Care Home: 246 Haymill Close

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What the care home does well The home provides a service to people of different religious and cultural needs. The needs and aspirations of prospective residents are assessed comprehensively prior to admission into the home and care plans relating to the changing needs of residents are being drawn up and regularly reviewed. Risk assessments associated with activities identified within care plans are clearly detailed. People who use the service are supported while attending Church Services of different denominations. Wholesome and varied cooked meals including cultural options are provided. The separate physical and emotional health care needs of residents are being fully met and they are protected from abuse. Support workers are qualified and receive appropriate training and refreshers for meeting the needs of people who use the service. They were observed being attentive and competent in their role. Although largely non-verbal, residents indicated that they were happy at the home. They were appropriately and attractively dressed with different hairstyles and accessories, and appeared settled and content. Overall, the home was clean, hygienic and reasonably well maintained. The environment was safe, calm and homely. What has improved since the last inspection? Requirements made at the last inspection had been complied with. Specifically, records regarding medication and people`s religious needs were being maintained. Portable appliances, equipment and gas safety checks were up to date. Carpets had been cleaned. What the care home could do better: Four requirements were identified at this inspection. These related to privacy and dignity, staffing, recruitment files and fire safety checks. Intimate personal care must be provided by gender appropriate carers for ensuring that people`s privacy and dignity are being respected.The home must make sure that the ratio of care staff in relation to residents is appropriate for meeting the needs of the people who use the service. Copies of all required documents regarding all staff must be kept at the home. Fire safety checks must be carried out on a regular basis and recorded. CARE HOME ADULTS 18-65 246 Haymill Close Greenford Middlesex UB6 8EL Lead Inspector Ms Jean Bovell Key Unannounced Inspection 27th August 2008 10:30 246 Haymill Close DS0000058136.V366575.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 246 Haymill Close DS0000058136.V366575.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. 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 246 Haymill Close Address Greenford Middlesex UB6 8EL 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) 020 8810 6699 020 8810 8104 hm246haymill@ealing.org.uk www.supportforliving.org.uk Support for Living Manager post vacant Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd October 2006 Brief Description of the Service: 246 Haymill Close is a care home providing personal care and accommodation for seven adults with learning/physical disability. Seven people are currently living at the home. The home is owned by a housing association and managed by the organisation Support for Living, who manages a number of similar registered services in the local area. The home was purpose built in 1995 and is modern and spacious. All bedrooms are single, with four on the ground floor and three on the first floor. There are sufficient bathrooms, with appropriate adaptations to meet the complex needs of service users. There is a lounge, separate dining room and kitchen on the ground floor. There is a large garden to the rear and side of the home, which comprises of a patio area, lawn and shrubs. The home is on a residential housing estate, next door to the Ealing Consortiums activity resource centre. The home is linked by a corridor with another separately registered home. The home is close to the A40, which is a main road into London. In addition it is a short walk to a main road, where there is public transport to the local towns of Greenford and Ealing Broadway. Information about the CSCI is available at the home for residents and their representatives. 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means that people who use the service experience good quality outcomes. This unannounced inspection was carried out between 10:30 am and 3:40 pm on 27th August 2008. An Acting manager, Deputy Manager, four support workers and seven residents were at the home. During the course of the inspection, the home’s records, documents, policies and procedures were viewed. Observations were made and a tour of the building was undertaken. The Deputy Manager, three support workers and seven residents were spoken with. A completed annual quality assurance assessment document was considered. The requirements made at the last inspection and all key Standards were examined. We received appropriate assistance from the acting manager throughout the inspection. What the service does well: The home provides a service to people of different religious and cultural needs. The needs and aspirations of prospective residents are assessed comprehensively prior to admission into the home and care plans relating to the changing needs of residents are being drawn up and regularly reviewed. Risk assessments associated with activities identified within care plans are clearly detailed. People who use the service are supported while attending Church Services of different denominations. 