Inspection on 31/10/06 for Station View 16 - North Yorkshire County Council

This inspection was carried out on 31st October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Station View 16 - North... 29/09/08

Station View 16 - North... 02/10/07

Station View 16 - North... 14/02/06

Station View 16 - North... 16/11/05

Station View 16 - North... 02/12/04

Station View 16 - North... 10/06/04

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

CARE HOMES FOR OLDER PEOPLE Station View 16 - North Yorkshire County Council 16 Station View Starbeck Harrogate North Yorkshire HG2 7JA Lead Inspector Caroline Long Key Unannounced Inspection 31st October 2006 09:30 X10015.doc Version 1.40 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 Station View 16 - North Yorkshire County Council DS0000034592.V318118.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 Older People. 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. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Station View 16 - North Yorkshire County Council 16 Station View Starbeck Harrogate North Yorkshire HG2 7JA 01423 887128 01423 885935 Address 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) North Yorkshire County Council Mr David Barrington Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39), Physical disability (3) of places Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All Service Users for Intermediate Care (up to a maximum of 8) will be accommodated within the Rehabilitation Unit Care services provided for Service Users under category PD should be on a short term basis only and for service users over the age of fifty (50) 14th February 2006 Date of last inspection Brief Description of the Service: Station View is a care home owned and operated by North Yorkshire County Council and registered to provide a service for up to 39 older people aged over 65 years. A condition applies to this registration, which allows a maximum of three people over the age of fifty to use the respite care beds. The home offers a range of different services, which include long stay care, respite care, interim care and intermediate care. The home also operates a day-centre, which offers up to 36 places per day. People from the home can join in with the day centre activities. The home is purpose built and is located in the Starbeck area. There is a good range of amenities close by such as shops and public houses. Harrogate and Knaresborough centres are within a short distance. The home is a single storey building with level access. All bedrooms are single and arranged in small units. There are several inner courtyards and garden patio areas. At the time of this visit the weekly charge is £368:90, this is dependent upon income and savings. The Commission for Social Care inspection reports are displayed in the home for anyone to read. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • A review of the information held on the homes file since its last inspection. • Information submitted by the registered provider in the Pre Inspection Questionnaire • Surveys received from eight service users and two relatives. •An unannounced visit to the home, which lasted seven hours. This visit included a tour of the premises; talking to service users, care staff, relatives and management, examining some records and observing staff working with service users. What the service does well: Station View continues to provide good quality diverse services. The permanent beds provide service users with a home. The rehabilitation unit provides people with the support they need to improve/develop their skills enabling them to return home and live independently. The respite beds provide service users and their families with a short break. The interim beds allow time for service users to have their care needs properly assessed. All help to improve the quality of life for all the service users. Service user’s meal times are treated as an occasion, and something for the service users to look forward to. All the services user are encouraged to take lunch in the day centre on a Sunday, with staff this is to enable staff and service users to meet up from all the units. Residents are able to make choices in some areas of their lives. Examples given by residents are rising and retiring times, food, activities. This ensures the residents are able to maintain some control over their lives. Staff are recruited in a way which seeks to make sure only suitable people are employed thus ensuring the safety and protection of service users. The agency provides staff with extensive training to improve their knowledge and skills. Supervision and staff meetings are held regularly. This promotes best practice and ensures service users consistently receive a good quality service. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,3,4,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment procedure for admission enables the diverse needs of service users to be identified and planned for, so service users can be confident the home will be able to meet their needs. EVIDENCE: The home gives service users all the standard information and contracts provided by North Yorkshire County Council, which is available on request by the service user in different languages and formats. Specific information about 16 Station Road is also included. Discussion with the Registered Manager and staff confirmed information was given to service users during the assessment visit and explained to service users on entering the home; copies were also kept in service user rooms so they could read them at their leisure. Six out of eight service users surveys returned also stated they had received enough information about the home. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 9 There are four different types of admission to the home. The long-term beds provide people with a home where they are happy to live permanently. The respite beds provide people with a short stay in the home to enable them or their families to have a rest, so they may return to live in the community. The interim beds allow time for people to have their care needs properly assessed after which an informed decision can be made about their future care. The rehabilitation unit provides people with the support they need to improve/develop their skills enabling them to return home and live independently. Although there are four different types of admission the Registered Manager explained anyone who comes in to the home is assessed in the same way. Many service users are assessed by the nursing and care manager in hospital, when they are unable to return home immediately following discharge. The Care Manager then refers them to the weekly meeting held by North Yorkshire Social Service where the NYCC services are allocated. If it is agreed the home is appropriate for the service user all the assessments are given to the home. The registered manager will then visit the services users in hospital and carry out Station Views own assessment. Within the four files examined all service users had admission/assessment documents, which identified the diverse needs of the service users. Four service users each from a different type of admission the home offers all said they felt their needs had been meet by the home. The home offers dedicated accommodation and equipment for eight service users who require immediate/rehabilitation care. The site visit evidenced good practice within this unit. A service user plan examined in detail during the site encouraged and promoted rehabilitation and independence. Staffs also discussed and were observed helping and encouraging service users to be independent. The community rehabilitation team (Occupational and Physiotherapists) visited the service users during the site visit, and a service user was observed going on a home trial with the team. Staff explained they had been given specific training in rehabilitation techniques by the community rehabilitation team. They also explained how they would seek advice from the team if there were any changes to the service users needs. