Care Home: 5 Grosvenor Crescent

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What the care home does well Residents continue to benefit from sensitive and appropriate care and support and have good access to specialist health services as needed. Individual care plans were available that show how residents assessed care needs are to be met. There were good examples during the visit of how the support workers clearly understand how each resident communicates their needs and wishes and this was further endorsed with written communication profiles in the residents` individual records.There was a sense of staff working together during the inspection and there was a relaxed but vibrant atmosphere with the support workers engaging positively with all the residents. Residents` benefit from good communication between staff and residents` families. The inspector benefited from meeting a visitor on the day of the inspection who described the support workers as being very understanding and capable of meeting their relatives needs. Cheshire Homes provided all the residents with a holiday and these were highly successful proving opportunities to travel and participate in a different lifestyle. The home has its own transport, which helps residents` access day services and the community. What has improved since the last inspection? Since the last inspection a manager has successfully been appointed and registered with the Commission for Social Care Inspection. Each resident has a service/care plan and staff now ensure these working documents are monitored and reflect any changes in the needs and abilities of the individual residents. All the records checked throughout the inspection process had been signed by staff and were kept safely within the home. The majority of requirements from the previous inspection report have been addressed. What the care home could do better: There was significant evidence that the support workers are working hard to continue to improve, and develop the service. However, the organisation needs to make every effort to enable residents and or their representatives and staff to express their views formally through the quality assurance procedures concerning both the current services and future developments. It is important each service in the network of Cheshire homes has its own identity and is personalised to the specific services and facilities. The presentation of the care plans and risk assessments having now been completed for all the residents need to be developed to reflect the principles of person centred planning.The quality of the residents` environment could be improved by ensuring all rooms are easily accessible for wheelchair users living at Grosvenor Road, the garage door needs to be painted, and he kitchen dining room is very small and consideration could be given to extending this area. The registered manager should be given full access to the budgets, which affect the residents and the management of the home and should be allowed to manage all aspects of their home. CARE HOME ADULTS 18-65 Grosvenor Crescent (5) Dorchester Dorset DT1 2BA Lead Inspector Marion Hurley Key Unannounced Inspection 13th November 2007 10:00 Grosvenor Crescent (5) DS0000026751.V353806.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 Grosvenor Crescent (5) DS0000026751.V353806.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. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grosvenor Crescent (5) Address Dorchester Dorset DT1 2BA 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) 01305 262046 01305 250138 keeley.grennan@lc-uk.org www.leonard-cheshire.org.uk Leonard Cheshire Keith James Brown Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Date of last inspection January 2007 Brief Description of the Service: 5 Grosvenor Crescent is a registered care home that can accommodate up to three adults who have a learning disability and additional physical disability. The home is one of seven similar services in Dorchester that are owned by the Leonard Cheshire Foundation, a not for profit organisation providing services to people with disabilities. The house is a dormer bungalow, located on a residential estate, within walking distance of Dorchester town centre and the local facilities. It is a family style home with domestic furniture and fittings. There is a large back garden, with a summerhouse. The downstairs bedroom has been adapted and fully equipped for a wheelchair user. Staff on a 24-hour basis supports residents living at Grosvenor Crescent. The service provided includes the provision of accommodation, day services, personal care, meals and laundry services. Residents are expected to pay for personal items, such as clothing and toiletries, and also make contributions to certain activities that are provided outside of the day service programme. Fees are individually negotiated according to the residents needs. Copies of inspection reports are available upon request from the Leonard Cheshire Home administration Office in Dorchester. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. All key standards were assessed according to the Care Home for Adults (18-65) National Minimum Standards. The time spent on the inspection process totalled ten hours, four of which were spent at the home. The purpose of the inspection was to make sure the home was being run for the benefit of the people who live there and in accordance with statutory requirements and regulations. The residents have varied communication needs; some of whom have verbal needs and communicate through sounds, gestures and actions and therefore due to the nature of the service it was difficult to reliably incorporate accurate reflections from the service users in the report. Some judgements about quality of life and choices were taken from direct observation on the day followed by discussion with support staff and evidencing records held at the home. The inspector concluded that the service users continue to be given a good