Inspection on 25/06/07 for Severn Oaks

This inspection was carried out on 25th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Severn Oaks 04/08/09

Severn Oaks 09/05/06

Severn Oaks 12/12/05

Severn Oaks 05/04/05

Severn Oaks 11/01/05

Severn Oaks 07/05/04

Severn Oaks 03/12/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Severn Oaks 6 Jesmond Road Clevedon North Somerset BS21 7SA Lead Inspector Catherine Hill Unannounced Inspection 25th June 2007 10:35 Severn Oaks DS0000008135.V342011.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 Severn Oaks DS0000008135.V342011.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. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Severn Oaks Address 6 Jesmond Road Clevedon North Somerset BS21 7SA 01275 878447 01275 873775 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) Cintre Community Limited Mr Robert Michael Hogan Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age of persons who may be received in the home is 18 - 35 years Date of last inspection 9th May 2006 Brief Description of the Service: Severn Oaks is in a residential area and provides support to younger adults with mild learning disability and complex needs. The home strives to promote independence and acts as a springboard for service users to move toward independent living. It aims to support service users to acquire the whole range of practical skills necessary for living in the community. The home is in a residential area close to the town, sea front and local amenities. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection consisted of an unannounced visit to the home which started in mid-morning and ended in the evening. The inspector spoke individually and in depth with four of the service users and five staff during this visit. The manager was also present for part of the inspection. Following this visit, the inspector spoke with one of the placing social workers. The inspector looked at the communal areas of the home and checked a number of records, including: • the Service Users Guide • residents contracts • the pre-admission assessment • residents care plans and associated documents • medication records • the system and records for looking after residents cash • the staff rota • staff recruitment, supervision and training records. What the service does well: What has improved since the last inspection? Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 6 There were no requirements or recommendations made at the last inspection but the home has not rested on its laurels: questionnaires have been sent out to service users and the home is now exploring ways of increasing her empowerment. It is also planned to send questionnaires out to families and external professionals. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Severn Oaks DS0000008135.V342011.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 Severn Oaks DS0000008135.V342011.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their representatives generally received good information about the service before deciding to move in, but this needs some updating. A good level of information is gathered by the home to ensure that it will be able to offer a suitable service. EVIDENCE: Each person has their own copy of the homes Service User Guide at the back of their file. Older versions of this document did not include all the relevant information, but the version on the newest resident’s file was much more informative. However, there was no information about staffing levels. This document should be reviewed regularly and on any significant change in the service. It might also be useful for the homes intervention policy to be made clear in the Service User Guide. An in-depth pre-admission assessment is carried out on prospective residents. Only one person has been admitted since the last key inspection, and there was no date of signature on their pre-admission assessment. The assessment format I is about to be amended to increase the depth of information gathered. Other documentation on file showed that the move is carefully planned to Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 9 make it as smooth as possible for all concerned. However, this was also undated and unsigned. This sort of record should be signed and dated so that it is clear whether the information on it is still current. Each person has a written breakdown of their fees and what they cover. Service users sign an agreement about their room key. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users support needs are clearly documented. Service users have a great deal of say in how their needs are met. Some creative additional ways are being explored of giving service users more control over their lives and in the running of the home. EVIDENCE: Information on service users is kept in a clear format so that it is easy to access. Confidential information is kept securely but service users are able to access their own files. One service user talked the inspector through his file, and was evidently familiar with the contents. Many documents on these files had been signed by the service user themselves. Care plans dealt with one issue per page, and most included clear lists of actions with timescales for achieving or reviewing each. In some instances, though, the actions were a little vague - for example, staff will continue to Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 11 support [the person] to further develop his emotional needs and provide a safe and secure environment for him to hopefully mature. The inspector recommended that on the next review, the wording of each action plan is checked to ensure that it is specific. This will help staff to be quite clear about what is expected of them and what support the person needs. Each persons file had a section on risk assessments, with a contents list so that staff can quickly check whether there is a risk assessment in place for any particular event. The service user and staff have signed and dated each of these documents. Any relevant incidents are logged on the bottom of each risk assessment, and these were occasionally cross-referenced to incident reports. Risk assessments clearly outlined behaviours, risks, and response strategies. Files included useful lists of family contacts, but this did not make clear what level of contact the person wants to maintain with each family member, nor any aspects of family history that might have a bearing on the person’s wellbeing. More information should be recorded on this, either on the family contacts list or cross-referenced to the care plan. A broad range of external specialist services is accessed on service users behalf, including psychology support and relationship counselling. There are some house rules, but these are rather out of date and out of keeping with the home’s ethos. Residents and staff were aware that these are due for review. Many of the service users have advocates, and close links are maintained with their social workers and families. The social worker with whom the inspector spoke commented on how well the home balances setting reasonable boundaries against giving the person room to be themselves. The home actively seeks regular input from external professionals to ensure that fresh ideas can constantly support practice development. Service user surveys have recently been introduced and, as a result of comments received back, the home is looking at ways of increasing the say service users have in the running of the home, particularly with regard to staff selection. The home next plans to send surveys to relatives and social workers. Service users in next a representative from among their group who acts as a link person between service users and staff. This person is now attending the non-confidential parts of staff meetings. Some training courses are being provided for service users and staff together: everyone recently did basic food hygiene training together. One person has been visiting the House of Commons to speak to MPs about care as part of a national project. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People get really good opportunities to participate in a wide range of vocational, social and leisure activities and to develop their individual skills and interests. Service users are actively encouraged to take control over their own lives. EVIDENCE: Each person has their own timetable of activities. Service users confirmed the evidence in their files - that each person has really good opportunities to develop their skills and follow their interests. Good use is made of community Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 13 work and training opportunities, and Cintre also runs some of its own training projects. These include a garage project and an IT training project. A woodwork shop is being set up and should become active in the near future. And in-depth programme for developing key skills is being run by one staff member. This covers skills such as literacy and numeracy, cooking and shopping, room care, and using the community. Courses are pitched to different levels, according to each persons current ability and what they have a particular interest in learning more about. Each skill has a step-by-step action plan, including notes of what evidence will be required to demonstrate progress, and these are regularly reviewed. Each person has their own portfolio, with witness statements and photographs as evidence of their achievements. Several service users are now doing voluntary work placements, and three people have achieved a certificate in community volunteering. Each service user is allocated £12 a week to spend on routine activities and has an individual record of how these funds are spent. These records showed that some people choose to spend their allowance on a great variety of less expensive options, while other people are saving up towards a really special event. Cintre also funds a good range of one-off activities and outings. A small group is going camping and watching Formula One racing the week after this inspection. Each of the service users the inspector met had plans for their future and a clear idea of how they intended to realize these. Several people wanted to live more independently and were familiar with the action plans that have been drawn up to achieve these goals. Action plans contained a wealth of useful information, including guidance on how to write a cheque, basic electrical safety, and who to call in any sort of emergency. Action plans were broken down into smaller targets so that the person can achieve longer-term goals one step at a time. Staff supporting this learning had written clear statements on service users progress. None of those seen were dated, which meant that it was not so easy to see the progress being made. Each person has regular supervision with their key worker the notes of these sessions show that difficult issues are being tackled with directness and diplomacy. They also confirmed service users comments that the team adopts an adult-to-adult approach with positive reinforcement. If someone breaks an agreement, they are given opportunities to earn back trust. Service users and a placing social worker commented that, while boundaries are clear, there is a high tolerance of human frailty. Any sanctions are designed to match the misdemeanour, but the team tries to reward social behaviour rather than punishing antisocial behaviour. Service users felt that they are dealt with fairly and honestly. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 14 Service user meetings are held regularly, and staff are sometimes invited to attend these. Service users set the agenda and conduct these meetings themselves. Where possible, they also type up the minutes. The suggestion book shows that service users feel free to come up with some creative ideas and requests. A response is entered alongside each suggestion, and these showed that staff give careful consideration to service users ideas. Service users take it in turns to cook, and whoever it is acting as the chef chooses the menu. People living in the independence flat tend to cook their own meals with support from staff. Many records show a balanced and varied menu, well-suited to the tastes of the younger group. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 15 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. 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. Service users health care needs are well documented and well met, but a wider range of issues should be addressed, in line with the Valuing People guidance. People have a good level of control over their own health care. EVIDENCE: Service users care needs are documented in their care plans but these do not always cover the range of needs that a Health Action Plan would address. The home has contacted the local GP surgery for advice but has not yet had a response. The inspector suggested that the Community Team for People with Learning Disabilities of North Somerset Social Services is asked to give advice on drawing up Health Action Plans. Service users told the inspector that they feel well supported to maintain good physical health. The social worker with whom the inspector spoke commented that the staff really seem to care. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 16 Two service users are following individual step-by-step programmes towards becoming self-medicating. Medications records were generally in good order but the inspector reminded staff that two signatures are needed on any handwritten entries on the Medications Administration Record Sheet. It may also be useful to have a list of staff signatures and sample initials on file in case the team ever needs to check who signed for administration of a particular medication. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users and their representatives views are taken seriously and acted upon where possible. Service users well-being is well protected. EVIDENCE: The home has a clear and accessible complaints procedure, which residents evidently feel comfortable using. Staff act as advocates where necessary to support service users who wish to make a complaint. Service users told the inspector that they feel any concerns are taken very seriously and addressed promptly. One person commented that staff tried to let them sort out issues for themselves and only intervene when there is a clear need to. Staff have clear written guidance as well as regular training on safeguarding adults, and conversation with service users and staff indicated that this issue is taken very seriously. Staff described regular discussion to raise general awareness, and some service users gave particular examples of the ways in which staff have promoted their well-being. Staff the inspector spoke with felt confident about the procedure for reporting any concerns. Staff get regular training in defusing potentially violent situations. Some service users commented that they felt this is done in a way that helps them back down without losing face. The very open culture and the way in which the team works so closely with external advocates help to ensure service users protection. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 18 Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The communal areas of the environment are well suited to the needs of this resident group. EVIDENCE: The inspector did not do a tour of the premises on this occasion but did see all communal areas and visited the independence flat. There is a large lounge at the front of the building with plenty of comfortable seating, and there is a spacious dining room next door to this. The kitchen is big enough to accommodate more seating. All these rooms were decorated and furnished in a style likely to suit a group of younger men. The independence flat can accommodate two people. Each person has their own bedroom on the flat but shares the bathroom and kitchen. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 20 The inspector recommended that Cintre reviews the security of the premises. All areas seen were well maintained and clean. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing practices promote service users safety and well-being. EVIDENCE: Two staff are on duty first thing in the morning, and then three staff are on duty during normal office hours. Three staff cover the evening shift and two staff sleep-in. No staff have left for the past few years. A couple of new staff have been recruited in order to raise staffing levels and provide even more one-to-one support for service users. The staff files sampled showed that recruitment practice is thorough. Criminal records are checked before new staff or workers on student placement start work in the home. Prospective staff have to complete a detailed application form and go through a thorough interview. References are sought and copies of identification are kept on file. One person works in two Cintre homes, and his record is kept in the other home. As this information needs to be kept on Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 22 site, the inspector advised that a copy of the information is made and filed at Severn Oaks. Staff described fantastic training opportunities. As well as the statutory training, people get opportunities to develop particular skills or undertake courses of special interest. All except one staff member have NVQ level 3. The manager and his deputy both did management training in the past year. All staff do physical intervention training, with the emphasis on defusing situations before they become violent. One of the staff is the in-house health and safety trainer and hopes to do NVQ 4 in health and safety in the near future. This staff member provides the health and safety element of induction training for new staff and full service users. He is hoping to get this training certificated in the near future so that service users have evidence of achievement. The organization head office monitors what statutory training is due, and advises the home manager in time to arrange suitable courses. The training plan for the coming year includes sexuality and relationships, crisis intervention, key working, challenging behaviour, and the new Mental Capacity Act. Each staff member has regular one-to-one supervision with the manager. Staff felt very well supported to achieve high standards. One person commented that mistakes are dealt with positively and used as an opportunity for learning. There are lots of opportunities for discussion about practice issues, and this sort of questioning is actively encouraged. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well-run home with a particularly relaxed and empowering culture. There is good attention to health and safety issues. EVIDENCE: The manager has been in post for three years but worked as assistant manager for two years before that. He has NVQ 4 and the Registered Managers Award. He has also undertaken an introduction to business management course. The staff with whom the inspector spoke described a very open culture in which individual skills are valued and people are encouraged to contribute their ideas. One person said that we are always stopping and talking and that Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 24 senior staff are very responsive to ideas. Several people commented that the team shares a broad vision and values but often has very different ideas on how these should be put into practice: each person felt confident putting their point of view across, and said that the manager always tries to find a team consensus rather than imposing his own view. Each of the staff team has a specialist role in which they are largely self-managing. These roles include overseeing the IT project, monitoring care plans, and providing physical intervention training. All policies and procedures are in the process of being reviewed. The presence of a qualified health and safety expert on the team helps to ensure a high awareness of safety issues and regular training opportunities. Severn Oaks DS0000008135.V342011.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 2 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 X Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 26 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 YA1 Regulation Requirement Timescale for action 25/08/07 4.(1)(a)(b)(c), 5. The Statement of (1)(a)(b)(c)(d)(e)(f) Purpose and Service Sch. 1 Users Guide must include all the required information. 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 YA1 Good Practice Recommendations The Statement of Purpose and Service User Guide should be reviewed regularly and on any significant change in the service to ensure that people are given the most up-todate information. The wording of each care plan should be specific enough to ensure staff are clear about what is expected of them and what support the person needs. It should be recorded what level of contact the person wants to maintain with each family member, and any aspects of family history that might have a bearing on the person’s well-being. Health Action Plans should be drawn up for each person to DS0000008135.V342011.R01.S.doc Version 5.2 Page 27 2. YA6 3. YA19 Severn Oaks 4. 5. YA24 YA41 ensure that the whole range of their health care needs is properly documented and monitored. The security of the premises should be reviewed. Records should be dated and signed so that it is clear which are still current and on whose authority. Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Regional Office 4th Floor Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Severn Oaks DS0000008135.V342011.R01.S.doc Version 5.2 Page 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. 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