Inspection on 07/11/06 for Wharfedale House

This inspection was carried out on 7th November 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 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wharfedale House 09/11/07

Wharfedale House 10/11/05

Wharfedale House 26/05/05

Wharfedale House 26/10/04

Wharfedale House 09/06/04

Wharfedale House 15/02/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

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

CARE HOME ADULTS 18-65 Wharfedale House 16 Wharfedale Lawn Wetherby Leeds West Yorkshire LS22 6PU Lead Inspector Valerie Francis Unannounced Inspection 7th November 2006 10:00 Wharfedale House DS0000001522.V311853.R02.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 Wharfedale House DS0000001522.V311853.R02.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. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wharfedale House Address 16 Wharfedale Lawn Wetherby Leeds West Yorkshire LS22 6PU 01937 585667 01937 547300 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) www.leonard-cheshire.org.uk Leonard Cheshire Care Home 18 Category(ies) of Physical disability (18), Physical disability over registration, with number 65 years of age (8) of places Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2005 Brief Description of the Service: The home was first registered in1998. Leonard Cheshire is the registered provider. Wharfedale House is located in the Wetherby area of Leeds with close access to Wetherby shopping centre and local recreational facilities, which are in walking distance from the home. There is a good bus route to Leeds city centre and Harrogate, which is used by some service users with support from staff. The building is purpose built, to accommodate eighteen younger adults with physical disabilities. There are also some older people accommodated at the home whose primary care need is their physical disability. The building is set in large grounds with a car park shared with people living in the surrounding bungalows. There is a large garden to the back and to the side of the building. A patio and benches are available to the side of the building, which can be used by service users, to sit out in the good weather. The home has seven bedrooms downstairs and six upstairs; each floor has a lounge/dining room and a kitchen. The kitchen on the first floor is used as the main food preparation area. Each floor has a laundry room which is accessible o residents . All bedrooms have telephone; en-suite toilet and level access showers. There are also four self-contained flats, three singles and one double for people who wish to be more independent but need staff support. Bedrooms are equipped with aids and adaptations to meet the needs of the occupant. The scale of fee charges range from £600 to £1100 per week. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group, for example, Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This inspection was carried out to assess the home against a pre-determined selection of the National Minimum Standards for Care Homes. The inspection was carried out on an unannounced basis by one inspector over one and half days. The inspection had not been pre arranged with the home. The inspection started on the 10.35am and finished at 4.30pm on the 9th November and half day on the 10th November. The purpose of the visit was to make sure the home was being managed for the benefit and well being of the residents and to see what progress had been made meeting requirements in place from the last inspection. Information to support the findings in this report was obtained by looking at the information supplied in the pre inspection questionnaire (PIQ). Examples of information gained from this document include details of policies and procedures in place and when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, staff details and training provided. Records in the home were looked at such as care plans, staff files, and complaints and accidents records. Residents, their relatives and visitors were spoken to as well as members of staff and the management team. CSCI comment cards and post-paid envelopes were sent to the home to be given to residents and their relatives before the visit was made. At the time of writing this report fifteen resident survey responses had been received. What the service does well: Information supplied by the home is clear and in sufficient detail so that people have a good idea about what is provided and what they can expect. Complaints are taken seriously and dealt with appropriately. Service users are supported to live their life as they wish in an environment and atmosphere that is caring and supportive. There is commitment to involve residents in most aspects of the home that would affect their lives. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 6 The management of the home is supportive to residents, their families and staff. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service are able to access clear information, which would enable them to make a choice about whether or not they may want to live at the home. An assessment is carried out of all prospective residents, to ensure their needs can be met at the home. The matter relating to terms and conditions still is not fully resolved. EVIDENCE: Since the last inspection the home’s statement of purpose and service user guide has been revised and updated with current information. This has been done with input from one of the service users. The information is accessible to residents, prospective residents, and other interested parties. It provides them with information on the aims of the home and the service available. Before making a decision to live at the home prospective residents can visit the home and if possible have an overnight stay. Eight of the fifteen residents who returned the surveys said that they had received enough information about the home before they moved one person said very minimal information was given. Others indicated that they had not been given any information. One person said they had been involved in the planning process of the home. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 9 Each resident has an information pack in their room, which includes the Statement of Purpose and Service User Guide, and the complaints procedure. Information is collected on the needs of prospective residents, before admission to the home. A copy of the multi-agency assessments is given to the home but invariably this is not up to date, and in one case seen it was a year old. The home however, carries out a needs assessment for all prospective residents. During the audit of a care file, the assessment record seen showed that the information collected at the assessment was not enough to clearly identify all the individual care needs and what support is needed. Most of the staff have experience working with the resident group. The issue of residents’ terms and condition of residency is still the same. Leonard Cheshire has issued temporary terms and conditions until the issues has been resolved with the building management. