Inspection on 05/01/06 for The Coach House

This inspection was carried out on 5th January 2006.

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.

Other inspections for this house

The Coach House 04/11/08

The Coach House 24/01/08

The Coach House 18/07/06

The Coach House 10/08/05

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 Coach House Trevaylor Manor Newmill Road Nr Gulval Penzance Cornwall TR20 8UR Lead Inspector Stephen Baber Unannounced Inspection 5th January 2006 09:00 The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Coach House 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) Trevaylor Manor Newmill Road Nr Gulval Penzance Cornwall TR20 8UR 01543 414222 Swallowcourt Limited Annette Margaret Reynolds Care Home 9 Category(ies) of Learning disability (9) registration, with number of places The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2005 Brief Description of the Service: The Coach House is a brand new purpose built care home offering ground floor and first floor accommodation for 9 adults with physical and complex needs and who experience a learning disability. The registered provider is Swallowcourt an organisation that provides specialist care for people with special needs and owns three large nursing homes. Mrs Annette Reynolds is the manager and is registered with the Commission. The manager explained the aim of the home is to provide specialist support in a homely environment where residents can experience a quality of life with the support and care of the staff. The home is located in Newmill and is within the curtilege of the grounds of Trevaylor Manor which is registered as a nursing home. The facilities are separate with the home having its own entrance, parking to the front for several cars and beautiful walled gardens, which are safe for the residents to use. Penzance town is 2 miles away and a bus service passes the home twice a day. The Coach House shares transport with its sister homes in Penzance . All the residents have their own ensuite bedrooms and special locks have been fitted to give greater privacy if it is required. The home has communal space, including a lounge/dining room, and further conservatory, which is much, enjoyed by the residents and looks out over the walled gardens. There is a small fully equipped kitchen and additional bathrooms and toilets on each floor. There is a shaft lift that serves the two floors and there are two waking night staff on duty to offer care and attention to the residents. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on the 5th and 6th January 2006 and lasted for fourteen and half hours. The purpose of the inspection was to ensure that resident’s needs are properly met; in accordance with legislation regulating care homes and good care practices. The focus is on ensuring that resident’s placements in the home result in good outcomes for them. The following activities were carried out when I was at the home. 1. Inspection of records, including assessment information and care plans 2. Discussion with the managing director, group manager and registered manager of the home on how it operates on a day-to-day basis. 3. Inspection of the building 4. Discussion with a relatives and members of staff 5. Observing the daily life of all the residents and individual discussion with those residents who were able to talk with me. 6. Observation of the daily life of the home. The inspector would like to thank everyone who was involved in this inspection, including the registered manager, staff and residents, for their helpful manner and kind assistance on the day. At the end of the two days and having tried to be involved in all aspects of what was happening in the home I would like to conclude that the manager and staff provide a good standard of care to the residents. There is also a commitment by the manager and staff to work closely with the parents, relatives and other professionals with the principles of rights, independence, choice and inclusion uppermost in their minds at all times. What the service does well: The Coach House has been registered since February 2005 and this was the second inspection. The manager and staff have established a relaxed atmosphere with everything appearing to work cohesively together with the emphasis on results for the residents. Evidence shows that the manager has established professional working relationships with all community professionals with the aim of providing a quality service to the residents. I spoke with visiting relatives and parents and apart from one all were positive about the improvements they have seen .All residents receive a detailed and comprehensive assessment of their needs to ensure that the home will be suitable for them. This includes full consideration of their personal; health and The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 6 social care needs, including their religious and where appropriate their, cultural and ethnic backgrounds. Each resident has a care plan with the manager and staff carrying out regular reviews. All community professionals are invited to the reviews. Daily care and night records are maintained to evidence that resident’s wellbeing is monitored. Parents and relatives are encouraged to visot the home and as observed are offered hospitality by the staff. On Christmas day all parents and relatives were invited to share Christmas lunch with the residents and staff. The group manager and registered manager have improved the transport facilities with access to a variety of resources in the Community where they can meet people from outside of the home, including a weekly Gateway Club, shopping trips and individual preferences will be met where possible. Staffing levels have improved and the staff appear to work well together. The company are committed to providing a well trained staff group with