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 6 Wholesome and varied cooked meals including cultural options are provided. The separate physical and emotional health care needs of residents are being fully met and they are protected from abuse. Support workers are qualified and receive appropriate training and refreshers for meeting the needs of people who use the service. They were observed being attentive and competent in their role. Although largely non-verbal, residents indicated that they were happy at the home. They were appropriately and attractively dressed with different hairstyles and accessories, and appeared settled and content. Overall, the home was clean, hygienic and reasonably well maintained. The environment was safe, calm and homely. What has improved since the last inspection? What they could do better: Four requirements were identified at this inspection. These related to privacy and dignity, staffing, recruitment files and fire safety checks. Intimate personal care must be provided by gender appropriate carers for ensuring that people’s privacy and dignity are being respected. 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 7 The home must make sure that the ratio of care staff in relation to residents is appropriate for meeting the needs of the people who use the service. Copies of all required documents regarding all staff must be kept at the home. Fire safety checks must be carried out on a regular basis and recorded. 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. 246 Haymill Close DS0000058136.V366575.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 246 Haymill Close DS0000058136.V366575.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 needs and aspirations of prospective residents are assessed comprehensively prior to admission. EVIDENCE: The personal files relating to four residents were viewed. Each file contained a written assessment which included background information that had been submitted by the placing authority at the point of referral. Documented evidence that an assessment had also been carried out by the home prior to admission was in place. There were indicators that relatives, social workers and health care professionals were involved in determining the capacity of the home to meet separate identified needs and aspirations. 246 Haymill Close DS0000058136.V366575.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. Care plans and related risk assessments are being carried out appropriately and are reviewed at regular intervals. Residents are encouraged to make choices in relation to their daily living routines, where appropriate. EVIDENCE: Care plans that had been drawn up in relation to four residents were examined at random. It was reflected that their changing personal, healthcare, dietary, mobility and social needs were being assessed and that action plans and set goals were put into place. 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 11 Risk assessments associated with specific activities identified within care plans had been carried out and included moving and handling, eating and drinking, falling, showering and going out in the community. Care plans and risk assessments were reviewed every six months but written progress summaries were undertaken on a monthly basis. We were informed by the Acting Manager that the residents had profound physical and mental disabilities and that six residents were also non-verbal. As a consequence pictures were used for enabling choice regarding hairstyles and meals. People were able to choose, by pointing, what they wore each day from different outfits that were ‘laid out’. Service users’ meetings were held on a regular basis and minutes were viewed. It was indicated that residents were represented by their respective key workers and issues such as holidays and outings were discussed. People’s individuality was reflected in the way they were dressed, accessories and hairstyles, and also in personalised bedrooms. 246 Haymill Close DS0000058136.V366575.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. The spiritual needs of people who use the service are being met but activities within the community do not frequently occur. People are able to maintain contact with relatives and/or friends. People are respected and are able to take responsibilities in their daily lives where appropriate. Varied and wholesome meals are being provided. EVIDENCE: A pictorial activities programme was on display and separate daily activities were listed alongside photographs of individual residents. These included table 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 13 top games, day trips, picnics in parks, lunch out, day resource centre and Church attendances. A support worker confirmed that celebrations were held on people’s birthdays and also at Christmas. A support worker confirmed that celebrations were held on people’s birthdays and also at Christmas. No organised activity occurred on the day of the inspection. People were observed sitting in the lounge and some were viewing the television. One person listened to music in his/her bedroom. Support workers spoken with explained that minimal outdoor activities were organised due to reduction in staffing levels. Residents were wheelchair users in the community and required individual support. The Acting Manager confirmed that contact with relatives and/or friends was encouraged and facilitated and that four residents received regular visits from their respective relatives. Residents are highly dependent and lack capacity to exercise responsibilities in their daily lives. But a support worker reported that one person was able to join staff in the kitchen, place tea bags in cups and will assist with carrying aprons to the laundry room. We were informed by the Acting Manager that a trained chef was employed at the home. Pictorial menus were in place and a variety of nutritious cooked meals including cultural options, were reflected. People received assistance with feeding and an individual was being peg fed. 246 Haymill Close DS0000058136.V366575.