Inspection on 27/11/07 for Wortley Lodge

This inspection was carried out on 27th November 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wortley Lodge 29/01/07

Wortley Lodge 25/01/06

Wortley Lodge 15/08/05

Wortley Lodge 08/10/04

Wortley Lodge 28/06/04

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 Wortley Lodge 26 Wortley Road East Ham London E6 1AY Lead Inspector Anne Chamberlain Unannounced Inspection 27th November 2007 10:00 Wortley Lodge DS0000022874.V355671.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 Wortley Lodge DS0000022874.V355671.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. Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wortley Lodge Address 26 Wortley Road East Ham London E6 1AY 020 8472 9974 020 8472 9974 pretim.singh@btinternet.com 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 Pretim Singh Mrs Pretim Singh Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th January 2007 Brief Description of the Service: Wortley Road was registered in July 1995 as a 3 bedded home. It offers permanent accommodation for 3 adults with learning disabilities aged 18 to 65 years. The home comprises three single bedrooms, two bath/shower rooms, lounge, large kitchen/diner, office and pleasant paved garden. It is situated within the Upton Park area of East London, close to amenities and served by many bus routes to the area. The proprietor is also the manager of the establishment. The home is not able to offer placements to adults who have severe mobility problems, are doubly incontinent or who exhibit severe challenging behaviour. The fees at the home range from £780 to £1404 per week. Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home produced an Annual Quality Assurance Assessment (AQAA), which was received before the inspection and contained a lot of useful information. The aim of the inspection was to inspect key standards and to monitor compliance with previous requirements. The inspector carried out a site visit which lasted for some six hours. She spoke with all three residents and with the manager of the service, who is also the proprietor. The inspector also viewed policies and procedures, three service user and three staff files. She viewed the arrangements for medication and toured the premises of the home. The inspector contacted a day centre where a service user attends, and also spoke to a parent of a service user. The inspector would like to take this opportunity to thank the residents, staff and manager of the home for their co-operation and assistance. with the inspection. What the service does well: The home performs well consistently. The care is service user focussed and the three service users have varied programmes of activities inside and outside of the house, which suit them as individuals. Care staff are vigilant of service users health and work well with any professionals involved. They are also very supportive of the service users emotional wellbeing, and their anxieties. The home involves families where possible and encourages cultural diversity. Service users indicated that they like living at the home. A parent and a worker at a day centre contacted, were also very satisfied with it. Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 6 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. Wortley Lodge DS0000022874.V355671.R01.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 Wortley Lodge DS0000022874.V355671.R01.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): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information about the home is provided and prospective service users would have their needs well assessed. EVIDENCE: The last inspection carried a requirement that the statement of purpose and the service user guide be updated to reflect the current staffing situation. The inspector viewed these documents and this has been done. There was also a requirement that the service user guide be available in a pictorial format. The document is in a clear and easy to read format and is partially pictorial now. The home has not admitted any new residents since 2001. The manager stated that in undertaking an assessment she would now expand on what she has done in the past. She agreed that as well as cultural and spiritual needs, the assessment should give an opportunity for sexual orientation and sexuality to be discussed. Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 9 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. This judgement has been made using available evidence including a visit to this service. Service user plans are of a high standard and residents are supported to take their own decisions. Risks are assessed and reduced with forward planning. EVIDENCE: All three service user files contained individualised service user plans, written in the first person. There was a page for each element of need and these were all signed by both parties and dated. There was evidence that every element of the plans is reviewed regularly. One service user is somewhat overdue for a placement review and this was pointed out to the manager. The inspector noticed that keyworkers write monthly reports on the service users. However these were not written regularly. The inspector advised the manager that she this is good practice but should be properly kept up for the benefit of service users (see recommendations). Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 10 The inspector formed the view that the service users are supported and encouraged to make decisions for themselves. The manager stated that they have planned their weeks around their day opportunities, adding social events and outings. The manager described what the various activities are and from what she said the inspector formed the view that service users were choosing their preferred activities. They do not do things as a group. In addition service users choose their food, clothes, when they wish to go to bed etc. The service user files showed evidence of relevant risk assessment and the manager explained that risk for one service user is closely tied to her mental state and level of emotional wellbeing. The risks were graded and actions to reduce the risks were identified. The inspector felt that the manager and staff have a good grasp of what situations present risk to the service users and how to reduce it. Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users take part in a wide variety of education, recreational and leisure activities, in the community and at home. Contact with family and friends is supported and rights and responsibilities respected. Service users are offered an enjoyable and health diet and there have a pleasant dining area. EVIDENCE: The service users all have regular weekday activities. Two attend college three days a week and one has day services with Newham. Service users take part in a variety of community leisure and recreational activities. One service user belongs to a walking group, one attends a music group. Two go to the cinema or bowling on a Friday. Another prefers swimming. One borrows DVDs and CDs from the library with her favourite Irish music. They all like shopping and all attend mencap social events and Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 12 parties at their sister home. Whilst the inspector was in the home a service user was collected from an activity, had lunch at home and was escorted to another activity. The service users like to go to the pub for crisps and a drink, or for sometimes for a meal. In the summer they enjoy local parks. The manager stated that service users also enjoy activities at home, beauty evenings with footspa and manicure, puzzles and games, barbecues in the garden, and a takeaway meal. Two service users have quite frequent contact with their families and one stays at home overnight. Another service user meets regularly with her sister and her children. One service user takes her self to the corner shop independently. The inspector evidenced the activities of the service users in their log books. She also saw the pictoral timetables which all the service users have. Service users help with their laundry and the tidying and cleaning of their rooms. One service user keeps goldfish, which she helps to clean out. The inspector noted staff guidance to knock on bedroom doors before entering. She also noted that there is a confidentiality policy. She noted that the policy does not mention the recent Freedom of Information Act 2000 and suggested to the manager she update the policy. The inspector felt that the rights and responsibilities of service users were respected. The manager stated that decisions about what to eat during the week are generally made over the weekend. The deputy manager shops with two of the service users. The previous report recommended that processed foods are reduced and healthier food provided. One service user has reduced her weight to a healthier level. She was encouraged to eat less ready-made food and more freshly cooked ingredients. The inspector noted bowls of fresh fruit in the kitchen. Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 13 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. This judgement has been made using available evidence including a visit to this service. Service users receive an individualised service to meet all their support needs including reassurance and emotional support. Medication practice is sound. EVIDENCE: The manager explained the needs of each service user for support with personal care. These were all three quite different and the care plans reflected this. One service user needs a bath seat, which is provided. For one service user her vulnerability is a major need. Another has behaviour difficulties and needs close support in the community. All of the service users are under the local Psychiatrist. Their files contained good guidelines to support behaviour. The manager explained the health profile of each service user to the inspector and the inspector viewed the health information held on file for service users. Each service user has a file where appointments with professionals are recorded. A member of staff has been working up My Health Matters files Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 14 and the inspector saw an example of one. It gave a health profile for the service user and all the contacts for health professionals involved with her. There were lots of pictures. The inspector noted that menstruation charts are kept spasmodically. She told the manager that the charts are good practice and should be kept up consistently (see recommendations). The inspector noted that the home has a policy on smoking. She suggested that it be updated to refer to the most recent legislation The Health Act 2006. The inspector viewed the arrangements for the administration of medication. The medication policy was seen. It has been expanded to include homely remedies. The policy was signed and dated and a review date had been added. The medication folder contains the policy on homely remedies and also a section for each service user with their photograph. All the service users take medication. One service user takes medication home and the manager agreed with the inspector that it is not appropriate for the carer to initial the Medication Administration Record (MAR) on those occasions, instead they mark the sheet to show the medication went home. The medication policy instructs staff to hand over the correct medication for a stay at home, and check the medication when the service user returns to the home. Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service listens to the views of service users. They are protected from abuse. However the safeguarding adults policy needs amendment. EVIDENCE: The inspector was unable to find the complaints policy in the main policy and procedures index. It was however in the service user guide, albeit in a rather complex format. An easy read version is pinned to the noticeboard in the home. The complaints policy is quite adequate but should be available as a stand alone document with the other policies and procedures. The version in the service user guide should be the user friendly one (see recommendations). The manager stated that she had received no complaints, but has a book to record them in. This was produced. The inspector viewed the adult protection policy. It was comprehensive but did not say that social services should be contacted in the first instance. The manager was not aware of this either. The policy needs to be amended to state that in the first instance social services must be alerted of any suspicion or allegation of abuse. It should also state that the policy should be followed in conjunction with the local adult protection policy (see requirements). Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 16 The home has a copy of the Newham Adult Protection policy. The inspector was pleased to see that the home has a policy on sexuality. She felt that this was indicative of equality and diversity issues being well recognised. Wortley Lodge DS0000022874.V355671.R01.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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean and generally well kept but there are maintenance and décor issues which must be addressed. EVIDENCE: The home is comfortable and safe. The inspector was shown a bedroom by a service user. It was personalised and pleasant. The service user said she liked her room and slept well there. She did however point out that the cording set on her curtains was broken and the curtains were partly off the rail and would not pull properly. This needs to be repaired. There were a number of minor issues which need to be addressed. The downstairs basin has a plug mechanism which is broken and there is an unprotected spike sticking up on the basin. This could be dangerous and the manager must find a way to either remove or repair it. Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 18 There are jagged broken tiles in the office of the home. They must be removed (see requirements). The home has a problem currently with leaking water and the water board called on the day of the inspection. The water appears to be leaking under the floor and into the house next door. The manager envisages considerable disruption in the downstairs hallway. She stated that she will be taking the opportunity to refit the ground floor shower room. She said that she will also be redecorating the hallway, replacing the dining room carpet, and shampooing the hall stairs and landing carpet. Some of this was already noted on the AQAA. Had the improvements not been already planned, the inspector would have made requirements regarding the décor and carpets. As it is she trusts that the refurbishment will be done in the near future. The blind in the kitchen is grubby and the manager stated that she already had it in mind to replace this. The home was clean and hygienic. The manager stated that none of the service users has an infectious disease and no special precautions need to be taken. The inspector viewed the garden from the back door and thought that it was very attractive, and a big benefit for the service users. Wortley Lodge DS0000022874.V355671.R01.