Inspection on 27/10/08 for Springfield House

This inspection was carried out on 27th October 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Springfield House 05/11/09

Springfield House 19/09/06

Springfield House 20/02/06

Springfield House 04/10/05

Springfield House 14/02/05

Springfield House 15/09/04

Springfield House 11/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

CARE HOME ADULTS 18-65 Springfield House Wheyrigg Wigton Cumbria CA7 0DH Lead Inspector Nancy Saich Unannounced Inspection 27 October 2008 09:30 th Springfield House DS0000022611.V371719.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 Springfield House DS0000022611.V371719.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. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield House Address Wheyrigg Wigton Cumbria CA7 0DH 016973 45530 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) Mrs Margaret Blair Mrs Margaret Blair Care Home 3 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (1) of places Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for 2 people over 18 years of age with a learning disability (LD) Registered for 1 named person over 65 years of age with a learning disability (LD(E)). The registration will revert to LD ONLY when the named person is no longer in the home. 19th September 2006 Date of last inspection Brief Description of the Service: Springfield House is a former farmhouse that has been adapted to accommodate up to three people with a learning disability. Accommodation is provided in a domestic setting with service users living as part of the registered manager’s family. The home is located in a rural area and is set in its own grounds. The home provides wheelchair accessible transport. The home is registered to take up to three people with a learning disability. Charges per week are £385. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality Rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was the main or key inspection for the year. The lead inspector Nancy Saich asked the provider to fill out a form called the Annual Quality Assurance Audit (the AQAA). This asks for details of what has improved in the home since the last inspection and for the plans for the coming year. This was completed promptly. We (the Commission for Social Care Inspection) then sent out postal surveys to people who live in the home and to the staff group. The responses were fairly positive and gave us a good picture of what its like to live and work in the home. We made an unannounced visit on the above date. We toured the building and spent some time with residents. We spoke to the provider and to staff. We also looked at files and documents that backed up what was said and what was seen. What the service does well: The home makes sure that they only take new residents who they know will fit in with the existing group. The provider and her staff make sure that people are given choices about the kind of life they want and their individual needs are met. People who live in the service tell us that they have the kind of lifestyle they need and prefer. Residents in the home tell us that they get the kind of personal care support that they want and we could see that they are supported in getting suitable health care. The people who live in Springfield house live in a comfortable environment and they feel they are part of an extended family. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 6 Residents tell us that they are happy with the way the provider and staff look after them and their home. What has improved since the last inspection? What they could do better: We judged that there are several things that now need to be updated and improved in the home. The written plans of care that help staff to give people the right level of support need to be updated and more detailed. The arrangements for managing medication need to be looked at so that medicines are always managed properly. The complaints procedure needs to be written in a clearer format with updated details. The arrangements for making sure people are protected from harm and abuse need to be updated and staff need to be trained in how to manage this. Everyone who works in the home needs updates to their training. The provider needs to develop a training plan for the home. The person in charge of the home needs to have training and qualifications at level 4 National Vocational Qualification in care and management. Residents and other people who are interested in the home should have access to the outcomes of quality monitoring surveys and the annual service plan. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 7 The home’s policies and procedures need updated to reflect changes in legislation and current good practice. Records in the home need to be up-to-dated and individualised for each resident with plenty of detail of how people want their daily lives to be. Staff in the home must have updates to their manual handling training and have their competence checked by a suitably qualified person. The registered person must make sure that they inform the Commission for Social Care Inspection of any allegations of abuse, accidents or incidents that affect the well-being of people who live in the home. 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. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 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 Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home only takes new residents who they know will fit in with the existing group. EVIDENCE: The provider has suitable information available for any new person who wants to come to the home. This includes a Statement of Purpose and a short brochure. These are not in an easy read format but do contain relevant information. There had only been one new resident admitted since our last key inspection. This person was no longer in the home but the file showed that a social worker had helped this person to choose Springfield House as their home. The provider stated that she had known this person for some time and had visited before the admission so that she could understand this persons care needs. Springfield House DS0000022611.V371719.