Inspection on 21/04/06 for Westwood Avenue, 20

This inspection was carried out on 21st April 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Westwood Avenue, 20 30/06/08

Westwood Avenue, 20 09/08/07

Westwood Avenue, 20 21/09/05

Westwood Avenue, 20 27/04/05

Westwood Avenue, 20 30/11/04

Westwood Avenue, 20 15/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 20 Westwood Avenue Monpekson Care Limited 20 Westwood Avenue South Harrow Middlesex HA2 8NS Lead Inspector Judith Brindle Key Unannounced Inspection 21st April 2006 08:55 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 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 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 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. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 20 Westwood Avenue Address Monpekson Care Limited 20 Westwood Avenue South Harrow Middlesex HA2 8NS 020 8422 4176 020 8422 4176 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) Mrs Pek Enthwhistle Ms Monica Doreen Pryme Jean Page-Defour Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st September 2005 Brief Description of the Service: 20 Westwood Avenue is a registered care home providing personal care, and accommodation for up to 3 service users with learning disabilities. Monpekson Care Limited owns the home. The care home was opened in 2000. The home is located in South Harrow. The house is in keeping with the other houses in the area. The care home is a three bedroom semi-detached house, in a quiet residential street. The home is located within a few minutes walk from a variety of shops, pubs, cafes, post office, local bus and train services and other amenities and facilities. All the bedrooms are single. One bedroom is on the ground floor, and two bedrooms are located on the first floor. There is accessible street parking and limited off street parking. The home has an enclosed, accessible garden. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours during the day in April 2006. The inspector was pleased to meet and talk with all the residents. Two care staff, and the registered provider were present during the unannounced inspection. The registered manager though on annual leave visited the care home briefly during the inspection, and kindly spoke with the inspector. The inspection included a tour of the care home, assessment of 24 National Minimum Standards, and assessment as to whether requirements from the previous inspection had been met. Records were also inspected. These included care plans, staff records, and a variety of other documentation. The Commission for Social Care Inspection received 5 comment/feedback cards from the residents, and from relative/visitors, and health and social care professionals, prior to this unannounced key inspection. Staff and residents were very welcoming. Staff kindly provided all the information, and documentation requested by the inspector during the inspection. Inspection requirements from the previous inspection were judged to have been met. What the service does well: What has improved since the last inspection? Previous inspection requirements have been met. The quality of the service provided has remained consistent. Some resident’s records have been further developed and reviewed. Systems are now in place for monitoring the quality of the service provided to residents. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 6 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. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 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 the following standard(s): Standard 1, 2 and 5 (partly) Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Arrangements are in place for residents to have information they need to make an informed choice about where to live. Arrangements are in place to ensure that all residents have their needs assessed prior to moving into the care home. Arrangements are in place to ensure that residents have a written contract/terms and conditions with the home. EVIDENCE: The Commission for Social Care Inspection was supplied with a reviewed copy of the service user guide/statement of purpose documentation following this inspection. This documentation ensured that an outstanding inspection requirement had been met. A resident kindly showed the inspector the documentation that they had about the care home and the service provided. This was not an up to date copy of the service user guide. All residents should be given a copy of the recently reviewed documentation, there should to be an accessible (for visitors and others) copy of this documentation in the care home. This was discussed with the manager, and registered person. There have been no admissions to the care home for some years. The care home has an admission procedure. The registered provider confirmed that she, with the registered manager generally assess new residents, and that this assessment would be a comprehensive assessment of the prospective 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 9 resident’s needs. The registered person also reported that the purchasing authority would also provide an assessment of the prospective residents needs. Records confirmed that residents each have a contract/terms and conditions. The fees and additional charges are recorded. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 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 the following standard(s): Standard 6,7, and 9 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that residents each have an individual plan of care, in which their assessed needs are recorded, and reviewed, to ensure that their needs are met by the service. Arrangements are in place in regard to enabling residents to make decisions about their lives with assistance from staff. Arrangements are in place to ensure that residents are supported to take risks as part of supporting their independent lifestyle EVIDENCE: All the residents have an individual plan of care. These recorded evidence of having been reviewed, and individual resident’s goals, and assessment information were documented. A resident informed the inspector that he was planning to have a review meeting with staff, and a care manager during the week following the inspection. He confirmed that he had prepared for the meeting with the manager. Records confirmed that recorded staff guidance was accessible in regards to meeting the needs of residents who might challenge the service, and that 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 11 records were maintained of incidents. Staff who kindly spoke with the inspector had knowledge and understanding in how to respond to, and manage behaviours from residents that might challenge the service. Residents all have a key worker; a resident spoke positively of his key worker, and reported that meetings with the key worker took place but that these were not generally planned. It is recommended that residents be given the opportunity