Inspection on 18/07/07 for The Hawthorns

This inspection was carried out on 18th July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Hawthorns 20/07/06

The Hawthorns 27/02/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Hawthorns 53 Station Road Bardney Lincs LN3 5UD Lead Inspector Roger Harrison Key Unannounced Inspection 18th July 2007 08:45 The Hawthorns DS0000063646.V341333.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 Hawthorns DS0000063646.V341333.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 Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hawthorns Address 53 Station Road Bardney Lincs LN3 5UD 01526 399868 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) mick.bell@homefromhomecare.com Home From Home Care Ltd George Michael Bell Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users aged 18-65 years of age of both sexes whose primary needs fall within the following categories:- Learning disability (LD) - 6 The maximum number of service users to be accommodated is 6. 2. Date of last inspection 20th July 2006 Brief Description of the Service: The Hawthorns is a large redeveloped residential house in the village of Bardney. The home is owned by Home from Home Care, who operate another care home in the area, and are planning further developments. The home is a large detached building set in large grounds. There is car parking to either side of the building. The home has been refurbished to a high standard, with a good range of communal space, and all residents’ rooms are large en-suite bedrooms. The home is registered for 6 adults with learning disabilities who require support with daily living. 5 of the residents require 1 to 1 staff ratio throughout the day. The Company’s stated philosophy is ‘Recognising and celebrating the uniqueness of every individual’. Charges made by the home for care are currently dependent upon each individuals needs and range from £1,500 to £2, 1075 per week. Once an assessment has been completed and it is confirmed that the home is able to provide a service an offer letter is sent out listing and stating in detail what the service offers for the fees. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager and residents about The Hawthorns, and by undertaking a visit to the home, which took five and a half hours to complete with the inspector using a method of inspection called “case tracking”. This method involved identifying individual residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspection was also used to check that information provided by the manager matched the individual experiences of residents. This was achieved by talking to residents and care staff whilst observing day-to-day care practice within the home. Before the inspection visit took place the registered manager provided information to confirm that he has a new role within the organisation and that an acting manager had just been appointed to manage the home. Support arrangements for the new acting manager were described and the Manager currently registered with the Commission was available during the inspection visit. What the service does well: What has improved since the last inspection? Medication procedures have been reviewed and each resident now has a homely remedy policy countersigned by the homes manager and the local doctor. An induction procedure has been further developed for new staff members and a new training and recruitment officer has been appointed by the organisation who is introducing systems and procedures to identify the training needs of each staff member. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 6 The service user guide has been reviewed and is now available in a format, which makes it easier to read and understand for everybody. 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 Hawthorns DS0000063646.V341333.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 Hawthorns DS0000063646.V341333.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): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The acting manager ensures that new residents needs are assessed in a sensitive way before they move to the home. Visits to the home and trial periods are used by new residents and the staff team to check that any changes in need can be met by the care team. EVIDENCE: A detailed assessment form is used by the manager and care team to assess the needs of any new resident well in advance of a move taking place. The service user guide has been reviewed since the last inspection and has been produced in easy read format. During the inspection visit copies were provided and it was confirmed by the manager that all residents would be taking part in putting their own new user guide together with their individual key worker. Records were available to show that visits to the home take place and that the assessment is completed by the manager together with family members and other professionals as part of the overall process. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 9 All existing residents have a transition plan, which was used to make sure that when new residents move into the home all of their needs and questions are considered and any concerns fully addressed. Residents who already live at the home said that this helped them feel more control of the move they had made. One resident said, “I visited and looked at the room I chose. They know all about me so I can get looked after better” The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents’ benefit from having comprehensive care plans and risk assessments; and they are supported to take control of their daily lives. However they would benefit from having more accessible care plan formats. EVIDENCE: Information provided by the manager before the inspection visit took place described the policies in place for assessing need and the management of risks, privacy, dignity, choice and independence. During the inspection visit care plans were available for each resident, which clearly showed how assessed needs are being met. Plans included details about communication, relationships, managing finances and behavioural management. Issues such as decision making and choices, and developing independence are referred to in the care plans; and they indicate how the person’s privacy and dignity are to be maintained. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 11 Risk assessments are in place for needs such as personal vulnerability and bathing and any support that restricts the person’s liberty or choices for reasons of safety. Records show that care plans are reviewed regularly, and residents said that they know what their care plans are about. However, care plans are not currently available in alternative communication formats so that residents can fully understand and use them together on a day-to-day basis with staff. For example; one resident said that she knew she had a care plan and was happy with the care received but did not know about how the care plan was being used to meet all her needs. A resident said, “I have a care plan but I don’t look at it. The manager and all the others help me and look after me in the way I want that’s all there is”. This issue was discussed with the manager who said that work will soon be started by the new acting manager to make sure care plans are more accessible for all residents. During the visit residents talked about how they are supported to make decisions and choices about things like holidays, meals and activities. One resident said that staff helped them to decide what activities they wanted to do and to support them when they go out. Residents