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Inspection on 29/05/07 for The Melanie Ann Trust Residential Home

Also see our care home review for The Melanie Ann Trust Residential Home for more information

This inspection was carried out on 29th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

CARE HOME ADULTS 18-65 The Melanie Ann Trust Residential Home (S) 251 Saltings Road Snodland Kent ME6 5HR Lead Inspector Jo Griffiths Key Unannounced Inspection 29th May 2007 2:00 The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.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 Melanie Ann Trust Residential Home (S) DS0000023848.V337729.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 Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Melanie Ann Trust Residential Home (S) Address 251 Saltings Road Snodland Kent ME6 5HR 01634 245795 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) The Melanie Ann Trust Mrs Jennifer Iris Edwards Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st July 2006 Brief Description of the Service: The Melanie Ann Trust is registered with the Charities Commission and currently has two properties based in Snodland. 251 Saltings Road is a small semi-detached property close to the Snodland town centre, with a small external courtyard and garage. 251 Saltings Road is registered to provide residential care and accommodation for 3 adults with learning disabilities with additional sensory impairments and behaviours that may challenge. The fees range from £1218.43 to £1490.48 The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced. Time was spent with the Manager reviewing the progress made in the home since the last inspection. Staff on duty were spoken with and a tour of the premises undertaken. There are two people living at the home. They were unable to clearly communicate their views of the home, but observations were made of how staff were supporting them. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 6 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 Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 7 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): Standards 1 and 2 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People moving to the home are provided with information about the services offered, but they may benefit from an alternative format of the information to aid their understanding. Each person has an assessment of their needs, but the Manager must ensure the assessment is kept under review to reflect changing needs. EVIDENCE: The Statement of Purpose and the Service User Guide are presented as one document. Some photographs have been added to make it easier for people moving to the home to follow. Alternative formats for the document, that would meet the needs of the people living at the home, were discussed with the Manager. The Manager agreed to consider the use of an audio recording of the information in the future to help people with visual impairments access information about the home. Both the current residents of the home have had an assessment of their needs. Each person has a formal review meeting every six-month, which their care Manager is invited to attend. The Manager must ensure that any changes The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 8 arising from the review meeting are updated in the person’s assessment of need and care plan. The assessment of need must be kept under review. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.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): Standards 6, 7 and 9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Each person has a care plan that details how their needs will be met. They would benefit from a review of their care plans and in particular their goals to ensure they are meeting their needs. People living at the home are supported to make decisions in their daily lives. They would benefit from staff undertaking training in Person centred planning to support them to plan for their futures. Individuals are supported to take reasonable risks as part of an independent lifestyle. EVIDENCE: Each person has a care plan that provides staff with information on the support they need to ensure their needs are met. There are some goal plans in place for specific areas of need. It was discussed with the Manager the need to ensure the rationale behind the goals is clear and states how achievement of the goal will benefit the individual. An example was that one person has a goal The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 10 plan for doing his “waiting”. It is not clear how this is benefiting the person and this needs to be reviewed. Staff need to be clear about how to reinforce positive behaviour. Records showed that respectful and age appropriate language is not always being used when dealing with inappropriate behaviours. The Manager must ensure that any guidelines in place for discouraging inappropriate behaviour are not used as a form of punishment or control. Staff must be clear about the rationale behind all guidance. The care plans include pictures that demonstrate the person’s likes and dislikes and things and people that are important to them. This is a good example of keeping the person at the centre of the plan, although the Manager must ensure that the pictures do not overcrowd important information that staff need to access in order to provide care. The Manager must review the care plans to ensure they are up to date and include information on how to attend to peoples personal care needs. The Manager must ensure that all parts of the care plan are reviewed at least every six months and any changes are clearly recorded along with the date of review. People living at the home would further benefit by staff attending training in Person centred planning. This would help staff to support people in making decisions, planning their futures and maintaining control of their lives. Due to the visual impairments of the people living at the home it is difficult for them to make everyday choices. To help with this the Manager has consulted with the Speech and Language Therapist to develop communication plans for each person. The staff have a good knowledge of the communication methods of each person and ensure that they offer choices in a way that the person can understand. Individuals risk assessments are included as part of the care plan, but are held in a separate file. The risk assessments require review to ensure they continue to protect the people living at the home. They also need to be stored with the care so that staff can easily access them. Financial appointeeship for the people living at the home has now been transferred from the Manager of the home to relatives or representatives. This new system will further safeguard people’s money. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.