to have planned key worker meetings, which are recorded. Daily individual progress records are maintained. Residents were observed to make choices during the unannounced inspection. Residents kindly gave the inspector examples of choices that they made. These included shopping for clothing, toiletries, planning holidays, and activities. Residents are supported by staff in the management of their finances. This support varies dependant on the needs of the residents. Residents who spoke with the inspector had a good understanding of their finances. Resident’s monies were inspected. Required records are maintained of incoming and outgoing payments, and the balances were correct. The registered person reported that she managed resident’s benefits, and allowances. Records, and staff confirmed that risk assessments are in place. These include individual risk assessments, general risk assessments, and risk management strategies. These risk assessments showed evidence of having been generally reviewed. Some risk assessments for example a kitchen risk assessment, were dated 2004 these should be reviewed. The care home has a missing persons procedure. This is displayed in the home. The registered person confirmed that a copy of the ‘risk management issue’ document would be supplied to the Commission, and that this documentation would be recorded in the resident’s care plans. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 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 the following standard(s): Standard 12, 13, 15, 16, and 17 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that residents have the opportunity, and choice to participate in a variety of preferred activities. Residents are supported in maintaining contact with friends and family. Residents have the opportunity to participate in the daily routines of the home, which promotes their independence and choice. Meals provided for residents are wholesome and varied. EVIDENCE: Residents spoke of the variety of activities that they chose and enjoyed, and that they participated in activities everyday. Records confirmed that residents regularly participated in activities, many of which include community presence and participation. All the residents went out for a day trip to a London park, and had lunch out during the day of the inspection. A resident spoke of his attendance at a local college where he was completing a course, which he said was developing his skills. The registered person and a resident spoke of the support received from staff for accessing employment 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 13 activities. Residents participated in a variety of household duties during the inspection. Residents informed the inspector that they had travel passes to enable them to access public transport at no cost to them. Local election voting cards confirmed that all the residents are recorded on the electoral role. Residents spoke of the contact that they had with family and friends, which included overnight visits to parent’s homes. Relatives/visitors feedback/comment cards received by the Commission for Social Care Inspection were positive about the service provided by the care home. The visitor’s record book informed the inspector that there were regular visitors to the home. A resident spoke of friends that he had who he met at college and during other activities. House rules were recorded in the service user guide, and other documentation. The registered person informed the inspector that one resident has a key to the home, and that another resident preferred not to have his own key. Staff were observed to interact in a positive manner with residents. Residents were observed to freely access the communal areas of the care home. Residents spoke of enjoying the meals provided by the care home. Meals are chosen on a daily basis. Residents spoke of regularly eating out in restaurants. One resident spoke of enjoying a birthday meal at a restaurant with other residents and staff. The meals recorded on the menu were varied and judged to be nutritious. The kitchen was well stocked with fresh, frozen and tinned foods. Fresh fruit was available and accessible to residents; a resident helped himself to an apple during the inspection. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 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 the following standard(s): Standard 18,19, and20 Arrangements are in place to ensure that resident’s personal and healthcare needs are met. Medication is stored and administered safely. EVIDENCE: Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Care plans inspected recorded residents personal care needs. Personal care support for residents was provided in private during the inspection. A resident spoke of the support, and guidance that he received from staff during assistance with personal care needs, and that staff were aware of his morning and evening routines. Residents, and records confirmed that residents had access to specialist support, advice, and care as and when required. Records, staff, and residents confirmed that residents’ healthcare needs are met. All the residents are registered with a GP. Records are maintained of residents’ attendance at healthcare appointments, which include eye checks, chiropody and dental care. The registered person reported that a resident had received a hearing test recently and that a resident had been receiving support from a psychologist. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 15 The medication storage and administration systems were inspected. Medication is stored securely. Medication administration records were fully recorded. A staff member kindly informed the inspector of the medication procedure within the care home. She, and another staff member confirmed that they had received medication training, which included training in regards to administration of medication during there induction training. Medication training records were available for inspection. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 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 the following standard(s): Standard 22 and 23 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Arrangements are in place for ensuring that complaints are taken seriously and handled objectively. ‘In house’ protection of vulnerable adults procedures, need development to ensure that there is a proper response to any suspicion or allegation of abuse. EVIDENCE: The complaints procedure is displayed within the care home. A resident reported that he would speak to his key worker if he had a ‘concern’ or complaint. No complaints had been recorded since the previous inspection. The care home has the Local Authority Protection of Vulnerable Adults procedure. The home’s adult protection procedure is dated 2002. This procedure needs to be reviewed to ensure that there is clarity in regards to the procedure to be followed by staff in response to suspicion or allegation of abuse. The registered person needs to ensure that the care home abuse procedure links with the Local Authority Protection of Vulnerable Adults reporting guidance, and that the Local Authority is informed immediately prior to an in house investigation. The Commission for Social Care Inspection must always be informed without delay when there is an allegation of abuse. This procedure had not been followed appropriately in regard to an incident that occurred in 2005. This was discussed with the registered person. A copy of the updated protection of vulnerable adults policy need to be supplied to the Commission. Staff, who kindly spoke with the inspector, confirmed that they had received Protection of Vulnerable Adults training, and copies of training certificates were available for inspection. Staff who spoke with the inspector had awareness, 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 17 and knowledge of reporting, and recording procedures in regard to the protection of vulnerable adults. Records of incidents and accidents are maintained. Records confirmed that staff have received enhanced Criminal Record Bureau checks. Policies, and procedures in regard to the management of resident’s monies were available for inspection. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 24 and 30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The residents live in a homely, comfortable environment. The care home is clean and odour free. EVIDENCE: A tour of the premises took place. Two residents kindly showed the inspector their bedrooms. Both reported that they were happy with their rooms. The care home is homely with furnishings of quality. It is well maintained and the enclosed rear garden accessible, and kept in good order. A resident freely accessed the rear garden during the inspection. Staff reported that the night before the inspection there had been a flood from the shower room into the kitchen, which had culminated in damage to the kitchen laminate flooring. During the inspection the registered person was in the process of getting the damage assessed and repaired. The care home is very clean. Staff, and the residents complete the household duties. A resident was observed to be participating in some cleaning tasks during the inspection. The laundry facilities are located away from food storage and food preparation areas. Records informed the inspector that staff had received training in regards to infection control. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 19 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 32,34, and 35 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that staff have the competencies and qualities required to meet the resident’s needs. The procedures for the recruitment of staff are robust and provide safeguards to offer protection to people living in the care home Arrangements are in place for staff to receive appropriate training to meet individual resident’s care, and support needs. EVIDENCE: Staff were observed to interact with residents in a positive manner. Staff who spoke with the inspector had knowledge and understanding of the residents varied needs. Staff were sensitive to a residents particular communication needs, and had a good understanding of these needs. Records, and information from staff confirmed staff competency. A staff member spoke of having recently completed an NVQ level 2 care course, and that this course had been very useful in regards to developing her knowledge, and skills in providing support and care to residents. Another staff member spoke of being in the process of completing an NVQ level 2 care course. There are two staff on duty during the day and one ‘sleep in’ staff member on duty at night. Staff complete a ‘shift planner’ during each shift. Staff spoke of receiving regular supervision. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 21 Staff personnel records were inspected. These included required information, and documentation, including enhanced Criminal Records Bureau checks, job descriptions, terms and conditions of employment, and references. Staff and records confirmed that staff received varied, and appropriate training, including a staff induction. This training included protection of vulnerable adults training, and general medication management. Individual staff training records are maintained. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 37, 39,and 42 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Resident’s benefit from a home being managed by an experienced registered manager. Arrangements are in place to monitor, and continue to improve the quality of the service provided to residents. The health and safety of residents is promoted and protected. EVIDENCE: The manager has managed the care home for several years. She has completed a NVQ level 4 qualification in management. Records confirmed that she undertakes periodic training to maintain her knowledge and skills. Records inspected generally recorded evidence of having been regularly reviewed. A quality assurance/development plan for the service was available for inspection. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 23 Certificates of worthiness in regard to required checks of the electrical and gas systems were available for inspection. Required fire checks including monthly fire drills are carried out. Temperatures of the fridge and freezers are maintained. Household cleaning items (Control of Substances Hazardous to Health Regulations) were stored in a locked cupboard. Up to date records of the monitoring of bath water temperatures were not accessible. There needs to be evidence that resident’s bath water temperature is monitored. This was discussed with the registered person. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA23 Regulation 12,13(4)(6) • Requirement The ‘in house’ protection of vulnerable adults procedure needs to be reviewed to ensure that there is clarity in regards to the procedure to be followed by staff in response to suspicion or allegation of abuse. • A copy of the updated protection of vulnerable adults policy need to be supplied to the Commission. There needs to be evidence that resident’s bath water temperature is monitored. Timescale for action 01/08/06 2 YA42 12,13 (4) 01/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA1 Good Practice Recommendations All residents should be given a copy of the recently reviewed documentation, there should to be an accessible DS0000017580.V287526.R01.S.doc Version 5.1 Page 26 20 Westwood Avenue 2 3 YA7 YA9 (for visitors and others) copy of this documentation in the care home. It is recommended that residents be given the opportunity to have planned key worker meetings, which are recorded. The ‘risk management issue’ document should be supplied to the Commission, and the documentation be recorded in the resident’s care plans. 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 20 Westwood Avenue DS0000017580.V287526.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!