also talked about being able to choose the colours on the walls and furniture for their bedrooms. One resident said that she would ideally like to go out on her own to the local shops. This issue was discussed together with the resident and the manager and we looked at the risk assessment currently in place. It was agreed that the risks identified would be reviewed and that all options would be explored together with the resident to enable her to be as independent as possible. Staff were able to describe how they support residents to make choices about the decisions they make each day what clothes to wear, what they want to eat and where they want to go. They also talked about how they help residents to maintain and develop their independence with, for example, cooking skills. There is a large kitchen available for residents to be able to do this. Throughout the visit staff were observed to be encouraging residents to make their own decisions; they showed respect for resident’s privacy by knocking on doors and talking about personal issues in private; and they also demonstrated a clear awareness of how to maintain confidentiality both in general care practice and with record keeping. Records showed that residents have meetings at which issues such as activities and meals are discussed. Residents confirmed that they are involved in meetings and said that they are able to talk about the things that they want to. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy flexible daily routines, and they are supported to participate in their chosen activities. They benefit from a varied and balanced diet. EVIDENCE: Each resident has an activity plan, which is used to record current activities that each resident has chosen to do. Activities take place daily within the home and local community and where appropriate occupational and education plans are being developed. During the inspection visit residents were able to communicate that they feel they are able to choose what they want to do with their day. One resident was arranging to go out into the community using the homes mini bus; other residents were receiving sensitive support to relax and another The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 13 resident was outside working with his key worker. Residents spoke about going out shopping and going to social clubs in the evening. One resident said that she uses the telephone at the home to call her family whenever she wants to and that she enjoyed answering calls to the home. The resident did say that ideally she would like a private telephone in her room. This was discussed together with the manager who agreed to arrange to have a telephone installed for the resident as soon as possible as requested. Meals at the home are planned on a weekly basis together with residents, who said that they liked the food provided by the home. One resident was observed making choices about what she wanted to eat and preparing her own lunch. Photographs were available in the kitchen showing residents taking a full part in meal preparation and the manager provided information to show that a nutritionalist had visited the home since the last inspection to talk to residents about the benefits of having a healthy eating plan. Residents described two holidays that they had been on to Derbyshire and Blackpool and one resident was talking about plans for another holiday and to visit a close family member. One relative had sent written comments on a questionnaire provided by the home to show that she is happy with the care provided and is supported to maintain good contact. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are comprehensive arrangements in place to ensure that service users have their personal and healthcare needs met. These arrangements are supported by good policies and procedures. EVIDENCE: Information provided by the manager before the inspection visit showed that there are recently reviewed policies and procedures in place for needs such as homely remedies, medication and supporting residents with their individual care needs. Discussions with residents on the day of the visit indicated that they feel that staff treat them well and they know how to help them. Residents said that they know who their key - workers are, and one resident said ‘they look after us all really well’. Information shows that staff with various skills are recruited, and that training provided is used to help ensure that a range of identified needs can be met within the home. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 15 Health action plans, a nationally recognised health check assessment and a health profile are in place for residents. Care plans are in line with identified needs such as epilepsy, and records show when and why residents have attended appointments with, for example, GP’s or chiropodists. There are care plans in place, which detail what support residents need to attend appointments. There are also clear plans and risk management strategies in place for supporting residents with behavioural needs. During the inspection visit staff were observed using effective methods of care practice to divert possible challenging behaviour in a sensitive and supportive way, which left residents in control of each situation whilst free from the risk of physical restraint. Care plans describe how residents are supported to take medications. A selection of medication records were checked and they were all fully completed. Storage and administration procedures were satisfactory. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and care team take complaints seriously and wherever possible involve residents and carers in resolving issues as soon as they are raised. The care team are trained and are able to take action in order to protect residents from abuse. EVIDENCE: Before the inspection visit took place the manager provided information to confirm that there is a policy and procedure in place to provide people with information about how they can raise concerns and make complaints, which is detailed in the statement of purpose and the service user guide and made available for residents to use if they wish. A symbol version of these documents is also available. Residents said that they felt the manager is easy to approach regarding any concern and that they are happy to raise issues direct whenever they occur. Records available and discussions with residents and staff confirmed that residents meetings are held regularly so that people can raise questions or concerns together informally in the first instance and receive support to get them resolved when needed. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 17 The manager confirmed that no complaints have been made by residents, family carers or staff members since the last inspection. One complaint has been made which does not relate to standards of care, and which is being addressed by the manager of the home and the organisation. There are procedures available on individual care plans regarding physical intervention to make sure residents are protected properly and detailed records are kept in order to support residents with their finances. The manager confirmed that copies of the adult protection policy and procedure for Lincolnshire are available in the home and that the staff team had received training, either through direct training sessions or NVQ training in order to understand their responsibilities so that they are able to take action to protect residents from abuse when needed. One staff member described the action that should be taken in order to make sure residents are safeguarded from abuse. The Hawthorns DS0000063646.V341333.