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): Standards 12, 13, 14, 15, 16 and 17 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People enjoy the activities that are available to them, but would benefit from regular review of the activities. They are supported to be a part of their local community and to maintain contact with family and friends. People living in the home are supported with their daily routines. Their right to be treated as adults is not always being upheld. People living at the home enjoy a varied and balanced diet. EVIDENCE: The people living at the home have a timetable of activities that they can choose to take part in each week. Activities include use of the local health suite, meals out, trampolining, horse riding, shopping, magic moments (sensory session), bowling and swimming. Records showed that some evening activities have been introduced since the last inspection. The staff and Manager The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 12 stated that the people living at the home enjoy the activities and have been attending some activities for many years. The Manager must ensure that the activities that are offered are kept under review to ensure people still continue to enjoy them. New activities and opportunities should be offered regularly. Whilst at home people can relax in their bedrooms or the lounge. There is a small rear garden for use in the summer. Staff are currently supporting each person to plan their annual holiday. There are photographs included in the care plans of previous holidays and staff help them to choose based on their knowledge of what type of holiday they enjoy. The home has recently acquired a local allotment plot and the two residents of the home are starting to be supported to grow vegetables and flowers. There is an allotment committee and some social events associated with being a part of that group. The Manager feels that this will give people a chance to be more involved with their local community. Family and friends are welcome to visit at any time and each person is supported to maintain contact with their family, advocates and any friends by visits, phone calls and letters. Staff have not completed training in supporting people with learning disabilities with their sexuality and relationships. This may benefit the people living at the home. Evidence in the care plan and records showed that the people living in the home are not always being treated with respect as adult citizens. Some staff are still using inappropriate language that does not respect the adult status of the people residing in the home. This was raised at the last inspection and must be addressed by the Manager as a matter of priority. Staff carry out most of the domestic duties in the home and the people living there are supported to be involved as far as they are able. There is no set menu in the home. Each person is offered a choice of their meal and staff are responsible for ensuring that a balanced and healthy diet is offered across each week. One person has particular dietary requirements that have been catered for. The Manager must ensure that staff do not use the removal of food as a method or discouraging inappropriate behaviour. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.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): Standards 18, 19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Individuals’ health needs are well met. They would benefit from a review of personal care practices to ensure that a same gender care is available. They are supported to manage their medication safely. EVIDENCE: Each person’s individual health needs have been assessed and are included in the care plan. Records show that regular appointments for maintaining health and for check ups are kept. Where needed support has also been obtained from specialists including Speech and Language Therapy and vision specialists. Staff report that both people living at the home are in good health and records support that their health needs are being well met. Personal care is not always provided by a carer of the same gender, particularly for the female resident of the home. A female carer should be available to provide personal care to the female resident at all times as a matter of good practice. All personal care is provided in private in individual The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 14 bedrooms or bathrooms. People living in the home would benefit from staff having more direct guidance about their personal care needs in the care plan. Each person is supported to take their medication by trained staff. An assessment of staff competence to administer medication is carried out as part of the training course. Medication records are accurate and storage meets the required standards. The Manager ensures the latest copy of the BNF medication book is available to staff for reference. Each person’s medication is reviewed by the GP regularly. Guidance for staff on when they should give “as needed” medications has been developed. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.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): 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. People living at the home have access to a complaints procedure that ensures any concerns are listened to. They would benefit from this being produced in a format that better meets their communication and understanding needs. People are protected from abuse but would be further protected by development of the adult protection policy. EVIDENCE: There is a complaints procedure in place that ensures that any complaints made will be responded to effectively. There have been no complaints received in the home. The people living at the home would benefit from “how to complain” being produced in audio format. Staff have been trained in safeguarding vulnerable adults and the Manager is currently arranging updates as needed. There is a policy for staff to follow if they need to report any alleged abuse or any concerns. Staff may benefit from the adult protection policy being expanded to give them more direction on the procedures they should follow should an allegation of abuse be made. All new staff have a CRB disclosure which includes a check against the Protection of Vulnerable Adults (POVA) register. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 16 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, 27, 28 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living at the home benefit from a safe, clean and comfortable environment that meets their needs. EVIDENCE: There is a bathroom, with shower, on the first floor. This has been recently upgraded. There is also a separate toilet on the ground floor. Paper hand towels and liquid soap have been added to all bathrooms following a recommendation made at the last inspection. The house is generally well maintained. There is limited communal space available for the people living at the home. At present this is not presenting too much difficulty, as there are only two residents in the home. The Manager plans to add a conservatory to extend the communal space and this is strongly recommended. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 17 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 31, 32, 34 and 35 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People living at the home are supported by trained staff that have clear job roles. Staff have not always adhered to their job descriptions with regard to treating people with respect. People living in the home are protected by the homes policy for recruiting new staff. EVIDENCE: New job descriptions have been written that are specific to each post. These have been issued to staff. Evidence in the care plan records showed that staff are still using inappropriate language that does not demonstrate respect for the people living in the home. The Manager must ensure that staff adhere to their job descriptions and understand the importance of treating people as adults. New staff are employed following a robust recruitment policy that includes written references, ID and employment checks and a CRB disclosure. All new The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 18 staff undertake an induction to the home and complete the skills for care induction standards. The Manager must ensure that these standards are signed off as evidence of completion. A training matrix has been developed to assist the Manager in monitoring the training needs of staff. Some updates are required in Adult Protection, Moving and Handling and fire safety training. The Manager is currently putting together a training plan for 2007/2008 and will forward a copy to CSCI. The Manager has recently secured 8 places for staff to undertake their NVQ award. This is due to begin in the next week. This will mean all staff are registered for an NVQ therefore this standard should be met by the next inspection. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 19 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, 38, 39, 40, 41 and 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The people living at the home benefit from a Manager that is qualified. The Manager needs to ensure that staff are consistently treating people in the home in an age appropriate manner. The home is generally run in their best interests, but they would benefit from a quality review of the service that includes their views. The policies and procedures safeguard the people living at the home, but require review to ensure they are up to date. Records require some improvement to ensure the protection of people in the home. The health and welfare of the individuals in the home are protected. EVIDENCE: The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 20 The Manager is a registered nurse and has recently completed her Registered Managers Award (RMA). The Manager works across the two homes owned by the trust and is supernumerary to the care hours provided. The Manager attend the providers forum and the trust are members of the National Care Homes Association and Kent Care Homes Association. The Manager must ensure that she is working alongside staff sufficiently to identify where they are not appropriately following individuals behavioural guidelines, for example, to ensure they are not removing food in response to inappropriate behaviour. During the last inspection the inappropriate use of language in report was identified. The Manager has not achieved full improvement in this area. A quality assurance assessment was carried out in February 2006 that involved sending survey to people using the service and their relatives. A quality assessment of the home is planned for this year. The Kent Care Homes Association carry out an annual quality visit to the home and produce a report of their findings. A member of the board of trustees of the Melanie Ann Trust visits the home monthly to assess the quality of the service under regulation 26 of the Care Homes Regulations 2001. Equipment has been safety checked recently and the fire officer has made a recent visit. The fire alarm system has now been connected to the smoke detectors as a result of the fire officers visit. Environmental risk assessments have been completed and the Manager is in the process of reviewing all polices and procedures of the home. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 21 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 2 2 2 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 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 2 29 X 30 3 STAFFING Standard No Score 31 2 32 2 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 2 16 1 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 2 2 2 1 3 X The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 22 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 YA39 Regulation 24(1) Requirement The registered person shall establish and maintain a system for reviewing at appropriate intervals and improving the quality of care provided at the care home. This requirement has been partially met. A quality review of the service is needed that will include gathering the views of people living in the home and their representatives. 2 YA2 14 The registered person must 13/07/07 ensure that the assessment of need for each person living at the home is kept under review. The assessment must be updated following any changes in need. The registered person must ensure that each individual living in the home has their care plan reviewed regularly to ensure it continues to meet their needs. This should include a review of any goals. DS0000023848.V337729.R01.S.doc Timescale for action 17/08/07 3 YA6 15 30/06/07 The Melanie Ann Trust Residential Home (S) Version 5.2 Page 23 The registered person must also ensure that the care plan is followed by all staff, with particular regard to following appropriate plans for encouraging positive behaviour. 4 YA9 13(4)(b) The registered person must ensure that individuals risk assessments are kept under review to ensure their continued safety. The registered person must ensure that people living in the home are treated with respect and in a manner that is respectful of their adult status. The registered person must ensure that staff are not using behaviour plans in a way that involves the removal of a persons meal to encourage appropriate behaviour. The registered person must ensure that they complaints procedure is available in a format that meets the needs of the current residents of the home. The registered person must ensure there is documentary evidence that staff have completed the skills for care induction that is in place in the home. 13/07/07 5 YA16 YA31 YA41 12(4)(a) 30/06/07 6 YA17 13(6) 01/06/07 7 YA22 22(2) 13/07/07 8 YA35 18(1)(c) (i) 13/07/07 9 YA40 17 Schedule 3 The registered person must 13/07/07 ensure that all policies and procedures for the running of the home are reviewed. The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA32 Good Practice Recommendations It is recommended that staff continue to be facilitated to attain NVQ qualifications as stated in the standard Ongoing 2 YA1 It is recommended that an audio version of the Statement of Purpose be provided to assist people with visual impairments in understanding the services provided in the home. It is recommended that the goals for each person be reviewed to ensure they are achievable and that the rationale for the goal is clearly identified. It is also recommended that the care plans be expanded to include more directive instruction for staff on how to support people with their personal care needs. 4 YA7 It is recommended that Person centred planning training be provided to all staff to assist them in supporting people to make their own decisions. It is recommended that the activities available to each person be regularly reviewed and new opportunities sought. It is recommended that staff be provided with training in supporting people with their sexuality and relationships. It is recommended that same gender personal care be offered to people living in the home on each occasion they require it. All staff should receive Adult protection training, which is in accordance with local authority guidelines and regular updates should be offered for staff. The adult protection policy should be expanded to provide staff with clear guidance on how to respond to an The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 25 3 YA6 5 YA12 6 7 YA15 YA18 8 YA23 allegation of abuse. 9 YA28 It is strongly recommended that the planned conservatory be built to provide additional communal living space in the home. It is recommended that the training plan for 2007/2008 be developed as planned and training updates for staff booked. 10 YA35 The Melanie Ann Trust Residential Home (S) DS0000023848.V337729.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Melanie Ann Trust Residential Home (S) DS0000023848.V337729.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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