service at Grosvenor Road, although there are concerns about some aspects of the environment such as the lack of adaptations for wheel chair users e.g. doorways and access to the kitchen and garden, though the resident’s bedroom and bathroom are fully adapted to meet their needs. The home continues to provide a good standard of direct care and access to health care services and the home has met most of the requirements made at the last inspection. The inspector thanks all the residents and the staff on duty for their help and support in the process of this inspection. What the service does well: Residents continue to benefit from sensitive and appropriate care and support and have good access to specialist health services as needed. Individual care plans were available that show how residents assessed care needs are to be met. There were good examples during the visit of how the support workers clearly understand how each resident communicates their needs and wishes and this was further endorsed with written communication profiles in the residents’ individual records. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 6 There was a sense of staff working together during the inspection and there was a relaxed but vibrant atmosphere with the support workers engaging positively with all the residents. Residents’ benefit from good communication between staff and residents’ families. The inspector benefited from meeting a visitor on the day of the inspection who described the support workers as being very understanding and capable of meeting their relatives needs. Cheshire Homes provided all the residents with a holiday and these were highly successful proving opportunities to travel and participate in a different lifestyle. The home has its own transport, which helps residents’ access day services and the community. What has improved since the last inspection? What they could do better: There was significant evidence that the support workers are working hard to continue to improve, and develop the service. However, the organisation needs to make every effort to enable residents and or their representatives and staff to express their views formally through the quality assurance procedures concerning both the current services and future developments. It is important each service in the network of Cheshire homes has its own identity and is personalised to the specific services and facilities. The presentation of the care plans and risk assessments having now been completed for all the residents need to be developed to reflect the principles of person centred planning. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 7 The quality of the residents’ environment could be improved by ensuring all rooms are easily accessible for wheelchair users living at Grosvenor Road, the garage door needs to be painted, and he kitchen dining room is very small and consideration could be given to extending this area. The registered manager should be given full access to the budgets, which affect the residents and the management of the home and should be allowed to manage all aspects of their home. 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. Grosvenor Crescent (5) DS0000026751.V353806.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 Grosvenor Crescent (5) DS0000026751.V353806.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): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives can be confident that they will receive sufficient verbal information to make an informed choice to move into the home and that their needs will be assessed before they do so. The home needs to develop a Statement of Purpose, which is specific to Grosvenor Road to ensure prospective residents, and their representatives have relevant written information to make an informed choice. EVIDENCE: Cheshire Homes reviewed and issued a generic Statement of Purpose in May 2007 and this now needs to be adapted to each individual service /home. The documents should identify the specific services and facilities available in each home for the service users and their representatives. A service user guide has recently been produced and this again needs to be personalised to each home. The staff confirmed that the home has not admitted anyone for several years but described the principles and procedures for a positive admission. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 10 The support workers confirmed that people offered a place at the home would be supported throughout the admission process and care taken to make sure they settled into their new environment. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 11 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. Individual service /care plans reflect residents needs but more could be done to reflect residents aspirations and goals in terns of community and leisure activities. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: Individual service/care plans have been completed for each person and refer to most aspects of their daily lives. Some residents living at the home have complex emotional and physical needs and both support workers and the manager stated how as a team they work hard to ensure the residents receive a consistent approach to help them manage their lifestyles. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 12 Staff said they seek advice and support from health & social care professionals as appropriate and specialist assessments were seen with the resident’s individual records. Staff value the expertise of health professionals and act very positively to any involvement to help them support residents with complex needs and communication styles. Two residents’ service/care plans were read. The plans seen reflected residents’ needs and the records showed that the documents are reviewed annually and informally at the fortnightly staff meetings. However neither reflected residents aspirations and goals regarding leisure and community activities and a recommendation has been made that these areas are explored as part of a person centred planning approach. The plans are let down by the use of some very dated forms for the risk assessments which still refer to people as “clients” and which do not link practically into the care/service plans nor are specifically related to the individual and their lifestyle and abilities. Grosvenor Crescent (5) DS0000026751.V353806.