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): Standards 24 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, well-decorated and maintained environment for residents to enjoy. EVIDENCE: The Hawthorns is decorated to a high standard. The home has a good range of communal facilities and each resident has their own en suite room. The staff team support residents to fully personalise their rooms and two residents showed that they had made choices about the colour schemes and furniture arrangements in their room. One resident said that he had decorated his own room in the colours he had chosen and was able to describe how he was supported by staff to do this. The resident said, “I did this myself and I like the colour and my room” Residents said they are able to keep their room in the way each wishes and that they are responsible for the tidiness of their room with support from individual key workers. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 19 Residents said they felt the environment was good and did meet all their needs. One resident said that ideally she would like the doorways to be slightly wider to enable her to get through them using all of her mobility equipment with ease. This issue was discussed together with the manager and resident. The manager said he would explore options to widen the doors to reduce the possibility of chairs getting caught on the edges of door frames. The kitchen area of the home contains menus and pictures of residents taking part in cooking their own meals and during the inspection visit two residents were observed either making their own meal or preparing food with support from their key-worker. Staff members said they felt the space available in the kitchen and communal areas helped them to provide care in a sensitive way. One staff member said “The environment helps us because there is space for each resident to have quiet time when its needed and to take part in activities together with key-workers in a way which is supportive whilst at the same time giving physical space for them to be as independent in tasks as possible”. The Hawthorns DS0000063646.V341333.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 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by knowledgeable and well-trained staff, who are recruited safely. EVIDENCE: Recruitment records contained criminal record bureau checks; application forms and proof of identity; and staff described a detailed induction programme that is based on a nationally recognised framework. During the inspection visit one resident described how she had recently been involved in interviews for new staff and said, “I liked being part of the interviews and I helped to make the decisions”. Staff members said that they receive supervision and that they are supported to talk about their individual needs. Records confirm that they receive supervision. Staff files showed that staff have undertaken a range of training, for example; physical intervention techniques and behaviour management, food The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 21 hygiene, fire safety, Adult protection, moving and handling and health and safety. Records kept in the home confirm this and show that training has also been undertaken in nationally recognised care qualifications. Staff said that they have access to training and they feel that the training helps them to develop their skills in order to provide care for residents in the way described in care plans. However, Some staff members said that they would like more opportunities to develop their skills further but that options for further development had been limited recently and that they did not feel they had access to a structured training plan to show them how their individual future development will be supported. This was discussed with the manager who provided information, which showed that a staff training plan is in place but that he recognised that some staff felt their development needs might not be being fully addressed. The manager said he would arrange a meeting between staff and the organisations recruitment and training manager in order to begin to discuss and review the existing plan with each staff member. Rotas show that there are enough staff on duty to meet the contracted hours for individual residents. The manager confirmed that there has been a need to use some agency staff to cover absences of the established care team but that this has been kept to a minimum and that the use of agency staff is avoided unless absolutely necessary. The Hawthorns DS0000063646.V341333.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): Standards 37, 39 and 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 systems protect the health, safety and welfare of residents. EVIDENCE: Before the inspection visit took place the registered manager provided information to confirm that he has just taken up a new role within the organisation and that an acting manager had now been appointed to manage the home. Support arrangements to make sure the change over of managers were described and the registered manager said he is continuing to work together with the acting manager as part of the change over of management responsibilities. The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 23 The manager provided information to show that the organisation and running of day-to-day activity at the home is undertaken in a structured way. Staff members said that they feel the manager is doing a good job and that the support arrangements in place for the new acting manager will help provide the consistency that residents need to feel safe and well supported. Residents said that they are aware of the changes being made to the way the home is managed and during the inspection visit residents were observed interacting with the manager and senior staff team in a way, which showed that they trusted them. The manager said that the new acting manager will continue to run the home in the way it is currently being managed and would be taking action to address the all of the issues discussed during the inspection visit. Records showed that residents care and social needs are reviewed and that they are asked about the quality of care being provided by the care team. A quality assurance questionnaire was sent out to residents and staff in January 2007 and feedback showed that people are currently happy with services being provided. It was confirmed that the acting manager would be sending out a new questionnaire in the near future. The Hawthorns DS0000063646.V341333.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 X 2 3 3 X 4 X 5 X 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 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations It is strongly recommended that care plans are made available to residents in alternative formats so that they can have better access to information about how their needs are being met. It is strongly recommended that the involvement of residents and/or their representative’s in the care planning and reviewing processes be recorded; for example by them signing the care plans. It is strongly recommended that the staff training plan is reviewed to identify training and individual development needs for each staff member, which includes dates to show when future training will be provided. 2. YA6 3. YA35 The Hawthorns DS0000063646.V341333.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Hawthorns DS0000063646.V341333.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. 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