Care Home: Southfields

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well People that potentially may move into the home are thoroughly assessed by the manager and this minimises the potential risk of someone moving in whose needs cannot be met. Care plans are created to meet peoples assessed needs and the detail they contain enable staff to meet those needs consistently. People lead active lifestyles supported by the staff team. People living in the home are provided with a high standard of accommodation that is homely, clean and meets their current needs. Staff induction and training is thorough and minimises the risk of peoples needs not being met by appropriately trained staff. The checks and procedures followed by staff minimise the potential health and safety risks to people living in the home. What has improved since the last inspection? There has been a wide range of improvements to the service since the previous inspection was completed. This includes people`s needs being assessed, care plans being developed to meet those needs and risk assessments put in place to minimise potential risks. CARE HOME ADULTS 18-65 Southfields 54 Southfield Road Gloucester Glos GL4 6UD Lead Inspector Mr Paul Chapman Unannounced Inspection 24 June and 21st July 2008 09:00 th Southfields DS0000067436.V360488.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 Southfields DS0000067436.V360488.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. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southfields Address 54 Southfield Road Gloucester Glos GL4 6UD 01452 545367 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) www.holmleigh-care.co.uk Holmleigh Care Homes Ltd Mrs Hazel Susan Hatch Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Southfields DS0000067436.V360488.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 providing personal care - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 7. Date of last inspection 28th June 2007 Brief Description of the Service: Southfields is registered to provide accommodation for up to seven people with learning disabilities. The home is a detached property in a residential suburb approximately two miles from Gloucester City centre. All of the service users have single bedrooms and these are situated over the first and ground floor. On the ground floor there is a communal lounge, dining room and kitchen. To the rear of the property is a substantial secure garden. Locally there are facilities including a shop, post office and pub that are used by service users. The home is staffed 24 hours a day, 7 days a week. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection took place in June and July 2008 and included two visits to the home on the 24th and 21st of June/July. The registered manager was not present at the first visit, but in attendance throughout the second visit. The registered manager completed an AQAA (Annual Quality Assurance Assessment) and this was returned prior to the inspection site visit. Completed questionnaires were received from 1 person living in the home, 4 staff and 2 healthcare professionals. Time was spent observing the care of people and their interactions with staff. Due to people’s communication difficulties it was difficult to speak to each person, but 1 person agreed to speak to us. The care of 2 people was looked at in depth that included looking at their financial, medication and personal records. 4 staff were spoken with about the care they provide. Other records examined included staff files, health and safety information and quality assurance records. What the service does well: People that potentially may move into the home are thoroughly assessed by the manager and this minimises the potential risk of someone moving in whose needs cannot be met. Care plans are created to meet peoples assessed needs and the detail they contain enable staff to meet those needs consistently. People lead active lifestyles supported by the staff team. People living in the home are provided with a high standard of accommodation that is homely, clean and meets their current needs. Staff induction and training is thorough and minimises the risk of peoples needs not being met by appropriately trained staff. The checks and procedures followed by staff minimise the potential health and safety risks to people living in the home. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 6 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. Southfields DS0000067436.V360488.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 Southfields DS0000067436.V360488.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): 1, 2, 5 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are provided with sufficient information to enable them to make a decision. People wishing to move into the home are thoroughly assessed by the manager to minimise the potential risk of their needs not being met. EVIDENCE: The previous inspection report made a requirement against standard 1, the manager was to ensure that each person has a copy of the home’s Service User’s Guide. At this site visit each person had a copy of the home’s Service User Guide, Statement of Purpose, Safeguarding and complaints policy, and other relevant policies. All of these documents have also been produced with symbols/pictures. No one has been admitted to the home since the previous site visit was completed. The manager has been completing an assessment for a person moving into the home and we examined this. The assessment completed by the manager was thorough and minimised the risk of the home not being able to meet the person’s identified needs. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 9 The previous inspection report made a requirement for each person living in the home to have a statement of terms and conditions for their residence. And that either the person, or their representative signed these documents. Looking at these documents on this occasion showed that each one was now signed. Southfields DS0000067436.V360488.