Care Home: Seaham View

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What the care home does well Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. Information is available to help people make an informed choice about the service before they decide to use it.All of the people have care plans which give some information to staff about how to support them and meet their needs. The staff at the home treat the people as individuals and support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. People who live at the home experience a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The home is clean, warm and pleasantly furnished so the people who use the service have a comfortable place to live. The home has procedures for staff for the administration and recording of medication. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints so any disputes are settled quickly, therefore good relationships are maintained. The home has adult protection policies and procedures for the staff to follow so they can protect the people who live there and keep them safe. Sufficient staff are employed at the home to meet the diverse needs of the people who live there. The staff are supervised and trained so they know how to provide the people who live at the home with good care. What has improved since the last inspection? This is a new service. CARE HOME ADULTS 18-65 Seaham View 31-32 North Road Seaham County Durham SR7 7AB Lead Inspector Hilary Stewart Key Unannounced Inspection 30th April and 8th May 2008 09:30 Seaham View DS0000070996.V362944.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 Seaham View DS0000070996.V362944.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. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seaham View Address 31-32 North Road Seaham County Durham SR7 7AB 0191 5819609 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) Autism North Limited Michael Robert Green Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Seaham View DS0000070996.V362944.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: 2. Learning Disability - Code LD, maximum number of places 12 The maximum number of service users who can be accommodated is: 12 New service Date of last inspection Brief Description of the Service: Seaham View is a large house on the sea front at Seaham. It is near to the town centre and near to bus routes. The house has 12 bedrooms. All have an en suite facility. The home has three lounges, two dining rooms, a quiet room and a meeting room and an office. There are two laundries with sluice facilities. The home has recently been refurbished and is comfortably furnished. There are two courtyards with seating. The home charges from £2240.00p and £6251.32p per week. Seaham View DS0000070996.V362944.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. Before the visit: We looked at: • Information we have received since the home opened. • How the service dealt with any complaints, concerns and safeguarding issues. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff. The Visit: An unannounced visit was made on 30th April 2008 and another visit was made on the 8th May 2008. During the visit we: • • • • • • • • • Talked with the staff and the manager. Spoke to some of the people who live at the home (some of the people do not use speech as their main means of communication so not all of them were spoken with). Observed the people who live at the home. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked to see if the staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Looked at information from the surveys that had been returned, Checked what improvements had been made since the last visit. We told the manager what we found: What the service does well: Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. Information is available to help people make an informed choice about the service before they decide to use it. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 6 All of the people have care plans which give some information to staff about how to support them and meet their needs. The staff at the home treat the people as individuals and support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. People who live at the home experience a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The home is clean, warm and pleasantly furnished so the people who use the service have a comfortable place to live. The home has procedures for staff for the administration and recording of medication. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints so any disputes are settled quickly, therefore good relationships are maintained. The home has adult protection policies and procedures for the staff to follow so they can protect the people who live there and keep them safe. Sufficient staff are employed at the home to meet the diverse needs of the people who live there. The staff are supervised and trained so they know how to provide the people who live at the home with good care. What has improved since the last inspection? What they could do better: The care plans should be improved so they give a good level of detail to staff, to make sure that they have all of the information they need to support the person at the home and keep them safe. If all risk assessments were completed and had more detail this would inform staff of the reasons why some people have restrictions on their movements. This would mean that staff would know how to protect them and limit any risks. The personal care plans should have enough detail to let staff know how to meet the peoples needs and support them in the way they would like, at the same time promoting each perso’s independence. Also if handwritten entries in Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 7 the medication records are signed by two staff this would help to make sure that the entries are accurate. If all staff know and understand the homes safeguarding procedures thoroughly this will help them keep the people at the home safe. Reports from unannounced monitoring visits should be sent to the home every month so the manager can make sure that any recommendations are acted upon so the people at the home continue to receive a good service. 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. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 8 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 Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are carried out before people receive the service. These inform the plans to ensure they get the care and support they need. EVIDENCE: The manager said that the people who live at the home have had their needs assessed before and after they move in. They assess the people when they move into the home and their care plans are based on what they find. A person can only move into the home if they are certain that their needs can be met there. If a person decides to move into the home they can visit before they move in permanently, so they can be gradually introduced to the other people who live there. Records showed that one person had had visits to the home before they moved in permanently. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has care plans for each person who lives there. However, some of the care plans do not have enough detail to fully inform staff on how to meet the needs of the people. People are supported to become more independent and at the same time staff look at the risks to keep them as safe as possible. However this information needs to be better detailed to inform staff practices. EVIDENCE: The manager said that they consult the people at the home as much as possible about their care plans. Records showed that each person has a care plan and a working file. Daily events are recorded in individual diaries, which are summarised monthly, and the information from this is used to review service users’ needs. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 11 Staff could describe how they work consistently with the people at the home but this was not recorded in sufficient detail in the care plans. For example, one care plan had “for staff to support... to develop their range of key words” but the plan did not go on to say what the words were or how staff were to do this. Another said “ staff to encourage.... to communicate appropriately” but again did not go on to inform staff how to do this. The manager said that they have just started to write individual behavioural profiles, which is a set of guidelines to inform staff about how to manage each person’s behaviour. Staff said that the people who live at the home are given choices as much as possible. They take part in planning the activities but may not understand due to their disability. Their timetable showed that they had different individual activities and people were out on various activities on the day of the visit. One person had gone to the swimming pool another was going shopping. People were observed going out. One person showed the inspector their shopping when they returned. The manager and staff said that they consult the people who live at the home as much as possible. They observe their facial expressions and gestures to see if they are enjoying something or not. The manager said that they intend to look at different ways to make information more accessible to the people who live at the home, such as putting it in a format that is easier to read or that is more accessible to them. The service has some general risk assessments and also individual ones, to support the people to have a more independent lifestyle. Reasons for any restrictions on the person’s movements were not recorded in the plan, for instance if they cannot leave the home with out staff supervision. The manager said that they are in the process of completing all of the care plans and implementing person centred planning and detailed risk assessments will be part of this process. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People at the home are supported by staff who value them, while maintaining links with their families and friends. This means they can have new experiences and interests and do not become isolated. EVIDENCE: The manager confirmed that they provide the people at the home with structured and predictable activities, in the home and in the community. Staff said that the people who live at the home are given choices as much as possible. They have different activities and go out most days; some people were going out on the morning of the inspection. The people were generally unable to comment on what they thought of their activities. One person when asked if they had had a good time shopping said that they had. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 13 Daily records show that activities take place, such as meals out, trips to the beach and walks. The daily routines within the home are structured around the people who live there. Sufficient staff were on duty to enable them to take part in activities. The manager said that they arrange holidays and extended days out and that they actively seek new experiences for people to promote their independence. They are now using local pubs and restaurants. Staff said that they respect the privacy and they are aware of their rights of the people at the home. They were observed knocking at people’s bedrooms doors and asking if they could enter. The people at the home looked relaxed and comfortable with the staff. A goodhumoured rapport was observed between them. Staff were also observed asking them what they would like to do before they went out. Some people at the home use Makaton sign language to communicate and some staff said that they had not been trained in how to use Makaton, therefore found it difficult to really support service users. The manager said that it was planned that all staff would receive training in the near future. People were also observed taking part in the domestic routines in the home, one person was tidying their bedroom with support from staff. The manager said that the meals served at the home are what the people who live there are known to like. Each person has a nutritional checklist, which has been put together by the cook; they make sure each person has a varied healthy diet. They have a choice of meals and the food served is written in their daily dairies. This is so staff can make sure every person has a varied diet. Stocks of food were adequate and there was fresh fruit and vegetables. People who live at the home can have snacks and drinks at any reasonable time. The manager said that they get an adequate amount of money to buy food. One person who was having lunch said when asked if they liked the food said yes. They also said “ I like the home”. The manager said and records showed that the people at the home are supported to keep in contact with their families and friends. They are encouraged to visit them as much as they want and staff support them to go out and visit their family and friends. Staff said that they regularly consult the person’s family about any issues at the home. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People have personal support when they need it, so that they are as independent as possible. Healthcare needs are met, which ensures that people stay healthy. EVIDENCE: The care plans identify the personal support that the people need with everyday tasks. Some need help with their personal hygiene, however the care plans did not contain enough details about what they their needs are or how staff should support them. There is not always sufficient information in the care plans for staff to support people appropriately if they have not worked with them before. The plan does not state for instance if male of female staff carry out the care or the type of support the person needs, such as verbal prompts of physical support. Any progress made was not recorded either. Staff could describe how they meet the care needs of the people at the home but this was not recorded in the care plans. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 15 The manager said that this will be completed in the near future and as some people are new to the service, as they have recently moved in, they are still assessing them. Specialist support is available from psychologist/psychiatric services when required and community-nursing services are used when needed. The manager said that people have an “ok health check action plan” which helps the staff at the home monitor the health of each person. Records showed that they had attended health appointments with staff. The deputy manager demonstrated the medication systems in the home. Records are in use to monitor the administration of prescribed medicines. Staff who are authorised to administer medicines are listed in the file and there is a copy of their signature. Records showed and the manager said that all staff have received training in the safe administration of medication or are in the process of doing so. Staff who have not completed the training do not administer medication. Some written alterations had been made to the medication records but had not been signed by staff to say that this had been checked as being correct. Each person at the home has an individual medication plan with his or her photograph, as a safety measure. The manager said that the people at the home do not control their own medication. This has been assessed but had not been recorded on the medication care plans. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place, so that complaints are dealt with effectively and people know that their comments are taken seriously. Satisfactory protection procedures are in place to protect the people at the home from risk of harm. However new staff need appropriate training to ensure that they recognise when to raise an alert. EVIDENCE: Policies and procedures are in place that demonstrate how the home responds to complaints. The manager said that the home had not had any complaints since the last inspection. Staff actively encourage the people who live at the home and their families to tell them their opinions of the service, as much as possible. All of the people have a copy of the complaints procedure on the back of their bedroom doors. The complaints procedure is an easy to read format. Staff said that as the people at the home have difficulty using speech they have to use other ways to communicate with them. They watch for any changes in behaviour, as this often is a good indicator of whether someone is unhappy about something. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 17 The service currently has policies and procedures on safeguarding adults to inform staff what to do if they think a person at the home could be suffering from abuse. There is a copy of the local authority safeguarding adult’s procedures in the office. Most staff and the manager could describe what actions they would take to safeguard the people who live at the home from potential abuse. Some staff, although they were aware of some of the actions they should take were not absolutely clear about all of the homes procedures. The manager was informed of this and said they would make sure that all staff were aware of and understand the homes safeguarding procedures. Staff said and records showed that they receive training in safeguarding adults. The company have employed a person to train staff. Staff also said and records showed that staff receive training in how manage peoples behaviour. The manager said that staff do not use physical intervention unless they have taken part in this training. Records showed that any physical intervention is written down by staff and then signed by the manager. Staff said that this is only used as a last resort. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is comfortable, warm and clean so the people have a pleasant place to live. EVIDENCE: There are enough bathrooms and showers for the people who live at the home. The home is newly decorated and comfortably furnished. There are two laundries areas with sluice facilities. The bedrooms looked comfortable and the people who live at the home had personalised them. They had been made very individual. The communal walls were quite bare, however the manager said that they are gradually putting more pictures and decoration up as the people who live there get used to it. The home looked in a good state of repair, was clean and was odour free. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are in post to meet the diverse needs of the people who live at the home and they have opportunities for training so they know how to give them good care and meet their needs. Furthermore the home has recruitment procedures in place which help to prevent risk of harm to the people who live there. EVIDENCE: Staff said that they receive training which helps them with their work. The manager confirmed that they make sure that they get the training and support they need. Records showed that staff receive mandatory training, such as first aid, food hygiene and safeguarding adults training. Some staff needed updated training in food hygiene. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 20 The manager said that nine staff has vocational qualifications and fifteen are working towards one. Some of the people at the home use Makaton signs to communicate. Others had not had this training. Sufficient staff were on duty at the time of the visit. Staff confirmed and records showed that enough staff had been on duty in the home the previous week. All staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. The manager said that they do see the original check. All staff go through a recruitment process and they cannot not start to work at the home until this is completed. Staff are interviewed and are only successful when they have three satisfactory references. Records showed and staff said that they had not started to work at the home until they had been vetted and gone through the recruitment process. Some records did not show that any gaps in an applicants work history had been explored; the manager said that they do look into this during the interview but the written record was missing from the file. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well run and the opinions of the people who use the service are sought and valued as much as possible. These are used to ensure that the service is run in the best interests of the people who live there and to improve it. EVIDENCE: Safety checks have been carried out on the equipment in the home; such as the central heating boiler. Records showed that accidents are recorded and the manager said that they check them regularly. They also said that they have health and safety checks of the building to make sure it is maintained and safe. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 22 Fire safety risk assessments had been completed. The fire logbook showed that fire drills take place but it was not clear if fire instruction was as regular as it should be. Staff said that fire drills take place and they receive regular fire instruction and a record was found in the staff meeting minutes. The manager said that they would make the records more clear in the future. Records also showed that regular training is provided for staff in fire safety, first aid, moving and handling. The manager said that the people who live at the home and their families are asked their views about the running of the home as much as possible. A quality assurance system is in place and will be used to make future improvement and development plans for the service. Visits take place by a representative of the registered provider to monitor the welfare of the people who live at the home, however not all of the reports had been lodged at the home for the manager to see. Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 2 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 x 3 X 2 X X 3 x Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 2 3 Standard YA6 YA9 YA18 Regulation 15 13 12 Requirement The registered person must make sure that care plans are in enough detail. Any outstanding risk assessments must be completed. The registered person must make sure that personal care plans are in enough detail. Also handwritten entries in medication records are signed by the people who made them. All staff must know and understand the homes safeguarding procedures thoroughly. Reports from monthlyunannounced monitoring visits must be lodged at the home. Staff must be competent when using Makaton and other communication methods to assist residents participate in all aspects of daily life. Timescale for action 01/07/08 01/07/08 01/07/08 4 YA23 13 01/07/08 5 6 YA39 26 18 01/07/08 01/07/08 YA15 Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Seaham View DS0000070996.V362944.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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