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 7,8,9, and 10 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Although service users receive personal and health care that meets their individual need, their safety may be compromised by medication errors. EVIDENCE: Staff were knowledgeable about the needs of the people who use the service and were able to give examples of best practice relating to the promotion of the privacy and dignity of service users. They were observed providing support in a compassionate and supportive manner. Service users looked clean and well cared for. Comments made by service users were the staff were ‘kind’, and ‘helpful.’ The home promotes the rights of service users to access the health care professionals they need both within the home and in the community. This was confirmed by discussion with service users, staff and the Registered Manager, and by the records of the four service users looked at in detail. Two GP’s, a District Nurse and the Community Rehabilitation Team visited during the inspection. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 11 Four-service user files were looked at in detail generally all contained service user plans which detailed all the elements of care which was needed to provide for the individual health, personal and social needs of the service user, and they included aspects of how to promote the service users independence, all had been reviewed regularly, but generally none had been signed by or agreed with the service user. A general risk assessment was carried out as part of the plan and more comprehensive risk assessments were carried when a service user was selfmedicating or had mobility needs, however not all of these had not been reviewed. Seven service users surveyed said they usually receive the care and support they needed. All service users and a relative during the site visit said their health; care and social care needs were met by the home. The home has informed the commission of incidents where medication has been unaccounted for. These incidents have been fully investigated by the home and the home has put into place actions to prevent this happening again. Staff have also attended training on the administering of medication. However inspection of the medication procedures during the site visit evidenced that there were some errors in the accounting of medication, where the number of tablets left in the containers did not tally with the number on the medication administration recording sheets. Also the home had not commenced a monitoring system to ensure they could fully account for all medication. Many service users are discharged to the home directly from the hospital or come in from home for respite care, consequently the home has to administer sizeable amounts of different medications, therefore the home needs to have robust systems in place to prevent mistakes. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home generally provides a daily lifestyle which matches the varied expectations of the services users. EVIDENCE: Service users said that the daily living and activities are flexible in the home. All services users said they could join in the activities in the day centre if they wished and that they were able to make choices about their daily living. Examples given were times of rising and retiring, choice of food, whether they wished to join in the activities or not. Although where service user files were looked at in detail, in some cases, service user plans lacked information relating to service users preferences in key areas of daily life. For the permanent service users this information could have helped to improve their quality of daily life. One service user on the respite unit said she enjoyed staying at the home for the company. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 13 Staff discussed and were observed working in the rehabilitation/immediate care promoting service users independence and encouraging them to maintain their life skills. During the site visit staff were observed supporting service users in a kind and considerate way. Service users and relatives said visiting is encouraged and a number of visitors were seen in the home during this visit. A relative said they were always made to feel welcome. A service user said that although a church service was not available in the home, they could be taken to a local church if they wished. Although some feedback in the service user survey, said there was no food available after five and there was poor variety, this was not evidenced at the inspection where five service users and a relative spoken to said the food was very good and their was a varied choice. The chef explained service users have a choice of hot meal at lunch time and hot light tea most evenings of the week. Following tea at 5 pm, toast could be made in the kitchen areas for service users by staff. During the site visit most residents on the units were eating homemade chicken pie. Service users could choose to eat their meals either in the units lounge areas or in the day centre, staff eat with the service users and on a Sunday everyone is encouraged to eat in the day centre. The Registered Manager explained this is to enable service users and staff from the all the units to meet. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to an effective complaints procedure and are protected from abuse. EVIDENCE: All of the service users and relatives’ surveys stated they knew who to speak to if they were unhappy with the services provided. All service users and relatives spoken to also state they were aware of the procedure and felt able to complain. The Registered Manager explained copies of the complaints procedure are normally kept in the service users rooms and displayed on the notice board. The operations manager investigates any major complaints made about the home, the Registered Manager dealt with any other smaller complaints; both are logged in a book at the home. There were six complaints since 31.05.06 to the home, all had been investigated following the homes procedures the complaints covered the admission and discharge processes, staff attitude and food. One allegation has been reported to the commission by the home, of inappropriate behaviour, the operational manager explained this had been fully investigated and addressed by the home. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 15 The policies and procedures regarding the protection of service users are robust and in line with best practice. Management know the measures to take in relation to protecting and safeguarding the rights of service users. Staff are aware of the need to report any allegations or suspicions of abuse to their manager, and the staff had recently discussed the Protection of Vulnerable Adults at a staff meeting. However all staff spoken to could not remember when they had last received training, the Registered Manager needs to check staffs understanding of the policies to ensure service users are fully protected from abuse. