Inspection on 13/02/07 for Summerfield Court

This inspection was carried out on 13th February 2007.

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

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

CARE HOME ADULTS 18-65 Summerfield Court Summerfield Drive Bramley Leeds LS13 1AJ Lead Inspector Ann Stoner Key Unannounced Inspection 13th February 2007 10:00 Summerfield Court DS0000067957.V324603.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 Summerfield Court DS0000067957.V324603.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. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Summerfield Court Address Summerfield Drive Bramley Leeds LS13 1AJ 01543 442502 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) Voyage Limited Joanne Morris Care Home 14 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14), Physical disability (14), Sensory of places impairment (14) Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Not Applicable. Brief Description of the Service: Summerfield Court is a purpose built home providing accommodation over two floors for 14 people of both sexes with an acquired brain injury. The home is situated in Bramley, a suburb of Leeds, near to shops, pubs, and other local amenities. Accommodation is spacious, with communal lounges, a small gym, snooker area, sensory room and a spacious kitchen and adjoining dining area. Private accommodation for service users consists of 5 flats with en-suite and kitchenettes, which includes a hob, microwave and fridge; 4 transitional living apartments with en-suite, lounge, dining area and full kitchens and 5 flats with en-suite facilities. All rooms have a wet room with shower. There is an adjoining resource centre, for people with acquired brain injuries. This is independent of the home and is not regulated, therefore is not included in the inspection process. However, when fully operational service users from the home will be able to take full advantage of the facilities provided by the centre. The manager confirmed the fees that applied at the time of this inspection ranged from £1250 - £1400 per week. More up to date information may be obtained from the home. The manager intends to make copies of inspection reports available in the front entrance of the home. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This is a new service and the first time the home has been inspected. The inspection visit took place between 10.00am and 6.00pm with the purpose being to monitor standards of care in the home. Before the inspection a preinspection questionnaire was sent out to the home, this provided some information for this report. The people who live in the home use the term ‘service user’ and this will be used throughout this report. Before the inspection I sent out survey cards to service users, relatives and health care professionals and had a telephone conversation with two relatives. Comments from the survey cards and telephone conversations can be found throughout this report. During the inspection I spoke to service users, visitors, staff on duty and the manager, I looked at records, made a tour of the building and watched staff working with service users. Feedback at the end of this inspection was given to the manager. I would like to extend my thanks to everyone who contributed to the inspection and for the hospitality during the visit. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Some work must be done on support plans to make sure that they give staff clear and precise instructions to follow, so that all staff know how to support service users in all aspects of their life. Information for service users, such as the service user guide and contract of terms and conditions should be in a format and language appropriate to the needs of the people that live in the home, so that everyone has access to understandable information. The service user’s contract and terms of residence at the home should include all additional charges and expectations of service users. All parties should sign and date the contract. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 7 The home should keep a record of medication ordered so that a check can be made against the returned prescription. To reduce the risk of errors any handwritten entries on Medication Administration Records should be checked and countersigned by a second person. Some minor amendments should be made to some records so that an audit trail can be carried out at a future date. These include amendments to duty rotas, health & safety and fire checks and recruitment records. Further details of these requirements and recommendations can be found at the end of this report. 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. Summerfield Court DS0000067957.V324603.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 Summerfield Court DS0000067957.V324603.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, 2, 3, 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 relatives are encouraged to visit the home and have access to written information so that they can make an informed choice before making any decisions about moving in. The home has a robust assessment process to make sure that the home can meet the person’s assessed needs. EVIDENCE: The manager explained about the home’s assessment process, saying that when a referral is received she always visits the prospective service user, sometimes with a ‘senior care planner’ who works for the organisation. In order to get a full and accurate picture of the person’s needs, she has discussions with the prospective service user, their social worker, family members and any significant health care professionals. During the assessment she takes into account the impact that the environment may have on the person, the needs and abilities of existing service users, and the abilities of the staff group. Decisions are not rushed; if there is any doubt that the person’s needs cannot be met a second assessment is carried out. There was some excellent information recorded in the home’s pre-admission assessments, Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 10 which was sufficient to form the basis of a care plan. Staff confirmed that they had enough information about each person before admission. During the inspection visit a service user was being admitted. Her relatives said that they and their daughter had visited the home before making any decision about moving in. They confirmed that they had plenty of written information about the home, and in addition the manager had explained everything to them, including the cost. Another relative, during a telephone conversation before the inspection visit, said she and the service user had made several visits to the home before making any decisions, and had received written information about the home. The statement of purpose and service user guide was available in the entrance of the home. Whilst both documents are informative some of the information in the service user guide needs to be simplified for example terms such as OT and SALT are used instead of Occupational Therapist and Speech and Language Therapist. The manager said that she has plans to develop an audio version of both documents. All service users have a contract specifying the cost and additional charges such as toiletries, personal clothing, repairs to personal belongings and private telephone and Internet access. However, after discussion with the manager it became clear that when service users are in the transitional flats, or making some of their meals with staff supervision and support, there is an expectation that they will provide some of their food. This is not specified in the contract, statement of purpose or service user guide. The manager said that she intended to look into this particular issue. The designation of people signing contracts was not always clear as staff signed their name followed by ‘supporter’ rather than their job role. Those contracts seen had not been signed by anyone from the organisation. Wherever possible service users sign their contracts, and whilst this is good practice, these are lengthy documents, and alternative formats might be more appropriate to service users. Two recommendations have been made. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. Service users’ support plans do not always give staff clear and precise instructions on how to support people in their daily lives. This could lead to inconsistencies in working practices. Service users are supported and encouraged to make decisions and take risks as part of an independent lifestyle. EVIDENCE: There was some excellent information in all of the support plans sampled, such as the likes and dislikes of service users in all aspects of their life. These were written in the first person, and from speaking to service users it was clear that the information was recorded in language used by them. The manager said that work is underway to develop support plans in a more suitable format for service users. The service user and their key worker review the support plan on a monthly basis, but staff do not always amend care plans in light of these Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 12 discussions. Daily records show that service users have a range of activities available to them, but this is not documented in the support plan. Support plans do not include specific information about the level of domestic activity carried out by each individual and information from risk assessments is not always transferred to the plan. For example, one person’s risk assessment said that staff should advise him on money management, another said that staff should limit one person’s consumption of alcohol and another, for a person with challenging behaviour, said that staff are aware of triggers. This information was not in the support plans, and there were no specific details for staff about how they should deal with these situations. The manager agreed to rectify these issues. A requirement has been made. Staff explained how they encourage service users to make decisions. One service user said, “I feel in control of my life, when staff talk to you they make you feel as though you are deciding what to do.” Staff are aware of the importance of service users taking risks, but take action to make sure they have good information on which to base their decisions. For example, one service user wanted to jog. Initially staff accompanied him, and as his confidence and stamina grew he was finally assessed as being able to go for a jog unaccompanied. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence including a visit to this service. Service users are supported and encouraged to enjoy a flexible lifestyle that is based around their choices and interests. Staff offer support where needed to make sure that people’s religious and spiritual needs are met and that contact with family and friends is maintained. EVIDENCE: The design and layout of the home encourages independent living, and during the inspection one person made himself a curry and had invited another service user to join him for the meal. Another service user, said, “I love it here, I enjoy making my meals. I have never eaten better in my life because I am deciding what to eat.” One relative described how one service user loves choosing his menu, shopping for ingredients and then eventually cooking the meal with staff support. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 14 Service users are encouraged to take part in fulfilling activities. One person proudly showed off his creative artwork and spoke about his art and craft classes. Another person spoke about a gardening project he is involved with and said, “It makes me feel good.” Other service users attend classes in furniture restoration and use of computers. During a telephone conversation before this inspection one relative said that there are lots of activities, and there is always something for service users to do. One service user, who enjoys gardening, said he has been involved in plans for part of the grounds to be developed into a vegetable patch. He was very excited about this. Service users also take advantage of local facilities such as shops, pubs and waterside walks. The manager described how some service users are supported to follow their religious and spiritual beliefs and explained how one person’s spirituality is enhanced by Tai Chi. Staff understand the importance of service users maintaining contact with family and friends. Evidence in one person’s care records showed that staff had positively supported a service user to maintain contact with his family, and a relative said that wherever possible staff provide transport so that her brother can visit her each weekend. In each person’s care records there is a birthday list of the service user’s family and friends, so that staff can remind and support them to buy cards. This is good practice. During the inspection visitors were made welcome and a small child was offered paper and crayons to keep her occupied. Staff were able to describe the measures they take to make sure that the privacy of service users is respected. They said that letterboxes and doorbells are to be fitted on each bedroom and flat door thus increasing each person’s privacy. This is good practice. Service users choose their meals from a range of options, but wherever possible staff encourage healthy eating. There was a large bowl of fruit in the dining room and one service user said that he could help himself to fruit and snacks throughout the day. Summerfield Court DS0000067957.V324603.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. Personal care is given to service users in a way that respects their ability and choice. People’s health care needs are met. EVIDENCE: The home has a key worker system, where a named worker is allocated to a specific service user. The manager explained how personality, interests, relationships, gender, culture and the opinions of the service users are all taken into account when allocating a key worker to a service user. Those support plans sampled showed that times for getting up in the morning and going to bed at night are flexible and based around individual choice. Service users are given the level of support required. One relative said that since his admission her brother’s self esteem had improved tremendously and that he was now taking a pride in his appearance and looking after himself better. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 16 There was evidence in people’s care records that their health care needs are met. In a returned survey card a GP stated that the home communicates and works in partnership with him, and that staff demonstrate a clear understanding of the care needs of service users. An Occupational Therapist stated that there is always a senior member of staff to confer with. Staff follow correct procedures when administering medication, but the home does not keep a copy of what medication has been ordered. This makes an audit trail difficult, and there is no way of checking returned prescriptions against the original request. In some circumstances the home makes handwritten entries on the Medication Administration Records (MAR), but these are not checked and countersigned by a second person. A recommendation has been made. Summerfield Court DS0000067957.V324603.