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): 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 take part in a range of activities including accessing community facilities, which ensures residents have a presence in their local community. Residents are supported to maintain personal and family relationships and their rights are respected. Residents enjoy a healthy diet and their needs and wishes are respected in this regard. EVIDENCE: Records seen and discussions with staff evidenced that residents have access to day services in addition to various outings organised by the home. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 14 Opportunities to visit and be visited by family and friends are facilitated by the home and evidence was seen to show that staff communicated effectively and sensitively with families on behalf and in the best interests of the residents. An inspection of the kitchen and food storage areas evidenced that a range of healthy food was available including fresh fruit and vegetables. The care plans further evidenced that staff worked hard to ensure food provided was in keeping with residents’ needs and wishes. It was also well documented that where appropriate and based on health and safety residents had restricted access to the kitchen area but this clearly did not prevent individuals from being supported from making drinks when they wanted to. Support staff described how they have encouraged and supported one person to safely make their own drinks and in this process have really come to understand the person’s wishes and needs through the residents’ gestures and non-verbal communication. It is a great achievement that this person can now safely manage to make a drink independently with minimal staff prompting and this achievement should be recorded and celebrated in the service/care plan. Residents are involved in the shopping though this is mainly done in the large supermarket and staff could consider accessing local markets and shops for locally produced goods. The home has purchased season tickets to various local attractions and support workers described how successful these outings are which include accessing local football matches. Staff and residents enjoy walking and going on the beach and again staff describe rock hopping and enjoying the beaches winter and summer with residents who really enjoy the freedom and open space. It is important that staff record the value of these trips and celebrate the achievements of the residents. Grosvenor Crescent (5) DS0000026751.V353806.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 receive a good standard of personal care in the way they prefer and require and their physical and emotional needs are met. Medication is stored and administered safely which provides a level of protection for the residents. EVIDENCE: Daily records and services/care plans were read and this with observations and discussions with staff showed that residents receive personal care and support in the way they prefer and require and where possible their identified choices and preferred lifestyle respected. The inspector observed very positive and sensitive individual support being provided on the day of the visit and discussions with a visiting parent further endorsed these observations by stating, “staff are really good with my son and have taken on board his complex needs.” Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 16 Records illustrated and further discussions with staff showed that access to routine and specialist health services were provided. It was clear that the home has strong links with the health services and several specialist professionals visit the home regularly. A health professional stated, “staff seek and accept advice and are able to manage complex behaviour and follow guidelines” An inspection of the homes medication storage and administration systems showed that medication was being stored, administered and recorded appropriately. Training records further evidenced this standard providing details of training events and attendees. Grosvenor Crescent (5) DS0000026751.V353806.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 and their families know that their concerns will be listened to and acted upon. Staff have a good working knowledge of the procedures regarding safeguarding adults and this ensures residents are protected from abuse, neglect and self-harm. EVIDENCE: Cheshire Homes has corporate policies and procedures for dealing with complaints. There have been no recorded complaints since the last inspection in January 2007. Discussion with staff and the manager demonstrated that concerns and complaints would be taken seriously, although no complaints have been made in the last twelve months. Records and further discussions with staff demonstrated how hard staff work hard in identifying residents wishes and needs. The home has appropriate adult protection procedures and policies. Staff spoken with provided clear information and illustrated their understanding of Adult Protection issues and how the home would relate to local authority protocols. Staff also confirmed that Adult Protection training is undertaken and staff training records Grosvenor Crescent (5) DS0000026751.V353806.