Care Home: Brighton Road (477)

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What the care home does well What has improved since the last inspection? One person has left the home to move into supported living accommodation. A second person moved to the home in August 2007 and the staff made sure that they had the right time and support to settle in. The small staff team have undertaken some training to keep their skills and knowledge up to date. What the care home could do better: Some minor improvements are needed concerning the home`s admission process. Firstly, an appropriate review meeting must be held following the person`s trial stay period. This will give assurance that their needs can continue to be met and that the home is suitable for them. Secondly a record of each person`s valuables needs to be documented so that their personal property is better safeguarded. Both homeowners and the one part time staff need to attend training in mental health awareness. This will further ensure that they can meet people`s specific needs and show that they have refreshed their knowledge and skills in this area. Specific management guidelines are needed for people who may behave in a way that puts themselves at risk of harm. This will further ensure that staff know what action to take to support them and reduce the risk of injury. Risk assessments are needed for people who require support with their finances. This will ensure that their financial interests are more fully protected. Good practice improvements are suggested as follows: Some records could be archived that are not relevant to the person`s current needs or plan of care. Regular meetings should be held for people living in the home. This will promote further opportunities to comment on the way the home is run and show how their views have influence. Guidelines should be developed concerning the use of as required medication. This is so that staff are clear about when and how to administer this type of medication. CARE HOME ADULTS 18-65 Brighton Road (477) 477 Brighton Road South Croydon Surrey CR2 6EW Lead Inspector Claire Taylor Key Unannounced Inspection 10th January 2008 09:30 Brighton Road (477) DS0000028714.V357418.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 Brighton Road (477) DS0000028714.V357418.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. Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brighton Road (477) Address 477 Brighton Road South Croydon Surrey CR2 6EW 020 8668 8631 T/F 020 8668 8631 abbey.60@gmail.com 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) Mrs Prithee Rampersad Mr Jaikishan Rampersad Mrs P Rampersad Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Brighton Road (477) DS0000028714.V357418.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 31st October 2006 Date of last inspection Brief Description of the Service: This home is Registered with the Commission Social Care Inspection for the provision of care for four people with Learning Disabilities. The home is situated in Purley Oaks very close to the local railway station with easy access to central Croydon, London and the south coast. It is situated on a main road with good bus links and is close to local shops and amenities. The home is also the private residence of the registered owners, Mr and Mrs Rampersad, and their family. There were only two people living at the home on the day of the visit. The range of weekly fees is £450 and this information was correct on the day of the inspection (10/01/08). More detailed information about the services provided can be found in the home’s Statement of Purpose and Service User Guide – copies of these documents can be obtained directly from the home. Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced visit took place during a morning and early afternoon. Time was spent talking to one person who lives at the home and the manager and owner. The second person was unavailable to comment as they were out visiting their family. Various records were looked at in relation to people’s care records, staffing and the way the home was being run. There were two vacancies in the home at the time of this inspection. Prior to the visit, the home’s Annual Quality Assurance Assessment (AQAA) was reviewed. This is a self-assessment that the provider (owner) must complete every year. It is used to tell the Commission about the services provided, how the home makes sure of good outcomes for the people using it and any planned developments. “Have your say” Questionnaires were sent to both people living in the home and their families following the visit. What the service does well: What has improved since the last inspection? One person has left the home to move into supported living accommodation. A second person moved to the home in August 2007 and the staff made sure that they had the right time and support to settle in. The small staff team have undertaken some training to keep their skills and knowledge up to date. Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 6 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. Brighton Road (477) DS0000028714.V357418.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 Brighton Road (477) DS0000028714.V357418.