Inspection on 21/06/07 for York Road, 73

This inspection was carried out on 21st June 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

York Road, 73 30/08/09

York Road, 73 31/07/06

York Road, 73 13/02/06

York Road, 73 31/10/05

York Road, 73 31/03/05

York Road, 73 30/12/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 York Road, 73 73 York Road Southport Merseyside PR8 2DU Lead Inspector Mr Paul Kenyon Unannounced Inspection 28th June 2007 09:40 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 York Road, 73 DS0000005271.V333000.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. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service York Road, 73 Address 73 York Road Southport Merseyside PR8 2DU 01704 567592 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) Speciality Care (Rest Homes) Limited Mr James Michael Delaney Care Home 5 Category(ies) of Learning disability (5) registration, with number of places York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 5 LD Date of last inspection 31st July 2006 Brief Description of the Service: 73 York Road is a registered care home offering support for five younger adults with a Learning Disability. The home is managed and operated by a subsidiary of Craigmoor Care known as Speciality Care Limited. The home is designated as a ‘Home for Life’ and former students using the educational facility at Arden College in Southport live there The home is a semi-detached property within the Birkdale area of Southport. It is close to local shopping facilities and other amenities. The home has not been purpose built yet has been adapted to become registered by the previous Registration Authority. Jim Delaney who has worked there for a number of years manages the home. Facilities are spread over four levels. The basement contains the office; staff sleep- in facility and laundry. The ground floor includes two lounges, a dining room combined with a kitchen. On the remaining two floors are bathrooms with toilets as well as all service user bedrooms. The address does not cater at present for those with profound physical disabilities and as a result contains no specialist adaptations or passenger lift. Fees for the service are £937 per week. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the main key inspection to be held at York Road this inspection year (April 2007 to March 2008) and took place during the morning. The inspection included a tour of the premises, the examination of records relating to the support of residents, interviews with residents and staff alike. In addition to this, comment cards were sent to all relatives in order to canvass their views of the service. National Minimum Standards for Younger Adults were used to ensure the quality of support provided by the home. What the service does well: The home is good at devising plans of care, which outline the needs of residents and are reviewed on a regular basis. The home is good at enabling residents to make decisions for themselves and identifies those risks that residents face in their everyday lives. Residents are given the opportunity to access educational or social activities within the community either with staff support or independently. Residents have the opportunity to maintain links with their families and friends and have their rights and responsibilities taken into account. Residents have the opportunity to be involved in the planning and preparation of meals. Residents are supported in an appropriate manner and have their health needs met. Residents and their relatives have the information they need to make a complaint. Residents live in a clean and hygienic environment. Residents receive a service, which is managed by an experienced individual. The views of residents are taken into account through the quality assurance process. The health and safety of residents are promoted. ‘I feel tired but I do a lot of exercise’ ‘I do go to the doctors’ ‘ I like the staff’ York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 6 ‘The food is delicious, I help to cook and shop’ ‘I like to walk and go swimming with staff-like it a lot’ ‘I have been to college in the past’ ‘I see my family and I see my dad’ ‘I feel safe, do help around the house but prefer to play pool’ ‘I decided I want to move on and they have listened to me-social worker coming today’ ‘I know how to make a complaint and they would listen’ ‘I feel well, staff are alright, I get money from staff but do not have a bank account yet’ ‘I get a choice of food and help to shop and cook’ ‘I go to college on my own once a week, get bored sometimes’ ‘I see my mum and stay with her from time to time’ ‘I feel safe in the home, I sometimes help with hoovering and cleaning’ ‘I have been here for a few years, have got NVQ 3 and have done mandatory training such as first aid, fire awareness, food hygiene, get support from the manager’ ‘I think that there is enough staff but could always do with one more’ ‘I am aware of the whistle blowing procedure and have done abuse awareness training, have done managing violent aggression training’ ‘ The best thing about the home is that I like the staff and residents, think the environment could do with improving especially with repairs’ What has improved since the last inspection? Medication systems are now safe with medications being recorded as they are received and staff now receive medication training. Residents now benefit from being supported by staff who have received training in abuse awareness and have been trained in managing challenging behaviour. Residents now benefit from having repairs in their home identified at the last inspection being addressed. The service now retains training records for inspection. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 7 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. York Road, 73 DS0000005271.V333000.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 York Road, 73 DS0000005271.V333000.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a track record of obtaining information on the needs of potential residents EVIDENCE: No new residents have come to live at York Road since the last inspection, however past inspections have found this standard to be have been met. York Road, 73 DS0000005271.V333000.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having a plan of care that is reviewed depending on changes to their support needs and involves family involvement. EVIDENCE: Care plans for two individuals were viewed. Both outlined the support required for each person. The care plans indicate a number of personal details and include the religion of the person, as well as the needs of individuals. Such needs in the care plans sampled included reference to the physical and personal care needs as well as maintaining the safety of individuals. The family has agreed one care plan and confirmation was available in a recent review of the funding authority’s agreement with the care plan. Family members through the quality assurance process confirmed the contents of the other care plan. Both care plans have been reviewed in 2007 with one being reviewed in March, April and June 2007 reflecting the changing needs of that individual. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 11 In respect of decision-making, an interview with one resident noted that he confirmed he had made a decision about his future aspirations in relation to accommodation. Evidence was available to suggest that this aspiration had been listened to and that steps were being taken to ensure that this would be met. There was evidence that the home strives to provide information to residents through monthly residents meetings. Advocacy services have not been developed but currently all residents have sufficient family contact to ensure that their views are taken into account. In relation to personal finances, no residents have a bank account and even though they have access to monies; all these are arranged through Arden College. It is recommended that the involvement in the finances of residents is reduced by the organisation and that individual accounts are set up to promote independence and steps taken to acknowledge the risks associated with this through the risk assessment process. Two risk assessments were examined. These assessments evidence different emphasis on the risks faced by individuals. One person is at risk of harm from accessing the community unaccompanied. This represented the main risk but others are included in place linked to environment, outdoors and other activities. This was reviewed in April 2007. The other risk assessment relates to the environment and activities undertaken. This was last reviewed in March 2007. York Road, 73 DS0000005271.V333000.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to pursue activities they wish involving educational or leisure activities either independently or mainly with staff support. EVIDENCE: Two residents were interviewed in relation to activities. For one person, occupation mainly focused on social activities but with staff support. given the risks faced by him in the local environment (as acknowledged in his risk assessments). He stated that he currently enjoying going to the local swimming baths and this ties in with his health needs at present. He stated that he had been to college of late to study computer studies although this had now finished. He did provide evidence that he had been on this course. One person admitted that he did not consider activities to be structured at present. No activity planners are available for individuals and it is recommended that these be devised with each resident on a weekly basis. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 13 This individual did state that he attended college and was able to go unaccompanied and independently. Two other residents were noted to be attending college on a part time basis and are accompanied with staff to go there. The home is located in a residential suburb and there are good transport links to local facilities and evidence was available that residents have bus passes. Evidence is available in care plans of family contact, one person visits his parents every weekend, another will stay with their parents from time to time, there was evidence that one person has links with their family and will go on holidays with them, another person also goes to visit their mother and he confirmed this through an interview. Another person confirmed that he sees his father. A rota for involvement in household routines is now in place. Two residents confirmed that they do join in but with different levels of involvement. One person confirmed that he washes dishes and puts clothes away but prefers to other leisure activities. Another confirmed that he does participate sometimes. All preferred terms of address are included in care plans. All residents are provided with keys to their rooms. Staff protect the personal space of residents. There was evidence during the visit that a member of staff directed resident to open his own bedroom door to see who was knocking. Staff were noted to interact with residents readily and provide them with the information they need. Residents have differing interests and are given the choice to join in or otherwise. Residents are free to access all areas of the home but supervision is needed for some individuals in respect of access outdoors. No residents smoke yet limitations in respect of drinking are part of care plans and are linked to medical reasons. The kitchen domestic in scale but kitchen units are now dilapidated and it is recommended that these are replaced. This has been a recurring recommendation. One person confirmed that he helps with shopping and gets a choice of food, he stated that ‘some food is very good but some is mixed’ Another person stated he helps to cook and helps with shopping. He also suggested that food provided was delicious. A discussion with the manager was held where he stated that food budget had been marginally cut but this had not caused any issues and no problems had been encountered in purchasing the food that residents wished to have. Menus are in place as well as evidence of choice. A dining area is available. No resident has dietary needs at present although for one there is an emphasis on healthy eating included in their care plan. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 14 York Road, 73 DS0000005271.V333000.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. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their wishes in respect of personal support being respected. The health needs of residents are maintained. Medication systems are safe. EVIDENCE: The personal support required varies for residents. Four residents are able to maintain personal hygiene yet care plans recognise that there are differing degrees of prompting required to maintain this. One other person requires more personal care than other residents because of specific needs. Staff interventions are included within the plan of care for this person. All people are mobile while one individual is able to mobilise with support. There was evidence that personal preferences in relation to appearance are maintained. Two residents who are female have female keyworkers. Medical records are maintained and indicate that residents have access to medical agencies. One person stated that ‘I am well at the moment’, another York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 16 person stated that ’I feel tired sometimes because I get a lot of exercise but I do go to the doctors’. Records indicated that medical appointments continue and that all residents are registered with a General Practitioner. All appointments are recorded with outcomes in place. Residents rely on staff to attend appointments with them. Medication is stored in a locked cupboard, which in turn is in a room that is locked when not in use. A refrigerator is available for the storage of one medication, which requires cooler storage. Medication records are all correctly signed and now include evidence of receipted medications being recorded. A staff interview confirmed that they had received medication training and other certificates for staff confirmed that this had been extended to others. One resident partially self-administers. This has been a longstanding arrangement and this person self-administered long before they came to York Road. York Road, 73 DS0000005271.V333000.