Care Home: Jubilee Gardens

What the care home does well People had the opportunities to develop practical life skills and social skills and make the most of their abilities. Daily routines within the home were flexible and individual, for each person who uses the service. People very positive about the level of care and support they received at Jubilee Gardens and made comments such as "Staff are good here" "Staff are really helpful" "There is a really nice atmosphere here, we all get on and I think things are getting better" The service was found to be clean, well decorated and in a good state of repair. Staff interviewed said that they really enjoyed working at the home and got a lot of job satisfaction. We found that the staff were very enthusiastic to improve the service and support people in the home so they could become as independent as possible. The impression was that the manager and staff were committed to supporting and enabling people to lead fulfilling lives. What has improved since the last inspection? Some recording systems on peoples care plans have improved. Medication procedures employed by staff have improved. The cleanliness and general environment of Jubilee Gardens has improved. New carpets had been fitted and some rooms had been redecorated. People said there were more opportunities for recreation and "I think things are getting better". What the care home could do better: The recording and content in peoples care plans must be improved to ensure that all staff know what to do to support and meet peoples changing mental and physical health, social and personal care needs. The home must obtain and make available all relevant information and documents on new employees. CARE HOME ADULTS 18-65 Jubilee Gardens 18 Jubilee Gardens Royston Barnsley South Yorkshire S71 4FL Lead Inspector Mike O’Neil Key Unannounced Inspection 22nd January 2008 09:30 Jubilee Gardens DS0000018259.V355720.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 Jubilee Gardens DS0000018259.V355720.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. Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee Gardens Address 18 Jubilee Gardens Royston Barnsley South Yorkshire S71 4FL 01226 701980 01226 701981 g.thompson@syha.co.uk None South Yorkshire Housing Association 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) Vacant post Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (16) of places Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Mental disorder - Code MD The maximum number of service users who can be accommodated is: 16 12th December 2006 2. Date of last inspection Brief Description of the Service: Jubilee Gardens is a purpose built property for service users with mental health needs. The home provides intermediate care with the intention that service users will progress to independent living. There is a core unit and six semi-independent flats on site. The core unit is on two floors, serviced by a passenger lift and comprises of ten single bedrooms with en-suite facilities, two lounges, a dining room, kitchen, laundry room and offices. Car parking is available at the front and there are lawned gardens to the rear. The project is on the edge of a housing estate in Royston, where there are good community facilities. It is on the bus route from Wakefield to Barnsley. The range of fees for the care offered at the home at 22/01/08 are £341.50£582 per week. The homes statement of purpose, service user guide and complaints procedure is available in appropriate formats. Jubilee Gardens DS0000018259.V355720.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 that the people who use this service experience good quality outcomes. This was an unannounced key inspection carried out by Mike O’ Neil, regulation inspector. This site visit took place between the hours of 9:30 am and 3.30pm. Claire Phelps is the manager and was present during the visit. Claire is in the process of completing her application to the CSCI to become the registered manager. Claire has been in post at Jubilee Gardens since October 2007. Kath Eastwood, care services manager, South Yorkshire Housing Association was present during the latter part of the site visit. Prior to the visit the previous manager of Jubilee Gardens had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. We also sent out surveys prior to the inspection, 3 were received back from professionals and one from a person who uses the service. Information from the surveys and AQAA is included in the main body of this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to five staff and seven people. We checked all key standards and the standards relating to the requirements outstanding from the homes last inspection in December 2006. The progress made has been reported on under the relevant standard in this report. We wish to thank the people living in the home and the staff for their time, friendliness and co-operation throughout the inspection process. What the service does well: People had the opportunities to develop practical life skills and social skills and make the most of their abilities. Daily routines within the home were flexible and individual, for each person who uses the service. People very positive about the level of care and support they received at Jubilee Gardens and made comments such as “Staff are good here” Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 6 “Staff are really helpful” “There is a really nice atmosphere here, we all get on and I think things are getting better” The service was found to be clean, well decorated and in a good state of repair. Staff interviewed said that they really enjoyed working at the home and got a lot of job satisfaction. We found that the staff were very enthusiastic to improve the service and support people in the home so they could become as independent as possible. The impression was that the manager and staff were committed to supporting and enabling people to lead fulfilling lives. 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. Jubilee Gardens DS0000018259.V355720.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 Jubilee Gardens DS0000018259.V355720.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): Standards 1 and 2. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service had information about the home and services provided. People were individually assessed prior to admission to ensure their needs could and would be met. EVIDENCE: The home had a Statement of Purpose and Service User Guide. These were available in the entrance hall for anyone visiting the home. Care plans showed that people within the service had been assessed before moving into the home. Assessments included the Care Programme Approach and plans of care had been developed based on these. The manager and staff liaised with professionals and families to find out about peoples needs. The manager visited the person and undertook an assessment, prior to admission. Jubilee Gardens DS0000018259.V355720.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): Standards 6, 7 and 9. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s plans of care did not contain all of the required information, which could result in people not being supported as needed or as they preferred. People were assisted and supported by staff to make decisions and choices about all daily living needs. EVIDENCE: Two peoples plans of care were seen. These contained information on aspects of personal, social and health care needs. The plans contained some good profile information, including records on mental health support and risk assessments for all aspects of people’s day-to-day lives and behaviours. People said they were aware of what was in their care plans and said they participated in regular reviews with staff and visiting health professionals. Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 10 The care plans however did not meet the required standard because of the following reasons • The persons care plans and assessments contained good detail but some of the information was repeated making the document very bulky and difficult to track a person’s plan of care. Historical information such as Medication Administration Records (MAR) was also stored in the care plans of the records. Records should be condensed. This would make it easier for staff to use the care plan documentation and make it easier to monitor peoples changing needs. The care plans seen did not detail the healthcare appointments that people had attended. The manager said that they should have been recorded in people’s daily notes. But this type of recording would make the monitoring of appointments and heath professional contacts very difficult to track or monitor. This issue was raised at the last inspection and recorded under Healthcare Support, Standard 19. Staff, when writing peoples daily notes, were not being reflective of the information actually recorded in the persons care plan. • • The manager and staff said they were in the process of reviewing people’s care plans in line with making the plans more user friendly and meeting requirements made at the last CSCI inspection. We could see that staff had clearly made efforts to improve the care plan documentation and met previous requirements and included people in the reviews of their plans. People said they could make choices in their life whilst staying at Jubilee Gardens. For example people said they shopped for themselves with or without support, chose what they wanted to do during the day and whom they preferred to spend time with. Staff were seen to be supporting people in day-to-day activities. Care plans identified levels of support people needed. The manager and staff said they were working hard to develop plans further, with people, to promote as much independence as they could. People were supported in taking risks as part of their daily living to enable them to be as independent as possible. Risk assessments were in peoples care plans and had been regularly reviewed with staff, people and other professionals. Jubilee Gardens DS0000018259.V355720.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): Standards 12, 13, 15, 16 and 17. People who use the service experience good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The service provided, promoted and encouraged development of social and practical skills. This ensured that people had the opportunity to participate in leisure activities and live as part of the community. People were given the opportunity to exercise their right of choice regarding their daily lives. EVIDENCE: People had the opportunities to develop practical life skills and social skills and make the most of their abilities. Daily routines within the home were flexible and individual, for each person who uses the service. Activities were arranged for each individual. Group activities were also available. Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 12 People said they visited shops, pubs and other amenities in the village. Two people said they had been assisted to apply for a “passport to leisure” pass. They said that this meant they would be able to use local leisure facilities at a reduced cost and at an increased frequency. People were supported to maintain family links and had the opportunity to meet people and make friends. Some people said they were looking forward to going away this year and were currently planning a holiday. People had their own keys to their rooms/flats. Staff were observed to knock on the door, and then waited until they were invited into the person’s room/flat. People were given the opportunity to exercise their right of choice regarding the provision of meals and were supported by staff to eat as healthily as possible. A cook was employed and a choice of menu was offered for the teatime meal for people who were not independently cooking their meal. A good choice of menu was offered. Staff said that individual requests would also be catered for. People said there had been more opportunities for recreation over the last few months. People said they were looking to buy a pool table and they had used the minibus, which is owned by the service, on a more frequent basis. Jubilee Gardens DS0000018259.V355720.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): Standards 18, 19 and 20. People who use the service experience good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People’s health is monitored and arrangements for dealing with health issues were met with support from health professionals. Medication policies and procedures were well managed ensuring the safe administration of medication. EVIDENCE: Care plans showed that people’s health was monitored and staff had access to health care facilities and any relevant specialists that were necessary. However, as highlighted under Standard 6 the care plans did not clearly detail the healthcare appointments that people had attended. Records showed that people were assisted and supported by staff to make decisions and choices about all daily living needs. Information of peoples personal care needs was recorded, this also included people’s wishes and preferences, or when staff provided personal support in daily routines. Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 14 Risk assessments were in place to identify any risks and how they can be managed. These assessments involved people and other professionals. People very positive about the level of care and support they received at Jubilee Gardens and made comments such as “Staff are good here” “Staff are really helpful” “There is a really nice atmosphere here, we all get on and I think things are getting better” Medication checked was securely stored. All medications administered had been signed for. Previous requirements relating to the receiving of medication and maintenance of medication stock at the service were checked and were found to be satisfactory. A recommendation was made to ensure that where handwritten entries of medication are needed that two staff check and sign to confirm that the dosage and administration of medication recorded is correct. Staff said that, if appropriate, people were enabled to maintain control of their medication, with self-administration risk assessments in place. Risk assessments had been completed. One person spoken to said they were self medicating and that staff had been very supportive in helping them to achieve this goal. Staff said that they had undertaken training, which gave them the competencies to administer medications. Records were seen of the training staff had undertaken. Jubilee Gardens DS0000018259.V355720.