Care Home: High Road 73

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What the care home does well People are assured their needs are appropriately assessed and a thorough admission arrangement is assured before any person moves into the home. People were generally happy and in expressive moods. People were keen to share their feelings and it was clear that they were living in a manner and an environment where they were confident and felt safe. There is a feeling of freedom and that the home really does belong to those living there. The atmosphere in the home is of a group of people who enjoy each other`s company and the social stimulation that this brings. Staff are part of this relaxed and warm social fabric and were observed to show respect and attention. The home always liaises with and refers to community Health Services when necessary. The home encourages and facilitates people to be part of the local and wider community by using local facilities such as church and shops and two local hostelries. Families are kept informed and trips back home or to relatives are always facilitated and supported. Comments made by relatives showed that they are very pleased withy the care and support provided at 73 High Road. The lifestyle and developmental activities that have been arranged for people have been arranged by choice and suggestion and are suited to their needs and are meaningful social events as well as activities designed to ensure physical exercise is provided and encouraged. People make their own choice about their holidays. Holidays are arranged differently for each person, so that the real meaning of a holiday is not an institutional event, but to have a choice and a change and to be elsewhere. The environment was well maintained, clean and in good decorative order. Staff received regular supervision and said they felt they received adequate training. What has improved since the last inspection? Four of the five requirements made at the last inspection were met whilst one requirement relating to the staff records could not be assessed because the manager was not present during the inspection. This will be assessed at the next inspection. People care plans included a breakdown of their finances. The garden and the patio area to the side of the home had been maintained in a neat and safe order. New bedroom furniture had been provided for one person. Handrails have been fitted to the front of the house leading to the door. The home has engaged a gardener and a window cleaner on a regular basis. Fans have been purchased for each bedroom to ensure good air circulation during hot weather. CARE HOME ADULTS 18-65 High Road 73 73 High Road Gorefield, Wisbech Cambridgeshire PE13 4PG Lead Inspector Don Traylen Unannounced Inspection 08th September 2008 14:45 High Road 73 DS0000063111.V370793.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 High Road 73 DS0000063111.V370793.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. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Road 73 Address 73 High Road Gorefield, Wisbech Cambridgeshire PE13 4PG 01945 870968 01945 871364 Gorefield73@tesco.net 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) Anita Dawn Blackburn Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2007 Brief Description of the Service: 73 High Road, Gorefield, is a detached house with seven bedrooms situated in the small village of Gorefield, close to Wisbech in north Cambridgeshire. The service is provided by Milbury Care Services. On their website, Milbury aspire to, provide high quality specialist care for adults with learning disabilities, physical disabilities and other specialist needs in family sized houses to give people a sense of belonging and ownership. We regard every house as a home and our staff provide a warm, welcoming environment which enables everyone in our care to live as ordinary a life as possible regardless of their disability. Their homes are typically for three to eight people. The existing building was completely renovated for the service that was first registered in December 2004. The comfortable and spacious rooms and corridors make the home a relaxing and secure environment for service users. There is a large garden area to the side of the property and a large patio area with adequate seating and table arrangement for all service users to use. The driveway provides ample parking space for the homes’ vehicles and for staff to park their cars. Fees are £1432.00 per week Copies of CSCI inspection reports are available at the home or through at the CSCI Website. High Road 73 DS0000063111.V370793.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. This inspection was carried out by one inspector, during an afternoon and lasted approximately four hours. An Annual Quality Assurance report was completed by the home. Three relatives had completed survey forms on behalf of people living at the home and gave comments about the quality of care. All of the service users were seen and spoken to during the inspection. Everybody was present at some time during the inspection; some people were arriving back home whilst others were preparing to go out after their evening meal. A senior support worker and support workers were was present during the inspection. Care plans were assessed, as were training records, adult protection arrangements and the management and administration of medication and documents relating to management of quality assurance. A senior care and a care support worker were asked about their experiences of working at the home. Document relating to health and safety and various policies were read. What the service does well: People are assured their needs are appropriately assessed and a thorough admission arrangement is assured before any person moves into the