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. This judgement has been made using available evidence including a visit to this service. Residents are provided with the information they need to make a complaint, and residents are protected from abuse. EVIDENCE: Two residents were asked about the action they would take if they had a complaint. They stated they would go to the Manager if they had a concern. Residents meetings held every two months and within these meetings the complaints procedure is reinforced to residents. A complaints procedure is on display and this includes details of the Commission for Social Care Inspection. Complaints records noted that only one complaint had been received in 2007 from a relative of a resident. This complaint was acknowledged and investigated. One concern has been received by the Commission for Social Care Inspection at the time of writing this report. This will be investigated separately as part of the ongoing inspection process. The home has a Local Authority procedure for the referral of vulnerable adults abuse allegations as well as its own. Protection of vulnerable adults training has been received by staff and this was confirmed in three training records as well as an interview with a member of staff. No allegations of abuse have been made. Manager is proactive in outlining what action would be taken if bullying was occurring within the home to residents through meetings and how this behaviour is not acceptable. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 18 Information from the Department of Health is in place for referring staff to the Protection of Vulnerable Adults register although this would be a matter for the wider organisation. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 19 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. Residents live in a clean hygienic house, however, this is not well-maintained. EVIDENCE: Requirements in relation to broken windows and heating raised at the last inspection have been addressed but there was evidence through records of a poor response in dealing with reported repairs as evidenced through maintenance book. Recent repairs have been reported in relation to a fire door, kitchen doors and upstairs bathroom but these had not been addressed at time of the report and this contrasts with the purchasing of new settees and carpets throughout the home. It is required that the response to maintenance is improved to enable day-to-day reported repairs to be addressed. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 20 The home is close to local amenities such as shops, rail and bus links and the local town centre of Birkdale. No residents at present have mobility issues that adversely affect their ability to access areas of the home although one resident needs support with mobility. Generally the home blends in with the local community and is not distinguishable as a registered care home. One resident had complained in the past about the heating in his room not working. It is recommended that in general heating temperatures be monitored in all areas to ensure that this issue is borne in mind. Laundry facilities are separate from food storage and preparation areas and are domestic in nature. There are no offensive odours noted in the building and no issues in respect of cleanliness in the building at the time of the visit. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 21 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): 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No new staff have been recruited since the last inspection. As a result this standard was not measured. Residents are supported by staff who receive appropriate training. EVIDENCE: Training files were available for three members of staff and these included inductions, non-violent intervention training, abuse awareness, health and safety, control of substances hazardous to health, fire, medication, food hygiene and first aid. Certificates were available to confirm this. An interview with staff member confirmed that he had received all of the above training and had obtained a NVQ Level 3 qualification. York Road, 73 DS0000005271.V333000.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. This judgement has been made using available evidence including a visit to this service. The service is managed by an individual who has the experience to do the job although attention should be paid to creating a more organised office environment with the archiving of older documents. The views of residents and relatives are taken into account through the quality assurance process. The health and safety of residents is promoted. EVIDENCE: The Manager has remained as the registered person for some time and has the necessary experience for the position. Past inspections have noted that the Manager has responded to most requirements outlined in previous reports. York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 23 Office systems still need to be organised given that many older records need to be archived and this is raised as a recommendation once again. In respect of Quality assurance, monthly visits by representatives of the organisation occur and copies of reports are made available to home. Visits cover many issues in respect of the support provided such as the environment, care plans etc. The Manager holds regular resident meetings and has provided residents with the opportunity to add to agendas for this meeting and to select specific points of discussion that are relevant e.g. bullying and complaints. Resident and relative questionnaires were completed in May 2007 and signed by all concerned. One resident raised a number of issues with some aspects of the care. There was evidence that the manager has met with him to discuss these. These issues centred on food; privacy and staff approach although these were not raised with the Inspector. Evidence was available that further discussion with the individual had occurred with the Manager and that his relative had been advised of the home’s complaints procedure in recently. In respect of health and safety, it was noted that risk assessments were in place for individuals, accidents were recorded appropriately, tests had been made on fire detection and fire fighting systems and that fire drills took place. A fire risk assessment is in place. Window restrictors are in place although the manager had identified an issue in respect of one person’s bedroom. Water temperatures are checked even though thermostatic valves are in place. Certificates are in place to confirm the safety of electric and gas systems. The Manager is aware of his responsibilities of notifying the Commission For Social Care Inspection of untoward incidents; Legionella checks have been made to the water systems York Road, 73 DS0000005271.V333000.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 N/A 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 Requirement The organisation must provide a better response to long running maintenance issues Timescale for action 31/07/07 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 5 Refer to Standard YA7 YA12 YA24 YA24 YA37 Good Practice Recommendations The financial interests of residents should be more independent of the organisation Weekly activity planners should be devised with each resident The kitchen units should be replaced as identified in previous inspections The room temperatures throughout the home should be monitored periodically The Manager should create a more organised office environment with the routine archiving of older information York Road, 73 DS0000005271.V333000.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. 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