Care Home: Elliott House

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What the care home does well This home provides a good level of care in a modern, well furnished and clean setting. One relative said: `Lovely bedroom, every comfort.` People have their needs well assessed and the written plans of care are carefully considered to offer the most appropriate level of support. Staff know the people who live at the home well, and they understand how each person communicates their wishes. People are kept safe by good assessments of what may be a risk and daily activities are planned with this in mind. People can become involved in a wide range of activities from art and crafts in the home, to coffee mornings or horse riding and also choose day trips and longer holidays. People can choose what they prefer to eat and menus show a range of healthy options. One person said: `Staff specifically make dishes (my relative) would like.` The home handles medication well. Staff receive good training and are well recruited to deliver the care needed. What has improved since the last inspection? There have been several improvements since the last inspection. Staffing levels have improved. People have better access to leisure activities. Written plans of care have improved to show all medications each person needs and plans show what people`s likes and dislikes are. The menus have improved offering more interesting choices and people have been asked about the foods they prefer. Staff have received training in specialist areas of care that help them to look after the individuals in their care. The manager has more time to complete her management tasks in the home and help the service run smoothly. What the care home could do better: The home could organise staff rotas better so that staff did not work such long hours or have time off on holiday together. The home could develop a complaints procedure, care plans and assessments that are in an easy to understand format for people. The home could develop health action plans to help people become more involved in making decisions about their health. The home could gain more views of people who live at and come in contact with the home and show how this has helped to improve the plans for the service. CARE HOME ADULTS 18-65 Elliott House Rotherham Road Great Houghton Barnsley South Yorkshire S72 0EG Lead Inspector Karen Ritson Key Unannounced Inspection 2nd September 2008 09:30 Elliott House DS0000066960.V371334.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 Elliott House DS0000066960.V371334.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. Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elliott House Address Rotherham Road Great Houghton Barnsley South Yorkshire S72 0EG 01226 756319 01226 759972 elliotthousemilbury@tiscali.co.uk Voyage.com Milbury Care Services Ltd 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 Rachel Chovil McGarry Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6), of places Physical disability (2) Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user over the age of 65 years may be accommodated. 11th September 2007 Date of last inspection Brief Description of the Service: Elliott House is a care home for people with learning disabilities. Voyage (Formerly Milbury Care Services Ltd ) provides the care and accommodation. The home provides care for people with complex emotional and physical needs. The house is purpose built, and stands in its own grounds with garden, patio area and car parking. The home has six single bedrooms, each have en-suite facilities. The home is on one level and can accommodate people who use wheelchairs. There is a spacious lounge, kitchen/dining area and an activities room. Two bedrooms have kitchen facilities and space for additional furniture. The bedrooms and shared spaces exceed the National Minimum Standards for room sizes. There are good amenities, for example shops, pubs, a church and leisure facilities close to the home. There is a shopping centre a short drive from the home, and there is public transport into Barnsley town. The manager provided the information about the homes fees and charges 02/09/08. Fees range from £1580 per week, some people have extra one to one support agreed and this is paid for on an hourly basis. Additional charges include travel costs, hairdressing, social activities, additional meals and holidays. Prospective residents and their families can get information about Elliott House by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Elliott House DS0000066960.V371334.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 star. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The inspection for this service took 14 hours. This includes time spent gathering information and examining documentation before and after an unannounced site visit and in writing the report. The site visit took place on 102/09/08 between 09:30 and 16:00. Information for this inspection was gathered from the following: • • • • • • • • • A tour of the premises Observations of care throughout the day of the site visit. Speaking with people living at the home. Speaking with staff on duty at the home. Case tracking people on the day of the site visit. Notifications sent to the commission from the home since the last inspection. Examining policies, procedures and records kept at the home. Examining information regarding the home on the file kept by CSCI. Considering comments made by relatives, health care and social services staff. All key standards were looked at during this inspection. The manager was available throughout the day and was present for feedback following the inspection. What the service does well: This home provides a good level of care in a modern, well furnished and clean setting. One relative said: ‘Lovely bedroom, every comfort.’ People have their needs well assessed and the written plans of care are carefully considered to offer the most appropriate level of support. Staff know the people who live at the home well, and they understand how each person communicates their wishes. People are kept safe by good assessments of what may be a risk and daily activities are planned with this in mind. People can Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 6 become involved in a wide range of activities from art and crafts in the home, to coffee mornings or horse riding and also choose day trips and longer holidays. People can choose what they prefer to eat and menus show a range of healthy options. One person said: ‘Staff specifically make dishes (my relative) would like.’ The home handles medication well. Staff receive good training and are well recruited to deliver the care needed. 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. Elliott House DS0000066960.V371334.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 Elliott House DS0000066960.V371334.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): 2 Quality in this outcome area is good. People’s needs are properly assessed prior to admission to the home, which ensures their care needs may be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People have their needs assessed before they came to live at Elliott House. The manager and staff liaise with professionals and families to find out about peoples needs. The manager and staff also spend time with people, before they came to the home, to find out more about them. The assessment is a person centred document giving an overview of the person, their needs, important links, health care needs, likes, dislikes, interests and hobbies. All health care professionals involved are listed with contact details. Each person has a medical profile, with a list of all up to date medication with administration details kept on file. This information ensures that people’s needs are understood so that appropriate care can be offered. Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 9 The home has plans to develop the assessment documentation so that the format is appropriate for individual needs. This would improve the opportunity for people to be involved in their assessment. Elliott House DS0000066960.V371334.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. Care plans are written in sufficient detail to reflect the care and support required to meet needs. People are supported in making decisions about how they choose to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans give good detail, with specialist information about how care is to be offered included. The plans have been improved with symbols to assist people to understand what is written. In practice however, these symbols do not offer the accessibility necessary and care plans need to be explained to people individually. The home has plans to develop the care plans into a format appropriate to individual needs. This would improve the opportunity for people Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 11 to be involved in their care planning. However, the manager said people are consulted about their care at review and in service user meetings. The plans are written in a person centred way. A section entitled ‘about me’ is written in the first person and offers a holistic view of care needs and strengths. This makes sure that the person is considered at the centre of planning for care. Daily notes give a brief overview of daily activities and behaviours with responses. These are written in a clinical style and could be improved to give a more rounded view of how each person spends their day. Notes did not include details of how goals had been achieved or if the care set down in the care plans had been fully given. The manager said that a new narrative system of reporting was being implemented which should address this. . Risk assessments were in place with actions required in order to keep people safe. Staff were aware of the kind of decisions people liked to make and showed a good knowledge of each persons needs. The decisions that people are enabled to make are written on care plans. Elliott House also holds a monthly meeting where people can discuss what they want from the home. Elliott House DS0000066960.V371334.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. People who use services are able to make choices about their life style, and are supported to develop their life skills though at times this is compromised. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff help people to take part in activities they enjoy. On the morning of the inspection three people had gone out for the day with staff and three remained at the home. Of these, one had an outing to the shop, and the others had periods of one to one attention from the remaining staff. Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 13 People have individual holidays and are involved in choosing where they go and what they do. Planned and recent holidays have included Blackpool, Skegness and Primrose Valley Scarborough. Several people had been on day trips to such places as Meadow Hall, Magna, (A science and technology museum), or had taken part in swimming, ten pin bowling, out for meals, pub trips, going to local shops, horse riding, football matches, discos or out for walks in the nearby area. A member of staff said one person often visited the shop and was well known to the local community. People also attend local coffee mornings. The home has its own transport, and also uses a local taxi firm for travel arrangements; this means that people have the transport to attend the activities of their choice. Each person has a weekly activity plan, with written attendance records. Activities were in line with assessed needs and complemented the care plans. Staff said that there are times when it is not possible to offer people the choice or range of leisure activities that they would prefer due to staff sickness or holidays. At these times people living at the home are restricted. This means that there are times when people do not have the choices they prefer. This may also have an impact on behaviour and consequently the wellbeing of all at the home. People are assisted to maintain family and other links. Families visit the home and are made welcome. The home has a policy on visiting. The local community police visit occasionally and have offered security advice for the home. The manager has reviewed menus since the last inspection. These now provide an interesting and varied selection of meals and daily notes showed that people were involved in choosing what they preferred to eat. One person had a folder of pictures from which various foods could be chosen. Nutritional assessments are carried out as part of the care planning process, to ensure people have the diet they require. Staff said that the food was generally good and that people had the opportunity to go out to eat as a social occasion also. Elliott House DS0000066960.V371334.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 the service experience good quality outcomes in this area. People have their health care needs met in the way they prefer. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Care plans show that people have the personal care they require in the way they prefer. Rooms are personalised and daily routines are flexible around chosen activities. Staff said that the people living at the home are enabled to have the person they prefer to look after them and that key worker roles are allocated according to compatibility. People go out clothes shopping with key workers and preferences for the way people want to dress and present themselves are evidently taken into consideration in care plans and daily notes. Speaking with staff confirmed this. There was also evidence in care plans and notes that health care needs are met. People are accompanied to appointments and the staffing levels now allow this to happen without having a detrimental impact on others living at Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 15 the home. The home is planning to introduce Health Action Plans, which would improve the way information about health care needs was recorded in consultation with people. The home operates a Boots monitored dosage system. This system is very clear and easy to operate. A guide for each person’s medication, a photograph of the person and a description of any other medication accompany each administration sheet. This means that medication errors are minimised and the safety of people is protected. Those staff who administer drugs have all received training in the safe handling of medication. All medication is also detailed on care plans. This is a helpful cross-reference and further protects people from errors of administration. Elliott House DS0000066960.V371334.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 the service experience good quality outcomes in this area. People are generally enabled to voice their concerns and to have these acted upon and they are kept safe. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The people living at the home have access to a complaints procedure though it should be made accessible to people living at the home with the use of symbols and plain language. However, the home holds regular meetings and people have the opportunity to raise issues here. Notes are kept of these meetings and signed by people who attend. The operations manager visits the home regularly and consults with people at this time. Comments are recorded on the reports of these visits. Staff said that people were encouraged to voice any complaints and that these were taken seriously by the management and acted upon wherever possible. Staff have had training in how to keep people safe, in how to manage challenging behaviours in a non-physical manner and in the awareness of abusive practice. Staff said that one person living at the home has particular challenging behaviour at times. When there is minimum staffing for whatever reason, the person displaying the challenging behaviour is not always assisted Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 17 to leave the communal area because it is easier to remove the others who become upset. This impacts on the freedom of those living at the home and their right to have access to communal areas of the home. Elliott House DS0000066960.V371334.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 People who use the service experience good quality outcomes in this area. The environment is suitable for the people who live at the home. It is clean, homely and safe. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home is bright, clean and welcoming. It is built all on one level, for ease of access, with a good fire alarm system and fire risk assessment in place. Furnishings and fittings are of good quality. The home meets the requirements of the environmental health department. There are regular internal auditing checks of the premises to ensure standards remain good. Each person has a personalised bedroom and each room has a call bell within easy reach. Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 19 The home has a sensory area and photographs are displayed about the home of people on holidays or on days out. This adds to the homely atmosphere. One person has his own pet budgie he cares for with support. The outside area is well kept and pleasant with a raised flowerbed and a grassed area for people to relax in during the warmer months. The laundry facilities are suitable to meet people’s needs and the home is free from offensive odours. Elliott House DS0000066960.V371334.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, 33, 34,35 People who use the service experience adequate quality outcomes in this area. Staff are well trained to offer good care. They are well recruited and suitable checks are in place to ensure people are kept safe. The way staffing is arranged does not always protect the choices and freedoms of those at the home. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The staff are well trained to offer the care needed for the people who live at Elliot House. They have an induction and foundation programme and have additional training in specific areas of care such as challenging behaviour, non physical intervention, sensory impairment, dementia awareness, mental health, epilepsy and learning disabilities which help them to offer the correct care. Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 21 Staff use an EL-Box for in house training which is a computerised training resource. None of the staff spoken to like this system, and felt it was lacking in human interaction. They said it is difficult to get answers to questions and prefer it when a person teaches them. Staff are well recruited according to policy and procedure, with references and CRB checks in place. Staff rotas have improved since the last inspection. There are now four members of staff on rota to be on duty during the day. This is mostly achieved but not always. Staff said that sickness was a recurrent problem as was members of staff taking annual leave at the same time. Staff reported working long shifts when this happened which they felt had an impact on their effectiveness as they often felt tired, particularly when dealing with challenging behaviours. They said this was having a detrimental effect on people using the service. They also said they felt overworked and that moral was not good. Staff rotas should be reassessed in order to provide staff reasonable working hours to ensure people are cared for appropriately. Elliott House DS0000066960.V371334.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 People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect. The home has a quality assurance system, which ensures the home continually reviews performance but could do more to ensure that the views of people using the service are taken into consideration when planning the service. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The manager has almost achieved the Registered Manager’s Award and has a nursing qualification. She has demonstrated that she undertakes periodic Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 23 training to update her skills. She is now able to spend more time managing the home and less covering shifts as she was at the last inspection. Staff said she was approachable and easy to get along with. Some commented that although they understood the manager needed to spend time in the office, this was frustrating when they were short staffed as had happened recently. At this time, in their opinion, people had restricted choices about how they spent their time as a result. They felt the manager could resolve situations by managing staff more directly and being firmer about when staff took time off. The quality assurance system needs developing. Voyage, the company which owns Elliot house has its own set of quality checks and audits, but the system focuses on process and would benefit from more information about the experiences of people living at the home, with a greater emphasis on what individuals would like to see and if the home is meeting their expectations. The manager suggested that a more narrative form might assist with this. Written feedback from people was generally good. A number of health and safety documents were examined and all were in place and up to date. This ensures people’s safety. Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 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 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 2 X X 3 X 3 3 3 X Elliott House DS0000066960.V371334.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 YA23 Regulation 18.1(a) Requirement Staffing rotas must be arranged so that staff are able to provide quality care for the people living at the home in line with their care plans. Timescale for action 31/10/08 2 YA22 22(2) 3 YA12 18.1(a) The complaints 31/10/08 procedure must be in a format appropriate to the needs of the service user. Staffing levels must 31/10/08 be consistently at a level so that service users may take part in fulfilling activities. Staffing levels must 31/10/08 be consistently at a level to protect service users from being restricted to their rooms if another service user displays challenging behaviour. 4 YA23 13(6) Elliott House DS0000066960.V371334.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 YA2 Good Practice Recommendations Assessments should include a format that encourages people to be involved in and understand the information about them. Daily reporting should be improved to give an overview of how each person has achieved the goals written in their care plan. Care plans should include a format that encourages people to be involved in and understand the information about them. 2 3 YA6 YA6 4 YA39 5 YA19 Quality assurance systems should be developed so that a wider range of views is sought. This will enable action plans to be based on feedback from what service users and other say about the service in addition to existing internal audits. People should have access to Health Action Plans, so that they can take more control over their health care needs. Information is available at www.doh.gov/ Elliott House DS0000066960.V371334.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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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