home. People were generally happy and in expressive moods. People were keen to share their feelings and it was clear that they were living in a manner and an environment where they were confident and felt safe. There is a feeling of freedom and that the home really does belong to those living there. The atmosphere in the home is of a group of people who enjoy each other’s company and the social stimulation that this brings. Staff are part of this relaxed and warm social fabric and were observed to show respect and attention. The home always liaises with and refers to community Health Services when necessary. The home encourages and facilitates people to be part of the local and wider community by using local facilities such as church and shops and two local hostelries. Families are kept informed and trips back home or to relatives are always facilitated and supported. Comments made by relatives showed that they are very pleased withy the care and support provided at 73 High Road. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 6 The lifestyle and developmental activities that have been arranged for people have been arranged by choice and suggestion and are suited to their needs and are meaningful social events as well as activities designed to ensure physical exercise is provided and encouraged. People make their own choice about their holidays. Holidays are arranged differently for each person, so that the real meaning of a holiday is not an institutional event, but to have a choice and a change and to be elsewhere. The environment was well maintained, clean and in good decorative order. Staff received regular supervision and said they felt they received adequate training. 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. High Road 73 DS0000063111.V370793.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 High Road 73 DS0000063111.V370793.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): 2,4, Quality in this outcome area is good. People are assured of appropriate and thorough admission arrangements. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the seven people living at the home since the last inspection ob 4thy October 2007 had moved elsewhere. Nobody else has moved into the home. The home has an established and clear policy for assessing and rigorously determining, with the support of the Learning Disability Partnership, that people have been comprehensively assessed and the home is appropriate and can meet their identified needs. Residents were provided with photos of all staff prior to admission, including the Operations Manager. Family members are afforded the opportunity to visit the service prior to admission. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 9 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): 6,7,9, Quality in this outcome area is good. People are assured of appropriate care planning that is mindful of people changing needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Personal care plans showed that people were individually treated and their needs were met in an individual approach. This was evident in the manner people were spoken to by staff and the arrangements made for each person’s social and personal development. Choices about lifestyle and about personal development, such as attending college were recorded. Risk assessments had been carried out regarding the safety of people to manage their own medication. Individual needs and the action to meet these needs was recorded in one person’s care plan. Her health care support from an Occupational Therapist and dental schedule were planned and referrals to a General Practitioner (GP) for specific issues had been noted. The involvement of a Social Worker, a GP, an Optician and an Occupational Therapist had each been recorded. The Occupational Therapy and Physiotherapy assessments for one High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 10 resident whose physical needs are changing was unable to be met by the local LDP team and she was referred to her GP. Her care plan did not include her holiday arrangements that had recently included a stay in Paris and Disneyland. Her plan did refer to the way to support her to manage her finances, within the limits of risks that had been assessed. Risk taking is an anticipated part of people lives. Appropriate risk taking is measured and encouraged by using the local facilities and amenities. All people are supported to make daily decisions about their lives including what to wear, what to eat, when to go to bed and whether to participate in external activities. Photographs and symbols are used to offer choices in a way that is meaningful to the individual. Peoples’ rights to make decisions is continually promoted including the right to say No. Previous reports and the care plans of one person who had left the home, showed how a multi disciplinary support team from the Learning Disability Partnership intervene and support the home to manage people’s changing needs. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 11 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): 12,13,14,15,16,17, Quality in this outcome area is good. People are assured of being part of the wider community whilst pursuing their chosen leisure and of maintaining contact with their families. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People seemed to lead a busy life. The home was bustling with activity when people arrived home and others were preparing to go out after their evening meal. Activities that people participate in outside of the home include trips to a gym where a programme of routine exercises and games are part of each person physical activity. One person attends college one day each week for computer literacy skills. Several, or all, people regularly enjoy a weekly Jacuzzi session. A nearby bingo club is a frequent place that is enjoyed, as is the two village pubs. All the people at 73 High Road enjoy a regular music venue. Bowling is a regular Friday night choice. Personal shopping is High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 12 encouraged on a one to one support basis. People have been offered the opportunity to attend church as appropriate to their beliefs. Two people attend regularly, others attend for particular festivals. People are encouraged to participate in household chores dependent on abilities and wishes and have been involved in redecorating their bedrooms. Holidays are arranged differently for each person, so that the real meaning of a holiday is not an institutional event, but to have a choice and a change and to be elsewhere. One person no longer has a weeks holiday due to anxiety provoked by being away from home for this length of time. He now has short breaks throughout the year. Family contacts and regular visits to friends and families are facilitated by the home. Transport is often arranged for weekend visits to families. One relative commented that, we “have a very good home visit arrangement”, and the home, “keep me in touch with things”. Another person said, “my son comes home every month. He phones me”. Menus are chosen each Sunday for the forthcoming week. An evening meal of a chicken burger or New York style chicken and salad was observed being eaten. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 13 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): 18,19,20 Quality in this outcome area is good. People are not assured the home safely records the medication records. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person said he was “alright” and the staff were “ok” when he was asked. He was positive in his responses and showed his ability to act independently and express his interests and choices. There were signs that people were happy and eager to engage and were not inhibited. There were no negative or signs of distress or discomfort. It was noticeable that all people were equal and treated equally, although some were more demanding. The evidence of smiling faces was considered a sign of a contented and happy atmosphere. One relatives made a comments that, he is happy and the staff are very good with him”. The activities that people participate in that have been referred to in the previous outcome group are evidence of the physical and emotional routes that are planned and encouraged for people to enjoy. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 14 All people have been risk assessed for managing their medication and nobody controls their own medication. Medication Administration Records were assessed and a few mistakes were found. One person’s records showed that medication had been signed for on the day of inspection as administered at 21:00 hours, although it was only 6pm at the time this was noted. The same person’s medication showed there were tablets missing from three different medicines in the blister packs and these had not been accounted for, or reported, or referred to anywhere in the records. This was discussed with the senior carer and with the manager by telephone. An explanation for the missing medication was offered and it was discussed how the home had carried this forward from the previous MAR charts and had not recorded this. It is anticipated the home will correct this ongoing misleading record. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 15 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): 22,23, Quality in this outcome area is good. People are assured the home will protect them from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a satisfactory abuse policy. They have worked with the Local Authority when any concerns about abuse have been raised and investigated. All staff have received training in abuse awareness. Training on the Protection of Vulnerable Adults is now immediately available to all new recruits via an E learning system. Staff indicated they knew were the telephone contacts were kept, should abuse need to be reported. Discussions with one member of staff showed there was a reliance on the manager being involved in this action, rather than support workers being expected to take the initiative and report any allegation themselves. The manager has been trained as a Key Practitioner by Cambridgeshire County Council. A copy of the complaints procedure is provided in the entrance hall next to the visitor’s book. No complaints had been recorded by the home. It was clear that staff listened to people. Although not quite a complaints, one person wanted to be responsible for maintaining the patio and the gardener has been asked not to do this. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 16 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): 24,25,30, Quality in this outcome area is good. People are assured of a safe, clean and well-maintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person showed us around the home and this included his room. His room had been repainted and had a new small sofa in an already comfortable, clean and well furnished room that he was proud to show. In general the home was well maintained clean and orderly. The home is well maintained clean and odour free, although after four years there are some parts of the home that are beginning to wear, such as the door lock on one toilet door, the fridge and the cooker and these have been planned to be replaced by new items. The garden areas were free from hazards and items such as goal post and footballs were there for people to use. The outside seating area on the patio was tidy and also free from any obvious hazards. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 17 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): 32,35, Quality in this outcome area is good. People are assured staff are adequately trained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff are appropriately trained. There is a period of induction based on Skills for Care Standards and a set of ongoing and mandatory training subjects that are appropriate for the needs of people in this home. Whilst a training record of all staff was not available for all topics of training the chart kept on the wall in the office showed training was systematic and there was an overall plan. This list of subjects included training in Adult Protection, Epilepsy, and Learning Disability Assessment Framework (LADAF) awards. The organisation’s local office keep some records of the training planned for staff and this was made available to the Commission immediately after the inspection. Training that had been provided to one person included Induction, Moving and Handling, the use of Hoists, Food Hygiene. The home has started to use a computer based ‘L-Box’ system for training that also uses DVDs This system is linked to a college and is certificated. This training included Food High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 18 Hygiene, Health and Safety, Adult Protection, Infection Control, medication and First Aid. All permanent staff have achieved, or are registered for NVQ level 2 awards. All permanent staff have completed the Learning Disability Assessment Framework, or are working towards this. Some staff are working towards NVQ level 3 awards in care. There were 19 bank, or relief” staff and nine full time support workers plus the manager employed. The staff roster showed there are usually 4 staff plus a manager working. The manager works five days a week Mondays to Fridays There is one night staff working between 9.30 pm and 7:30 am plus a ‘sleepin’ support worker available, should s/he be needed. The staff roster did not show the actual hours worked but was coded by letters. With the amendments made to the staff roster it appeared untidy and was confusing to understand with a member of staff explaining some of the coded entries that had been made. There is a recruitment policy in place, which ensures that all potential staff are subject to CRB and POVA clearance, and that two satisfactory references are obtained prior to employment. All staff complete an induction (both company and in-house) and are subject to a probationary period. All staff have supervision with senior staff. Recruitment records could not be assessed because the manager locks these records when absent from the home. These will be assessed at the next inspection. Team Meetings are held regularly for all staff and people living at the home to attend. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 19 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): 37,38, 39,2, Quality in this outcome area is good. People are assured the home is well run and their health and safety is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is run to suit the needs and the lifestyle of the people living there. It feels as though the home belongs to them. In general there is a friendly ‘homely’, or ordinary and safe atmosphere, were people benefit from the management ethos that has created this environment. ‘Residents meetings are held on a weekly basis. People living at the home are included in the interview process for potential staff. Family members are encouraged to forward their views on the service via a questionnaire, which is incorporated into the home’s Annual Review. People living at the home attend the regular team meetings. The AQAA states the Operations Manager audits the home on a monthly basis. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 20 However, these ‘Regulation 26’ reports do not include adequate evidence to form a satisfactory audit. There is a shift leader system whereby a member of staff is designated to be responsible for the smooth running of each shift. People’s views are listened to and their choices about furnishing, style and colours for decoration and where they want to go to are listened to and are used to plan their life and their care. Regular checks are undertaken for water temperature monitoring. Temperatures of fridges and freezers are recorded. One fridge had a temperature recorded higher than 5 degree C. However, this had just been restocked and the staff did say it was due to be replaced in the near future. Each person’s clothes that are to be laundered are kept in named and labelled baskets. The weekly fire alarm testing carried out by staff is recorded. A Quarterly check on the fire alarm system is undertaken and an annual check on extinguishers is carried out. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 21 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 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X X 3 X High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 22 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 YA20 Regulation 13(2) Requirement Medication records must be accurately maintained and all medication accounted for, so that people are safe from the risk of under dosing and overdosing. Timescale for action 01/10/08 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 3 Refer to Standard YA6 YA33 YA39 Good Practice Recommendations Care plans should include the plans for people’s holidays. Staff rosters should include the hours worked. Visits to the home for the purpose of complying with Regulation 26 of The Care Homes Regulations 2001 should contain a greater depth of information and clear evidence. High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI High Road 73 DS0000063111.V370793.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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