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Residents health, personal and social cares needs are met. They are treated as individuals and with respect by the staff team. EVIDENCE: Four residents care plans were inspected. All residents have a care plan that reflected their care needs and how they would be met. Some good information was seen, however from discussion with the manager it was evident that one person’s needs had changed but this was not reflected in the care plan. It was evident from discussions with residents and from information seen in care plans that residents are actively involved in the care planning process. It was clear from talking to staff that they had good knowledge and understanding of the residents’ needs. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 11 Nutritional assessments are carried out and appropriate plans put in place. Residents weights are checked and records kept. Advice is sought from the GP and or dietician as required. If specialist advice and support is needed around pressure and wound care, the district nurses are contacted. Staff said that they would always contact the district nurses for advice. Most care plans were evaluated monthly. Some had been reviewed in full with input from the resident, their relatives and others such as social workers. One resident had not had his plan of care reviewed since 2004. From discussion with the resident and with the manager it was noted that this was the resident’s choice and the matter had been discussed with the resident. Although some residents had information on risk assessments, with a plan of action to managed and minimise the risk in place, some residents had not had such an assessment carried out for their daily living, the manager said some residents had made a decision not to have such an assessment done. Old out of date information was seen in some of the files. This could lead to confusion for staff. The old information should be archived. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal support is given to residents in accordance with their wishes. EVIDENCE: Although some residents indicated that they spend their day doing what they like, some use their time doing further education, hobbies and other leisure activities. Residents survey information indicated that those who could not get out do not always have the opportunity to get out especially as there is now not an activity person employed. However at the time of the inspection the inspector was told that an activities co-ordinator had been appointed and commenced employment in June 2006. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 13 There are various forms of contact with the community, for recreational social activities and for shopping. Some residents use the local Day Centre and one resident teaches at the local flower club. Residents have the opportunity to take part in training courses run by (SUNA) Leonard Cheshire Service Users Networking Association. Residents can get information and support from the home administrator on benefits and finance. The matter of the seven-days holiday for residents who are in long-term care is still an issue for residents at the home. Although residents who live in the flats get help and support with housekeeping, it was evident that people living in these flats needed more help, so that people’s personal space does not become unmanageable, and health and safety and hygiene are not compromised. During discussion with residents about food provided at the home and their involvement with menu choices, they indicated that most of the time they were not happy with the standard of food serve to them despite various meetings held to discuss food and the menu. Staff were observed helping residents who needed help with their food, this was given in a relaxed atmosphere. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to use community recreational facilities. The food severed is not to resident’s satisfaction, preferences and expectations. EVIDENCE: Personal support is given in accordance with individual care plans, which have been put together by residents and their key worker. Residents choose their bed times and getting up times, and choice of clothing however it was noted that many of the residents clothes were not ironed which could reflect poor care and attention to detail by staff. It is acknowledged that some residents do their own laundry, but staff must give residents support with the ironing of their clothes or more care taken with clothes when they are laundered. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 15 Aids and other equipment is available to enable residents to be independent and for staff assistance when delivering personal care. Staff are provided with training to meet any special needs residents may have. It was evident from care plan information that regular contacts are maintained with health care professionals. The local district nurse team and the staff work closely together. Staff have had training on the ageing process, bereavement and palliative care. Residents have the opportunity to put in their care plans if they wished to be resuscitated, and a plan of care for their last wishes at the end of their time which would help them with their day to day living, which is good practice. Since the last inspection the medication policy procedure has been reviewed to make sure staff are provided with clear information on the safe handling of medicines. Medicines are administered by senior care worker on shift, all of whom have undertaken a training course on safe handling of medicine. Good practice was noted that information regarding each medication was also attached to the individual medicine records. There is an agreement for residents who handle their medication. The manager said some of the residents who see their doctors independently do not always tell staff what medication they are prescribed. The manager said she has advised them of the need to inform staff, but they see this as their right to privacy. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 &23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel safe and are confident that any concerns they might have will be taken seriously and acted upon. EVIDENCE: The home has had eight complaints in the last twelve months. The manager had attended a course on complaint management. A record is kept of all complaint and the investigation carried out, there is a monthly review of all complaints received for the month. At the time of the inspection two complaints were at level three of the home’s complaint procedure, which is senior management involvement. All staff spoken with were aware of the procedure and senior staff were aware of the action to be taken when responding to an allegation of an abuse. It was clear that they had no hesitation in reporting abuse no matter who was involved in the process. There was a plan in place for POVA training for all staff. The home has three POVA trainers in the staff team, the administrator, training development officer and activities co-ordinator. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents do not live in a clean and well-maintained home. Despite them living in a homely environment with accommodation that meets their physical needs. EVIDENCE: The building is purpose built to accommodate people with physical disabilities. The building provides residents with aids and adaptations and specialist equipment to meet their disability and to assist staff when attending to them. All bedroom sizes meet the minimum standards and fitted with furniture to meet individual needs. Residents had taken the opportunity to furnish their rooms to suit their choice and style. People in the flats have a lounge and kitchen. There is a handyman who carries out general maintenance and gardening. Some of the paintwork was showing signs of wear and tear, which is mainly due to the damage caused by wheelchairs. Re-painting was underway but a Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 18 refurbishment plan needs to be in place to redecorate and replace furniture in communal areas. Resident’s bedrooms needed redecorating. Bathrooms and WC’ in communal area needed attention. In generally the home was found to need thorough cleaning and excess furniture and other unused items need disposing of. The kitchen on the ground floor that is used for catering for the home needs refurbishing with equipment and fitments that are robust and can meet the needs of the home. It is acknowledged that residents are encouraged to be independent and they also use the kitchen for drinks and snacks. However this area must be kept clean in line with food hygiene guidelines. The manager said plans were in place for the kitchen used to cook food for the home was to be refurbished to a commercial style. and the other that can be used by residents will have domestic appliances. All equipment in the home is checked at the appropriate intervals. Staff have had training in moving and handling which is continually updated to ensure that they are in line with the current moving and handling requirements. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 19 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): 32,34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to staff that are trained and supervised to ensure they can meet the care needs of people living at the home. The home is well managed and run in the best interests of the residents. EVIDENCE: Since the last inspection there has been some changes in the staff team which has caused some staff vacancies. At the time there was five full time care staff vacancies. Interviews had take place and the two staff had been appointed. Two staff files were looked at it was evident that the organisation has a good recruitment procedure to include a satisfactory CRB report, before the employee commences work at the home. There is a good training and development plan for the home and for individual staff. There is a designated training officer in the organisation, whose role is to ensure that all new staff receives induction and foundation training with ongoing training for all staff that is linked to residents’ needs and individual care plans. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 20 At the time of the inspection the home had 7 care staff who had a National Vocational Qualification in care (NVQ) Level 2 or 3. Other 5 staff were working towards this qualification. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 21 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 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is committed to the needs of the people living at the home and the staff providing the care. EVIDENCE: Since the last inspection the manager has moved to another area of work within the organisation. A new manager has been appointed and she at the time had made application to the CSCI to become the registered manager for the home. At the time of the inspection she was undertaking the Registered managers award. She has several years experience working with the residents group and working in a management capacity within the organisation. There are several methods used in the home to get views for residents, staff and other regarding the service provided. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 22 Annual questionnaires are sent to service users. Regulations 26 visits are done by an appointed volunteer from the organisation. Health and safety checks are carried out which include moving and handling training for all staff, and infection control. The home had recently had a fire safety audit and any identified risk has an action plan in place with systems in place to minimise the risk. There are monthly fire alarm checks, and all other required checks are carried out to equipment used in the home for which a record and certificate is available. The team leader is responsible for health and safety in the home and the link person to the organisation health and safety officer. A designated person carries a weekly manual check out of wheel chairs. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 23 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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 1 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 4 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 x Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 24 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 YA5 Regulation 14 Requirement Residents must have clear contract of terms and conditions so that they are clear of their rights and who is responsibly. Previous timescale 31.12.05 28/02/06. The furnishing and the decoration in communal areas must be repaired or replaced. Previous timescale 28/02/06 The matter relating to cleanliness in residents rooms and through out the building must be resolved. Previous timescale 20/01/06. The kitchens must be kept clean at all times, so that it is in keeping with food hygiene regulations. Previous timescale 16/01/06 Risk assessments must be supported by a care plan, which has an action plan how risk would be minimised. Previous timescale 16/01/06 Timescale for action 28/12/07 3. YA28 23 (2)(b)(d) 28/02/07 4. YA30 23 20/12/07 5. YA30 23 16/12/06 6. YA6 16 31/12/06 Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 25 7. YA2 16 8. YA6 16 10. YA16 0 The manager must ensure that information collected at the pre assessment is detailed enough for staff to put together a comprehensive care plan. The manager must ensure that any changes in a resident care. Have a plan with the up to date changes. Residents must be given full support to carry on with their daily life. 31/12/06 31/12/06 31/12/06 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 YA14 Good Practice Recommendations The matter of the 7 days holiday for people in long term care, should be given serous consideration. Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Wharfedale House DS0000001522.V311853.R02.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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