Care Home: Great Glens Facility Limited

What the care home does well The people say this is `a nice home`. One person told us that `they are happy` and `I have no complaints`. Another person said `they look after us well`. A variety of positive comments were received from the people about the food. One person told us that `the food is very nice` and `we can have some thing else to eat if we don`t like what is on the menu`. We were told that they `like the staff` and they help them to learn new skills. The people tell us if they do not feel well, they would tell the staff or the community psychiatric nurse who visits them. They also know who to tell if they are not happy or have any concerns. The people tell us that they like their bedrooms and the rooms seen were individualised to meet the people`s needs. One person said `I listen to music in my bedroom, I am happy here`. The staff say they enjoy working at the home and with the people. They tell us that they work very hard to meet the needs of the people. They get training to help them understand the people`s needs better. They say they get good support from management. We observed staff talking and listening to the people and offering advice in a positive manner. What has improved since the last inspection? The requirements from the last inspection were met. The people`s care plans are all being reviewed in a new format to meet the peoples needs better. The home has a new medication cupboard and controlled drugs cupboard to ensure medication is kept safe. What the care home could do better: The home should ensure all staff receives at least 6 supervisions per year to monitor how they are working with the people. Provide more regular staff meetings for the staff to discuss their views about the people`s needs and the running of the home. Provide a quality assurance system that takes in to account the views of the staff, the people`s families and other health professionals involved with the care of the people to find out their views of how the home is meeting the people`s goals. Ensure that the service user guide has all the information stated in standard 1 of National Minimum Standards for younger adults. This is so the people have all the information about the home. Key inspection report Care homes for adults (18-65 years) Name: Address: Great Glens Facility Limited 149/151 Midland Road Wellingborough Northants NN8 1NB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Ansuya Chudasama     Date: 0 5 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Great Glens Facility Limited 149/151 Midland Road Wellingborough Northants NN8 1NB 01933274570 01933224729 darrylfoulds@greatglens.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Darryl Foulds,Mr Frank Leslie Foulds care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: To accommodate 4 service users at 153a and 153b Midland Rd, Wellingborough in need of PC by reason of mental disorder, for the age of 25 years & over To accommodate18 service users at 149/151 Midland Road, Wellingborough, NN8 1NB, PC by reason of mental disorder for the age of 25 years and over Date of last inspection Brief description of the care home Great Glen is a Home providing personal care for up to twenty-two young adult residents who have long-term mental health needs and have ongoing involvement with community based psychiatric support services. Accommodation is provided in the main building on two floors, all in single bedrooms, each with an en-suite facility, and in two separate semi-detached houses next door, providing two single bedrooms each, for the more independent residents. Facilities in both properties include recreation lounges, communal living rooms on both floors, with facilities for making hot drinks. There are limited adapted facilities to cater for physical disability, although currently the category of registration is only for residents with mental health needs with no physical disability Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 22 0 5 0 6 2 0 0 9 Brief description of the care home needs. Externally, there are landscaped gardens with a large patio area. The home is situated in a relatively quiet residential street not far from the centre of Wellingborough. On the 24th of August 2007 the fees for the service provided were between six hundred and one thousand and four hundred pounds per week per person. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out in accordance with the Care Quality Commission (CQC) policy and methodologies which require review of key standards for the provision of a care home for older people that takes account of the peoples views and information received about the service since the last inspection. Evidence used and judgments made within the main body of the report include information from this visit. We looked at the Annual Quality Assurance Assessment (AQAA) that was sent to us by the service from the last inspection. The AQAA is a self-assessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also looked at the information from the last key inspection and the records of any other visits that we have made to the home in the last 12 months. Information we have about how the home has managed any complaints and things that have Care Homes for Adults (18-65 years) Page 6 of 28 happened in the home, which are reported under notifications and are a legal requirement are also looked at. The report refers to we this is because the report is written on behalf of the Quality Care Commission. We last inspected this service on the 5th of June 09. This key inspection was carried out on the 5th of November 09. On the day of the inspection there were 22 people living at the service. The home had one vacancy. During this inspection we tracked the care of two people who use this service. This involved reading their care records and also talking to them wherever possible to obtain their views on the service. We also spoke to most of the other people who live in the home. Documentation relating to staff recruitment, training and supervision, medication administration, complaints and health and safety were also examined. We spoke to some of the staff who were on duty. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Adults (18-65 years) Page 8 of 28 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people are encouraged to visit the home so they are able to find out if the home is able to meet their needs. Evidence: We were informed that the service user guide was being worked on and it was at a draft stage. A copy of the document was given to us to look at the inspection. All the information stated in standard 1 of the National Minimum Standards was not included in the guide. The manager told us that a copy of this document will be displayed when it is finalised. We were informed by the manger that the inspection report was displayed on the notice board but some one had removed the document. The inspection report was seen displayed on the notice board when we were leaving the home. We spoke to a new person who had been recently been admitted to the home. We were told that I like it at the home. It was said that they had visited the home before, and their community psychiatric nurse (CPN) had also told them about the Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: home. They said that they had not been given any recorded information about the home. We were told that they like their bedroom and said the people in the home were very nice. Other people spoken to said that they too had visited the home before making a decision to live at the home. The peoples files looked at showed that there were assessment admission details of the person being admitted to the home The AQAA says The pace of admission is set according to the service users best interests, as opposed to any rules set by the home. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All the people have care planning documents to ensure staff have the information needed to meet the peoples needs. Evidence: All the people in the home have care plans. We looked at two peoples care plans in detail and discussed their care needs with staff on duty. The staff showed that they had very good understanding of the care needs of these people. We were told that all the peoples care plans were being reviewed into the new care plan format. We looked at one of the care plans that had been updated into the new format. There was information about the persons personal and health needs. There was a weekly timetable for what the people did. Two care plans seen had not been signed by the people or staff completing them. We were told by staff that some times people do not want to sign their care plan. It was said by them that they will now write down when a person refuses to get involved or agree to their care plan. One person said that they would like their care plan in an easy to understand language Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: that they would understand. The AQAA says the extensive work in this area that has taken place needs to be documented clearer and in a format which is accessible to all those working with the service user. A range of risk assessments are in place that enables the people to take risks as part of an independent lifestyle. The peoples information was kept secure in the office. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people are provided with opportunities to maintain and develop their social and independent living skills. Evidence: On the day of the inspection there were activities taking place in the dining room. The activities for the day were displayed on the notice board near the entrance of the home for all the people to view. One persons weekly activity plan showed that did activities such as exercises to music, information technology and adult literacy training. They learn independent living skills, and help out with kitchen duties. Another person told us that it was nice to live at the home. It was said that some staff are nice and some wind him up. The person told us that they went to the gym three times a week and listened to music and they walked to the pub. It was also said that they had made friends at the home. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: Some people tell us that they go on holidays and on day trips. The people have a small kitchen where they are able to make tea and coffee. This place is kept clean by staff supporting the people to do this. We received very positive comments about the food that was offered to the people. We were told that if they do not like what is on the menu, then they can have another option. The people told us that they liked their bedroom, and each persons bedroom seen was individualised to their taste. The new person admitted to the home say that they like the people in the home. We did observe that the people in the home did get on well together. There were paintings painted by the people and these were displayed on the walls of the home. One person said that they did one of the paintings and they were very pleased with this and because it was displayed for all the people to see. We spoke to one of the people living in the semi independent houses and they told us that they were still doing very well. Most of the people in the home maintain contact with their families and friends. The manager has an open surgery for any one to discuss their concerns with them. This was very good at getting the peoples views about living at the home. The AQAA says our plans for improvement in the next 12 months are for staff to continue positively encouraging service users in becoming involved in activities that are of interest to them and to to ensure appropriate time is set aside for all individual activities to be supported and implemented once they are identified. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The peoples health care needs are being met by the home. Evidence: We observed staff interaction and noticed that they talked to people in a respectful manner and were careful to preserve their dignity. The staff were seen knocking on peoples doors before entering. This was confirmed by talking to the people. The records showed that the people are offered support for their physical and emotional health needs. There were hospital appointments,general practitioner, and community psychiatric nurse (CPN) visits to the home. The people have access to the opticians, dentists, and other health care professionals. The people told us that if they did not feel well, they would tell the staff. One person said that they would see the community psychiatric nurse (CPN) when they visited the home to find out how they were doing. It was said that they would speak to them about their emotional problems. Staff who gave out medication had received the accredited training for doing this. We observed staff giving out medication and this was done by talking to the people. There were medication profiles for each person. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: The medication records looked at showed that there were no gaps in the record. The home has a new controlled drugs cupboard and medication cupboard. The records and medication checked was satisfactory. The home had sent in a regulation 37 notification regarding a medication error made by staff. This was discussed with the manager and we were told that the proper procedures were put in place to ensure this did not happen again. We were told that medication is now given by two people. The AQAA says Although we have strong working relationships with the Community Mental Health Team, we could develop more structured interaction with GPs. This would enable us to get copies of test results and investigations. As a result we are sometimes unable to get information to service users as quickly as possible. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people know how to make a complaint if they are not happy about their care. Evidence: The home has a complaints policy. We were told that the home has not received any complaints since the last inspection. The staff spoken to had completed the safe guarding of vulnerable adults procedures training. They had good understanding of the peoples behaviours to know if they were unhappy or not feeling well. The home has not made any safe guarding referrals to the safe guarding team of social services. All the people spoken to were capable of informing staff if they had any concerns. One person told us that you can write on a piece of paper if you had a complaint to make and then put the paper in the complaint box. We were told that the person had not done this because they did not have complaints. The AQAA says our plans for improvement in the next 12 months is to provide specific training regarding the complaints procedure for all staff to ensure they are comfortable with this process should the need arise to implement it. Continue to review the relevance of the current complaints and safeguarding policies to ensure they are effective. Continue to provide training relating to safeguarding adults. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment meets the needs of the people living in the home Evidence: The people tell us the home is nice and they like the colour scheme of the home. The bedrooms seen were individualised to the people and those spoken to tell us that they like their rooms and one person said that they enjoyed listening to their music in their room. Some people had bought in some of their own ornaments to make the place feel homely. This is also encouraged by the home. There is no smoking in the home. However there are designated areas in the home where the people are allowed to smoke. The laundry and the kitchen were clean and domestic in character. This information has not changed since the last inspection. The lounge had been painted and decorated with new carpet. The shower room is kept locked. We were told that this was because one of the people in the home flooded them. However when a person wanted a shower, they had to ask a member of staff for the key. There are no communal toilets for the people to use downstairs. We were told that the people have to use their own toilet in their rooms. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The downstairs has a small kitchen where the people are able to make tea and coffee. There is also a small quiet room and this was used by people who needed this. The first floor has a kitchen where the people who are able to prepare meals use this kitchen. The semi-independent house is in two units with one unit accommodating women and the other unit has two men living here. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have good understanding of the needs of the people to ensure their needs are met. Evidence: The staff recruitment files were looked at in detail, and the home has not had any new staff start employment since the last inspection. We were informed by the manager and the administrator of the home that all the information required would be obtained before staff started work at the home. We were also told by the manager that all the staff would be issued with contracts and these would be signed by them and the staff. It was also said that the staff induction would be completed in full and a copy would be available in their files. The staff said that they were getting supervision but this was not happening six times per year. We were told that staff would like more staff meetings. We were told that the last meeting was held on the 9th of February 09. The staff spoken to tell us that there are enough staff on duty to meet the peoples needs. We were also told that the home retains a lot of their staff and this provides continuity to the people. We were told that the home was fully staffed. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The staff were observed talking to the people in a respectful manner. The staff tell us that they enjoy working with the people and work well as a team. They say that they support the people to learn skills. We were told that they have completed all the statutory training and some staff were doing their NVQ level 2 or 3 in care. The AQAA states that the home has 9 permanent staff and five staff have completed NVQ level 2 or above training in care. The staff working rota did not have the hours the manager worked at the home. This was discussed with manager and it was agreed by them that their working hours would be recorded on the rota. This is because the staff and the people would know when the manager is working at the home. The AQAA says for our plans for the next 12 months are to continue to structure and implement the training program and supervision sessions with all support staff and to continue to enable learning opportunities from external agencies. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interest of the people. Evidence: The manager of the home has many years experience of running the home. He is a qualified Registered Mental Health Nurse and has undertaken the Registered Managers Award. We are told that the manager has an open door policy and has a surgery where staff and the people can discuss any concerns they have. The staff tell us that the manager is supportive. The people also like the manager and one person told us if they had any concerns, I would talk to the manager. The accident and incident records show that these were being recorded appropriately. The manager informed us that the home has not undertaken a survey questionnaire of the people since the last inspection but they will be undertaking this next year. It was also said that they will carry out a questionaire for the staff, the peoples family, and other professionals involved with the care of the people to find out their views on how the home is meeting their needs. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: The fire alarm system was being tested on a weekly basis. The emergency lighting was done on a monthly basis. Staff tell us that fire drill practices are happening on a regular basis and the people were involved in this process. We were told by staff that they had received fire training, manual handling and food hygiene training. The Environmental health officer had visited in March 09 and awarded the home five stars which is excellent. The AQAA says what we do well is our ability to safeguard our service users and monitor potential risk is of a high standard. Rigorous health and safety checks and training for all staff are on-going. Food hygiene, first aid, fire safety and other essential training is provided for staff, combining in-house policy training and external courses. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 Ensure that the service user guide has all the information stated in standard 1 of the National Minimum Standards. This is so the people have all the information they need to know about the home. Provide information in care plans in a format that the people will understand. Ensure the care plans have information documented to state if the service user has been involved in drawing up their care plans. This shows that the people are involved in meeting their needs. Provide staff at least 6 supervisions per year and ensure the document is signed and dated by both the supervisor and supervise and a copy is given to staff. This is to monitor how staff are working at the home. 2 3 6 6 4 36 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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