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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of people who use the service are being met appropriately but intimate care is not at all times provided by gender appropriate carers. Policies and procedures on medication are satisfactory. EVIDENCE: The personal care needs of residents were identified in their separate care plans and it was reflected that residents were dependent on assistance in all areas of their personal care routines. Personal care tasks were carried out in privacy within bedrooms and bathrooms and people were encouraged and/or prompted to choose what they wore each day, hairstyles and makeup. Support workers were spoken with in relation to gender appropriate carers. They confirmed that apart from one person whose relatives submitted a 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 15 written request for gender appropriate carers, male support workers routinely provided intimate care to female residents. This occurred without the written consent of relatives. Records were indicative of residents receiving access to healthcare professionals such as GPs when required. Regular appointments with Neurologists, Psychiatrists and Physiotherapists were being maintained. Dental, optical and chiropody checks were arranged. Weight charts were in place and people’s blood pressure was being monitored by care staff. Residents received hydrotherapy, drama-therapy, aromatherapy and reflexology. One person was taken for hydrotherapy and another was accompanied to a medical appointment during the course of the inspection. Policies and procedures on medication were satisfactory. Prescribed medicines were mainly within blister packs and were safely stored. Medication administration sheets were accurately documented and signed. Records were being maintained of medicines received from and returned to the pharmacist. There was documented evidence that a contract had been agreed with Boots Chemists for undertaking four monthly medication audits. Records were indicative of staff training on medication being delivered. We were informed by a Deputy Manager that people who used the service lacked capacity to self administer medicines. 246 Haymill Close DS0000058136.V366575.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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is satisfactorily detailed. People who use the service are being protected from abuse. EVIDENCE: The complaints procedure is clear, concise and written/illustrated in a format which is suitable to meeting the needs of people who use the service. The complaints book was viewed and it was indicated that no complaints had been received at the home following the last inspection. Incidents and accidents were recorded and Regulation 37 forms were being completed and submitted to the CSCI where appropriate. We were informed by a support worker that residents received weekly state benefits. Fees were paid by direct debit and personal allowances were held in safekeeping at the home. Cash was seen being stored in separate containers and secured in a safe. 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 17 Financial records relating to individual residents were viewed at random and no discrepancies were identified. Policies and procedures on the protection of vulnerable adults were in place. Records were reflective of staff training on POVA being delivered. 246 Haymill Close DS0000058136.V366575.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, 25, 26, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being reasonably well maintained. Bedrooms are personalised and specialist equipment is in place. The environment is safe, calm and homely. EVIDENCE: Communal areas within the building are spacious for accommodating wheelchairs and suitable for shared and/or separate activity. The home was reasonably decorated throughout. Furnishings, fittings and equipment were of good quality. Magnetic door closures were in place. 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 19 The garden is accessible to wheelchair users and was being maintained at the time of the inspection. No issues were identified in relation to the laundry. Bedrooms were spacious and suitably furnished and fitted. They contained equipment for maximising independence such as adjustable beds, ceiling hoists and wheelchairs, and were reflective of separate choices and interests. The number of bathroom facilities was adequate and were appropriately equipped for meeting the personal needs of residents. Specialist equipment for maximising independence was in place. These included wheelchairs, grab rails, hoists, walk-in showers and adjustable baths. Overall, the home was reasonably well maintained, clean and hygienic. The environment was safe, bright, calm and homely. 246 Haymill Close DS0000058136.V366575.