Inspection on 29/05/08 for The Melanie Ann Trust Residential Home

This inspection was carried out on 29th May 2008.

CSCI found this care home to be providing an Adequate service.

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

Other inspections for this house

The Melanie Ann Trust... 29/05/07

The Melanie Ann Trust... 31/07/06

The Melanie Ann Trust... 30/01/06

The Melanie Ann Trust... 10/05/05

The Melanie Ann Trust... 21/12/04

The Melanie Ann Trust... 05/08/04

The Melanie Ann Trust... 09/10/03

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Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 The Melanie Ann Trust Residential Home (S) 251 Saltings Road Snodland Kent ME6 5HR Lead Inspector Gary Bartlett Unannounced Inspection 29th May 2008 08:30 The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.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.V361124.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.V361124.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.V361124.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th May 2007 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 £1,442.28 to £1,163.09 The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key unannounced inspection was conducted by Gary Bartlett and Helen Martin, Regulatory Inspectors, who were in 251 Saltings Road on 29th May 2008 from 8:30 am until 2:00 pm. During that time the Inspector spoke with the residents, the Manager, Deputy Manager and some staff. Due to the nature of the service, it is difficult to reliably incorporate accurate reflections of the residents in the report. Some judgements about quality of life and choices are taken from direct conversation and physical responses with people living in the home as well as direct observation and inspection of records and care plans held at the home. A tour of the house was undertaken. The Manager had completed an Annual Quality Assurance Assessment, from which information was used to inform the inspection process. Prior to this inspection, a small number of survey forms were received. One was from a Care Manager and two from staff. Feedback was positive, saying there was a homely environment, good integration with the community and the service considers residents health and dietary needs. It was thought there could be more appropriate activities and consultation with residents. The Care Homes Regulations 2001 and the National Minimum Standards for Care Homes for Older People refer to people who use the service as “service users”. People living at 251 Saltings Road prefer to be referred to as “residents”. Accordingly this shall be done in the text of this report. The Inspectors would like to thank everyone for their contribution to the inspection. What the service does well: There is a friendly atmosphere in the home, which offers a homely and comfortable place in which to live. Staff working at the home have positive relationships with residents and try to improve their quality of life. Residents present as being relaxed and comfortable with staff indicating they feel safe and secure with them. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 6 They enjoy a range of activities and are supported to be a part of their local community. People living at the home are supported to maintain contact with their family and friends. What has improved since the last inspection? What they could do better: Risk assessments must be more comprehensive and include activities, for example horse riding outings etc and the environment to better protect residents. Medication Administration Record sheets must be more appropriately completed to safeguard residents. Residents’ independence would be better promoted if the home’s Statement of Purpose and complaints procedure were available to them in a format they can understand. Person-centred-planning training should be provided to all staff to assist them in supporting people to make their own decisions Care plans should be reorganised so staff have easy access to important information about how to meet service users’ needs. Daily care records should more closely monitored to ensure the terminology used is accurately reflective of the care given and of events. Residents’ comfort will be enhanced when the long-planned conservatory is built to provide additional communal living space in the home. The staff application form should be updated to comply with current employment legislation and facilitate the recording of a full employment history as required by Regulations. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 7 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.V361124.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 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. The home has updated the pre-admission procedures so that residents can be confident the home can meet their needs. EVIDENCE: The Statement of Purpose and the Service User Guide are presented as one document and some photographs are used to make it easier for people moving to the home to understand. It was established at the last site visit that alternative formats for the document, such as an audio recording of the information might better meet the needs of the people living at the home. The Manager stated they are still exploring different options. The Statement of Purpose states emergency admissions cannot be accepted. Since the last inspection, there was an emergency admission and subsequent events led to a Safeguarding Adults alert. The investigation showed an The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 10 assessment of the new resident’s needs had not been carried out prior to their admission. The Manager described how lessons had been learnt and a thorough assessment would be carried out for all prospective residents. This is necessary to be sure the needs of the prospective residents are likely to be met. The procedure remains untested as no new residents have been admitted since that time. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ care and health needs are met with appropriate health care support. An improvement to care plan records would better evidence how this is done. Risk assessments must be more comprehensive to help safeguard residents. EVIDENCE: The judgment for this outcome group has taken into account the quality of life for the residents. The judgement also includes assessment of the level of knowledge and understanding displayed by staff when providing both personal and health care. Observation during the day of the site visit and comments received from a Care Manager indicates the home considers individuals’ health The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 12 and dietary needs. Staff spoken with are aware of more information than is recorded in care plans. Each person has a care plan to provide staff with information on the support they need to ensure their needs are met. 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 but the plans have become overcrowded and it is not easy for staff to staff need to access important information about how to provide care. There are records of regular reviews of the care plans. The daily records seen are detailed and mostly of a high quality. Some terminology used could give a misrepresentation of events. The Manager explained this happened when English was not the first language of a staff member. Some of the daily records indicated some staff do not fully understand the care planning process, mistaking a behavioural guideline as an activity. As identified at the last inspection, training in person-centred care planning would assist with this. 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 they offer choices in a way that the person can understand. Individuals risk assessments are included as part of the care plan and need to be developed in scope to include daily activities and outings such as trips to the nightclub and horse riding. This is necessary to promote residents’ safety. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 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. People living in the home are supported with their daily routines. They enjoy the activities that are available to them and maintain contact with family and friends. People living at the home enjoy a varied and balanced diet. EVIDENCE: The people living at the home have a timetable of activities they can choose to take part in each week. Activities include use of the local health suite, meals out, trampoline, horse riding, shopping, magic moments (sensory session), bowling and swimming. The Manager said some evening activities have been The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 14 introduced since the last inspection, including visits to Jumping Jack’s Nightclub. The staff and Manager stated that the people living at the home enjoy the activities and have been attending some activities for many years. 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 Deputy Manager described how residents are being supported in developing a local allotment plot It is intended to grow vegetables and flowers and 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. It is being arranged for senior staff to undertake the Certificate in Equality and Diversity Staff. This will help staff in supporting people with their sexuality and relationships. 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 Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 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. Residents would be better protected by improved completion of Medication Administration Records. 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 opticians. Staff say that both people living at the home are in good health and records support that their health needs are being well met. All personal care is provided in private in individual bedrooms or bathrooms. A female carer is now always available to provide personal care to the female The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 16 resident at all times. As mentioned earlier in this report, people living in the home would benefit from staff having more accessible guidance about their personal care needs in the care plans. Each person’s medication is reviewed by the GP regularly. The Manager stated that medicines are only administered by staff trained and signed off as being competent. Guidance for staff on when they should give “as needed” medications is available and the Manager ensures the latest copy of the BNF medication book is available for reference. Medicines are stored securely. Some Medication Administration Record sheets do not clearly show the prescribed dosage of medicines. Hand written Medicine Administration Charts are not consistently signed by the person completing them and countersigned by a second person checking their accuracy. This could place residents at risk through the incorrect administration of medicines. The Manager undertook to address this. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents would be better able to express concerns if the complaints procedure was available to them in a format they can more easily understand. There are procedures to safeguard residents from abuse. EVIDENCE: The home has a complaints procedure. It is evident the residents are reliant on a relative or staff to identify concerns and raise them on their behalf. Accordingly, to promote independence, the complaints procedure must be available to the residents in a format they can easily understand. The Annual Quality Assurance Assessment indicates there have not been any complaints received since the last inspection. The Manager said all complaints, formal and informal, would be recorded with details of the investigation, outcome and of any resultant action. Some staff have recently undertaken POVA training and the Manager said the Safeguarding Adults procedures have been updated. Staff spoken with have a The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 18 good understanding of procedures to safeguard adults. There has been one Safeguarding Adults alert since the last inspection. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents live in a clean, comfortable and homely environment. EVIDENCE: The Manager said there is an ongoing programme of redecoration and refurbishment and the home is generally well maintained. It offers a comfortable, domestic environment for residents, although here is limited communal space available. At present this is not presenting too much difficulty, as there are only two residents in the home. There are long-standing plans to add a conservatory to extend the communal space and this is again strongly recommended. Cleanliness around the home is good. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 20 Staff say the bathing and toilet facilities are adequate. The windows on the first floor can be fully opened. The potential for harm to the residents should be assessed and any identified risks addressed. These assessments must be recorded to show that residents are safe within the home. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 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. Robust recruitment processes are followed to ensure only properly vetted people work at the home. People living in the home benefit from the support of caring staff, who demonstrate a good understanding of residents’ needs. EVIDENCE: People applying to work at the home have to complete an application form, attend an interview, provide references and satisfactory POVA and CRB checks. The files of the most recently recruited staff show that appropriate checks are made prior to them commencing duties. The Deputy Manager was advised that the staff application form should be updated to comply with current The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 22 employment legislation and facilitate the recording of a full employment history as required by Regulations. The home has been busy arranging for staff training and enabling staff to study for NVQ qualifications. Staff training records are well managed. There is ongoing staff supervision. The staff rosters seen indicate staffing levels are geared to peak times of activity. The home operates an on-call system with another Melanie Ann Trust home in the close vicinity. This might mean that a staff member is called away and compromise the home’s provision of 1 to 1 care required by the residents. The Manager agreed to review the current arrangements and confer with placing authorities. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 41 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 benefits from a management and senior staff team that is experienced, accessible and supportive. EVIDENCE: The Manager is a registered nurse and has completed the 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 attends the providers’ forum and the Trust are members of the National Care Homes Association and Kent Care Homes Association. The Deputy Manager is currently undertaking the Registered Managers Award. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 24 In response to previous inspection reports, more effective management systems are being implemented to safeguard residents’ interests. Some work is still required, for example in risk assessments and the monitoring of daily care records. The Manager said a quality assurance assessment is carried out regularly and involves sending surveys to people using the service and their relatives. 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. Staff spoken with have a sound understanding of emergency procedures. The Manager said all records of maintenance and safety checks are up to date and that all policies and procedures are reviewed. These were not inspected on this occasion. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 25 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 2 25 X 26 X 27 3 28 2 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 2 35 3 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 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 3 2 3 X The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 26 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 YA9 Regulation 13(4) Requirement The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated in that risk assessments must be more comprehensive and include activities, for example horse riding outings etc. Timescale for action 31/08/08 2. YA20 13(2) Adequately detailed risk assessments must be in place by the given timescale, if not sooner, and maintained thereafter. The registered person shall 30/06/08 ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users and make arrangements for the recording, handling, safekeeping, safe administration of medicines in that: 1. Medication Administration Record sheets must clearly show the prescribed dosage of medicines. 2. Hand written Medicine Administration Charts must DS0000023848.V361124.R01.S.doc Version 5.2 Page 27 The Melanie Ann Trust Residential Home (S) 3. YA22 22(2) be signed by the person completing them and countersigned by a second person checking their accuracy. To be completed by the given timescale, if not sooner, and maintained thereafter. “The complaints procedure shall be appropriate to the needs of the service user” in that it must be available to them in a format they can understand. Previous timescale not met To be completed by the given timescale, if not sooner The registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety in that a recorded risk assessment of service users’ access to all parts of the home, with particular regard to the windows must be undertaken. To be completed by the given timescale, if not sooner and maintained thereafter. 31/08/08 4. YA24 13(4) 31/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA1 Good Practice Recommendations It is again recommended that an audio version of the Statement of Purpose is provided to assist people with visual impairments in understanding the services provided in the home. It is strongly recommended the care plans are reorganised DS0000023848.V361124.R01.S.doc Version 5.2 Page 28 2. YA6 The Melanie Ann Trust Residential Home (S) 3. 4. 5. 6. YA6 YA28 YA32 YA34 so staff have easy access to important information about how to meet service users’ needs. It is strongly recommended daily care records are more closely monitored to ensure the terminology used is accurately reflective of the care given and of events. It is again strongly recommended that the planned conservatory be built to provide additional communal living space in the home. It is again recommended that Person-centred-planning training be provided to all staff to assist them in supporting people to make their own decisions. It is strongly recommended the staff application form is updated to comply with current employment legislation and facilitate the recording of a full employment history as required by Regulations. The Melanie Ann Trust Residential Home (S) DS0000023848.V361124.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Maidstone 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.V361124.R01.S.doc Version 5.2 Page 30 - 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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