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 and 4 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Good information is available about the home to help people make a choice about whether to live there. Arrangements are in place for assessing people’s needs so that staff are aware of how to support them. Following a person’s admission, a review meeting is needed to show that individual needs can continue to be met and the home is suitable for them. EVIDENCE: The Statement of Purpose and Service Users Guide was reviewed in October 2007. Both documents clearly outline the home’s aims and objectives, and the services and facilities provided. This means that prospective users of the service have good information about whether the home can meet their needs. Since the last inspection, one person has left the home and one person has moved in. Care records showed that the manager carried out a needs assessment prior to admission. This covers all aspects of the person’s life, including individual strengths, hobbies, dietary preferences, medical history, social/ cultural and personal care needs. The home had also received an assessment and care plan from the referring local authority. This comprehensive assessment was undertaken by Croydon and included a lot of information about the person having mental health needs. This was discussed with the responsible care manager on the telephone as the home is only registered for people with learning disabilities. He confirmed that Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 9 the person’s primary needs were assessed as learning disabilities. Following the visit, a revised needs assessment was sent to the Commission to verify this. Records showed that the person visited the home for tea and also spent a day getting to know the other service user who lives there. Although they were clearly well supported to settle in, a formal review meeting had not been held following the three-month trial stay period. This is important as it provides the service user and other relevant parties with assurance that the home can continue to meet their needs. It is acknowledged that the placing local authority had just held a formal review for the newest person in January of this year and that the home was waiting for minutes of the meeting. Written feedback confirmed that the newest person was asked if they wanted to move to the home and that they were given enough information before deciding whether it was suitable for them. Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service have individual plans of care that show how they are supported to achieve their personal goals. Some additional information is needed however so that people’s specific needs can be met. People are able to make decisions about their life and overall, are supported to take risks to enable them to stay independent and safe. Where there are risks concerning financial support this needs to be recorded however. EVIDENCE: Both people’s care plans were seen. The homeowners work closely with each person, their family and significant others, to ensure that their preferences are responded to and the people important to them are involved with their planning of care. Known as an “Essential Lifestyle Plan” they are written in a person centred style and inform staff on how they should help people to meet their needs and achieve the things they want to do. The plans are based upon each individual’s assessed needs. Plans include information about what is important to the person. Examples for one person were that they like to look Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 11 smart, to go to church and to have regular contact with their family. Regular review meetings are held every six months which ensures that any changes to needs are addressed. One person had a review in October 2007 and the newest person in January of this year. Any actions agreed were clearly recorded. Due to one person’s mental health needs and occasional episodes of self-harm, further guidelines need to be put in place so that staff take the appropriate action when the person behaves in a way that puts themselves at risk of being harmed. Guidelines also need to specify any signs or triggers so that staff can recognise any deterioration in the person’s mental health condition and take appropriate action. This aside, both homeowners were able to describe how they supported this person to manage their anxiety. Although some records showed that people are offered choices and supported to make decisions, meetings should be held and any outcomes recorded. This would further show that people are consulted regularly about their care and the way the home is run. The owner explained that meetings were due to start again now that a second person had moved in. Risk plans were in place and showed what action is taken to lessen risk, whilst encouraging independence for people. Individual assessments covered most of the assessed risks and varied appropriately according to the needs of each person. Examples included travelling in the community, safety around the home and smoking. One person needs full support with their finances and an additional risk plan is needed to reflect this. This will ensure that their financial interests and protection are better safeguarded. Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The care home supports people to follow their personal interests and activities both at home and within their local community. The daily routines in this family type home help promote people’s rights and responsibilities. Relationships with family and friends are well supported. People are offered a healthy diet and enjoy their meals at times that suit them. EVIDENCE: Both people living in the home have a timetable of activities that is organised according to their needs and personal interests. One person attends a local day centre twice a week and also goes to college for music, art and drama courses. The other person has chosen not to attend any educational or day care services. The homeowners advised that there were plans to find employment opportunities as the person used to enjoy work at a garden centre. Daily records showed that both individuals regularly access their local community. They enjoy bowling once a week, go shopping and for meals out. Outings with Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 13 the homeowners have included trips to Hampton Court, Brighton and Littlehampton. One person showed their photo album and said they enjoyed their summer holiday to Spain last year with the owners. People are supported to follow their chosen faith and one person said they like going to church each week. Discussions and records confirmed that people are supported to maintain contact with their family and friends. Families are very much involved and both individuals are supported to visit their family regularly and to keep contact. One person also meets up with a colleague from their former workplace and the service user who moved out pops in each week to visit. Meals are home cooked and planned around people’s daily choices due to the small size of the home. Care plans reflected any cultural preferences. i.e. one person chooses not to eat pork. There were no menus although records are kept for all the meals provided. These showed that people are offered a varied and balanced diet. The owners advised that they intend to plan some menus now that a second person has moved in. People are able to take their meals at flexible times which fit in with their daily routines and lifestyles. Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Promotion of health is well observed and suitable arrangements are in place to ensure that people’s physical, healthcare and emotional needs are met. The home’s systems regarding medication are well organised to ensure safety and consistent treatment and support for each person. EVIDENCE: People are supported and helped to be independent and can take responsibility for their personal care needs. Healthcare needs including any specialist requirements are clearly recorded in each person’s care plan. Records are kept for all medical appointments attended and any follow up action required. Both people are registered with a local GP practice and have access to NHS facilities as their needs determine. E.g. Consultant, dental, chiropody and optician. Records showed that potential complications and problems are identified and dealt with through prompt referral to the appropriate health professional. This had occurred for one individual who had been referred to psychology services. Only one person is prescribed medication and requires support to take it. The homeowners had undertaken medication training although this was some years ago. Medication is supplied from a local chemist Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 15 and records were accurate for the receipt, disposal and return of medication. The administration charts were signed and accounted for. As good practice, guidelines should be written up for any as required medication. They should specify the reasons for use and what action staff should take before medication can be given. Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Arrangements for complaints and protection from abuse are well managed and help ensure that people who use the service feel listened to and safe. EVIDENCE: A complaints procedure is available and a copy is given to each person living in the home. Due to the home’s small size, informal concerns raised by individuals are addressed through discussion with staff on a day- to- day basis. There have been no complaints about this service since the last inspection. The person spoken to knew who to talk to if they were unhappy or wanted to complain. There are appropriate policies and procedures in place regarding the protection of vulnerable adults. Both owners have completed adult protection training some years ago. Mr Rampersad confirmed that staff were booked to attend a safeguarding vulnerable adults course in February of this year. This training has been organised by the Croydon local authority. The manager is financial appointee for one person. Appropriate documentation was in place with regard to income/expenditure made on their behalf and accurate records are kept of all financial transactions. As discussed earlier in the report, a financial risk assessment is needed for this person. Brighton Road (477) DS0000028714.V357418.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, 26 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is clean, decorated and furnished to a good standard and provides people with safe, comfortable surroundings in which to live. Bedrooms are furnished to meet people’s individual needs and reflect personal preferences and interests. EVIDENCE: This service is an ordinary family home that has been adapted to provide care and accommodation for four people with learning disabilities. The owners live on the premises. The home is located on a main road in South Croydon. Local shops and public transport are within easy reach. The premises are decorated to a comfortable standard and furniture and fittings were of good quality, safe and well maintained. There were two vacant bedrooms at the time of the inspection and the other two rooms were seen. One individual showed their room which was comfortably furnished and personalised with their chosen belongings including an electronic keyboard, TV and DVD player. The person Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 18 said they liked their bedroom and had everything they needed. The home was very clean and tidy with good hygiene practices in place. Brighton Road (477) DS0000028714.V357418.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, 33, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is a small stable staff team who have a range of knowledge and experience although some further training is needed that is relevant to the specific needs of people living in the home. Good recruitment practices are in place to ensure that people are cared for and protected. EVIDENCE: Both the proprietors, Mr and Mrs. Rampersad live in the home and provide most of the care and support in a family type setting. There is one other employee; a relative of the family who works part time. Based upon the needs assessments and care plans for the two people, these levels appeared suitable to meet their current needs. Should the home admit further people, then staffing arrangements would need to be reviewed. This will therefore be monitored during the course of future inspections. Although no new staff have been appointed there are appropriate recruitment procedures to ensure that people are protected from unsuitable staff. The home