Inspection on 24/01/07 for Wycar Leys (The Lodge)

This inspection was carried out on 24th January 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wycar Leys (The Lodge) 07/02/06

Wycar Leys (The Lodge) 11/10/05

Wycar Leys (The Lodge) 04/11/04

Wycar Leys (The Lodge) 02/06/04

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 Wycar Leys ( The Lodge) Kirklington Road Bilsthorpe Newark Nottinghamshire NG22 8TT Lead Inspector Mick Walklin Key Announced Inspection 24th January 2007 10:00 Wycar Leys ( The Lodge) DS0000055785.V328155.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 Wycar Leys ( The Lodge) DS0000055785.V328155.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. Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wycar Leys ( The Lodge) Address Kirklington Road Bilsthorpe Newark Nottinghamshire NG22 8TT 0870 3307522 0870 3307521 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) Wycar Leys Limited Tracy Tucker Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 8 beds to be used for Learning Disability Date of last inspection 7th February 2006 Brief Description of the Service: The Lodge is one of four homes, for people with a learning disability, on a site a short distance away from the village of Bilsthorpe. It provides first floor accommodation for 8 service users. It has a large dining kitchen on the ground floor and two lounge areas on the first floor. The home runs independently to the others on site and has its own manager and staff team. The Lodge shares some facilities with the other homes; these include a central kitchen, laundry, transport and extensive grounds. All areas of the home are easily accessible to service users. Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was undertaken using a review of all the information available to the inspector regarding the service history of The Lodge, Wycar Leas, and through undertaking a visit to the home. The fieldwork visit took place over 7 hours. The main method of inspection used was called case tracking which involved selecting three residents and tracking the support they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A tour of the building was undertaken with the manager. Documents connected with the running of the home were also inspected. The manager had completed a Pre-Inspection Questionnaire. Seven questionnaires were received from service users or their relatives. The manager provided information that the range of fees charged was individually assessed, and the current range was between £1400 and £2895 per week. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ or ‘expert’ used in this report describes people whose knowledge about social care services comes directly from using them. What the service does well: The expert thought that the home is very relaxed, and people are very friendly. It was good that people sit together, and there are not too many people living in the home. Not knowing who staff or service users were was good. The expert also liked the nice view from the lounge window. There is a lot of information about service users, so that staff know what support they need. The staff help and encourage service users to gain skills whilst, at the same time, making sure that they are safe. Service users are involved in making decisions that affect their lives, and staff listen to service users. Staff know how service users communicate, and can understand signing. There are plenty of activities and outings for service users to enjoy. Service users said that they feel safe living at the home, and know how to complain if they are unhappy. Staff have good training, and receive good support. The home is well managed and organised. There are good systems for getting the views of relatives and other visitors, and service users have regular meetings to talk about things like activities and meals. New service users are introduced to the home slowly, so that they can make up their mind if they want to live there or not. Wycar Leys ( The Lodge) DS0000055785.V328155.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. Wycar Leys ( The Lodge) DS0000055785.V328155.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 Wycar Leys ( The Lodge) DS0000055785.V328155.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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are good procedures for introducing new service users to the home, and a thorough assessment is conducted to ensure that service users support needs can be met. EVIDENCE: The home has a statement of purpose and service user guide, which contains good information about the services that the home provides. This information helps people choose whether they want to live there or not. It says, “We like the service user to visit at least once to ensure that a positive informed choice is made (preferably overnight)”. The manager described how the newest person was admitted to the home. His social worker had sent information about him, and then staff from The Lodge had visited him at home to meet him and his relatives, and carry out an assessment. He had then visited The Lodge with his relatives, and decided that he wanted to live there. Files contain detailed pre-admission assessments, which clearly outline service users support needs, and the manager said that a support plan is prepared before the person is admitted. Admissions are usually for a six-month trial Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 9 period, and the number of visits before admission is dependent on individual needs. Wycar Leys ( The Lodge) DS0000055785.V328155.R01.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 this service. Care plans accurately describe service users support needs, but they would benefit from person centred plans. They make decisions and choices about their lifestyle, and develop independent living skills whilst risks are minimised. EVIDENCE: Care plans contain excellent information about service users support needs, and identify areas that they are independent in. They give staff clear and detailed information about how to manage behaviours, and which areas service users need help in to develop skills. Some service users had signed their care plan to confirm that staff had explained it to them, but others were not signed. Some service users told the expert that they were not sure what their care plan was. Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 11 All care plans inspected had been reviewed every three months, and reviews, which also involve service users, their relatives, and placing social workers, are held every six to twelve months. Daily records and incident recording is of a high standard. Incident records give detailed information about the incident, possible causes, and interventions used. The manager reviews all incidents within 72 hours. The home does not use person centred plans to identify service users hopes, wishes and goals, and it is recommended that these be introduced. The expert thought that care plans and person centred plans should be made available however the service user wants them, such as DVD, audio, pictures, photos or a wall display. Monthly service user meetings are held to discus household issues, and these meetings enable service users to have a voice on how the home is run. Staff were observed to use a variety of communication methods, including extensive use of signing, to enable service users to communicate their choices and wishes. A member of staff said, “We need to know the service users well, so that we know how they communicate. Some use makaton (a form of sign language), but they also have their own signs, which are not makaton”. Another member of staff said, “One of the service users has taught me to sign my name”. Service users said that they can choose how to spend their money. One said, “I spend my own money. I keep it in my pocket and give it to the lady in the shop”. Another service user said that he had used his money to buy DVD’s. There are a good range of risk assessments, and staff were aware of their role to assist service users in becoming more independent, whilst at the same time making sure that they are safe. There is no information about independent advocacy services available for service users, either in the service user guide or displayed in the home. It is recommended that the involvement of advocacy services be explored. A service user said, “I haven’t been to one (an advocacy group). I would like to go to a speaking up group”. Wycar Leys ( The Lodge) DS0000055785.V328155.R01.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. There are a good range of activities for service users to join in. They are helped to keep in contact with their families. Meals reflect individual choices, and special diets are catered for. EVIDENCE: The expert thought that there are “loads” of activities. All service users have activity plans in their care plans. These provide a full range of activities both within Wycar Leas and the community. Wycar Leas has an activity centre, with four rooms. There are a range of games available, and a snooker table. Currently, no service users attend college. However, college tutors run some sessions, and service users join in sessions such as numeracy, literacy, art, pottery, keep fit and hands and nail care. The home has a minibus, and use of a people carrier for outings. There are varied facilities within the local area, and regular outings and activities include swimming, horse riding, bowling, the Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 13 cinema and outward bound. A service user told the expert, “I like the racing cars. I didn’t like the horse riding. I like to go swimming Monday and Thursday – we have frog floats”. Another service user said, “I watch TV, go to the pub in the minibus, and go shopping at night time”. Service users had a holiday at Butlins this summer. A service user said, “I have been on loads of day trips – I want to go to the Yorkshire Dales”. (Staff said that they are waiting for better weather). Files inspected contained care plans giving details family contact, and how this is arranged. Regular contact is encouraged, and staff will make sure that families are contacted at least every week. Some service users have their own mobile phones, and a pay phone is available. The service user guide gives information about how service users are helped to keep in contact, including families visiting the home, and escorting service users to the family home. One parent commented in a recent survey that there were no private rooms available for visits to the home, but the manager said that families are able to use bedrooms, staff rooms and the activity centre for privacy. The expert pointed out that there are no extra spaces in the home for friends and family to stay over if they wish. A service user said, “My dad comes to visit me. I can phone him upstairs”. The statement of purpose contains a statement about service users rights, and sets out the rights that service users should expect. Staff were observed to treat service users with respect when talking to them. Meals are provided from a central kitchen, which caters for all four units at Wycar Leas. The Lodge also has a kitchen where service users can prepare their own meals and snacks. The expert thought that it was good that service users could help themselves to food and drinks. Menus from the main kitchen are on a four-week rolling rota, and there is a choice of two main meals. The catering manager has talked to service users about their likes and dislikes. One service user requires a special diet for religious reasons, and this is provided. One service user told the expert, “The food is alright. I like savoury mince and Yorkshire puddings. I point to the food that I want, and can make boiled and poached eggs by myself”. Another service user said, “It’s good – I like sausages, chips, beef burgers, mushy peas and yoghurts”. Wycar Leys ( The Lodge) DS0000055785.V328155.R01.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. Service users receive good support and healthcare. Medication procedures are robust, but the way that medication administration is recorded should be improved. EVIDENCE: Staffing levels allow service users to receive a high level of support, including 1-1 support. They were observed to consult service users about their preferences, and one service user was receiving very good support after becoming upset. The expert thought it was useful for staff to have walkietalkies in case of emergencies, but thought that staff were just using them for chatting sometimes. There are good arrangements with health care providers to meet the health needs of service users. Some health services are purchased privately, such as psychiatry, speech and language therapy, and GP domiciliary services. Fortnightly clinics are held at the home. There are also arrangements for chiropodists, dentists and opticians to visit the home periodically. The manager Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 15 explained that she hopes to introduce Health Action Plans in the near future, which will provide good information about service users health needs. Medication is stored in the team leaders office, and a pre-packed dispensing system is used. Team Leaders and senior carers check and administer medication. All have received medication administration training through a local college, and staff are receiving further training from a pharmacist. Storage facilities are satisfactory, and administration records are fully completed. The GP has authorised the use of some homely remedies. Two staff are involved in medication administration, one checking, and one giving the medication out. However it was noticed that on the day of the inspection, the person checking the medication signed the administration record. Only the person giving out the medication should sign the administration record. Wycar Leys ( The Lodge) DS0000055785.V328155.R01.