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, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The provider needs to bring her care planning processes up-to-date, involving the residents as much as possible so that people are helped to achieve the kind of outcomes they want and need. EVIDENCE: We looked at the care plans for the two people in residence and for a person who was no longer in the home. We could see that these plans did cover many of the care needs of the residents. We also saw that one person had signed their plan. We did think that the plans could be improved on by including more details and by writing them in a different format. Currently the plans are not person centred and we judged that moving towards this and using different formats would greatly improve these plans that help people with learning disability to make plans for their futures. We were pleased to see that every month the provider checks that the plans are working for people and makes any suitable changes. We were a little Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 11 concerned that there is not more recording of daily activities, health checkups, issues, problems, achievements or changes. We would like to see an improvement to record keeping that would show that the plans are working on a daily basis and we talk about this later in the report. The provider holds residents meetings and discusses options with individual residents on a regular basis. All residents have social workers involved in their care and at least one person has had an independent advocate in the last year. Residents told us that they were involved in all decision making. The home has both general and individual risk assessments in place. One or two of these needed a little updating but in general we could see that risks are managed quite well. Springfield House DS0000022611.V371719.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): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People in this home are satisfied with the lifestyle they are offered. EVIDENCE: There is no one in the home at the present time who wishes to find a job or continue with his or her education. The provider assured us that social work assistance would be sought if any new resident wanted to further their education or find employment. No one in the home manages their own money and one person needs a little more help and we asked the provider to talk to Social Services about this. Residents in the home have the opportunity to go out to a day centre and all residents are encouraged to go to a weekly social club that the staff in the home organise. There were two visitors in the home on the day of our inspection. One person was visiting the residents and the other was helping out on a voluntary basis. The provider told us that a number of people from Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 13 the local community visit the home and that the residents are taken out to local activities and entertainments. We learnt that one resident prefers watching TV and another likes to do some drawing. Both liked shopping and one person had started to shop on-line. One resident had a laptop for his or her own use. The home has a new minibus and were told of trips to vintage car rallies, shopping and local events. Residents had also gone together for long weekend holiday breaks. One of the residents is taken to visit family on a regular basis, other people have family visitors come to the home. We were disappointed to discover that there are no visitors from religious organisations and no one goes to church. One person did talk a little about spiritual issues and we asked the staff to explore this further to see if the resident would like a visit from a vicar or priest. At the start of the inspection one person was up having breakfast and another was still in bed. We had evidence to show that residents could choose how they spend their days. No one in the home at present helps to prepare meals but we had evidence to show that they could ask for the kind of foods they would like. We also saw people having breakfast and a light lunch and these were suitably prepared. The home hasn’t started to work with people on healthy eating and currently no one had need of a nutritional plan. We would like the provider to look at these details when she arranges training in person centred care. People who live in this home consider themselves to be part of a family. They told us they were satisfied with the activities and opportunities on offer. We did ask whether the provider had tried to introduce new activities or new approaches but they said they were happy with things the way they were. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The provider needs to make sure that all health care support is given so that people get the best treatment. EVIDENCE: We had evidence to show that the staff understand the kind of personal care support that residents prefer. Some of this support needs to be written up in more detail but generally it could be seen that people could choose how they wanted assistance. There was evidence to show that people have the right kind of equipment in place when they have difficulties with mobility and that the provider asks for help from people like occupational therapists. We did not see much of this advice written up in detail in the individual plans and we were told that residents refused some of this specialist support and with one person the special equipment and exercises hadn’t been done. There was no care plan strategy about this. We judged that the provider and staff need to consider how they give this kind of support in the future so that people are given the right kind of encouragement to follow the advice of professionals like physiotherapists. We judged that there is a training need around this dilemma of residents having Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 15 rights and needing to follow advice that will help with independence or improved health. We had evidence to show that people have regular visits from their doctor and from the district nurse. Generally people looked quite well and suitable treatment was being given. We looked at the medication held on behalf of people who live in the home. The medicines are stored correctly and given regularly. We looked at one persons medication and found that the dosage was not recorded. We also noticed that when any medicine is given a simple tick is made instead of initials or signature. The provider and staff were also unsure about how long they should keep medication after a person had died. Some medication had left the home but this hadn’t been accounted for properly. Staff said their last update to medication training had been four years ago. We want the provider to make sure all medication shows the correct dosage as prescribed, that there are signatures or initials for each administration and that all medication can be accounted for at all times by staff who are confident that they understanding what is expected of them. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The provider and staff in this home need to update their understanding of concerns, complaints and protection so that residents are confident that their voices can be heard if they are unhappy. EVIDENCE: We had received no formal complaints about this service and the provider told us that no one had made any formal complaints to her. The home has a complaints procedure that now needs rewriting because it needs to show that Social Services deal with complaints in the first instance. The procedure needs to give residents a point of contact for complaints and also needs an updated address for the Commission for Social Care Inspection. This procedure would be improved if it were written in an easy read format. There had been one matter of adult safeguarding brought to the attention of Social Services. The provider had been involved in this but had not told CSCI about this matter until after the first safeguarding meeting had been held. We judged that the provider and the staff member were a little unclear about how to manage disclosures. There was information about Adult Protection in the home but the information about local arrangements in Cumbria was out of date. Neither the provider nor the full-time member of staff had attended training on adult safeguarding. We judged that the procedures need to be updated and further training sought so that any person in charge of the home understands that the disclosure of abuse must be dealt with correctly. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 17 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Springfield house provides comfortable accommodation where residents seem relaxed and at home. EVIDENCE: Springfield house is situated in a rural location midway between Wigton and Silloth. Access by public transport is limited. The home has their own specialist transport and this allows residents to get out of the home on a regular basis. The accommodation for residents is on the ground floor in good-sized bedrooms. There is one shared bathroom. The home has a kitchen and dining area and a sitting room for residents use. Members of the provider’s family also use the other living room and some residents choose to sit in this room. People in the home do seem to be part of an extended family and the two residents in the home on the day were happy with this. The home was suitably furnished and decorated. The provider told us that she would continue with updating the environment in the coming year. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 18 On the day of the visit we walked around the building and we saw that people had access to special equipment like wheelchairs, hoists and specialised beds. On the day of the visit the home was clean and tidy and we could see that residents clothing and bedding were nicely washed and ironed. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 19 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, 34, 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The provider now needs to update staff training to make sure that residents get the most up-to-date support. EVIDENCE: This is a very small home with an equally small staff team. The provider and her daughter-in-law deliver most of the care to the residents. From time to time they use two other people to help them out. Both Mrs Blair and her daughter in law are qualified to level 2 National Vocational Qualification in care. There have been no new members of staff taken on in the home for some years. At previous inspections this was checked out and we are satisfied that any new recruitment would be done correctly. We asked the provider for her training plan for the coming year and there was not a plan available. She said that she would call on social workers, occupational therapists or health care workers if she felt training was needed. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 20 When we spoke to the full-time member of staff she said it had been some years since she had last undertaken any training but that she was currently working on the Registered Managers Award. We now want to see an up-to-date training and development plan for people who work in the home. We suggested to the provider that she might want to include updates to care planning, an understanding of person centred care, training on working with people with learning disability, updates on medication management and other core training updates on things like food safety and nutrition, fire safety and general health and safety matters. We also advised her that staff needed a working knowledge of the Mental Capacity Act and the new Mental Health Act. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 21 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, 39, 40, 41, 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Management systems need to be updated so that residents get the highest quality care possible. EVIDENCE: The provider, Mrs Blair, has delivered care in her own home for a number of years and has experience of working with people. She has NVQ in care at level 2 and had started the Registered Managers Award at level 4. She has not completed this award. Her daughter in law is currently working on this award that confirms the skills and knowledge of people who manage homes. We now want the provider to either complete the award herself or create a managers post in the home with a person who has the registered managers award. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 22 We judged that neither the provider, nor this staff member had updated their training recently. We now want to see training updated as anyone completing a NVQ at level 4 must show that they have the background knowledge of theory and skills. We saw evidence in the home to show that the provider has a simple system in place that helps her measure quality outcomes for service users. We would like to see her systems becoming a little more formal and we recommend that she makes things like the annual development plan for the home and the outcome of any quality surveys available to people who live in the home and other interested parties. We saw a sample of the policies and procedures available in the home and these were suitable but perhaps now need revision so that they continue to be up-to-date. We would also like to see at least some of the policies being set out in an easy to read format. We also looked at most of the records kept in the home. We found some paperwork that related to legislation that no longer exists and we advised the provider to create an archive so that paperwork from years gone by may be safely stored but that new records can be easily found. We also advised the provider to reconsider how she was keeping records on individual residents. Some information was not kept in the residents’ files and we had difficulty accessing this because Mrs Blair keeps some information in her own diary. There was also a financial file that showed the resident needed further support in relation to benefits. We recommended that she review the way individual records are kept and we advise her to look at Schedule 3 Of the Care Homes Regulations where she will find a list of records that she needs to keep for each person. We also urge the provider to discuss with residents the possibility of them having a daily diary where any events can be recorded in detail. Currently daily notes are not kept as the provider says residents dont want this. We looked at health and safety matters within the home and we judged that things like fire safety, first aid, food hygiene and infection control may now need to be included in training updates. It had been a number of years since people who work in the home had attended this kind of training. We were concerned that the provider and the staff had not had annual updates to moving and handling training since 2002 and we now expect this to happen as soon as possible and we would like to see both the provider and the staff who work in the home have their competence checked by a person who is suitably trained to do this. There had been some accidents or incidents that might have affected the well being of a resident in the home and the provider should have told us about this at the time but had not. It is required that the provider informs the Commission for Social Care Inspection of all matters that affect the residents of the home. Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 23 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 3 2 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 2 2 2 1 X Springfield House DS0000022611.V371719.R01.S.doc Version 5.2 Page 24 NA 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 YA20 Regulation 13 (2) Requirement Timescale for action 15/01/09 2. YA23 13 (6) 3. YA37 9 (2) 4. YA42 13 (5) The registered person must review the arrangements in place for recording the administration of medication so that the dosage is always recorded, the person responsible signs or initials that the medicines have been given and all medicines can be accounted for. The registered person must 15/01/09 update information in the home about adult safeguarding and must ensure that all staff in charge of the home are aware of how to protect vulnerable adults and how to report any potential abuse. The registered person must 15/01/09 complete the Registered Managers Award or must register a manager who is qualified to this level. The registered person must 15/01/09 ensure that all staff who undertake moving and handling of people or objects have updates to their manual handling training and have their competence checked by a person DS0000022611.V371719.R01.S.doc Version 5.2 Springfield House Page 25 5. YA42 37 who is appropriately trained to do so. The registered person must ensure that any safeguarding matter, accident or incident that affects the well-being of any person who lives in the home is reported to the Commission for Social Care Inspection without delay. 15/01/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations It is recommended that all care plans are reviewed and that any support, aspirations or wishes are recorded in detail. It is also recommended that the provider consider adopting a person cantered approach to care planning. It is recommended that the provider updates the complaints procedure for the home so that details are upto-date and the format is accessible to service users. It is recommended that the registered person devise a training plan for the forthcoming year that will cover all the necessary new training and updates that people on the staff team need. It is recommended that the registered person make available to residents and other interested parties the outcomes of quality assurance surveys and the resulting annual service review. It is recommended that the registered person update the home’s policies and procedures so that they are in line with current legislation and recognised professional standards and are in an accessible format. It is recommended that recording systems in the home be reviewed so that all out of date information is stored and archived suitably and all new information is kept in an easily accessible format for individual residents. It is also recommended that detailed recording of daily events recommence. 2. 3. YA22 YA35 4. YA39 5. YA40 6. 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