also has an induction programme for new workers. Files for the manager and part time staff were seen and contained all the required records that the home must keep. This included a Criminal Records Bureau / ‘POVA first’ check and various training Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 20 certificates. Since the last inspection the manager has completed a fire safety update and training on the Mental Capacity Act. The part time staff had attended a course on the management of violence and aggression. All the staff now need to undertake some training that is specific to the needs of the newest person who moved in. Both the homeowners and part time staff must therefore attend training in mental health awareness. This will further ensure that the person’s specific needs are met and that staff have updated their knowledge and skills in this specialist area. Brighton Road (477) DS0000028714.V357418.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, 41 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The manager, also one of the homeowners, has good experience and professional qualifications to run the home. The service aims to run in the best interests of the people using it and arrangements are in place for monitoring the quality of care provided. Record keeping is overall well managed although people’s property needs to be recognised so that their individual possessions are more fully safeguarded. Good systems are in place to promote and protect the health, safety and welfare of people living and working in the home. EVIDENCE: The manager demonstrates competency in managing a care home and has many years experience of working with people who have learning disabilities. Mrs Rampersad has acquired relevant skills and knowledge through a wide range of training courses and has been in operational control of the home since Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 22 it opened in 2002. She has achieved a relevant management qualification and the required NVQ level 4 qualification. Discussions with both homeowners showed that they know the needs of the two people living in the home and how to support them. Some quality assurance systems are used to measure the success of how the home is achieving its aims and serve the best interests of the people who live there. People who live in the home were given satisfaction questionnaires in December 2006. Relatives and other professionals were also consulted about their views. Positive feedback was noted and the owner completed an analysis of the surveys. The owner advised that he was due to develop an annual quality assurance plan for this year. Including monthly visits, the manager carries out routine quality checks on various records related to the care plans and the home’s operation. Record keeping is generally well managed so that people’s rights and best interests are safeguarded. A record of any valuables and relevant property needs to be documented when a person moves to the home however. The completed AQAA stated that all relevant safety checks were up-to-date. Accurate records are kept for accident and incidents and the Commission is promptly informed of any reportable events. Some of the servicing and maintenance records were sampled. Fire drills, fire equipment and hot water temperature checks are carried out at regular intervals. Detailed risk assessments are in place concerning the premises and safe working practices. These aim to promote and safeguard the welfare of all people living and working in the home. Examples included fire safety, moving and handling, open windows, use of hot water and storage of knives and sharps. In addition, there is up to date policy guidance for staff to follow regarding a range of health and safety activities. Brighton Road (477) DS0000028714.V357418.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 X 4 2 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 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 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 2 3 X Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 YA4 Regulation 14(1)(d) (2)(a) Requirement Following any new admission, the home must ensure that an appropriate review meeting is held following the person’s trial stay period. This will show that their needs can continue to be met and the home is suitable for them. Specific management guidelines must be developed for people who may behave in a way that puts themselves at risk of harm. This will further ensure that staff know what action to take to support them and reduce the risk of injury. Risk assessments are needed concerning the management of people’s finances. This will ensure that their financial interests are better safeguarded. Staff need training on mental health awareness as it is specific to the needs of people living in the home. This will ensure that people’s needs are more fully met and that staff have updated DS0000028714.V357418.R01.S.doc Timescale for action 29/02/08 2. YA6 13(4)(5) 31/01/08 3. YA9 13(4b) 29/02/08 4. YA35 18(1)(c i) 19(5)(b) 31/03/08 Brighton Road (477) Version 5.2 Page 25 their knowledge and skills in this specialist area. 5. YA41 17(2) sch 4 9&10 On admission, a property list needs to be completed so that people’s possessions are recognised and safeguarded. 29/02/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA7 Good Practice Recommendations Some records could be archived that are not relevant to the person’s current needs or plan of care. Regular meetings should be held for people living in the home. This will promote further opportunities to comment on the way the home is run and show how their views have influence. Guidelines should be developed concerning the use of as required medication. They should specify the reasons for use and what action staff should take before medication can be given. 3. YA20 Brighton Road (477) DS0000028714.V357418.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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