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): Standards 22 and 23. People who use the service experience good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The complaints procedure was accessible and displayed within the home. Policies and procedures were in place on adult protection; this promoted and protected people who use the service. EVIDENCE: A complaints procedure was in place, this was in an appropriate format and was accessible to people. Complaint records showed one complaint had been received in the past year. There was evidence seen that the concerns raised in this complaint had been addressed. People said if they had any concerns they would feel very comfortable in speaking to the manager about them. People said they knew how to make a complaint and who too. (Previous requirement met) Staff confirmed they were aware of protection polices and procedures, they were able to describe the action they would take on receiving any allegations. Records were seen of recent adult safeguarding training people had undertaken. This ensured people who use the service were safe and protected. Jubilee Gardens DS0000018259.V355720.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): Standards 24 and 30. People who use the 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, monitored at this inspection, had been maintained to the required standard to provide a safe, well-maintained environment for people. EVIDENCE: On touring the building, the service was found to be clean, well decorated and in a good state of repair. Since the last visit requirements in relation to the environment had been met. New carpets had been fitted and some rooms had been redecorated. This has improved the environment of the home for people. All communal areas of the home including bathrooms and toilets were accessible to people. (Previous requirement met) Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 17 People were supported by the staff to take responsibility for cleaning their own bedroom or flat as part of their care programme to develop their independent living skills. Domestic staff were employed to clean communal areas and to support service users to ‘deep clean’ their bedroom and flats on a regular basis, dependent on the support that they needed. One person said they were due to receive some support to clean their flat on the day we visited the service. People said that the home was always kept clean. Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 18 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): Standards 32, 34 and 35. People who use the service experience good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People get good support from staff who are trained and competent. Recruitment policies in the main are followed ensuring the safety and protection of people who live at the home. EVIDENCE: Information from surveys identified concerns over the staffing levels at Jubilee Gardens. The surveys were dated from September 2007.The manager agreed that 2 –3 months ago there were shortfalls in the staffing numbers. She now felt, however, that staffing levels were adequate to meet and to offer good levels of support to people. People spoken to during the visit said that the staff were ‘ helpful’ and had the time to offer the support that they needed. All the care staff spoken to felt that there was enough staff provided to provide a good level of support and care to people. Three staff records of employment were checked. One file did not include references or a Criminal Records Bureau (CRB) check and one file did not Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 19 contain the staff members CRB check. Kath Eastwood had to email head office to confirm that CRB checks and references had been obtained. We did see an email confirming the names of referees and the reference number of the CRB checks for the appropriate staff members. Full and relevant information in respect of each person employed must be kept together, be fully complete and made available or kept at the care home. Staff interviewed said that they really enjoyed working at the home and got a lot of job satisfaction. We found that the staff were very enthusiastic to improve the service and support people in the home so they could become as independent as possible. Staff were able to talk about the various training courses that they had attended. Development and training records were checked these records showed when staff had completed mandatory training and refresher training. Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 20 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): Standards 37, 39 and 42. People who use the service experience good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Overall management of the home was good, with policies and procedures in place to protect and safeguard people who use the service. EVIDENCE: As highlighted in the summary of this report a manager had been appointed to the service. Her position had been discussed with the CSCI. She identified that she is to submit an application for registration to become the registered manager. Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 21 The manager has many years experience within mental health services. She plans to start her NVQ Level 4 in Management within the next few months. Staff and people said they found the manager supportive. Throughout the inspection, the impression was that the manager and staff were committed to supporting and enabling people to lead fulfilling lives. Comprehensive Quality assurance systems were in place to monitor aspects of the quality of care and services within the home, for example care plans and medication procedures. The care services manager continued to carry out monitoring visits, and complete regulation 26 reports. These state what she found during her visit and who she spoke to, all were available at the home. Staff meetings and meetings involving people at Jubilee Gardens were held and minutes of these meetings were seen. Accident/incident records were being maintained and these were monitored at the head office. Staff said they had received recent fire safety and other health and safety training .A sample of records showed that staff were receiving this statutory training. Fire dill practices were occurring on a regular basis at the home. Fire records stated that weekly testing of the fire alarm system had occurred. A sample of records showed servicing of the homes utility systems had occurred. We found fire exits were clear and hazardous products were safely stored in the home. This will promote the safety and welfare of the people. Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA6 Regulation 15 Requirement The persons daily notes must reflect the information actually recorded in the persons care plan. Records of healthcare appointments must be maintained. Full and relevant information in respect of each person employed must be kept together and made available or kept at the care home. The appointed manager must submit a registration application to the CSCI and undertake the registration process. Timescale for action 01/04/08 2. 3. YA6 YA34 13,17 17 19 01/04/08 01/04/08 4. YA37 8 01/04/08 Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA20 Good Practice Recommendations Care plan records should be condensed. This would make it easier for staff to use the care plan documentation and make it easier to monitor peoples changing needs. Two staff should witness handwritten entries on medication administration records. Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Jubilee Gardens DS0000018259.V355720.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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