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a homely environment that is clean and free from offensive odours. More could be done to improve the access round the home for people who predominantly use wheelchairs and doorways should be widened to ensure safe access. EVIDENCE: A tour of the home was completed and was clean and furnished to a reasonable standard. Bedrooms were homely and personalised and on the whole communal areas were appropriately equipped and furnished. The organisation has infection control policies and procedures and these were being fully implemented at Grosvenor Road with staff aware of good safe practices. The home completes a regular cleaning checklist to ensure all Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 19 household duties are routinely completed. Further improvements to the environment would be beneficial i.e. the garage door needs to be painted, the kitchen diner room is very small and consideration could be given to extending this area. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents individual and joint needs are met by an effective and appropriately trained and supervised staff team. Residents are supported and protected by the homes recruitment policy and practice. EVIDENCE: An inspection of the homes rota, daily records and discussion with staff evidenced that residents benefit from having sufficient staff to meet their needs at all times. Records viewed and discussion with staff showed that staff are trained and supervised to a high standard and staff felt supported by the registered manager. Further discussions with staff described the range of training events including access to NVQ training at level two and three. Training records, held at the administration offi9ces verified this information. In addition to supervision regular staff meetings are held. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 21 Staff recruitment and selection procedures are thorough and include a formal interview, the taking up of two written references and a Criminal Record Bureau check before the new member of staff can start work. Staff personnel files are held centrally and were not seen on the day of the site visit. An additional visit to the organisations administration offices was undertaken where the staff personnel and training records were checked. Grosvenor Crescent (5) DS0000026751.V353806.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 staff are led by a competent registered manager, which enhances the care of residents. Arrangements are in place to ensure that effective quality monitoring of practical working systems are in place but this needs to be developed into a quality assurance system to ensure the continual improvement and quality of the service provision for the people who live and work at Grosvenor Road is recorded. Systems are in place to ensure so far as reasonably practicable the health, safety and welfare of both residents and staff. Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 23 EVIDENCE: The service manager responsible for the Cheshire Home services in the Dorchester locality stated that at this stage the services and individual homes do not have a current quality assurance system. Such a system is needed to ensure that all stakeholders are consulted about the overall quality of care the homes provide, and for written evidence of a year on year development /service plan. It is very important that residents and or their representatives are involved in the self-monitoring and quality assurance procedures. Please note work is in progress to achieve this. A senior member of staff now undertakes a monthly audit of a specific area of practice, for example the procedures for managing and handling resident’s laundry, safe handling and administration of medication and these are practical ways to ensure quality is monitored and maintained. Policies and procedures are in place to ensure the health and safety of people living and working at the home. These are reviewed on a regular basis to ensure they comply with present legislation. Cleaning materials were being securely stored in a locked cupboard Observations on the day, records viewed and discussion with staff evidenced that the manager delivered an effective resident led service. Staff spoke highly of the manager and stated that he was approachable and inclusive in their management style. Information taken from the AQAA (Annual Quality Assurance-self assessment) and records seen on the day showed that on the whole facilities and equipment within the home are being serviced and inspected appropriately. Fire alarm tests were carried out weekly and fire-training records were up to date with all staff attending as required. No specific health and safety hazards were found at this inspection. Grosvenor Crescent (5) DS0000026751.V353806.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 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 Grosvenor Crescent (5) DS0000026751.V353806.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 YA1 Regulation 4(1)(2) Requirement Timescale for action 31/12/07 2. YA39 The service must develop a Statement of Purpose & Service User Guide, which clearly sets out the role and responsibilities of the provider and details the services and facilities available specific to the home. Please note this is work in progress. 24(1)(2)(3) Effective quality assurance and quality monitoring systems, based on seeking the views of service users, must be in place to measure success in achieving the aims, objectives and statement of purpose of the home. A new timescale has been agreed. 31/12/07 Grosvenor Crescent (5) DS0000026751.V353806.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 Refer to Standard YA9 Good Practice Recommendations It is recommended the style and format of the risk assessments are reviewed to ensure that the risk assessments reflect the individual’s lifestyle, abilities and needs. It is recommended more details are included in the individual service/care plans describing residents’ interests and social and leisure aspirations. 2 YA14 Grosvenor Crescent (5) DS0000026751.V353806.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Grosvenor Crescent (5) DS0000026751.V353806.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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