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): 31, 32, 34 and 35 Quality in this outcome area is good. Staffing levels are adequate. This judgement has been made using available evidence including a visit to this service. Staffing ratios in relation to needs and numbers of residents may not be appropriate. Support workers are qualified and receive appropriate training for meeting the needs of residents. Staff recruitment files held at the home do not in each case, contain all the required documents. EVIDENCE: It was indicated on the staff rota that the Acting Manager, one deputy and three support workers were on duty during waking hours. There was one waking and one sleeping staff cover at night. 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 21 We were informed by the Acting Manager and also reflected on the AQAA, that twelve permanent support workers were employed at the home. Of these, five had completed NVQ2 or above in health and social care, and three care staff were working towards achieving NVQ 2. The Acting Manager confirmed that personnel files were kept at head office but copies of recruitment documents were held in separate files at the home. Five staff files were inspected at random but copies of all required documents were seen only within one file. Individual training records were in place and indicated that new care staff received induction training. It was reflected also that training and refreshers for meeting the needs of residents were regularly delivered. These included LDAF, Epilepsy, Rectal Diazepam, Choking and Resuscitation, Peg Feeding, Autism, Disability Awareness and Challenging Behaviour. Although support workers were observed being attentive and competent in meeting the needs of residents, they complained that staffing levels had been cut. As a consequence and due to the high dependency needs of residents, people were no longer regularly supported in separate activities within the local community. This was also indicated on daily logs which were not, in every instance, reflective of activities listed on the activities programme. Support workers felt also, that one waking staff cover at night was not appropriate for meeting the needs of seven residents some of whom experienced restlessness and night seizures. Particularly, people could not be heard while the required laundering tasks were being carried out. 246 Haymill Close DS0000058136.V366575.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 Acting Manager is suitably trained and qualified. Annual quality assurance has been satisfactorily undertaken. The health, safety and welfare of residents are being adequately protected but records of fire safety checks are not being satisfactorily maintained. EVIDENCE: The Acting Manager has been in post for eleven months and is appropriately experienced and qualified. 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 23 Support carers that were spoken with reported that the Acting Manager was supportive, approachable and conscientious in ensuring that the healthcare needs of residents were being met satisfactorily. An annual quality assurance assessment (self assessment document) was completed satisfactorily and returned to the CSCI at the required time. What the home did well and areas requiring improvements were identified. Numerical information was also provided. Health and safety records such as gas maintenance, portable appliances and equipment checks were up-to-date. Fire drills were carried out on a regular basis but records of weekly fire safety checks were not maintained. Environmental risk assessments were in place. Records were reflective of staff training on Moving and Handling, Food Hygiene, Health and Safety and Fire Safety being delivered. 246 Haymill Close DS0000058136.V366575.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 3 26 3 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 2 32 3 33 X 34 2 35 X 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 2 3 3 X 2 X 3 X X 3 X 246 Haymill Close DS0000058136.V366575.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 YA18 Regulation 12(4)(a) Requirement Timescale for action 31/10/08 2. YA31 18 (1) (a The Registered person must make sure that intimate care is provided by gender appropriate carers to ensure that people’s privacy and dignity are being respected. The Registered Person must 31/10/08 make sure that the ratio of staff in relation to residents is appropriate during day and night shifts to ensure that the needs of people are being met satisfactorily. The registered person must 31/10/08 ensure that copies of recruitment documents in respect of care staff are held at the home. The registered person must ensure that fire safety checks are regularly carried out and recorded to avoid risks to the safety and welfare of residents. 20/09/08 3. YA34 17 (2) 4. YA42 23 14(a) 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 26 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. Refer to Standard YA6 YA17 Good Practice Recommendations The registered person should ensure that staff complete monthly reports following the organisations procedures. The registered person should give consideration to recording how residents choose their meals and complete more detailed record of food eaten. The registered person should ensure that one previous residents belongings are appropriately stored and that another resident has all of their belongings in their bedroom. 3. YA26 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 246 Haymill Close DS0000058136.V366575.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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