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Although areas of the home are in needs of some improvements, it provides all service users with a clean and safe homely environment. EVIDENCE: The accommodation is arranged in five separate units, each with a small kitchenette/ lounges/dining area; and up to eight bedrooms, a bathroom and toilets. The bedrooms do not have en suite facilities, however they have a wash hand basin and all the units have a shared bathroom with assisted bathing facilities. There are additional sitting areas around the home where service users can get away from others without having to go to their bedrooms. The service users can also use the day centre during the day and at weekends. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 17 All Service user surveys returned state the home is generally clean and well maintained, and all the service users spoken to during the site visit appeared to be happy with the cleanliness of the home. Service users felt their bedrooms were warm and comfortable. Where a service user was staying permanently in the home they had more personal possessions in their rooms. The Registered Manager explained the permanent service users preferred to share their unit as they enjoyed the new company of the service users who came in for a short stay. The home is recruiting handyman/gardener who will be responsible for routine maintenance. The home is on one floor and all rooms are accessible for a wheel chair, aids and adaptations are provided and regularly serviced. The home has commenced carrying out some refurbishments to the building. In response to a previous requirement the toilets near the day centre are being refurbished; also the kitchen areas on the flats have been improved. However the home would benefit from further work throughout. Areas of concern at the site visit were some toilet roll holders were broken or not correctly fitted, the lounge of the interim unit had a noticeably cracked paint on the ceiling, the outdoor court yard areas looked uncared for. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,& 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Although the home operates robust recruitment procedures that protect service users and staff in the home are trained and skilled in providing care to support the service users, insufficient staff numbers compromise this. EVIDENCE: The inspection evidenced from service users and staff at the site visit, and from the surveys, when the home is full or has high dependency levels there are not enough care staff to meet all the needs of the service users both during the day and at nighttime. This is because of the layout of the home, the number of admissions to respite unit, the increased needs of the service users on the interim and rehabilitation/intermediate care unit who have generally come to the home directly from the hospital. Comments made by service users were ‘it is not the staffs fault but they have a lot of patients and not always enough time’, ‘Shortage of staff’, ‘Carers not around much’, and ‘I have been here two years and the standard of care is not as it was a year ago.’ The home needs to review the number of staff to ensure the care needs of the service users are always met. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 19 Discussion with staff the registered manager and examination of the records evidenced staff are provided with the training and support they need to enable them to provide appropriate care for the service users. The home is presently requiring all staff members to undertake training on equality and diversity issues. The PIQ states 71 of staff have NVQ level 2 or above in care, some of the staff working at the time of the site visit confirmed they had NVQ level 2 or above in care. Four staff files were examined all contained an application form, two written references, a health questionnaire, a contract of employment and completed criminal record bureau checks. Staff confirmed the home had followed a recruitment procedure. These robust recruitment procedures will ensure staff who are employed by the home are suitable and able to care for the service user needs. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 37 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home benefits from competent management and an effective quality assurance system. EVIDENCE: The home has recently recruited a manager who has been registered with the Commission, and is to undertake his Registered managers’ qualification in the near future. The Staff and records confirmed they receive supervision regularly and have regular staff meeting. This provides staff with support and encourages them to work together as a team. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 21 The Registered Manager, records, and relatives confirmed the home operates a quality review system, where service users and their relatives are asked about their views about the home annually. The home also followed North Yorkshire County Council self-assessment of qualitative performance where the home had an average of 90 . The Registered manager explained and the records confirmed where service users wish the home to keep money for them, all transactions are recorded, and receipts are kept and service users money is kept in separate envelopes, in a locked cupboard. The inspection of all records evidenced in general record keeping could be improved. Good record keeping protects the staff and the service user. The Registered Manager confirmed most health and safety records were up to date, however at the time of the site visit he was awaiting the electrical certification to be carried out. Staff confirmed they had received health and safety and manual assistance training. Fire training was carried out twice a year for day staff and four times a year for night staff. However the sluice door was found open, this should be locked to prevent any harm to service users. Accidents to service users had been recorded and reported appropriately. In October there were over 20 accidents and a high proportion of these were at night. The home should review all accidents to establish if there are any prime indicators, to reduce the risk of accidents by service users. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 1 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13 (2) Requirement The home must review its policy and procedure for administration of medicines to ensure it: • Accurately records the medication given. • The Registered Manager carries out a regular quality monitoring of the medication. Repairs should be carried out to:The interim unit ceiling. The toilet roll holders. The home’s staffing level must be reviewed to ensure that it is adequate to meet the needs of all of the service users at any time of the day and night. The staffing level must take into account the needs of the service users the competence and experience of the staff and the layout and design of the premises. Timescale for action 01/12/06 2 OP19 23 (2) (b) 01/12/06 3 OP27 18(a) 01/01/07 Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 24 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 2 3 4 Refer to Standard OP7 OP18 OP37 OP38 Good Practice Recommendations Service users should be encouraged to be involved in the producing of their care plans, evidence of their involvement should be recorded on the care plan. Staff could be provided with a update of formal training on protection issues. All records should be kept up to date. The electricity certificate should be updated. Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Station View 16 - North Yorkshire County Council DS0000034592.V318118.R01.S.doc Version 5.2 Page 26 - 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. 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