Inspection on 05/11/08 for Salisbury Court

This inspection was carried out on 5th November 2008.

CSCI found this care home to be providing an Good service.

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

Salisbury Court 28/11/07

Salisbury Court 13/02/07

Salisbury Court 07/03/06

Salisbury Court 28/09/05

Salisbury Court 08/02/05

Salisbury Court 02/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Salisbury Court Off Barnoldby Road Waltham Grimsby North East Lincs DN37 0BS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Rob Padwick     Date: 0 5 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Salisbury Court Off Barnoldby Road Waltham Grimsby North East Lincs DN37 0BS 01472821634 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Royal Mencap Society Name of registered manager (if applicable) Tracy Jane Pashby Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Salisbury Court is care home providing personal care and accommodation for 6 adults with learning disabilities some also have associated physical disabilities. New Era Housing Association owns the building. Mencap provides staffing and support. The home is located in the village of Old Waltham. It is close to local shops and amenities and there is a regular bus service from the village to the nearby towns of Grimsby and Cleethorpes. The home is a detached dormer bungalow in a quiet residential area. All accommodation for people is provided on the ground floor with the staff sleep-in room/office and shower/toilet on the first floor. There are six single bedrooms and each has a wash hand basin fitted. The home has a bathroom with an Aqua Nova assisted bath and toilet, a shower room with wheelchair access and toilet and a separate toilet. There is a combined lounge/dining room and Care Homes for Adults (18-65 years) Page 4 of 29 care home 6 Over 65 0 6 Brief description of the care home adjacent kitchen and a separate laundry room. The gardens are easily accessible to residents and there is a car parking area. Information given by the manager indicated the current basic weekly fee is 904.35 pounds. People who use the service will pay additional costs for optional extras such as hairdressing, private chiropody treatment, toiletries and newspapers/magazines. Information on the specific charges for these and more up to date information on weekly charges can be obtained from the manager. Information on the service is made available to prospective and current residents via the homes statement of purpose, service user guide and inspection report. Copies of these documents can be obtained from the home. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since its last key inspection, which took place on 28th Care Homes for Adults (18-65 years) Page 6 of 29 November 2007 and includes information gathered during a site visit to the home. As part of the inspection process, we send out a self assessment document that the Registered Person must complete and return to us. This helps us know how well the home is meeting regulations and national minimum standards and what has been done to improve it and what still needs to be done. The self assessment was completed by the previous manager and information from this used as part of the inspection process. Other information used, included feedback from people living in the home and their relatives, Professional people who know them well and official notifications sent to us by the home. This information helps us to reach judgments about the service provided. The site visit took place on 5th November 2008 and lasted for 8 hours. The provider was not told in advance when it would take place. The manager was available throughout the period of our site visit, and as well as speaking to him, we talked staff who were on duty and people living in the home. We looked round the building, including bedrooms and shared areas and we inspected the records of peoples care, staff files, health and safety documents and other records that are kept by the service. In order to improve the way the Commission for Social Care Inspection involves and engages with people who use services, someone with experience of receiving similar services, known as an Expert by Experience assisted us with this inspection visit. This person spoke to people living in the home and helped us to look round the building as well as talking to staff. Information collected by the Expert by Experience is included within this report. What the care home does well: What has improved since the last inspection? What they could do better: The staffing levels in the home must be reviewed to ensure the individual and changing needs of people living the home can continue to be appropriately met. More information about the home should be provided in a format that is easy to understand, so people can have more information about their rights and know what they can expect from the service. More specialist communication training should be provided for staff to help them to support people living in the home and the use of more pictures and symbols should be developed, to ensure people using the service can be assisted to make decisions and choices about their lives. The activities for people living in the home should continue to be developed to enable them to experience a lifestyle that meets their wishes and feelings and consideration should be given to obtaining transport facilities in order to help people get out in the community and attend medical appointments when needed. Care Homes for Adults (18-65 years) Page 8 of 29 Staff should receive more training on the importance of Person Centred care to ensure the dignity of people living in the home can be enhanced and people commissioning the service should be actively involved in monitoring their care to ensure the service can evolve and continue to meet their changing needs. An annual quality plan should be developed from the results of consultation with people who use and know the service. This is to so their views can be considered in future plans for the home. Steps should be considered to support the manager to develop her role and support staff in developing their skills. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs of people living in the home are assessed to ensure the service can meet their needs and information is available to help them know what they can expect from the home. Evidence: The case files belonging to people living in the home continued contracts that had been issued to them, which gave details about the charges payable as was previously required. Information about the service had been developed since the last time we visited the home in order that people thinking about moving into it can have clearer details about what they can expect from the service. Whilst some of this information had not yet been produced in a format that everyone can easily understand, the manager told us this could be requested on a special DVD and a recommendation is made about this. The case files of people living in the home contained recent reassessments of their individual needs that had been carried out with the involvement of Social Services staff, to ensure the home is able to continue meeting their needs and we were told about a meeting that was due to take place in a few days time with Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: the Local authority, in order to agree decisions about this. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs of people living in the home would be met better by more staff with more specialist training to ensure they are able to communicate better with them about their wishes and choices. Evidence: The group of people living in the home have a variety of specialist needs, some of which are very complex. Case files belonging to people using the service contained in depth support plans developed to help staff meet their individual wishes and choices, together with evidence of the close involvement of families and professionals to ensure agreement and decisions about these. All of the people living in the home had recently had their needs re assessed and reviewed by Social Services to ensure the service is able to continue meeting them appropriately and whilst it was clear staff generally had a good understanding of these, we observed times when their ability to meet these was effected by their combined complexity and the numbers of people using the service. A requirement and recommendation is made about this. The case files Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: belonging to people living in the home contained a variety of assessments concerning the management of risks and the manager told us the service takes a positive approach to these to ensure people are supported to take as much responsibility for these as is possible. Some of the people living in the home are not able to verbally communicate and whilst staff had received some specialist training on this and support plans contained the use of some pictures and symbols to help them with this, recommendations are made that that this aspect of the service is further developed. The Expert by Experience said I did not see any pictures or symbols used around the home to help people communicate. I recommend staff use more signs and symbols around the home. The Expert by Experience commented, Staff were very friendly and welcoming and we saw craft materials and the development of gardening facilities to help stimulation of people living in the home. The Expert by Experience commented There was some new sensory equipment, which I liked, on one there was lots of different things to feel and touch. There was also a bubble machine, which could change colour by pressing buttons. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst people living in the home are provided with opportunities to participate in a variety of activities, shortages of staff available sometimes limit the ability of these to meet their individual wishes and feelings. Evidence: On the day of our site visit, all of the people living in the home were out attending day services and information provided by the manager indicated that all had been away on a holiday during the year as was previously required. There was evidence of a variety of trips out and visits to places of interest and the manager told us of the involvement of relatives to develop opportunities further and that arrangements had been recently made for some people to join a local walking group. The Expert by Experience said There was sensory equipment and residents sometimes go to a hydrotherapy pool and craft activities take place but added I think there should be more activities planned Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: for inside and outside to give more choice and experiences. Professional staff in the community told us Staff are aware of the different needs (of people living in the home) and encourage them to have opportunities for each individual but added that If someone is unwell, this often means other people do not get out and activities have had to be postponed and we witnessed such an occasion during the day of our site visit. A recommendation is made about this. The service has no transport to help people get out in the community and we were told about times when people have to use taxis to get to medical appointments. A further recommendation is made about this. The manager told us the service has a charter that encourages and guides staff in supporting people to maintain and strengthen family connections and we saw good evidence of the involvement of relatives. The case files belonging people using the service contained evidence their nutritional needs were being appropriately monitored and we were told they were able to help choose what is served. The Expert by Experience however said I did not see a formal menu or any pictures to show choice of meals and again recommended the use of pictures and symbols to help people indicate what they would like to eat and do. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care of the people living in the home are generally met although better attention in relation to their individual needs would ensure their dignity and rights are respected better. Evidence: Support plans belonging to people using the service contained good information about their health and personal care needs, together with regular monitoring of these and information about how they liked to be supported with these. We saw evidence of continued close working arrangements with members of the Community Multi Disciplinary Teams to ensure these are met and a Senior Nurse Manager told us The manager works closely with members of the CLTD and other health staff (She) will contact the Health and Wellbeing Co-ordinators with any concerns. Whilst the support plans of people living in the home contained details about their personal care needs, a relative indicated times when concerns needed to be raised regarding the amount of dignity and respect that is shown towards them and a recommendation is made staff are provided with further training on this and the importance of Person Centred care. Medication policies and procedures are available to support staff with this aspect of Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: their work and we saw evidence that most of them had training to ensure people living in the home are kept safe from harm. The service receives regular visits from a pharmacist to check arrangements for medication kept in the service and records we inspected for these were accurately maintained with evidence of regular management audits of them being carried out. Official protocols had been developed following a requirement made previously about medication given to people in their food, together with clear guidance and instructions for staff about these. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The concerns of people living in the home are taken seriously by staff who have been trained to ensure they know how to protect them from potential abuse. Evidence: The home had a complaints policy and procedure to ensure the concerns of people living in the home can be heard and relatives confirmed they were aware of these and knew how to use them. The Commission for Social Care had received no complaints about the service since the last time we visited and the complaints log indicated good progress in reducing the level of complaints and appropriate action to resolve the one complaint received. The manager told us she took a positive approach to receiving complaints and there was evidence of close involvement with relatives to help improve the service. At the time of this inspection, the Local Authority was investigating a complaint made to Social Services and whilst feedback received from some relatives indicated some continuing concerns about the level of service provided confirmation was obtained from them that improvements had been made over the past year. The staff records contained evidence of training delivered to ensure they are equipped with skills needed to manage the needs of people using the service, together with further training to ensure they know how to the protect people from potential abuse as was previously required. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are provided with an environment that though somewhat small is maintained well and kept clean and tidy. Evidence: The home has a clean, warm and had a homely atmosphere and people who use the service were observed to be settled and comfortable in their surroundings. Since the last time we visited, new carpets had been laid in the corridor and dining areas as was previously required and there was evidence of work carried out to ensure the building is appropriately maintained. Furniture and fittings were of good quality and the bedrooms seen were furnished and decorated to reflect the personalities of people living in the home. However, the building is somewhat small and suffers from a design originally intended to meet the needs of a group of people whose needs have increased over time. This restricts the availability of space in certain areas of the home as a result. The Expert by Experience said I found the home to be very homely but not very spacious, I think there would not be much space as I know some residents are wheelchair users, and if all the residents were in one room at one time such as meal times, it might get a bit cramped. We made a requirement the last time we visited concerning the storage of lifting and handling equipment and saw evidence these are now stored in a bedroom that is no longer used. Agreement had been approved the Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: day before our visit for the installation of a special toilet for the use of one person living in the home and the home is equipped with a specialist bath on which which the Expert by Experience commented It had a Jacuzzi setting which could help the residents to relax. You could also adjust the height, which would be easier for the residents to get in and out, and also safer for the staff so that they dont have to bend down. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are recruited safely to ensure people using the service are protected from potential harm and training is provided to them to ensure they are equipped with the skills needed to meet individual needs. Evidence: The Expert by Experience said Staff were very friendly and we observed them interacting with people living in the home in a sensitive and positive manner. Since the last time we visited, changes amongst the staff team had largely stabilised, however there were times we observed when they were continuing to experience difficulties in managing the combined needs of all the people living in the home. A requirement has been made about this earlier in this report (See Individual needs and Choices). We saw evidence of good progress in developing a training plan to ensure the needs of people living in the home are appropriately met and staff files contained confirmation of attendance at a range of various specialist and mandatory courses. The service continues to exceed the target of having at least 50 of care staff trained to NVQ level 2 and whilst the manager was monitoring the take up of training, some gaps were identified concerning the need for further specialist communication and Person Centred approaches to working with people using the service as has been previously identified elsewhwhere in this report. Staff files contained evidence of regular supervision and Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: appraisals of their skills and staff were generally positive about the learning and development opportunities provided. Recruitment policies and procedures are in place to ensure staff safe to work with people living in the home and the files of newly recruited staff contained evidence these were being followed with appropriate checks being carried out. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management and administrative systems are in place to ensure the views of people living in the home can be considered and their welfare is promoted and protected. Evidence: The manager has considerable experience in working with people with learning disability and since the last time we visited the home had formally been registered with The Commission for Social Care Inspection to manage the home. There was evidence the manager is committed to meeting the needs of people who live in the home and good progress had been made to in implementing the requirements we made previously to improve the home. Feedback received from a member of Social Services staff indicated the manager was over and above whilst health professionals told us she worked hard to develop good working relationships with both themselves and relatives. One health professional said The manager is always willing to discuss issues relating to health of a person and always welcomes support and advice, she also contacts me with questions and queries whilst another told us The manager telephones if advice is needed around health needs, as do staff under her direction. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: Staff indicated the manager takes an open approach and there was evidence of regular meetings to ensure good communication and a sense of leadership to be provided. However there are no senior staff at present to support the manager in her role, and a recommendation is made about this to help her develop the staff team and empower them to take personal responsibility for their work. There was evidence of progress in developing the quality assurance systems for the home to allow it monitor its performance against its objectives. Regular audits were being carried out of various aspects of the service and there was evidence of formal consultation with people to enable their ideas and suggestions for improvements to the home. It is recommended an annual plan is developed from the results of the analysis of the these. There was evidence of a range of regular safety checks being carried out to ensure the health, safety and welfare of staff and people using service and the maintenance records we inspected were being satisfactorily kept with evidence of a recent fire drill carried out. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 18 The Registered Person must review staffing levels in the home. This is to ensure the individual and changing needs of people living the home can be met. 30/04/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 The registered person should continue to ensure more information about the home is provided in a format that is easy to understand. This is so people living in the home can have information about their rights and know what they can expect from the service. The Registered person should ensure further specialist communication training is provided for staff to enable them to support people living in the home. The Registered Person should ensure the use of pictures and symbols in the home is developed, to ensure people living in the home can be assisted to make decisions and choices about their lives. The registered person should continue to work closley with Page 27 of 29 2 7 3 7 4 7 Care Homes for Adults (18-65 years) people commissioning the service to ensure they are aware of their changing needs and enable these to be appropriately met. 5 12 The Registered Person should continue to develop the activities available for people living in the home in order to enable them to experience a lifestyle that meets their wishes and feelings. The Registered Person should consider obtaining transport facilities for people living in the home to help them get out in the community and to attend medical appointments. The Registered Person should ensure staff receive further training on the importance of person centred care in order to ensure the dignity of people living in the home can be enhanced. The Registered Person should consider steps to support the manager to develop her role and support staff in developing their skills. The Registered Person should ensure an annual quality assurance plan is developed from the results of consultation with people and the analysis of audits of the home. This is to so their views can be considered in future plans for the home. 6 13 7 18 8 37 9 39 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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!