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. There are good procedures for dealing with complaints and allegations, ensuring that service users are safe. EVIDENCE: The service user guide gives service users information about the complaints procedure in easy read format with symbols. There have been no complaints from service users or their relatives. However, a number of staff comments about operational issues are recorded. The complaints record should only cover complaints from service users, or people acting on their behalf, and staff comments should be recorded separately, for discussion at staff meetings. A quality assurance survey revealed that 50 of relatives who responded were not aware of the complaints procedure. This has now been re-issued to relatives, and the procedure is being translated into easy read format with symbols, to help service users. A service user said, “I would talk to (my key worker) if I had a problem – she is my friend”. Another service user said that he felt safe living at the home. A copy of the Nottinghamshire adult protection procedures is available to staff for reference. Staff receive annual training updates, by completing workbook, which is reviewed by the manager. Staff interviewed demonstrated a good knowledge of the adult protection procedures, and their responsibilities for Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 17 reporting incidents. A recent adult protection concern was appropriately referred on. Wycar Leys ( The Lodge) DS0000055785.V328155.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 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides a comfortable environment for service users, but building work is temporarily affecting some areas. EVIDENCE: There is currently major building work taking place in the home, so it was difficult to fully assess these standards. A new lounge has been built on the ground floor, and the existing upstairs lounge is being converted into two bedrooms. The expert thought that the building work made things look untidy and messy, and the garden needs a lot of work. A service user said that the new lounge is “good”. Bedrooms are personalised, and those service users are able to lock their bedrooms. One service user said, “I like my room – I chose the colours”. The expert thought that some of the rooms seemed a bit cramped, but thought that it was good that service users could chose what they have in their rooms, Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 19 and the colour of the walls. He also commented that there are no signs on doors so people do not know what room they are going in to, and some areas are poorly lit. However, a service user said that the nameplate on her bedroom door had fallen off, and she was waiting for someone to fix it. Staff confirmed that maintenance tasks are promptly attended to, and there were no issues identified during the visit. Staff assist service users with cleaning tasks, and they are encouraged to take responsibility for their own rooms. Wycar Leys ( The Lodge) DS0000055785.V328155.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, 34 & 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are well trained, and there are enough staff to meet the needs of service users. Recruitment and selection procedures are robust to protect service users. EVIDENCE: Staff work in four teams, one covering nights. There are usually six staff per shift during the day, with the manager working as extra. Staff said that staffing levels allow them to meet the individual needs of service users, and allow them to work on a 1-1 basis for periods. One said, “When staff go off sick, it can leave a problem. The minimum we work with is four staff, but this is only until we can get extra from bank staff or agency, or from one of the other units”. Staff described training as very good. Much of the training is in workbook format, which staff work through at their own pace. The manager then reviews it. A new member of staff said that she had been well supported during her induction. She said, “I was supervised for the first month, and I enjoyed Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 21 learning new things”. The home does not use the Learning Disabilities Awards Framework (LDAF - a training programme for staff working with people with a learning disability), but the homes induction is based on some LDAF units. Six staff have completed a National; Vocational Qualification (NVQ), and a further eight staff are enrolled. The files of three new members of staff were inspected, and all contained evidence of a thorough recruitment and selection procedure, and they contained documents necessary for the protection of service users. Wycar Leys ( The Lodge) DS0000055785.V328155.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 & 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 managed and organised, and the quality of the service is monitored. Health and safety is taken seriously to ensure that the environment is safe. EVIDENCE: Documentation in the home is well organised, and staff said that the home is well run. A member of staff said, “Communication is very good – we know what is going on. Teamwork and morale is pretty good. It’s a nice friendly home”. The manager has worked at Wycar Leas since 2001, and became manager in 2003. Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 23 The regional manager carried out monthly visits, and the manager also completes a monthly audit. Questionnaires are sent out every year to relatives and other people who visit the home. The results are put into a report, and action is taken on any issues raised. All documents relating to health and safety were up to date, and no issues were identified during a tour of the building. Wycar Leys ( The Lodge) DS0000055785.V328155.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 x 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 3 STAFFING Standard No Score 31 x 32 4 33 3 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 3 x x 3 x Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 25 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard YA6 YA7 YA20 YA35 Good Practice Recommendations It is recommended that the use of person centred plans be explored. It is recommended that the use of independent advocacy services be explored. It is recommended that medication procedures be reviewed to ensure that only the person administering medication signs the administration record. That staff should use Learning Disability Framework for their induction and foundation training. (This recommendation has been carried forward from the last inspection). Wycar Leys ( The Lodge) DS0000055785.V328155.R01.S.doc Version 5.2 Page 26 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 Wycar Leys ( The Lodge) DS0000055785.V328155.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. Re-publishing this information is in breach of the terms of use of that website. 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