Inspection on 15/03/07 for The Ann Coleman Centre

This inspection was carried out on 15th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Ann Coleman Centre 07/12/05

The Ann Coleman Centre 29/06/05

The Ann Coleman Centre 17/02/05

The Ann Coleman Centre 12/08/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Ann Coleman Centre Ridingleaze Lawrence Weston Bristol BS11 0QE Lead Inspector Jacqueline Sullivan Key Unannounced Inspection 15th March 2007 11:30 The Ann Coleman Centre DS0000033586.V331363.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 The Ann Coleman Centre DS0000033586.V331363.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. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Ann Coleman Centre Address Ridingleaze Lawrence Weston Bristol BS11 0QE 0117 9380155 0117 9380157 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) Avon Autistic Foundation Mr Andrew Coleman Care Home 7 Category(ies) of Learning disability (7) registration, with number of places The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Andrew Coleman to take effect as Manager from closure of Longcross. Date of last inspection 7th December 2005 Brief Description of the Service: The Ann Coleman Centre is owned and operated by the Avon Autistic Foundation Ltd, an organisation that specialises in the care of persons who have a diagnosis of autism or asperger syndrome. The centre provides personal care and accommodation for seven persons on the first floor although only six persons are accommodated at the present time. Facilities on the ground floor offer a range of social and educational activities. The property is arranged over two floors. The activity centre is based on the ground floor with a computer room, arts and crafts room and a snoezelon. A large conservatory is used to provide a quiet area for board games. The main kitchen and dining room area are located on the ground floor. Service user provision is located on the first floor and chair lift access is available if required. Each bedroom has en-suite facilities. Communal space consists of two lounges, a kitchen, bathroom and toilet. To the outside of the property there is a paved area with garden furniture. The property is purpose built and all areas are accessible to wheelchair users. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection as part of the annual inspection programme. The purpose of the visit was to review the progress made in relation to the two requirements made during the last inspection and to examine the standard of care provided. The inspection was conducted over one day, and evidence was gathered from a pre-inspection questionnaire, a review of records held, discussion with staff and the registered provider, observations, and a tour of the premises. The residents were involved in activities in the day centre, and a group were out on an activity. Mr Coleman (senior) was present at the inspection. What the service does well: What has improved since the last inspection? The health and welfare of those who live and work at the home is better as the staff team have made sure the kitchen is clean. Any food opened and then stored is now labelled with date of opening. The residents are better protected as all staff have abuse training as part of foundation programme. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 6 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. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. There is information available to enable prospective residents and their supporters to make an informed choice about the facilities provided at the home. EVIDENCE: The organisation has in place a statement of purpose and service user guide providing information about the services offered by the home. This met the required standard. Admission to the home is through the care management approach and all admissions are on a planned basis The care files reviewed indicated that detailed assessments had been undertaken, and each care plans were available for all the residents. Written contracts of terms and conditions were available in the care files. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 9 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): 6,7,9,10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents cannot be confident that their assessed and changing needs are reflected in their care plans and associated risk assessments. EVIDENCE: Care plans were in place covering aspects of daily life of the residents. One resident who would benefit from a detailed independence plan the care plan was not detailed enough. A recommendation has been made that an independence programme is in place for this resident and any others who would benefit from it. This plan must be regularly reviewed and updated so that it will assist him make the transition into more independent living. A reviewing officer from the local authority that placed this resident was present at the inspection. He also felt that this resident would benefit from learning the skills for independent living. Staff training in independence training would also ensure that the staff are working consistently. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 10 Risk assessments were seen that reflected the needs of each individual, and covered all aspects of daily life, both in the home and in the community. However whist these are reviewed the majority seen had the same document with a series of staff signatures .The review does not indicate any changes over the reviewing period. A recommendation has been made that the staff team review these assessments to reflect any increased or decreased risk. Residents do not currently have residents meetings on a regular basis. This would be a useful way of ensuring that the staff team is meeting their needs. A recommendation has been made about this issue. The care plans indicated that various professionals, parents and the resident are consulted on the development of the plan. There are daily-recorded entries for all residents that record preferred routines and support provided. The residents are encouraged during one to one meetings with key workers. However the recording of these meetings is brief and does not relate to the residents individual care plan. So, for example the resident who would benefit from independence training the key worker meetings could be used as useful time with this resident to agree a plan and then regularly discuss how he is getting on with the plan. A recommendation has been made that these meetings are further developed. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 11 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 adequate. This judgement has been made using available evidence including a visit to this service. The residents benefit from and are supported to participate in a range of leisure and social activities organised by the home. This could be further developed for those individuals who are able, to include work or social activities out of the home. The residents are offered a varied menu with choices available. Relationships with family members are encouraged. EVIDENCE: As noted at the last inspection the day centre located on the ground floor offers structured activities on a daily basis. A pictorial planner enables residents to make choices about what activity they would like to join. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 12 The day centre also offers the opportunity for residents to meet new people who attend the day centre only. Organised outings to local places of interest, leisure centres and trips to the theatre are also included in the day centre programme. However the house is located very close to a local college. A few residents are involved in their courses. As many of the residents are very able a recommendation has been made that the staff team explore outside opportunities for their residents to complement the internal activities offered. At the last inspection it was required that the home is required to investigate other avenues for each resident outside of the Ann Coleman Centre to ensure the residents are provided with ample opportunity for personal development in line with the review document. Evidence of actions taken in response to the review should be included in each individuals file. As this inspection the proprietor was asked to provide any evidence that the staff team had been working towards meeting this requirement. No evidence was provided. This requirement will therefore remain and will be a focus of the next inspection. The menu sheets showed that residents are offered a varied diet. Sandwiches are provided for lunch, or a meal is obtained whilst out of the home. This is to allow the structured activity schedule that often means the residents are out during this period. Resident’s likes and dislikes were recorded. A tour of the kitchen, and a review of records held in relation to the safe storage of foodstuffs revealed all records were up to date and in order. The kitchen area was clean, tidy and well organised. At the last inspection it was noted that opened food in the fridge had not been appropriately labelled, and the fridge was not as clean as it could have been. At this inspection it was noted that food was labelled and the kitchen was clean and tidy. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 13 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. The personal and health care needs of the residents are monitored effectively and action is taken promptly when concerns arise. EVIDENCE: A review of the storage and administration of medication revealed no errors. Medication is dispensed from the pharmacy in a monitored dosage system, and each cassette contains a photograph of the resident and a list of medication. All medication is checked when received and mistakes are rectified immediately with the pharmacist. Medication dispensed for use as required is stored separately and two signatures are required prior to any being administered. Homely remedies used in the home are also stored appropriately and the records were well organised and up to date. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 14 At the last inspection it was noted that staff members receive accredited medication training and certificates of attendance were seen on staffing information examined. At this inspection it was noted that as the staff team as mostly new members of staff this training has not as yet been completed for all staff. There were some certificates on the staff files but this was not consistent. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 15 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 home has a clear complaints system in place with some evidence that residents views are listened to and acted upon. Although action is taken to ensure residents are protected from any form of abuse, this could be further improved with abuse training being provided. EVIDENCE: At the last inspection it was noted that a comprehensive complaints procedure is in place, and residents are encouraged during one to one meetings to mention any concerns they have about any issue. Pictorial information enables residents to make choices, and provides guidance in relation to raising any issues whether in the home or in the community. This remains the case. There were no complaints since the last inspection. However during the course of the year there may be minor concerns made by residents or their representatives. Mr Coleman (senior) stated that the day-to-day concerns are sorted out by the staff but are not recorded as complaints. A recommendation has been made that these are recorded as evidence that the staff team are meeting the needs of the residents. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 16 Policies, procedures and training are in place for staff to ensure the residents are protected from any form of abuse. A programme of training on abuse awareness delivered by the local authority is in place at the home. Again, as the staff team are mostly new to the home this has not been completed for all staff. Dates are in place for this training. The Ann Coleman Centre DS0000033586.V331363.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): 24,25,26,27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of the furniture and fittings in the home are of a very high standard, and overall a warm comfortable environment has been created ensuring individual needs are met. EVIDENCE: At the last inspection it was noted that the location and layout of the home is suitable for its stated purpose. The accommodation is bright and airy, and well furnished. The home is arranged over two floors, the residential section is located on the first floor, and the activity centre on the ground floor. There is a chair lift to access the first floor, however this is not required by any of the individuals accommodated. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 18 All individual accommodation is in single rooms with en-suite facilities. A tour of the premises indicated that the residents are encouraged to personalise their own room. The rooms are well furnished and homely. All areas of the home viewed were clean and tidy, and there was no unpleasant odours. Although a kitchen and dining area are located in the residential section of the home, and regularly used by residents. A larger kitchen and café-style dining area is located in the day centre, and this is used daily by individuals taking part in the day centre programme. The large kitchen is also used by residents in small groups, or individually with support from staff in developing cooking skills. Although the day centre is not staffed in the evening, the facilities are open for use by those residents who have the ability and choose to use them for social purposes in the evening. The residents use of equipment in the evening is through a risk assessment framework and monitored by staff. At this inspection it was noted that this remains the case. The Ann Coleman Centre DS0000033586.V331363.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): 31,32,33,34,35,36. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Safe recruitment practices are not fully implemented in the home that safeguards the residents from harm. Staff members are clear about their roles but supervision and staff meetings are not frequently provided so the residents cannot be assured that the staff team is working consistently. EVIDENCE: A review of staffing information held in the home revealed that the files for the substantive staff held the majority of the required information apart from training certificates. Staff inductions were seen on files. However there is not sufficient evidence that all staff redeployed from an agency have undergone the required checks including Criminal Record Bureau checks. The Home must not employ staff from agencies unless there is clear evidence that a robust recruitment process has been undertaken. The inspector is aware that this information was available in other homes within the organisation. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 20 Staff supervision is in place but is infrequent. The proprietor was asked for evidence and the supervision notes seen showed that the current level of supervision was not sufficient for new and more established staff members. The proprietor was asked to provide any other evidence to show how in the absence of appropriate supervision the staffs training, development, support needs ect were met. He was not able to do so. I asked Mr Coleman about any other forums in place that made offer staff opportunities usually found at supervision. He did not provide any evidence. A requirement has been made that supervision takes place more frequently. The Inspector asked the proprietor about the frequency of staff meetings for this staff team. The proprietor stated that staff meetings do not take place, as a previous staff team did not find them useful. Given that the staff team has changed and there are several new staff meetings are a forum for the exchange of information, ideas and ensuring that the staff team are working consistently. The staffing arrangements are complex with staff from other homes working with residents from this home during the day. Staff from both homes attend activities in the community with the residents. Bank staff and agency staff are used to supplement the staff team. Additionally there are non-residents who use the day centre who need staff time. In order for the home to evidence that there is sufficient staff on duty at all times to meet the needs of the residents it is required that staff rotas clearly detail on a daily basis the staff on duty. Examination of the staff training records indicated that all staff received induction training. The organisation has recently implemented the LDAF induction programme and all new staff will work through this programme. The provider stated the organisations programme focussed on the specific conditions related to Autism and Aspergers Syndrome and would enhance the LADF programme. As noted previously the staff team is mostly new so training in Autism has not been completed for all staff. At the last inspection it was noted that courses had been booked for staff to attend, POVA, Food Hygiene, Fire and Challenging Behaviour. A requirement was made that the provider needs to review the system and organisation of training to ensure staff members receive sufficient basic training within appropriate timescales. At this inspection it was noted that the system has been reviewed with clear dates that staff will attend training. This requirement will remain until all this training has been completed. At the last inspection it was noted that although an introduction to food hygiene is part of the induction training, not all staff have received comprehensive food hygiene instruction and this must be addressed as soon as practical after they start work. At this inspection it was noted that this still remains the case. However this requirement has been removed. The Ann Coleman Centre DS0000033586.V331363.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): 37,38,39,40,41,42,43. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is no clear evidence when the manager is on duty or clarity about who will deputise in his absence. Therefore the rights and interests of the residents are not being fully promoted. EVIDENCE: Mr Andrew Coleman is the registered manager; he was not present during the inspection process. Mr John Coleman the registered provider was present throughout the inspection process. A previously noted, a requirement has been made in relation to management support that the staff rotas clearly evidence when the manager is working at the home and the arrangements for a staff member to deputise in his absence. The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 22 The organisation have in place polices and procedures to safeguard and protect the health and well being of the residents. Familiarisation of the content of policies and procedures is part of the induction process, and staff members sign to acknowledge their understanding of the documents. The fire safety records indicated regular fire drills and checks on fire fighting equipment. One staff member is designated as fire officer ensuring all fire drills and associated fire safety measures are carried out at regular intervals. It was noted the names of all residents was included in the fire drill records. This consistent with good practice. A review of care files and associated information revealed that they were up to date and in order. All other records reviewed during this inspection process were up to date and held securely. There was evidence of a recent visit to the home by local fire officers to raise awareness of fire safety. A valid certificate of insurance was seen displayed in the home. The Ann Coleman Centre DS0000033586.V331363.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 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 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 2 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 2 2 x LIFESTYLES Standard No Score 11 2 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 3 3 2 3 3 3 3 3 The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 24 yes 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 YA11 Regulation 16.2(m) Requirement To develop social and work activities outside the home as discussed at individual formal reviews. All staff must receive basic training specific to their role within six months of employment. All staff must receive supervision at more frequent intervals. There is evidence that all staff redeployed from an agency have undergone the required checks including Criminal Record Bureau checks. Timescale for action 30/09/07 2 YA35 18.1(a) 30/09/07 3 4 YA36 YA34 18 19 30/09/07 30/09/07 5 YA33 18 The staff rotas clearly evidence 30/09/07 which staff are on duty that work at the home. The staff rotas to clearly show when the manager is working at the home and the member of staff that deputises in his absence to provide evidence of appropriate management cover. 30/09/07 6 YA38 10 The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 25 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 Care plans are updated to Independence training is in place for residents. The format for key worker meetings is reviewed so it relates to individual care plans. Regular staff meetings are in place. Residents meetings are in place. For residents for whom this would be difficult then the staff team ensure that their views are gained in different way. Risk assessment reviews reflect any changes. The recording of complaints is reviewed. 2 3 YA36 YA8 4 5 YA9 YA22 The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 The Ann Coleman Centre DS0000033586.V331363.R01.S.doc Version 5.2 Page 27 - 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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