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 good. This judgement has been made using available evidence including a visit to this service. Concerns and complaints are taken seriously and service users are protected by a robust adult abuse policy. EVIDENCE: Staff were able to explain how they would deal with a complaint, and were clear about the different types of abuse and how they would respond to any allegation or suspicion of abuse. The home has policies and procedures in place relating to complaints and adult abuse, and contact details for the adult protection team are displayed in the office. Relatives spoken to before and during the inspection visit said that they would have no hesitation in making a complaint. One service user said, “I can always talk to staff, I would tell them if there was something I didn’t like.” Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in an environment that promotes their independence and choice. Infection control is well managed. EVIDENCE: The design of the home with the flats and transitional living areas promotes service user independence and autonomy. The home is very spacious and it is furnished and decorated to a very high standard. Communal areas include lounges and quiet areas and a large dining kitchen area with French windows leading to a garden area. In addition there is a snooker/pool area, a small gym with a rowing machine, treadmill and exercise bike and a sensory room. There was good signage and an up to date memory board in one person’s room who had poor short-term memory. During the inspection visitors said that they were impressed with the homely, relaxed atmosphere of the home. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 19 There was liquid soap and disposable towels in all areas where clinical waste is handled, and staff had a good understanding of infection control. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment practices protect service users. There is a good level of training provided that is appropriate to the needs and conditions of the service users. EVIDENCE: Throughout the inspection there were sufficient staff on duty to meet the needs of service users and staff said that they had plenty of time to spend with service users. The duty rotas for each person state ‘E’ or ‘L’ rather than specifying the precise hours worked. A recommendation has been made. There is good communication within the home and staff meetings take place regularly. The manager explained how duty rotas reflect the skill and gender mix of staff and said that when recruiting new staff she looks for people that have good communication skills as this is an essential when working with people that have an acquired brain injury. All staff complete an induction programme and then progress to more specialised training. A three-day course on head injuries is being developed for all staff and the regional training manager is Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 21 trying to access a National Vocational Qualification (NVQ), which is specific for staff working with people that have an acquired head injury. Information supplied in the pre-inspection questionnaire shows that most staff have undertaken training on food hygiene, health & safety, safe use of medication, acquired brain injuries, epilepsy, moving and handling, basic first aid, protection of vulnerable adults and non-violent crisis intervention. The recruitment files of two recently appointed staff were sampled and both contained completed application forms, 2 written references, photograph, successful criminal record bureau/protection of vulnerable adults disclosures, offer of employment and contract of employment. The manager was unaware that good practice in relation to equal opportunities is to keep a record of the recruitment and selection interview. A recommendation has been made. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the health and safety of service users is protected. EVIDENCE: The registered manager is undertaking the Registered Managers’ Award and had completed training on neurological behaviours. She said that she had good support from her Operations Manager and receives a good standard of supervision. She is enthusiastic and confident in her role, and has now started delegating some management tasks to senior staff. Staff said that they have a lot of respect for the manager and feel that she listens and responds appropriately when issues are identified. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 23 The organisation has recently appointed a regional manager with responsibility for quality assurance. The manager said that all interested parties would be surveyed in the coming months as a measure of monitoring the home’s success in meeting its aims and objectives. Weekly health & safety checks are carried out and the pre-inspection questionnaire identified that necessary checks and servicing takes place as required. Fire alarms are tested weekly and a record is kept of any action needed, for example a door not closing properly. A record should be kept of when the required action has been completed. A recommendation has been made. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 YA6 Regulation 15 Requirement Support plans must give staff clear and precise instructions to follow so that everyone knows how to support service users in all aspects of their life. Timescale for action 31/03/07 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 service user guide should be in a format and language appropriate to the needs of the people that live in the home, so that everyone has access to understandable information. If service users are expected to buy some of their food this should be made clear in their contract, statement of purpose and service user guide. All parties concerned should sign the service user contract, and the designation of each person should be made clear. The home should consider developing an alternative format for contracts so that service users understand the terms and conditions of their stay at the home. Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 26 2 YA5 3 YA20 The home should keep a record of any medication ordered so that a check can be made against this record when the prescription is obtained. All handwritten entries on Medication Administration Records should be checked and countersigned by a second person to reduce the risk of errors. The duty rota should specify the exact hours each person works on a daily basis, so that an audit trail is possible if needed at a later date. Staff recruitment files should contain a record of the recruitment and selection interview. This should be signed and dated by the interviewers. Where action is required following health & safety or fire checks, a record should be made of when the action has been completed. 4 5 6 YA33 YA34 YA42 Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Summerfield Court DS0000067957.V324603.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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