Inspection on 17/09/07 for Whitewater Road

This inspection was carried out on 17th September 2007.

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

Other inspections for this house

Whitewater Road 28/03/07

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Whitewater Road 1A - 1B Whitewater Road Ollerton Newark Nottinghamshire NG22 9XF Lead Inspector Michael Williams Unannounced Inspection 17th September 2007 10:00 Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitewater Road Address 1A - 1B Whitewater Road Ollerton Newark Nottinghamshire NG22 9XF 01623 836648 01623 836648 joanne.allsop@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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 Joanne Allsop Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Learning Disabilities - code LD. The maximum number of service users who can be accommodated is 12. 28th March 2007 2. Date of last inspection Brief Description of the Service: Whitewater Road is located in a residential area close to shops and other amenities. It provides personal care to 12 people with learning disabilities between the ages of 18 and 65. The home consists of two bungalows with 12 single bedrooms and is fully equipped to care for a number of people with physical disabilities. The home has been registered with its new owners since November 2006. Charges range from £343.00 to £388.00 per week. This does not included aromatherapy, toiletries and hairdressing. This information together with the last inspection report is available to prospective service users upon request. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection involved one inspector; it was unannounced and took place over 6 daytime hours. The main method of inspection used is called ‘case tracking’ which involved selecting two residents and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The inspector was unable to communicate with people who live at this home to obtain their views on the care they receive. Therefore judgements in this report are from observation of staff and resident interactions Two members of staff were spoken to as part of this inspection, documents were read as part of this visit and medication was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building and communal areas was undertaken, and a sample of bedrooms seen to make sure that the environment is safe and homely. Questionnaires were sent to the manager for distribution to residents and their relatives before this inspection to give them the chance to air their views and speak to an inspector directly. 8 relative surveys were returned. A pre inspection questionnaire was completed by the manager and returned to the Commission before the inspection. A review this and all the information we have received about the home since the last inspection was considered in planning this visit and this helped decide what areas were looked at. What the service does well: What has improved since the last inspection? The service user guide has been updated to include new information about the home, to enable prospective service users to make an informed choice about moving into the home. A review of all service users needs and dependency Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 6 needs has been completed. Person centred care plans have been developed which provides staff with detailed information about how to support service users. A date has been booked for a pharmacist to visit the home to check medication management. Staff have undertaken and updated mandatory training to enable them to meet the needs of people living in the home. Bathrooms and toilets have been decorated and adapted to meet the changing needs of service users. The manager is registered with the Commission. What they could do better: To enable prospective service users to make an informed choice about the suitability of the home, the statement of purpose and service user guide could be made available in formats other than written form. Where practicable service users or their representatives should received a copy of the service users guide. Agreements of the terms and conditions of the placement should be signed by service users or their representatives. Care plans should provide specific details about how many staff are required to perform moving and handling task safely, when providing personal care for service users. Procedures to ensure that dental and eye care is monitored should be implemented to ensure that the identified health needs of service users are effectively maintained. To maintain dignity and promote choice services users or their representatives should be consulted about preference for personal care to be provided by male or female staff. To prevent potential abuse where practicable service users or their representatives should consent to care plans. To ensure that service users are protected, a review of medication procedures should be undertaken to so that a clear audit trail of medication can be followed. A review of the staffing levels should be undertaken to in relation to service user dependency levels, and the need for service users to be provided with opportunities to participate in community activities of their choice. Please contact the provider for advice of actions taken in response to this Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 7 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. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 Quality in this outcome area is adequate Full assessments of needs are undertaken; Information is available about the services offered by the home. However, this information is only available in written formats, which may not be suitable for some service users, and may impact on their ability to make an informed choice about moving into the home. Service users or their representatives do not sign contracts. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a statement of purpose and a service user guide available, which provides information about the Mencap organisation, the home’s mission statement and values. Information is available about the manager and the staff team structure, and life living at the home. Information in the statement of purpose and the service user guide is only available in written format, which may impact on prospective service users ability to make an informed choice about if the home can meet their needs. There was no evidence that service users or their representatives had received a copy of the service users guide. All files viewed had a full assessment of needs available, many service users are unable to fully contribute to assessments care; therefore decisions about how service users live are mostly gained from relatives and representatives. Some service users have been living at the home for several years, and their needs have changed, a review of dependency levels has recently been Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 10 undertaken. Staff spoken with demonstrated a good level of understanding about the individual needs of service users. Contract of the terms and conditions of the placement were available, however, service users or their representatives did not sign contracts viewed. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, and 9 Quality in this outcome area is good Individual needs are assessed; service users are supported with assistance to make choices about their daily lives. Care plans are regularly reviewed; however there is no consent to care plans, which could lead to potential abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Files viewed contained a risk analysis of individual service users, physical and mental capacity together with independence levels. Care plans are developed from preadmission assessments and information obtained from relatives, representatives and professionals involved in the care of service users. Appropriate risk assessments are in place and provide information about maintaining the safety of service users. New Care plans have being implemented using person centred planning, care plans are written in the first person, and provide detailed information about how staff are to support and provide care for service users. Wide area of needs is covered such as maintaining safety, personal care, dietary needs, epilepsy, skin care, pain management, finance and social activities. There was also supporting Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 12 documentation in place for managing and supporting behaviours such as absconding, bullying and aggression towards staff. Where restrictions were in place appropriate risk assessments were available, for example where a service users limited understanding road safety skills placed them at risk whilst in the community unsupervised. Some care plans viewed did not provide specific about how many staff were required to perform task safely. There was evidence that care plans are regularly reviewed, however, there was no consent to care plans by service users or their representatives. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16, and 17 Quality in this outcome area is adequate Opportunities are provided for personal development, Dietary needs and preference are met, family contact is encouraged and supported, however there are limited opportunities for service users to participate in community activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the inspection most of the service users were attending the day centre, social activities mainly occur during evening and weekends. Files examined contained details of service users preferred activities and how these are supported. Staff spoken with said that activities offered include aromatherapy, ball pool, T.V, and videos. Staff reported that due to the needs and dependency levels of service users changing, community activities are limited. Staff spoken with said that basic care needs are being met, but insufficient staffing levels impacted upon the opportunities for service users to be supported in participating in community activities. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 14 Routines within the home are relaxed, service users are able to make decisions about when to go to bed and wake up, those who attend day centres are encouraged to go to bed at reasonable times. There are regular resident meetings, and service users are encouraged to make decisions wherever possible about how they wish to live their lives. During the inspection service users, were observed watching T.V and spending time with staff. Service users appeared relaxed in the company of staff. Staff were observed taking time to communicate with service users in a polite and friendly manner. Family contact is encouraged and supported; this was evident in files viewed and during discussions with staff. Dietary requirements and preferences are identified in pre admission assessments and dietary needs and preferences are catered for. Menus viewed showed that healthy and nutritious diets are offered, daily menus are displayed in dining room in suitable formats for people living at the home to understand. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, and 20 Quality in this outcome area is good Identified emotional and physical health care needs are generally being met; medication administration protects service users. However, systems for auditing medication do not ensure that service users are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Files viewed contained information about individual service users medical history. Each service user is allocated a named key worker who closely monitors the care of individual service users ensuring that identified physical and emotional needs are met. Care plans viewed provided detailed information about health needs and the personal care requirements of service users. Documentation examine evidenced that appropriate professionals such as doctors, physiotherapist, district nurses, dietician and occupational therapist are involved in meeting the complex health care of service users. Staff spoken with were able to demonstrate a good level of knowledge about the needs of people living in the home, and the importance of ensuring that privacy and dignity is respected. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 16 However, there was no information available about how dental and eye care is monitored, and there was no evidence that service users are consulted about their preference for personal care to be provided by male or female staff. There is a policy for the management of medication place, the home is registered with a local pharmacist and appropriate procedures are in place for the ordering, receipt, and storage of medication. The medication administration records provide information about how service users prefer medication to be administered, records are well maintained with no gaps. However an audit trail of a case tracked service user’s medication found that systems for monitoring medication need to be reviewed to ensure that a clear audit trail of service user medication can be undertaken. Staff spoken with said that they had received medication administration training; this was evidenced in staff files viewed. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good There is a clear complaints procedure in place, relatives feel that views are listened to, and staff are clear about their responsibilities relating to adult protection. Service users are protected from abuse or harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose contains the complaints procedure with timescales for responses and action. Copies of the complaints procedures are also available in formats suitable for the needs of people living in the home. A copy of the Nottinghamshire adult protection procedures available in the main office Since the last inspection the Commission has not received any complaints about the home, no complaints have been made to the home. Relatives are aware of the complaints procedures and felt that any concerns will be listened to and acted upon. Staff spoken with are aware of their responsibilities relating to adult protection and the whistle blowing policy, staff files examined evidenced that staff have received training in relation to safeguarding vulnerable adults. The home does not act as appointee for service users, the finances of service users are managed by relatives or social services, staff have access to service users finance for personal allowance and purchases. Examination of service users finances evidenced that robust procedures are in place to protect service users from financial abuse. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 29 and 30 Quality in this outcome area is good The home is decorated to a high standard; service users live in a clean, safe, hygienic and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is clean, pleasant and well decorated, providing a homely feel for people living in the home. During the visit the lounge carpets were being industrially cleaned. Communal areas are well maintained, with a pleasant odour throughout the home. The kitchen is clean and hygienic, with food stored safely, Toilets and bathrooms have been recently decorated and adapted to meet the changing needs of service users, a Jacuzzi bath has been fitted, hoist and moving and handling equipment is available to support those require assistance with bathing. Bedrooms viewed were decorated differently, with pictures, ornaments, and soft toys reflecting service users preferences. There are no sluicing facilities available in the laundry, a review is required to assess if the laundry is appropriate for needs of service users. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 19 There is an enclosed garden to the rear of the property, which was tidy and well maintained. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35, Quality in this outcome area is adequate Experienced and trained staff provide care to service users, recruitment procedures ensure that service users are protected. Staffing levels are not sufficient to meet he assessed needs of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing rota showed that there is four staff on each shift during the day and two night staff. All service users have had a recent review of their needs. Staff spoken with felt that the basic care needs of service users are being met, however increased dependency levels, has meant that the opportunities for staff to support service users in participating in community activities are limited. A review of the staffing levels must be undertaken in relation to the dependency levels, and the need for service users to be provided with opportunities to participate in community activities of their choice. This is an outstanding requirement from the previous inspection undertaken 28/03/07 Staff were knowledgeable about the needs of service users, staff receive a comprehensive induction, and said that a good range of training is provided to Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 21 ensue that they can meet the needs of service users, such as personal hygiene, health and safety, moving and handling, fire safety, first aid, and personal centred awareness. Over 75 of the staff team have attained the NVQ2 social care qualification; some staff have obtained NVQ3 and NVQ assessor qualification. There is a staff training plan is in place to ensure that mandatory staff training is kept updated. Staff feel supported by the management, staff files examined evidenced that regular supervision is provided to staff. Staff files showed that appropriate checks and recruitment procedures are undertaken to ensure that service users are protected. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42 Quality in this outcome area is good The home is well run, systems are in place to monitor the quality of service provision, health and safety policy and procedures protect service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is registered with the Commission. The manager has an open and approachable style which staff felt was suited to the home. Responses from relatives’ questionnaires stated that they were happy with the care and service provided to service users. Fire records and health and safety documentation are up to date and maintained effectively, equipment such as wheelchairs and hoist are regularly serviced. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 23 There are regular staff meetings, and staff are knowledgeable about the needs of service users, staff are supported, well trained and receive regular supervision. An audit trail of a case tracked service user’s medication found that systems for monitoring medication need to be reviewed to ensure that a clear audit trails of service user medication can be made Regular visits are undertaken by the provider to monitor and assess the quality of care provided. The findings from visits are discussed in staff meetings, and copies of reports are located in the main office and are made available to service users and relatives upon request. Information from quality audits is used to develop annual business plans. Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 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 2 2 3 3 X 4 X 5 2 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 3 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 1 14 1 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 X 2 X X 3 X Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 25 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 YA1 Regulation Schedule 1 Requirement Where practicable service users or their representatives must received a copy of the service users guide. To ensure that the home is accountable to service users a Written contracts of the terms and conditions of the placement must be signed by service users or their representatives To maintain the safety of service users, care plans must provide specific details about how many staff are required to perform moving and handling task. To prevent potential abuse where practicable service users or their representatives should consent to care plans. A review of the staffing levels must be undertaken in relation to the dependency levels, and the need for service users to be provided with opportunities to participate in community activities of their choice. This is an outstanding requirement from the DS0000068818.V351673.R01.S.doc Timescale for action 15/10/07 2. YA5 5:1 (b) 15/10/07 3. YA6 15:1 15/10/07 4. YA6 15:2 (c) 15/10/07 5. YA14 18 and 12 (b) 15/10/07 Whitewater Road Version 5.2 Page 26 6. YA19 12:1 (a) 7. YA18 12:4(a) previous inspection undertaken 28/03/07 Procedures to ensure that 15/10/07 dental and eye care is monitored must be implemented to ensure that the health needs of service users are effectively maintained. To maintain dignity and 15/10/07 promote choice services users or their representatives must be consulted about preference for personal care to be provided by male or female staff. 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 To enable prospective service users to make an informed choice about the suitability of the home, the statement of purpose and service user guide could be made available in formats other than written versions A review of medication procedures should be undertaken to ensure that a clear audit trail of medication can be made to ensure that service users are protected. 2. YA20 Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Whitewater Road DS0000068818.V351673.R01.S.doc Version 5.2 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. 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