughout the company. 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. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 8 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 Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 9 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): 1,2,3,4,5. To assist residents to make an informed choice about staying at the home and the care, support and facilities available, a comprehensive Statement of Purpose and Service User Guide is made available to prospective residents and their representatives. Each resident is not provided with a written contract in a format that is appropriate to their needs. This does not make it clear to the residents about the arrangements at the home. EVIDENCE: The Statement of Purpose and Service Users Guide are made available to all prospective residents. One recent admission said that she and her representative were given sufficient information by the home to enable her to make a decision about where she wanted to live. It would be helpful to develop those documents in a format or language appropropriate to each residents needs. Each person staying at the home is not provided with a written contract. The sister home in Hayle has recently written a contract for the residents. As the company wish to adopt the corporate approach it would be helpful if the manager caught sight of this document. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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 the following standard(s): 6,7,8,9,10. Positive arrangements have been established to provide care plans that are resident lead and provide staff with clear information, guidance and direction about the residents needs, choices and preferences. The management of risk has improved and clear guidance is provided to staff when required. The arrangements to manage risk have also improved following the last inspection. The manager has established suitable arrangements to take reasonable steps to minimise risks to individuals and staff around the home. EVIDENCE: Each resident has a care plan that details the resident’s views, needs, preferences involvement and the support they require. This corporate approach to care planning has benefits for residents in that individual goals are set for each resident with reviews taking place. It is recommended that a review sheet be placed behind each sheet, which will provide a running record of reviews that take place for each goal. The manager is very pro-active in working effectively with relatives and all professionals to promote the best quality
Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 11 service for the residents, which respects privacy dignity choice and independence. A key worker system is in place and I noted throughout the two days the positive and strong relationships that have been established between residents and staff. In conversation with the residents they told me that their views are respected and that they are not forced to do or go somewhere they do not want to go. The arrangements to manage risk have also improved following the last inspection. The manager has established suitable arrangements to take reasonable steps to minimise risks to individuals and staff around the home. However the arrangements to assess risk are not satisfactory and suitable records of the assessments need to be completed The manager has compiled a policy on confidentiality, which does not follow the corporate approach. This document has been shared with the other learning disability homes and it has been beefed up by them to provide additional information. Staff are trained from induction on confidentiality so that the residents know that information about them is handled in confidence. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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 the following standard(s): 11,12,13,14,15,16,17. A range of activities is provided at the home and in the local community that reflect the resident’s individual preferences and choices. The activities in house and in the community provide residents with a fulfilling lifestyle. Residents are encouraged to maintain family contact and visitors are given hospitality and made to feel welcomed. Residents are offered a healthy diet and choices are given so that meals and mealtimes are enjoyable. EVIDENCE: A range of activities are provided to residents within the home and the local community. The activities reflect the interests and hobbies of the residents and individual preferences are detailed in the persons care plans. As part of a therapeutic environment residents are encouraged to participate with household tasks. Some of the residents said how much they enjoyed carrying out tasks in the home. The manager and staff provide residents with an environment that offers opportunities and promotes personal development.
Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 13 Some of the residents said to me that they have enjoyed individual holidays and the support given to them by the staff to achieve their goal. Another resident told me that she did not want to go on holiday and the manager and staff respected this. The Statement of Purpose and Service User Guide states that family and friends are welcome to visit residents. Residents can take their relative to their room or talk with them in the communal areas. One resident goes home every weekend to his family. At present the dumb waiter is not working properly. This means that all dishes have to be carried down very steep stairs, which could be dangerous for staff. Residents have been asked not to take dishes down stairs. This arrangement is unsatisfactory and needs to be given high priority by the company. The manager and I discussed re-siting the kitchen to the staff flat, which is near all the facilities used by the residents. The manager is going to invite the views of the Environmental Health Officer and report back to me. Meals have greatly improved with the residents fully involved in menu planning and shopping. Choices are offered to residents at all mealtimes and I observed some residents getting their own breakfast when they got up. The residents told me that they enjoy their meals and some like assisting in putting the dirty dishes in the dishwasher. Items on display in the dining room would be better hidden in a cupboard, which would make this area look clean fresh and organised. The company have purchased new dining room tables, which seat four people. Attention to detail on the dining tables makes for a pleasant dining experience. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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): 18,19,20,21. The manager and staff provide for the residents personal support that is flexible, consistent, reliable and responsive to individual needs. The physical and emotional care needs of residents are well met with evidence of good multi disciplinary working taking place. Further development of the medication at the home is required to protect the residents from harm. EVIDENCE: Documentary evidences that the physical and emotional care needs of the individual residents are being met. Recording has greatly improved in the area of care planning and daily recording. The manager demonstrates that she actively involves other professionals in the promotion of good health and well being of the residents and the full involvement of the relatives. During the inspection two residents had been unwell and I noted the positive and responsive manner in which the staff provided care and support. It is also evident that staff treats each person as an individual and respects their privacy and dignity as observed by me throughout the inspection process. There has been significant improvement in all areas of medication. However then trolley currently being used is not suitable for storing medication and records. As a result errors were noted on the MARS sheets, which may be attributed to the records being signed afterwards because there is no facility
Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 15 for placing the MARS sheets on the trolley. Some staff have received medication training and all other staff are booked to carry out the Safe Handling Of medication distance learning pack. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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. Complaints are handled appropriately and residents and their representatives can be confident that any concerns are taken seriously and acted upon. There are measures in place to protect vulnerable residents from abuse but these should be strengthened and improved in line with the corporate approach. Policies and procedures must be made available to staff to give them clear guidance about the action they need to take to keep residents safe. EVIDENCE: The home has an open approach to any concerns or complaints that are received and robust arrangements are in place to deal with any issues that are raised. A record is maintained of all concerns and complaints that are raised, the action taken and the outcome. The Adult Protection Procedures must provide staff with clearer guidance about the action they are required to take should an allegation of abuse be made. The manager should also obtain copies of local multi-agency procedures. Staff have received some training as part of their induction training and more robust training and access to external, multi-agency training has been arranged, to ensure the residents are safeguarded from harm. In line with the corporate approach, the sister home in Hayle has produced a comprehensive policy and procedure on Adult Protection and this should be made available to the manager. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 17 Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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): 24,29,30. Further upgrading work is required to the home to continue to improve the standard of the environment and facilities so that the residents live in a cosy and comfortable environment. A good standard of hygiene and cleanliness is provided to make sure that resident’s health is not compromised and protective clothing is provided to control the spread of infection. Residents should have aids and adaptations to maximise their independence. EVIDENCE: An inspection of the home took place and it was noted that all rooms apart from two had been decorated and refurnished. With reference to the home the company provide maintenance staff to keep the interior and exterior of the home in a good state of decoration and repair. Evidence shows that there are areas of the home that require their input to bring the home back to a good standard. The major financial investment by the company is ongoing and as pointed out to the manager these outstanding areas would bring the home back on course.
Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 19 Several of the residents are over retirement age and their dependency levels may increase in the future. It is recommended that the manager draw up an action plan and to present to the company regarding a range of disability equipment to promote independence and safety. Protective clothing is provided to promote good hygiene pratice. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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): 32,33,34. Staff roles and responsibilities are clear and they are given access to a range of training courses to enable them to understand the purpose of the home and key values that underpin the standards. Evidence to support fair, safe and effective recruitment and selection of staff in the home has improved but key information is still lacking to fully protect residents from risk. Staff are now better supported and supervised. Training for staff has improved which promotes the quality of the service provided. Individual staff training profiles have been set up to ensure the staff fulfil the aims of the home and meet the changing needs of the residents. EVIDENCE: This is an area that has greatly improved for the staff. The company are proactive in the area of training. The documentary evidence indicates that a range of training opportunities is regularly provided for the staff. The training ranges from mandatory and specialist e.g. fire training, safe handling of medication, First Aid, Basic Food Hygiene, Induction, and NVQ level two and the LADAF course that is designed for people working in learning disability settings. I talked with the staff who stated that they enjoy the training provided by the company and were looking forward to undertaking their National Vocational Training. Each member of staff has an individual training plan that is linked to supervision and the annual appraisal. Staffing ratios have been greatly
Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 21 increased by the company and there are two care assistants on duty throughout the day with one sleeping in staff on duty throughout the night. The records regarding the recruitment, selection and vetting of new staff evidence those satisfactory arrangements are in place. The evidence provided showed that not all required key information was in place e.g. Photograph, proof of identification, conditions of engagement and POVA. POVA was explained to management and now Internet facilities have been set up in the home discussion should take place with the company regarding the processing of POVA. The induction programme is not the company approach but ensures that staff possesses the necessary competencies to provide a good standard of care as well as a clear understanding about the working practices of the home. The manager leads by example and has worked hard in her first year to inform and direct staff. I spoke with the staff who said they are well supported by the manager and the company. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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): 39 and42. The systems for resident’s consultations are reliable and quality assurance measures are in the process of being established and put in a format that can be understood by residents. Satisfactory arrangements are in place to promote the health and wellbeing of the residents and staff at the home Further work on Health and Safety policies and procedures must be developed in line with the desired corporate approach to safeguard and protect the residents from harm. EVIDENCE: The manager has consulted with residents, relatives and representatives about the services and facilities provided. A quality assurance process has been undertaken this year based on seeking the views of residents and to measure success in achieving the aims and objectives and Statement of Purpose of the home. The manager is consulting with its sister homes on Health and Safety matters but the policies and procedures are not the corporate approach and are unique to Saeeda. The equipment and services provided to the home are regularly
Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 23 serviced and monitored and satisfactory fire arrangements are in place. The manager should ensure that she has regular contact with the head of maintenance to bring the fire plan as required by the fire authority up to date and clarification regarding the testing of all electrical appliances and recording should be sought from him and all detail as laid out in standard 42(3). Further the current policies and procedures should be compared to the topics as set out in Appendix 3 and an action plan should be drawn up that addresses the further work required. This is were the corporate approach would be beneficial to all its establishments. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 24 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 3 3 3 3 1 Standard No 22 23 Score 3 1 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 2 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 2 X X X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 2 X X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Saeeda Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score X X 3 X X 2 x DS0000058449.V252736.R01.S.doc Version 5.0 Page 25 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 2 3 Standard YA5 YA9 YA17 Regulation 5 13 13 Requirement Contracts must be issued to all residents. Arrangements to assess risk must be put in place with detailed records completed. The Dumb Waiter must be repaired and consultation to take place with Environmental Health regarding the kitchen arrangements. A suitable medicines trolley must be purchased Policies and procedures on Adult Protection must be drawn up and reflect the local authority adult protection proceedure and DOH No Secrets guidance. The recruitment detail must comply with the regulations and standards. Timescale for action 30/03/06 30/03/06 30/03/06 4 5 YA20 YA23 17 13(6) 30/03/06 30/03/06 4 YA34 18 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No.
Saeeda Refer to Good Practice Recommendations
DS0000058449.V252736.R01.S.doc Version 5.0 Page 26 1 2 3 Standard YA1 YA29 YA42 The statement of purpose and service user guide should be in a format suitable for the people the home intends to accommodate. As the residents dependency increase an action plan should be drawn up to establish what aids and adaptations would assist them. Regular contact with the head of maintenance should be established to address the issues detailed in the report. Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Saeeda DS0000058449.V252736.R01.S.doc Version 5.0 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!
