Care Home: Bank Hall

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What the care home does well There is a good system to introduce people to the home. A lot of time and effort is spent making sure that people are familiar with the home before they move in. They receive the information they need to help them make an informed choice and have their needs assessed so they know that the home is suitable to meet their needs. The home`s care planning systems are person centred and outward looking so people are helped to life fulfilling lives and receive support in the way they prefer. This has had good outcomes for the people who live at the home. People have settled in well and are starting to explore what the home and local community can offer them. They are growing in confidence, trying out new things and learning new skills. The principles of privacy and dignity are promoted at the home so the people who live there feel respected and valued. Equality and diversity is promoted through person centred planning so people receive care and support in the way they prefer. The home is managed by an experienced and qualified manager so staff receive the support, leadership and guidance they need and operate as an effective team. The staff are experienced, well trained and skilled so the people who live at the home and their representatives know they are in safe hands. Managers and staff work closely with health and social care professionals so the health care needs of the people who live at the home are met. What has improved since the last inspection? This is the first key inspection of Bank Hall since it was registered with the Commission in February 2008. CARE HOME ADULTS 18-65 Bank Hall Bank Hall Farm Swanlow Lane Winsford Cheshire CW7 4BP Lead Inspector David Jones Unannounced Inspection 15 and 16 July 2008 01:10 Bank Hall DS0000071236.V364203.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 Bank Hall DS0000071236.V364203.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. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bank Hall Address Bank Hall Farm Swanlow Lane Winsford Cheshire CW7 4BP 01606 594057 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) stephanie.harrison@lambs-group.co.uk Lambs Support Service Ltd Mrs Stephanie Elizabeth Harrison Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Learning disability- Code LD The maximum number of people who can be accommodated is: 5 Brief Description of the Service: Bank Hall is located in a rural part of Winsford within its own extensive grounds of 1.75 acres. The home’s purpose is to provide care for younger adults with learning disabilities within the autistic spectrum. It is a large six-bedroom house with spacious communal areas including a lounge, dining room, activity room and kitchen. Five of the bedrooms have en-suite bathroom facilities and a further bathroom on the first floor provides facilities for the sixth bedroom. The premises are not adapted to accommodate the needs of people who have a physical disability. Access to local amenities and public transport is good. Information about Bank Hall is made available to people who use or wish to use the service and their representatives. It can be acquired by contacting Lambs Support Services Ltd on 01606 594057 or by Email: enquiries@lambsgroup.co.uk Fees range according to the needs of the individual and are agreed with the sponsoring authority. There are no additional charges other than transport costs shared between the people who live at the home. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. This key inspection was unannounced. The visit to the home took place over two days and took nine hours and 20 minutes in total. It started at 01:10 pm on the first day. This visit was just one part of the inspection. Before the visit, the manager was asked to complete a questionnaire to provide detailed information about the home and how it is meeting the needs of the people living there. CSCI questionnaires were made available for the people who use the service, their families and health and social care professionals and their views about the home have been taken into account. Records for two of the people who live at the home were checked to see the care they receive; one person was spoken with and their views taken into account. Staff recruitment and training records were examined. Some of the home’s policies and procedures were also checked. What the service does well: There is a good system to introduce people to the home. A lot of time and effort is spent making sure that people are familiar with the home before they move in. They receive the information they need to help them make an informed choice and have their needs assessed so they know that the home is suitable to meet their needs. The home’s care planning systems are person centred and outward looking so people are helped to life fulfilling lives and receive support in the way they prefer. This has had good outcomes for the people who live at the home. People have settled in well and are starting to explore what the home and local community can offer them. They are growing in confidence, trying out new things and learning new skills. The principles of privacy and dignity are promoted at the home so the people who live there feel respected and valued. Equality and diversity is promoted through person centred planning so people receive care and support in the way they prefer. The home is managed by an experienced and qualified manager so staff receive the support, leadership and guidance they need and operate as an Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 6 effective team. The staff are experienced, well trained and skilled so the people who live at the home and their representatives know they are in safe hands. Managers and staff work closely with health and social care professionals so the health care needs of the people who live at the home are met. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bank Hall DS0000071236.V364203.