Inspection on 07/10/05 for West Farm Road, 36

This inspection was carried out on 7th October 2005.

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 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

West Farm Road, 36 15/02/09

West Farm Road, 36 26/02/07

West Farm Road, 36 15/05/05

West Farm Road, 36 30/11/04

West Farm Road, 36 22/06/04

West Farm Road, 36 03/02/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 36 West Farm Road Howdon Wallsend Tyne & Wear NE28 7AY Lead Inspector Glynis Gaffney Announced 07 October 2005 09:30 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 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 Stationary 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. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 36 West Farm Road Address Howdon Wallsend Tyne & Wear NE28 7AY 0191 200 7161 N/A Susan.Redpath@northtyneside.gov.uk North Tyneside Council Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Susan Redpath CRH 6 Category(ies) of LD Learning Disability (6) registration, with number of places 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15/05/05 Brief Description of the Service: West Farm Road is set in a residential street in the village of Howden. It consists of a single storey building which has been designed to meet the needs of adults with learning and physical disabilities. The Home provides short stay residential care breaks for about 50 adults and their families. Nursing care is also provided to a small group of residents. A bus route, pub and local shops are within easy walking distance. Service users are able to access all parts of the premises, including a small garden area to the rear of the building containing a selection of garden furniture. The Home has a kitchen, a laundry, a lounge, a dining area, a sit-down shower/toilet and an assisted bath/toilet. There are six single bedrooms some of which contain adjustable beds. There is a ramp to the front entrance of the Home and a small front garden. Street parking is available. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over eight hours. A tour of the premises was undertaken, and a sample of care records was inspected, as were a selection of other records. The Manager, three of the staff on duty, and three service users, were interviewed. The Inspector also attended a handover meeting, where outgoing staff shared information about their shift, with carers coming in for the afternoon shift. Recommendations arising out of the previous unannounced inspection report have been carried over as the report had not been finalised at the time of this inspection. What the service does well: Staff observed during the inspection appeared to have developed warm and caring relationships with the people in their care. Service users were satisfied with the care and support provided at the Home. The Home maintains regular contact with the people that use its services. Staff visit each service user and their carer on a twice yearly basis to ensure that their support plan reflects any changes in care needs that have taken place between visits to the Home. These visits are also used to plan future respite care dates, possible outings and activities. Service users and their carers are consulted about the quality of care provided at the Home during each review. Staff have been provided with opportunities to gain a work based qualification. All staff have either obtained, or, are in the process of obtaining, such a qualification. The Service provides opportunities for the staff group to meet on a quarterly basis to discuss practice matters. The staff team have developed ways of working with service users which takes account of each person’s ability to communicate. The care records examined were of a good standard. It was evident that the staff group had invested a lot of time and effort in reviewing the National Minimum Standards (NMS) and how they could be met within West Farm. The Manager and her staff team have prepared actions plans which set out how West Farm will meet those NMS which have so far been reviewed. Each member of staff has been asked to research a particular NMS and then to share their learning with other members of the care team. As a result of this, certain policies and procedures have been updated and improved. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 6 Monthly staff meetings are held to ensure that staff are kept up to date with developments happening within the Service and Home, and with regards to service users’ needs. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 3. Service users are only admitted into the Home on the basis of a full Care Management assessment of need. Service users’ care records contained the required documentation and this provides staff with the information they need to safely care for people visiting the Home. The Home’s Manager and her staff team were able to demonstrate that they had the skills and knowledge required to meet the needs of the service users admitted into the Home. EVIDENCE: Generally, service users are admitted into the Home for respite care following receipt of a Care Management assessment and care plan. On receipt of this information, staff would then arrange to visit the prospective service user and their family to share information about the Service, and to talk about the level of support that would be required when visiting the Home. Prospective service users and their families are provided with a Service Brochure and a pictorial guide to the Home. A decision about whether to offer respite care would then be made and the family would be informed. Care Management assessment and care plan information was available in service user’s care record. New service users are encouraged to visit West Farm as many times as it is necessary for them to feel comfortable staying at the Home. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 9 Staff were able to describe how they met service users’ individual, and sometimes very complex, care needs. Care staff felt that they had the skills and knowledge required to care for such people. A small group of service users with complex care needs are cared for by nursing staff. A nurse interviewed as part of the inspection commented that the current arrangements worked well. The Inspector observed staff communicating with service users in a way which built upon each persons’ strengths and abilities. One resident said ‘staff always give me time to talk’. Another person said that staff always ‘know what I mean’. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 and 10. A clear and consistent care planning system was in place and provided staff with the information they needed to satisfactorily meet service users’ needs. Staff support service users to make everyday decisions during their visits to the Home. Service users are supported to take risks as part of an independent lifestyle. Staff respect information given by service users and their families and treat it in a confidential manner. EVIDENCE: Information held in service users’ care records, including individual support plans, is built around the initial Care Management assessment and care plan. Work is currently underway to ensure that the Home has access to both the original, and the most current, Care Management assessment and care plan. Individual support plans were in place for each person and covered relevant aspects of health, personal and social care. The Home cares for a small number of individuals who need varying degrees of nursing care. Agreed health care pathways and nursing care plans were in place to meet the support needs of one service user requiring nursing intervention. Detailed guidance on 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 11 how to manage this person’s epilepsy was available to staff. Although there was evidence that service users had been involved in the preparation of their support plans, those examined were not available in an alternative format and language. Service users’ support plans were not securely stored at the time of the inspection. Service users’ plans of care set out what each person is able to do for themselves and what assistance is required from staff. The plans are built around each person’s strengths, abilities and the decisions that each service user is able to make. Where a service user is unable to make any, or very few decisions, staff consult with their carers about how best to provide care. One service user said that staff encouraged him to make choices and decisions about how he spent his leisure time and with whom. A carer spoke of the efforts made by the staff team to get to know how best to work with new service users with limited communication skills. A Key Worker system was in place. Staff were able to describe what their role as a Key Worker involved and how this benefited service users. Satisfactory risk assessment information is received prior to a service user’s first stay at West Farm. The Home then completes its own in-house risk assessment taking account of the information supplied by other individuals involved in the care of the service user. For example, where it is identified that a service user might require assistance with transfers, a manual handling risk assessment is completed by the Occupational Therapy Service, and forwarded to the Home. A new risk assessment format has recently been introduced and staff have been provided with training on its use. Over the 12 months, each service user will be risk assessed using the newly devised format. Although service users’ care records were not securely stored at the time of the inspection, they were located in a lockable office space. The care records examined were accurate and up to date. Staff were clear about the importance of handling information relating to service users in a confidential manner. Service users said that they had never overheard staff talking about other people visiting the Home during their stays at West Farm. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 17. Service users are provided with opportunities to join in local activities and to make use of community facilities. This enables them to participate in, and be a real part of, everyday community life. Although service users are encouraged to form relationships with staff and other people staying at the Home, their right to privacy is recognised and respected. Service users are offered a healthy diet that takes account of personal likes, dislikes and special dietary needs. Service users enjoy the meals served at the Home. EVIDENCE: A Diet and Nutrition Policy was available and set out how the Home ensures that service users receive a good diet when staying at West Farm. Information about service users’ dietary needs and assistance required with eating and drinking is obtained prior to respite care being offered. There was evidence that healthy eating was promoted. A carer demonstrated a good understanding of the dietary requirements and personal likes and dislikes of the service user with whom she was working. Each week’s menu is built 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 13 around service users’ individual preferences, and on what information has been obtained from their carers, and any other professional working with them. Service users said that they were very satisfied with the meals they received. Support plans covering service users’ dietary care needs and assistance required at meal times were in place. The kitchen was clean, tidy, attractive and hygienic. Service users are supported and encouraged to build relationships, wherever possible, with both staff and other people visiting the Home. Every effort is made to plan service users’ stays at the Home in such a way as to take account of each person’s need for support. One service user commented ‘I look forward to meeting my friends at West Farm and enjoy visiting and seeing staff’. Another person said that ‘all my friends are here and we go out everyday.’ 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. 1 Staff provided personal support in such a way as to promote and protect service users’ privacy, dignity and independence. Arrangements are in place to ensure that service users’ physical and emotional care needs are met. The systems in place to support the safe administration, storage and disposal of medication were satisfactory and promoted service users’ good health. EVIDENCE: A service user told the Inspector that she was provided with support and assistance in the privacy of her own bedroom. This person also said that staff were: • • Looked after her well; Happy to give whatever help she needed. Support plans set out how service users’ care needs are to be met and covered areas such as bathing, night-time routines, personal hygiene and health care. A small group of service users with very complex care needs are cared for by nursing staff in line with action plans agreed between the Provider and community health based staff. Concerns were expressed by the Manager 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 15 regarding the possible withdrawal of nursing staff when such people are visiting the Home. Ms Ridpath is currently engaged in discussions with the Community Learning Disability Team over this matter. A Medication Policy was available. Individual guidelines were in place to ensure that emergency medication is properly administered. It is the Home’s practice to obtain consent from service users, or their carers, to confirm that it is acceptable for staff to administer their medication. Service users’ medications are verified at the beginning of their stay to ensure that the Home has been provided with the correct details regarding their medicines. A selection of service users’ medication records were examined and were considered satisfactory. Service users’ medication records did not contain identification photos. A detailed record of medicines received into the Home was in place. Medicines were safely locked away. There were no service users administering their own medication, or taking controlled drugs, at the time of the inspection. All staff had received accredited training in the handling of medicines, including the giving of emergency medication. Hand wash facilities were not available in the medication room. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The Home has a satisfactory complaints procedure and there was evidence that service users felt their views and opinions were listened to. A satisfactory Adult Protection Policy was in place to ensure an appropriate response to any suspicion or allegation of abuse received by the Home. EVIDENCE: The Home has a detailed complaints procedure and a helpful complaints leaflet. Residents spoken with said that they would be happy to raise concerns with any member of staff. There had been no complaints received by either the Home, or the Commission, since the last inspection. Staff had recently undertaken work to ensure that the Home’s complaints procedure and related information covered the recommended good practice areas. The Home’s Adult Protection Policy complied with the relevant guidance and legislation. There had been no adult protection concerns raised with the Commission since the last inspection. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24. The garden areas to the front, rear and sides of the property were not wellmaintained, or pleasant to look at, and could pose a potential health and safety risk to service users. EVIDENCE: A tour of the Home’s garden areas was undertaken. It was evident that efforts had once been made to provide service users with access to a pleasant outdoor area within which to relax. However, a number of concerns were identified as follows: • • • • The wooden rail to the front of the building had rotted away; Shrubs and bushes were overgrown and required pruning; There were uneven slabs which could act as a potential trip hazard; The fence to the front of the building was in a state of disrepair. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35. Service users are supported and protected by the Council’s recruitment policy and practices, although some of the required information was not available in the staff files checked. Arrangements are in place to provide staff with opportunities to develop the skills and knowledge required to effectively meet service users’ care needs. EVIDENCE: Some of the staff records examined did not contain all of the required information such as copies of references and application forms. Staff have obtained, or are in the process of obtaining, vocational qualifications which will provide them with the skills and knowledge required to meet service users’ care needs. More than half of the staff team have already obtained a vocational qualification. The staff team meets on a regular basis to discuss how they can provide service users with a better service. Staff receive regular supervision. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 and 39. Service users live in a Home which is run and managed by a person who is fit to be in charge, is of good character and able to discharge her responsibilities fully. The Manager provides consistent leadership, guidance and direction to staff and ensures that service users receive good quality care. Staff morale was high. Arrangements are in place to review the Home’s performance through a programme of self-review, which includes seeking the views of staff, relatives and service users. EVIDENCE: A Registered Manager was in post. The Manager is in the process of obtaining a relevant management qualification. Ms Ridpath has considerable experience of working with adults who have learning disabilities, including those with complex care needs. Ms Ridpath has worked as the Home’s Manager for a number of years and has undertaken regular refresher training. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 20 As a consequence of undertaking service reviews and reviewing the National Minimum Standards, staff were very clear about the standard of care to be provided. Staff were very knowledgeable about service users’ support needs and were able to speak freely about the purpose of the Home. Staff felt that they knew what was going on within the Home and felt able to raise any matters of concern with their Manager. An on-call system was in place to provide staff with out of hours support. The Provider has devised an in-house quality assurance system to assess the quality of care and services provided at West Farm. The quality assurance format is based upon the National Minimum Standards and covers such areas as leisure activities, health and nutrition. Service users, their relatives and Key Workers are asked to comment upon the quality of care provided at West Farm and about this might be improved. Service users’ support plans are then revised taking account of any comments arising out of the service review. The quality assessment review findings are then shared with the staff group in team meetings and supervision. A report setting out the findings of the Home’s first quality assurance cycle has yet to be forwarded to the Commission. 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 36 West Farm Road Score Standard No Score Version 1.20 Page 21 B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc 1 2 3 4 5 x 3 3 x x 22 23 ENVIRONMENT 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 3 2 x x x x 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 22 N/A 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 20 Regulation 13(2) Requirement Timescale for action 01/01/06 2. 25 23(2o) 3. 34 7, 9 & 19 4. 37 2(bi) Ensure that handwash facilities are available in the room within which medications are stored. Ensure that there is a formal system to identify each service user. This could take the form of a passport photo attached to a Medication Administration Record. Ensure that:· 01/10/06 * The wooden rail to the front of the building is repaired or replaced; * Overgrown shrubs and bushes are pruned; * Uneven pathways are levelled; * The fence to the front of the building is repaired. Ensure that each staff members 01/01/06 file contains the following information and is available within the Home for inspection purposes: copies of two written references relating to the person; evidence that the person is physically and mentally fit to do their job; details of previous experience. Ensure that the Manager 01/04/07 completes a relevant management qualification. Version 1.20 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Page 23 5. 33 24 Ensure that a report is prepared and forwarded to the Commission setting out the findings of the Homes first quality assurance cycle. 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard 6 42 42 42 38 38 Good Practice Recommendations Ensure that service users care records are securely stored. Ensure that service user support plans are made available in alternative formats. Ensure that the recommended furniture is provided in residents bedrooms. Ensure that the names of staff receving fire instruction and, participating in fire drills, is recorded. Ensure that community nurisng staff working shifts in the Home have received fire prevention training. Ensure that all risk assessments are signed and dated. Each assessment should state when the next review will take place. Ensure that risk assessments covering the following areas are completed: the security of the premises; use of the garden area and equipment. 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 36 West Farm Road B53-B03 S33090 West Farm Road V240396 071005 Stage 4.doc Version 1.20 Page 25 - 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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