training commencing from Induction and complying with the General Social Care Council. The company-training manager for all staff is accessing L.D.A.F. training. Most of the staff are qualified to at least NVQ level 2 or are completing training. The company are committed to a well trained staff group who can meet the complex needs of the resident group The home’s recruitment policies ensure that staff are recruited on the basis of fair, safe and effective recruitment practices and records evidence this. What has improved since the last inspection? The company have produced a set of policies and procedures that are common throughout it’s six homes and demonstrates the corporate approach. The manager will be personalising them to establish the identity of the home and to reflect that The Coach House is a learning disability home. Now the home is more established the manager and staff have a clearer understanding of the needs of the residents who have high dependency. Staffing ratios have been improved and there is two waking night staff on duty through the night to offer comfort and security to the residents. The manager has created good working relationships with the parents and keeps them fully involved on a day-to-day basis. The relations of a resident confirmed this. They said they have seen significant improvement in their relative and they are kept up to date on his care. One observation made by me was when the manager informed the parent that she has asked the doctor to come and see her daughter who was unwell. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 7 The requirements and recommendations made at the last inspection have been complied with. The management team appear to work well together and the manager is appreciative of their support and guidance. Throughout the inspection there was evidence of a commitment to continuous improvement, quality service, support and accommodation and facilities, which will assure a quality of life and health for the residents. Lastly and importantly I tried to interact with all the residents and noted how happy and comfortable they appeared and I was always greeted with a smile, which showed contentment with their lot. l 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 Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. The residents are provided with good information on which to make a decision about whether the home is suitable for them. Admission to the home is based on detailed assessment to ensure that their needs can be met there. Specific improvements to service users’ contracts are needed to ensure their terms and conditions are fair. EVIDENCE: The home’s service users’ guide, which provides residents, parents and relatives with key information about the home is available. Discussion took place with the manager about creating a document that could be easily understood by the residents. The manager agreed to translate into pictorial formats so that residents can have a better understanding of what the home has to offer. Two resident files were case tracked and they provided evidence of very clear and through assessment information. This could be further developed to include the participation in the assessment process of the resident themselves or their representative. There are clear indications of their immediate, intermediate and long-term needs and sufficient information, from a variety of sources so that the resident and staff working with them are clear about the purpose of their placement in the home. The Adult Social Care services provide contracts for those residents that are funded by them. The manager has been developing a contract in a format, which sets out the full range of services and facilities prospective residents can expect should they wish to live at the home. The manager works with the sister homes in the company and will be seeking the views of other manager’s The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 10 and staff before she puts in place a contract in a format/language to each resident. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10. Each resident has a care plan which sets out for each member of staff their assessed and changing needs. The plans should be drawn up with the involvement of the resident and their family and be in a format the resident can understand. The arrangements to manage and assess risk have been improved and include environmental risk assessments aswell as personal risk assessments. The staff supports the residents in their personal safety to avoid limiting their preferred choice. Staff are provided with the information they require to satisfactorily meet the needs of residents. EVIDENCE: Each of the two residents case tracked at this inspection had a detailed written care plan addressing their personal, social and physical care needs including needs relating to their religious, cultural and ethnic backgrounds. Care plans address their needs, risks and set out specific goals for them to achieve. Multi disciplinary reviews take place with parents and relatives encouraged to attend. The manager should gain agreement to the care plan by encouraging parents and relatives to sign care plans as evidence of their participation and agreement. A representative of Cornwall Advocacy visits the home at least once a month. Care records demonstrate how residents care plans are carried The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 12 out on a day-to-day basis. It is recommended that each goal should have a review sheet that details the reviews that have taken place. The company have produced a confidentiality policy that all staff will be trained in from induction. Current staff will be familiarised with the new policies and procedures when in-house training takes place and at supervision. This will ensure that staff respect and handle information in accordance with the companies written policies and procedures. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Residents are encouraged to maintain and develop positive relationships with their families and friends. There are good systems in place to ensure that resident’s rights are respected and care staff have a key role to play in supporting residents to live fulfilling lives outside as well as within the home. Residents diet is monitored to ensure they eat healthily, according to their individual needs and preferences. EVIDENCE: High priority is given by the manager and staff to preserving residents family, social and personal relationships. I observed visitors being made welcomed and given hospitality when they visited the home. Due to the nature of the resident’s complex needs they do not spontaneously pursue hobbies and interests? Their concentration spans are limited and it is usual to expect the staff to provide a range of stimuli for the residents either individually or in small groups. Staff were seen to spend time talking with residents, taking individuals for a walk or small group taken for an outing in the community in the transport provided by the company.The Gateway Club seems to be greatly enjoyed by some residents and gives them the opportunity where they can The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 14 meet people from outside of the home. The manager is very skilled at accessing specialist professional advice from the local NHS Trust and community professionals, so that the home’s staff can appropriately support residents with behaviour and relationship difficulties Staff assist residents to go shopping and prepare snacks. Residents dietary needs and preferences are considered as part of the formal care planning process and nutritional assessments are drawn up for residents. Staff help them to prepare healthy snacks and take exercise appropriate to their needs. The main meal is brought over from the kitchen plated up and covered. It is recommended that a heated trolley is purchased so that residents can have meal portions of their choosing, choice of what they want to eat and extra portions that would remain hot in the heated trolley. The serving of meals from the trolley would also give staff the opportunity to discuss with the residents what they want to eat. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. Resident’s personal care needs are addressed in ways that respect their privacy and encourage them to develop their independence with the support and guidance of the staff. Policies, procedures and practices regarding medication are appropriate ensuring any risk to residents is minimised apart from full and accurate recordings on the MARS sheets. Policies and procedures on ageing and dying have been made available to staff so that residents and their relatives can be assured that if you become ill their comfort and dignity and the wishes of residents will be respected. EVIDENCE: Residents personal care needs are addressed in their individual care plans. They all have en suite facilities with suitable locking facilities to ensure they can attend to their personal care in private if they were able to or with staff assistance. The residents appeared to be smartly dressed and well groomed. Resident’s records contain appropriate information outlining how residents physical and emotional health care needs are met. There is also suitable records regarding visits to/from GP’s and other healthcare professionals. I observed the doctor and specialist nurse visiting. The manager explained how the staff would receive ongoing training to increase their understanding of how staff can respect residents preferences, and expert knowledge, about their The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 16 individual personal needs when providing support including intimate personal care. There is a new medication policy, which has been devised by the company and personalised by the manager. The policy and procedures evidence how homely remedies and drug error policy and procedure should be followed by the staff. All staff with a responsibility for medication have successfully completed the Safe Handling Of Medication training. The storage of medication is appropriate but all staff should sign the MARS sheets when dispensing medication to the residents. The manager who is an experienced nurse explained that relatives and residents would be involved in planning for and dealing with growing older terminal illness and death. The newly written policies and procedures are going to be the subject of a training session and will also be covered at induction and supervision. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. There are formal and informal systems in place to ensure that resident’s views are listened to and taken into account in the day-to-day running of the home. Residents are protected from abuse; neglect and self-harm by the policies and procedures and training in place. EVIDENCE: Residents, their parents and relatives told me that they knew how to make a complaint. The company have produced a detailed complaints procedure, which records the types of complaints that could be made and the time scales for the resolution of the complaint. It would be helpful to the residents who have high dependency to have a complaints procedure translated into a format that they can understand. There are less formal systems to ensure that resident’s day-to-day complaints can be dealt with immediately or at an early stage. The Commission have received concerns from one relative. The complaint was investigated internally and the outcome was that the concerns were unsubstantiated. The home’s records demonstrate that staff are recruited on the basis that they are suitable and safe to work with vulnerable adults in a care setting and are provided with appropriate training. All staff have received adult protection training and the evidence is recorded in their training portfolio. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 18 The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,29,30. All residents have en suite bathrooms with lockable doors to ensure their privacy and dignity. There are suitable systems in place to protect them from the risks of infection. Specialist equipment is provided so that the residents can maximise their independence. EVIDENCE: All of the residents have en suite rooms so that their personal care needs can be met in private. The relatives I spoke with said they were very pleased with the high standard of accommodation and cleanliness of the home. All of the bathrooms are lockable from the inside and there are facilities for staff to override locks in an emergency. The home was clean and tidy throughout at the time of the inspection. Staff are routinely provided with training in infection control. The home’s laundry facilities are sited away from areas in which food is cooked, prepared and eaten and there are stocks of dissolving sacks for heavily soiled laundry and special sacks for clinical waste to ensure that infections are contained and not spread throughout the home. Training to staff from induction in The Control Of Substances Hazardous to Health (COSSH) is covered by all staff. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 20 The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34. Staff are well trained and competent to work in a care setting. They are recruited on the basis of fair, safe and effective recruitment and selection policies and practices. EVIDENCE: Most of the home’s staff are qualified to at least NVQ level 2 or are in the process of undergoing training to achieve qualifications to at least this level. The company are committed to providing the staff with updating and ongoing training. All new staff undergo structured induction training, with records kept. The training manager was present at the time of the inspection and she explained that a training matrix has been devised to record the ongoing planning of staff training in a range of subjects to protect and enhance the lives of the residents in the home. The home’s recruitment policy is clear and detailed and ensures that staff are recruited on the basis of equal opportunities and that only people who are suitable to work with vulnerable adults in a care setting are employed. This is backed up with thorough recruitment records relating to staff working in the home. The manager should obtain a POVA check first before prospective staff are offered employment. I left the annex four document for the manager to use. This document has been prepared by the Commission to assist management to record recruitment details and training. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42. A good standard of hygiene and safety is provided around the home to ensure that residents health and welfare is not placed at risk. EVIDENCE: New comprehensive policies and procedures are in place to promote safe working practices and suitable steps are taken to provide a hygienic and safe environment and provide a safe environment for residents and staff. The equipment and services at the home are regularly serviced and maintained and appropriate fire precaution and fire safety measures are in place. Relatives and staff said they were confident that the manager and the company made every reasonable effort to provide a healthy and safe environment. There are no concerns regarding the financial viability of the home and an appropriate Insurance Policy is in place. The registration and Insurance certificates are publicly displayed in the office. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 23 The equipment and services provided to the home are regularly serviced and monitored and satisfactory fire arrangements are in place. Staff and residents were positive about the manner in which the home is run and organised and commented they found the Registered Manger to be approachable and responsive to any concerns or suggestions they raise. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 1 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Coach House Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000063988.V270616.R01.S.doc Version 5.0 Page 25 NO 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 YA5 Regulation 5 Requirement Each resident must have a written contract in a format/ language that they can understand Timescale for action 30/07/06 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. Refer to Standard YA1 YA6 Good Practice Recommendations The Statement Of Purpose and Service User Guide should be in a format/language that can be understood by all residents. The manager develops and agrees the care plans with all interested parties. Review sheets should be placed at the back of each goal so that an audit trail of reviews can be established. A heated trolley should be purchased to allow the residents to choose what they want to eat and the size of the portions they require, as well as maintaining the correct temperature.. The MARS sheets should be completed by all staff. The complaint procedure should be in a format/language that can be understood by the residents and the correct name of the registration authority CSCI not NCSC should DS0000063988.V270616.R01.S.doc Version 5.0 Page 26 3. YA17 4. 5. YA20 YA22 The Coach House 6. YA34 be detailed in the policies and procedures. POVA first clearance should be obtained before prospective staff are offered employment. The Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 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 Coach House DS0000063988.V270616.R01.S.doc Version 5.0 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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