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 Bank Hall DS0000071236.V364203.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, 3, and 4 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a good system to introduce people to the home. They receive the information they need to help them make an informed choice and have their needs assessed so they know that the home is suitable to meet their needs. EVIDENCE: A lot of time and effort are spent helping people move into the home so they know that the home is suitable to meet their needs and they are familiar with it when they move in. There is a comprehensive statement of purpose and service user guide so people have the information they need to help them with their decisionmaking. The guide is illustrated with symbols so the people who live at the home are helped to understand the information. The service users guide needs updating to show that the contact details for the Commission for Social Care Inspection have changed. All new people who are considering using the service are encouraged to make a number of visits to the home before they decide to move there. This helps them to make an informed choice so they know that it is going to be the right place for them to live. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 9 Records show the people who moved into the home to date have had their needs assessed. The manager completes the assessments with input from other qualified and experienced staff. The assessments cover things like identification of health and social care needs, likes, dislikes, aspirations and personal preferences so people receive care and support in the way they prefer. However, one of the case files checked during the inspection visit did not contain a copy of the sponsoring authority’s individual care management assessment. This needs to be obtained before an individual uses the service so managers and staff can be confident that each person’s needs have been comprehensively assessed. Bank Hall DS0000071236.V364203.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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service are involved with the development of their individual care and support plans so they receive the care and support they need in the way they prefer. EVIDENCE: The home’s care planning systems are person centred and outward looking so people are helped to live fulfilling lives and receive support in the way they prefer. The people living at the home have care and support plans that have been developed with them and their representatives, including relatives and health and social care professionals. The plans set out how specialist requirements will be met through positive and planned interventions so staff know what to do to help the person cope with anxiety and other barriers to personal development associated with autism. This has had positive outcomes for the people who live at the home. For example, special arrangements are made to help each individual use community facilities and services on a regular basis. Records show that both people are growing in confidence and are able Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 11 to take advantage of new opportunities that are opening to them so they can live the life they choose. Several components of one person’s care plan included reference to individualised procedures for managing behaviours that were likely to cause harm to the individual or others. These were focused on positive outcomes so the behaviours were de-escalated and potential for harm was minimised. However, it is recommended that all these various strategies are brought together to form one strategy for responding to such behaviours that are likely to be harmful. This will help staff to evaluate their care practice and review the strategy so they can more easily learn from their experiences, improve practice and develop the support plans to meet the individual’s changing needs. Care plans include a range of risk assessments so people are safe. Management of risk takes into account the specialist needs of the person and their wishes, preferences and rights so they can live a normal life without unnecessary restrictions. This means that any limitations on choice or freedom of movement are done in the person’s best interests. The people who use the service are able to make some decisions but they need help with some of the more complex decisions that affect their lives including some risk assessments. For example, the risk assessment and risk management plans regarding the dangers that may be presented by the lake in the grounds should be discussed and if possible agreed with each individual’s representatives, including relatives and health and social care professionals. The manager had started this work but needs to make sure it is completed so the people who live at the home and their representatives know they are safe. Some of the risk assessments needed further development so all possible dangers are identified and managed so people are safe. For example, the fire risk assessment did not take into account the fact that one of the fire exits was kept locked and could not be opened without a key. Staff carried the key but this meant that visitors and the people who lived at the home would not be able to use the fire exit in the event of a fire unless they were with a member of staff. The manager took action to resolve this problem shortly after our visit so people would be safe in the event of a fire. Bank Hall DS0000071236.V364203.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): 11, 12, 13, 15, 16, and 17 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People living at the home have opportunities to take part in a range of activities and are encouraged to practice ordinary domestic routines so they can live the life they choose and develop independent living skills. EVIDENCE: Managers and staff understand the importance of helping people to achieve their goals, follow their interests and be integrated into community life in a way the individual wants. They recognise that people who live at the home have diverse and differing needs. They make sure that arrangements made to support them reflect their personal preferences and requirements. Observation and records show that people who use the service are encouraged to follow their own interests and have opportunities to develop ordinary domestic living skills such as food preparation, cleaning and shopping. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 13 People are offered a healthy, varied and nutritious diet. Staff are aware of each person’s likes, dislikes and personal preferences and involve people in menu planning, shopping and cooking and preparing meals. Bank Hall DS0000071236.V364203.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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs so they receive personal care in the way they prefer. The principles of dignity and privacy are put into practice so that the people living in the home are treated with respect. EVIDENCE: Person centred planning is put into practice so people receive the level of support they need. Staff were observed to respond to each person in a sensitive and considerate manner. They listened to them and spoke to them as an adult would speak to another adult so their dignity and respect was promoted. Staff were seen to be skilled at offering well timed but discreet prompts so the individual was helped to achieve what they had set out to do and their independence was promoted with minimum support. Personal health care needs, including specialist needs and dietary requirements, are recorded in each person’s care records so staff know what to do when a person is unwell. The information includes who to contact when further advice and guidance or is required. Health action plans ensure that Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 15 routine health checks are completed so people receive the health care they may need. Staff have received training on administration, safekeeping and recording of medication and have access to a clear medication policy. However the medication policy needs to confirm arrangements for keeping stock records so staff have comprehensive guidance on safekeeping medicines. A check of medication records showed that the people who use the service received appropriate levels of support with their medication so their health care needs are met and their independence is promoted. Bank Hall DS0000071236.V364203.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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There are an illustrated complaints and robust adult safeguarding procedures for the home so the people who live there are able to express their concerns, are listened to and safeguarded from abuse and neglect. EVIDENCE: People who use the service are able to express their concerns and have access to an effective complaints procedure so they are listened to and their concerns are acted upon. The complaints procedure is illustrated so the people who live at the home are helped to understand the complaints process. The manager had received five complaints since the home opened. Records showed that these had been responded to appropriately or were in the process of being addressed. Staff had received training and or guidance on safeguarding vulnerable people and have access to appropriate robust procedures for responding to suspicion or evidence of abuse so people are safe and protected from abuse. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 17 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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is spacious, clean, well-furnished and well-equipped so the people who live at the home have comfortable, homely and safe accommodation. EVIDENCE: Bank Hall provides a homely and comfortable living environment. The home is spacious, bright, cheerful, airy and clean throughout. The premises are in keeping with the local community and have a style and ambience that reflects the home’s purpose. People who live at the home are encouraged to personalise their bedrooms so their rooms reflect their characters, needs and personal preferences. The communal areas of the home provide ample space for recreation and relaxation and there are opportunities to meet and entertain relatives and friends in private. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 18 There is a maintenance programme and routine safety checks are made to make sure that fire precautions are effective so people are safe. One of the fire doors and some of the bedroom doors were fitted with inappropriate locks. These were removed shortly after the inspection. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, and 36 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The people who live at the home are supported by a well trained and effective staff team so their needs are met. Staff recruitment procedures are thorough so vulnerable people are safe. EVIDENCE: Worked staff rosters show that there are enough staff to meet the needs of the people who live at the home. Staff were seen to work as an effective team. They were brought together one month before the home was opened for training and team building so they have been able to develop their skills. Some of the staff had known and worked with the people who live at the home for a number of years. They have been able to share their experiences and expertise with new staff members so they can all provide care in a consistent way. This level of preparation and planning has helped the people who live at the home to settle in and develop a lifestyle that suits their needs and personal preferences. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 20 Discussion with staff and recruitment records show that the home’s recruitment processes are comprehensive so vulnerable people are safeguarded from the potential for abuse. All staff responding to our survey and those spoken with during the inspection told us that the home’s initial training programme provided them with the skills they needed to do their jobs effectively. All new recruits benefit from thorough induction procedures including Skills for Care common induction standards. These set down minimum expectations about learning needed so new care workers know how to work safely and effectively. Staff training records were checked and showed that care staff had received training in a range of subjects including: Skills for Care induction training, accident prevention and safe working practices, fire safety, moving and handling, infection control, medication, food hygiene, first aid, adult safeguarding, positive intervention, behaviour management, and introduction to the Mental Capacity Act The manager told us that future staff training needs are being identified and a staff-training programme is to be developed. The company has its own NVQ training centre. Records show that 90 of the staff have achieved an NVQ in care at level 2 or above. Some of the staff have NVQs in childcare. However, arrangements are being made to help them achieve NVQs in the care of adults. This will ensure that all staff have appropriate skills and knowledge to meet the needs of the people who live at the home in a safe and appropriate way. All care staff were cheerful, friendly and helpful. They told us they were well supported and appreciated the leadership and guidance provided by the manager and other senior staff. Records show that all care staff receive formal one to one supervision regularly. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 21 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 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is well managed so that it is run in the best interests of the people who live there. EVIDENCE: The manager is qualified and experienced in the care and support of younger adults with autism. She has the skills needed to manage the home effectively and ensure the well being of the people who live there. She has an NVQ level 4 in management and child care and is in the process of building on this qualification to achieve an NVQ level 4 in the care of adults. The home is well managed with positive outcomes for the people who live there. Staff work together with the benefit of shared aims and objectives. They promote equality through person centred planning and involve the people Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 22 who live at the home in all aspects of their care and the day-to-day running of the home. Managers and staff are committed to continuous improvement based on the views and changing needs of the people who live at the home. Quality assurance is approached in a number of ways. Senior managers visit the home at least once a month to satisfy themselves that the home is conducted in the best interests of the people who live there. Feedback from people living in the home and their representatives is encouraged. The home’s medication records, financial records, and care planning records are audited on a regular basis so people are safeguarded and their needs are met. The manager told us that the home will also survey the views of the people who live at the home and their representatives by questionnaire. The results of the survey and information about how the home has responded to any quality issues will be published in an open report so people know their views are taken seriously and are acted upon. Lambs Support Services Ltd promotes the health and safety of all employees and people who live at Bank Hall. The manager and other senior staff ensure that risk assessments are carried out for all working practices and significant findings are recorded and reviewed. Some risk assessments needed further development so all likely dangers are identified and managed. However, the manager responded to these findings during the inspection and took action to make sure that people were safe. Regular maintenance and safety checks are carried out at the home to ensure the safety of the staff and people who live at the home. These included fire safety equipment; smoke alarms, emergency lighting, electrical wiring and portable electrical appliance checks. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 23 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 3 4 3 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 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 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 3 X 3 X X 3 X Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? This was the first inspection STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA1 YA2 Good Practice Recommendations The statement of purpose and service users guide should be amended so people have the new contact details for the Commission for Social Care Inspection. A copy of the single Care Management assessment from the person’s sponsoring agency should be obtained before they move in so managers and staff have all the information they need to determine whether the home is suitable to meet the individual’s needs. Where people have behaviour that is likely to be harmful to themselves or others, the management plan developed to address this behaviour should draw on all existing strategies in the care plan to provide a single strategy that staff can evaluate more easily. Risk assessments should be agreed with the individual and or their representatives including relatives and health and social care professionals so they know they are safe and risk is managed in the interests of a fulfilling lifestyle. Risk assessments should identify all likely hazards so risk DS0000071236.V364203.R01.S.doc Version 5.2 Page 25 3 YA6 4 YA9 5 Bank Hall YA9 6 YA20 management plans are developed and people are safeguarded from harm. The medication policy should be amended to confirm arrangements for keeping stock records so staff have comprehensive guidance on safekeeping medicines. Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Bank Hall DS0000071236.V364203.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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