Care Home: 27 Wontner Road

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What the care home does well The people who live at the home are happy. They are well cared for and are able to be in control of their own lives and decision making. The staff feel well supported and work well as a team. People have busy lives and pursue a range of interests. What has improved since the last inspection? The Acting Team Leader has worked hard to do everything we asked him to do at the last key inspection. People have had their own personal achievements. The way in which people are supported with their money has changed so that they have more control. People have been given more freedom and choices. The way in which information is recorded has improved. There have been improvements to the environment. The staff have been given more training. The home is safer. What the care home could do better: The organisation needs to recruit a permanent manager. More staff need to be employed. There needs to be some more improvements to the environment. CARE HOME ADULTS 18-65 27, Wontner Road London SW17 9LH Lead Inspector Sandy Patrick Key Unannounced Inspection 2nd April 2008 11:00 27, Wontner Road DS0000010239.V361401.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 27, Wontner Road DS0000010239.V361401.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. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 27, Wontner Road Address London SW17 9LH 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 8767 1621 020 8947 4898 www.odyssey-csft.org Odyssey Care Solutions for Today Gladys Otudeko-Odulake Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 4 14th May 2007 Date of last inspection Brief Description of the Service: Wontner Rd is a care home for 4 adults with a learning disability. The home is run by Odyssey Care Solutions for Today. The property is owned by Servite Housing Association. The home is located in a residential area of Wandsworth, close to Wandsworth Common, shops, pubs and other amenities. The home is a three storey, large terraced house. The bedrooms are located on the 1st and 2nd floors. There is no lift access. There is a small garden to the rear of the property. The weekly fees are between £756.56 - £766.86 per week. Additional charges are made for some outings and holidays. There is a pictorial guide for the home which is available for people who are considering moving there. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection included an unannounced visit to the service on the 2nd April 2008. We met with the Acting Team Leader and staff on duty. We looked at records, the environment and things at the home that had changed since we last visited. We also contacted people who live at the home, their relatives and visitors and staff. We asked them to complete surveys about their experiences. We asked the Acting Team Leader to complete a quality self assessment. We looked at all the information we had received from the home since the last key inspection. Last year the Registered Manager left. managing the home for the past year. The Acting Team Leader has been Three people were living at the home when we visited. Two of them told us about their experiences. They said that they liked living there. They felt the staff treated them well and helped them to have control over their own lives. They said that they made decisions about what they wanted to do. Two relatives told us that they were happy with the support people received. They said that the staff involved them in decisions, contacted them when there was something they should know and made them welcome when they visited the home. They said that the staff treated everyone well and helped people meet their needs. One person said, ‘I think on the whole that Wontner Road is quite well run and the people who live there seem happy and well cared for.’ The staff told us that they worked well as a team. They said that the Acting Team Leader was very good and had worked hard. They felt supported in their jobs and were given regular training and had regular meetings. They said that they were told about changes and given enough information. What the service does well: What has improved since the last inspection? 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 6 The Acting Team Leader has worked hard to do everything we asked him to do at the last key inspection. People have had their own personal achievements. The way in which people are supported with their money has changed so that they have more control. People have been given more freedom and choices. The way in which information is recorded has improved. There have been improvements to the environment. The staff have been given more training. The home is safer. 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. 27, Wontner Road DS0000010239.V361401.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 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is accessible information which helps people who want to move to the home make a decision about this. The information helps people who already live there to know about the services they are entitled to. It would be helpful if even more information were accessible. There are procedures to make sure people’s needs are assessed. EVIDENCE: There is a Statement of Purpose and Service User Guide. These have been updated and tell people about the facilities and services that the home provides. The Service User Guide uses pictures, symbols and simple words and sentences to make it easier to understand. Everyone living at the home has been given a copy of this. People said that they had enough information to help them when they moved into 27 Wontner Road. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 9 There are only three people living at the home since the last key inspection. The Acting Team had visited the home to see if they would like vacant place. There are procedures to make assessment of their needs before they move in. and no one has moved there Leader said that some people to live there as there is one sure everyone has a proper Everyone has a tenancy agreement. The organisation is thinking about ways to make these easier for people who live at the home to understand. 27, Wontner Road DS0000010239.V361401.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, 8 & 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is accurate and up to date information on individual needs. Some of this is written in a way which can be understood by the people it is about. People are able to make choices about their lives and have been given more control. People are able to take risks so that they can live their lives to the full and do the things that they want to do. EVIDENCE: People living at the home told us that they were able to make choices about their lives. There are written plans which help staff to know about individual needs and wishes. These plans have guidelines to explain the best way to support each person. The people the plans are about, their relatives and other professionals have been able to say what they think should be written. They are able to see the plans and comment when they think changes should be made. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 11 The Acting Team Leader told us that the Community Team for Learning Disabilities had met with some of the people and staff. They are helping the staff to know how best to work with people so that they feel supported and safe. Each person has a ‘Communication Passport’ which is a special document containing photographs, symbols, pictures and writing to help others understand about their needs, wishes and lifestyle. Everyone has helped to create their own passport. People keep a copy in the home and take one with them when they go out so they can show these to anyone who gives them help and support. These are very good and can be easily understood by the person and by others. The Acting Manager told us that they plan to purchase a special talking book for one person. They will take this out with them and can use it to help others understand about their needs. The Acting Team Leader has helped one person to create a photographic calendar for each month so that they know what they are doing and when they are seeing their family. The staff team recently attended specialist training in communication. They have learn about ways to support people make choices, plan events, remember activities and try new things using different methods of communication. We saw examples of work in this area. Since the last key inspection people have been given more control and have been able to make more choices. There written assessments to show that staff have thought about the risks people take. These are reviewed and updated as needed. People are encouraged to be as independent as they wish and to take risks. Since we last visited the home there have been improvements to help people to have more control over their own lives. For example they are now able to help themselves to different food and their own belongings without having to ask staff for help. There are regular meetings for the people who live at the home. At these they are told about any changes that may affect them. They also decide what food that they want to eat and if there are any special activities they want organised. The Acting Team Leader has taken photographs of various meals, activities and of all the staff. He is going to use these photographs to create a rota showing 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 12 when the staff are on duty, menus to show what meals are going to be cooked and to help people make decisions about what they want to do. One person living at the home goes out on their own. The Acting Team Leader said that this person had a key to the home. The staff are using their own digital cameras to take pictures for the home and to help people with communication. The organisation should make sure the home has its own camera for this purpose. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are given opportunities to take part in a wide range of activities at the home and in the community. They are supported to stay in contact with friends and families and to celebrate their culture and religion. EVIDENCE: People told us that they did lots of different activities and made choices about the things that they wanted to do. Everyone living at the home takes part in activities and a lifestyle that they chose. People attend college, local day centres and activities within the community. One person is a member of a local drama group and has participated in a number of performances. People are members of social groups such as the gateway club and regularly attend special events organised by the club. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 14 People use the local community including the library, shops and public transport. One person has built up strong links and friendships within the local community. Everyone has friends outside the home. Some activities are organised for everyone to share together. For example, there was a recent dinner party which everyone enjoyed. We saw photographs of this. Everyone is involved in shopping for the house and themselves. They plan menus and help with some household tasks. One person regularly cooks and the others sometimes join in. Everybody has their own photo album which includes pictures of everyday activities and special events they have taken part in. People stay in contact with their families. The relatives told us that they had regular contact with the people living at the home and were well informed by staff about changes. The staff have a good understanding of how to show respect to people and treating people well. People are supported with their cultural needs and interests and these are recorded in their communication passports. People who wish to are supported to go to church. People told us that they like the food. The kitchen was well stocked with fresh food, including fruit. Meals are freshly prepared each day and people can chose what they want to eat. 27, Wontner Road DS0000010239.V361401.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 & 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live at the home have their health, personal and medication needs met. EVIDENCE: Personal care needs are recorded within guidelines. Same gender carers are provided where requested. People told us that their health and personal needs were met. Everyone is registered with local GPs and other health care professionals as required. Specialist teams have offered support to meet individual health care needs. Over the past year the staff have helped people create their own health action plans. These are written in the first person using symbols, pictures and easy words and sentences to show what support people need to stay healthy. The 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 16 plans are a good guide which is meaningful to the person and those supporting them. There is a procedure for the safe handling of medication. Staff are trained in this area. Medication is stored, recorded and administered following this procedure. 27, Wontner Road DS0000010239.V361401.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 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are kept safe because procedures designed to protect them and investigate complaints are followed. People feel able to raise their concerns and feel these will be acted upon. EVIDENCE: There is an appropriate complaints procedure. The procedure has been recorded in words and pictures making it easier for people to understand. A copy of this has been given to everyone living at the home. People told us that they knew how to make a complaint. There have been no complaints since the last inspection. Minor concerns can be raised at tenants meetings and these are discussed and, if possible, resolved at this time. The local authority and Odyssey have adult protection procedures. Copies of these are available at the home. All the staff have had training in protection of vulnerable adults. Since we last visited the home there have been changes to the way in which people’s money is handled. Everyone now has a new bank account. This is because there were problems with people being able to access their money from their old bank accounts. The changes were taking place when we visited and this work still needed to be completed. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 18 Small amounts of individual people’s spending cash are held at the home. These are kept safe and we saw that records were accurate. 27, Wontner Road DS0000010239.V361401.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 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. In general the home was maintained and clean. There have been a number of repairs and changes to improve the environment since we last visited. There are some outstanding repairs and decorative needs which are due to be completed this year. EVIDENCE: People told us that they liked the home and their rooms. The home is generally well maintained and is nicely laid out. Since we last visited there has been a lot of work to attend to repairs. All the windows in the house have been replaced and there have been other changes to the interior to make the home look nicer. These include a number of repairs and moving staff records out of the communal areas. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 20 Some outstanding work still needs to be attended to. The Acting Team Leader said that this work was planned and should take place over the year. Outstanding repairs include: The kitchen floor needs replacing. The internal walls need decorating throughout the house. The front of the house needs painting. Carpets in the hall, landing and stairs need replacing. Cracked doorframes need to be repaired. Where locks on wardrobe doors have been disabled, these need to be removed. Repairs to some furniture are needed. New curtains need to be purchased for the lounge. There is a problem with the water supply in one bathroom. Since we last visited the home the staff have worked hard to keep it clean and improve hygiene and cleanliness. At this visit we saw that the home was clean and tidy and that there was a list of cleaning duties which staff performed regularly. The hygiene in the kitchen, bathroom and laundry areas had improved. 27, Wontner Road DS0000010239.V361401.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): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people living at the home are supported by a staff team who are appropriately skilled and competent. The staff are given regular training, supervision and support and feel able to meet the needs of everyone. Staff shortages have been a problem for a long time and this has had an impact on the service. EVIDENCE: There are three members of staff who have worked at the home for several years. They include the Acting Team Leader. There is one person who has been employed in the last year. The other staff posts are vacant and are filled with temporary staff. The Acting Team Leader said that he tries to employ the same temporary staff to give consistency. However, the staff vacancies have been a problem for a long time and this has affected the home. People who live at the home told us that they liked the staff and felt well supported. The staff team told us that they worked well together. However, they also said that the shortages in staff caused them problems. This was a 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 22 particular concern recently when a person was admitted to hospital and the staff needed to be at the hospital and at the home. The temporary staff do not get the same training opportunities as permanent staff and do not provide the same consistent support. The Acting Team Leader invites regular temporary staff to meetings and this is good. However, the organisation must find ways to recruit to the staff vacancies. The staff told us about how they were recruited. thorough checks on them. We saw records of these. The organisation makes The staff told us that they had regular meetings with their manager, both on their own and as a team and that they felt well supported. These meetings are recorded. All the staff are well informed and are able to contribute their ideas and opinions. The Acting Team Leader makes annual assessments of performance. The new member of staff has been given an induction into the house and is taking a relevant course in working with people with learning disabilities. All the staff have undertaken a range of different training and we saw evidence of this. The three longer serving members of staff are all qualified to NVQ Level 3. The staff have access to a range of publications and information about their role. The Manager said that policies and procedures, CSCI reports and new acts of parliament were discussed in team meetings and we saw records of this. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 23 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, 38, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is no permanent manager at the home however the service is well managed. There have been a large number of improvements for people living at the home since we last visited and their health and safety is well maintained. EVIDENCE: The Manager was off work from January 2007 and resigned from her post in May 2007. The Deputy Manager was asked to Act as Team Leader and has managed the house since this time. The organisation has not recruited to the vacant manager post and must do so. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 24 The Acting Team Leader has worked very hard to improve standards at the home. He has done the majority of things we asked the home to do when we last visited. He has given support to staff and people living at the home and made positive changes for everyone. This is commendable particularly considering he has not been given the support of a deputy manager or senior staff, and there has been a high level of staff vacancies. The Acting Team Leader said that he has been supported by the Area Manager, who visits the home regularly and meets with him. The staff and people living at the home said that they like the Team Leader. They said that he is approachable and open. Everyone said that they feel they can raise concerns and contribute their ideas and that they are listened to. The Area Manager visits the home monthly to conduct quality inspections. The organisation has asked relatives to complete surveys about their experiences and the home is waiting for the results of these. The organisation needs to think about more ways for people who live at the home and their representatives to comment on the outcomes they experience. There are a number of regular checks on health and safety. These include equipment, fire safety, water temperatures and first aid supplies. Checks are recorded and we saw evidence of these. The home was recently visited by the Environmental Health Officer. He found that there was a good standard of hygiene in the kitchen. Some of the radiators are very hot to touch and people could be scalded by these. People need to be protected by suitable covers for these radiators. All accidents and incidents are recorded and the home notifies the CSCI of these. 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 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 3 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 3 3 X X 2 X 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? YES 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 YA33 Regulation 18 Requirement Timescale for action The Registered Person must 30/06/08 recruit permanent staff to the vacancies. Previous 31/08/07 requirement 2. YA24 23 The Registered Person must 30/06/08 attend to the repairs and redecoration identified in the report and make sure that the environment is maintained to a good standard at all times. The organisation must employ a 30/06/08 permanent manager for the home and must apply for this person to be registered with the Commission for Social Care Inspection. The Registered Person must 30/04/08 make sure that people are protected from radiators which have a high surface temperature by providing suitable covers. DS0000010239.V361401.R01.S.doc Version 5.2 Page 27 3. YA37 8 4. YA42 13 27, Wontner Road RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA5 Good Practice Recommendations The Registered Person should consider how the tenancy agreements can be recorded in a more accessible format so that the people who live at the home can understand them. The home should have its own digital camera. The Registered Person needs to consider how best to gather the views of residents and other stakeholders and how these can be recorded in a meaningful action plan for the development of the service. 2. 3. YA8 YA39 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 27, Wontner Road DS0000010239.V361401.R01.S.doc Version 5.2 Page 29 - 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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