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,and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment is sound and service users are supported by competent staff. The training situation needs to be addressed with all staff being trained to an appropriate level. EVIDENCE: Including the manager and the sleep in night staff, there are five staff working at the home. The inspector discussed the level of staffing with the manager and felt that it was adequate to support a good quality of life for the service users. The manager stated on the AQAA that two have NVQ 2 and two are working towards it. The home shares staff with its local sister home. From inspecting the staff personnel files and talking with the manager the inspector felt that recruitment practice at the home was robust and safe. She noted from the AQAA that induction training is provided. And from the training and development policy that staff are allowed five days paid leave for training each year. Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 20 The training records were not satisfactory. A system has been started where a list of training was drawn up for each staff member, and placed on their file, but this had not been done for all staff. The manager does not have a training matrix where that she can see at a glance the training situation. The staff personnel files viewed did have some certificates but they indicated a rather patchy training situation, with some training being quite old. The inspector told the manager she felt that First Aid, Safeguarding Adults, Food Hygiene and Health and Safety were basics which should be renewed regularly, preferably once a year. Staff who are administering medication should have had reasonably recent medication training, or an assessment as to their competence to administer medication. The manager must keep staff training up to date and must make evidence available for inspection purposes (see requirements). The inspector said that in addition to the above that she would like staff to undertake Fire training. The manager stated that one person could be sent on Fire training and share the learning with the other staff. This would be acceptable (see recommendations). Wortley Lodge DS0000022874.V355671.R01.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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and the views of service users and their relatives and contacts are sought. The health and welfare of service users is promoted and protected. EVIDENCE: The home has a business plan which the inspector viewed. It was service user centred. The home also has a quality assurance file and the inspector viewed on it surveys which had been done with service users and stakeholders. They were all positive. She contacted a day centre used by a service user and a parent, and both said they were very happy with the service. They said that communication was good and they had no complaints at all. As the proprietor is also the manager there are currently no person in control quality assurance visits taking place. The inspector suggested to the manager Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 22 that she draft an audit sheet for herself and use it regularly to check the management systems and general maintenance of the house (see recommendations). The inspector suggested to the manager that to improve the objectivity of quality assurance with service users they might complete their surveys outside of the home, perhaps at their day centres. The home has a comprehensive range of policies but they were not all present in the policy manual. The health and safety policy was missing and this was mentioned to the manager. The policies should all be available at all times. The inspector viewed the policy for Control of Substances Hazardous to Health (COSHH) and pointed out to the manager that it does not state that products should be locked away. However the home keeps the substances in a locked cupboard. They also keep data sheets for the products. The inspector noted that opened food in the refrigerator had been labelled with the date of opening. The home has a fire risk assessment and a fire protection policy. There are two smoke alarms and two fire extinguishers. The inspector noted a fire blanket in the kitchen. The manager stated that fire drills are carried out every three months and recorded. The inspector viewed the record which included evacuation times. An outside contractor inspected the fire protection systems in November 2007. The inspector noted that paper is stored in a cupboard under the stairs. She felt that it would be wise not to store such flammable goods under the stairs, and the manager agreed to clear out the paper from that storage (see recommendations). Wortley Lodge DS0000022874.V355671.R01.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 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 2 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 3 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 3 x Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 24 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 13(6) Requirement The adult protection policy needs to be amended to state that the in the first instance social services must be alerted of any suspicion or allegation of abuse. It should also state that the policy should be followed in conjunction with the local adult protection policy. 2. YA24 23 The broken curtain cording set, in a service users bedroom but be repaired or replaced. The broken plug mechanism in the downstairs basin must be repaired or replaced, as it is potentially dangerous. There are jagged broken tiles in the office of the home. They must be removed. 3. YA35 18 The manager must keep staff training up to date. Staff should train in and renew from time to time: 01/01/08 01/01/08 Timescale for action 01/01/08 Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 25 First Aid Safeguarding Adults Food Hygiene Health and Safety ---------------------------------Staff training records must be kept updated for inspection purposes (previous timescale of 10/04/07 not met). RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA6 YA19 YA22 Good Practice Recommendations Keyworkers monthly reports should be properly kept up. Menstruation charts should be properly kept up. The complaints policy should be available as a stand alone document with the other policies and procedures. The version in the service user guide should be the user friendly one Staff should have some fire training. The manager should draft an audit sheet for herself and use if regularly to check all the systems of the house, also the maintenance. The paper stored in a cupboard under the stairs should be cleared out, as it is flammable. 4. 5. 6. YA35 YA39 YA42 Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Wortley Lodge DS0000022874.V355671.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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