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, 8, 9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. All of the people living in the home have care plans to meet their assessed needs. Staff support people living in the home to make decisions about their lives. The risk assessments completed for each person minimise potential risks to people whilst enabling them to go about their day-to-day lives. EVIDENCE: The previous inspection report made a requirement that each person had care plans to meet their assessed needs. We examined the care for 2 people (at the time of this site visit only 3 people were living in the home). Both files showed that staff had completed needs assessments before starting to write care plans. The assessments we saw completed were comprehensive and covered areas including accommodation needs, personal support, education, training, occupation, family and social Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 11 contact, risks, income, cultural and faith needs, physical and mental health needs, specialist input and methods of communication. From these assessments we saw a number of documents developed with staff, these included; a pen picture named a service user summary, an IPP (Individual Person Plan) detailing a person’s likes and dislikes. The care plans created for each person were detailed and enabled staff to provide care consistently. There were a large number care plans covering a wide range of needs. The manager explained that they plan to review all care plans quarterly, records showed that all care plans we saw had been reviewed in the past 3 months. Each person living in the home has a key worker and staff are asked to read each of the care plans and sign to confirm they have understood it. A document developed by staff with people living in the home is called my dreams. This is where people are able to write what they would like to do. We saw an example of a person wishing to attend a football match and go iceskating. Staff had supported the person to do both of these things. Records provided good evidence of when the person didn’t want to do 1 of the activities, but staff had supported them to do it when they did. From reading the document we would only recommend that where possible feedback is recorded by the person being supported by the staff. Staff have started to complete PCP’s (a Person Centred Plan is commonly known as a PCP, this approach empowers people to make changes in their lives, achieve their goals and ensure that resources are in place to meet their future needs). At present the PCP’s consist of a summary of people’s likes and dislikes and a discussion took place with the manager and senior care worker about the need to develop these documents. The senior care worker stated that they were in the process of developing these documents. It becomes a recommendation of this inspection report that detailed PCP’s are developed. The previous inspection report made requirements for people to be empowered to make choices about their lives and be given the opportunity to participate in the day-to-day running of the home. We spoke to 1 person about what it was like to live in the home. They said that it was good “the staff are nice and they help me to do the things I like”, “I am able to choose what I like to do”. The 2 other people in the home have communication difficulties and we observed the staff’s interaction with them. Staff were seen giving them choice about activities and food, whilst the records provided other examples of choices being provided. All 3 people are encouraged to be involved in all aspects of life in the home and get involved with cooking meals/food and cleaning they’re bedrooms and communal areas. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 12 The previous inspection report made a requirement for risks assessments to be completed for each of the people in the home. Risk assessments for people living in the home are thorough and minimise potential risks to people while they go about their day-to-day lives. All of the risk assessments we examined had been regularly reviewed. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 13 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, 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are enabled to take part in a wide range of activities that meet their current needs. People living in the home have a good range of meals made available to them but the use of photos should enable people to have a greater choice. EVIDENCE: People living in the home take part in a range of activities. These have increased and become more varied since the previous inspection was completed. From the records we examined and speaking to staff and a person living in the home the following activities take place regularly: • The home has purchased a large trampoline for the rear garden that 1 person uses daily. • There is a weekly swimming session at a local pool. • People go out for meals. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 14 • • • • • Staff support people to go out and use facilities in the local community. Bicycle riding. Walking in a local park, or up a hill. Life skills – cooking, polishing, dusting, emptying bins, recycling, hovering, washing up. An appropriately qualified masseuse visits the home weekly to work with people. The activities identified above may be done in a group, but people are also supported individually. A good example of this was highlighted earlier in this report where 1 person was supported to attend a football match and go iceskating regularly. The home has a large garden with an area at the bottom to grow vegetables, or develop plots for individuals. Speaking to the manager they stated they are thinking of starting a gardening club with people from this home, and others within the organisation. The cultural needs of people living in the home are addressed with their care plans, and we saw evidence of these needs being addressed appropriately. People needs were regularly reviewed. A person living in the home said, “the food is nice”. The home’s menus were examined. These showed that people are provided with a good range of meals and that people are asked to choose. Records showed that where people did not want the choice on the menu they were able to have what they liked to eat. Snacks are available and drinks are available at all times. Since the previous inspection was completed the home has started to develop a photo based menu system. This needs to be developed further to enable people in the home to use the system effectively. The manager said that this would be achieved over the coming months. This becomes a recommendation of this inspection report. In addition to developing the menu with photos future shopping lists could use photos enabling people living in the home to be more involved in shopping for ingredients. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 15 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, 21 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s health needs are assessed and appropriately trained professionals meet those needs. The home’s medication system is managed effectively and this ensures that people are not put at unnecessary risks. EVIDENCE: Where people require support with their personal care plans are in place to promote a consistent approach by staff. The previous inspection report made a requirement that people’s health needs are assessed. Each of the files we examined contained completed hospital assessments, and documents called my health record, and an OK health check. These documents all highlighted peoples medical needs in detail with the aim of medical professionals being able to use them as and when required. The manager should be mindful that these documents should be signed and dated. Each file provided good evidence of people being supported to attend appointments with other professionals and their health needs being met. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 16 The home’s medication administration was examined. Good practices seen included a detailed description of each person with a photo and instructions about how each person takes their medication e.g., “they take their medication whilst sitting down”. 1 person living in the home administers their own medication and staff are provided with detailed guidelines to support this. Medication storage was seen to be managed appropriately. The previous inspection report made a requirement that people’s wishes relating to ageing and illness were identified. Evidence showed that the manager and her team are addressing this. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 17 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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure to enable people to make complaints and allow staff to respond consistently. Records of income and expenditure are detailed and minimise potential risks to people who are unable to manage their own finances. EVIDENCE: The home has a complaints procedure. The home’s manager has not received any complaints since the previous inspection was completed. The CSCI has not received any complaints about the home. We checked the financial records for each of the people living in the home. Records of income and expenditure were detailed and seen to be correct at the time of the site visit. Staff complete training in safeguarding adults. Speaking to staff they were able to give us examples of good practice. Southfields DS0000067436.V360488.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, 27, 29, 30 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides people with a homely, comfortable environment that meets their current needs. EVIDENCE: A tour of the premises was completed with the manager and the deputy. The provider has spent a significant amount on refurbishing the property over the previous 2 years. As a result the home now looks really nice with a lot of touches that make it look homely. Fixtures and fittings are of a high standard. Since the previous inspection was completed a new conservatory has been fitted. Each person has their own bedroom and speaking to 1 person they confirmed that they were asked how they wanted their room decorated. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 19 All bathrooms and toilets were seen to be decorated to a good standard, at the time of this site visit a “wet room” was being fitted downstairs. At the 1st visit we noted that the carpet in the lounge and hallway were worn, this was brought to the attention of the staff on duty. By the time of the 2nd visit this carpet had been replaced. The home was clean and tidy on both occasions that we visited. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Training provided to the staff team means that the current needs of people living in the home are met. Staff recruitment procedures minimises potential risks to people living in the home. EVIDENCE: All new staff complete the organisation’s induction programme, this includes a week of mandatory training away from the home. The courses completed during this week include an introduction into learning disabilities, safeguarding vulnerable adults, first aid, health and safety, moving and handling, fire safety and basic food hygiene. In addition to the organisation’s induction training all new staff complete a course named the Foundation for Care (this is a 3 day distance learning course). When new staff start working in the home they are given a mentor and complete “in house” induction standards. We evidence of these standards being signed off as completed. Individual staff training records were examined and showed that staff had completed training including safe handling of medication, supervisory Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 21 development, supervision and appraisal, personal development, diabetes, epilepsy, autism, moving and handling, palliative care and peg feeding. 3 members of staff have completed their NVQ’s (National Vocational Qualification). The manager stated that the rest of the staff team will start their NVQ’s at the end of July and that senior and night staff will complete the level 3 in health and social care, whilst other staff will complete the level 2. The staffing rota was seen and showed that adequate numbers of staff are on duty at all times. A shortfall identified while looking at the rotas was that they sometimes did not accurately reflect who was actually working. It becomes a recommendation of this report that manager ensures that future rotas accurately reflect the staff working. There is a picture rota in the entrance hall. Staff recruitment records were examined and seen to meet the criteria of these regulations. The previous inspection report made a requirement that the staff criminal records bureau (CRB) disclosures should be available for inspection by the CSCI. It has been agreed that the organisation can hold staff CRB disclosures at the head office. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The drive and commitment of the manager and her team has led to better outcomes for people living in the home. Health and safety procedures, checks and training minimise potential risks to people living in the home. EVIDENCE: The home’s manager is registered with the CSCI (this was a requirement of the previous inspection report). They have extensive knowledge of this client group and this shows in the progress that has been made in the home since the previous inspection was completed. When speaking with staff they were positive about the manager’s influence in the home since they started last year. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 23 As this report reflects the manager and her staff team have worked hard to ensure that the shortfalls identified by the previous inspection report have been addressed. This has lead to the outcomes for people in the home improving and there being more comprehensive evidence to support this. A number of steps are taken to address quality assurance in the home. Regulation 26 visits (this regulation requires that where a provider is not in day to day charge of the home that someone not responsible for managing the service visits every month) are completed each month and we examined the reports completed for the previous 2 months. This showed that where shortfalls were identified that the manager took corrective action to address them. All care plans and risk assessments are reviewed regularly. We read the minutes of previous resident meetings. We spoke to the manager about the detail within the minutes and suggested that the format of the meeting may need to be reviewed. It was agreed that the format of the resident meeting is not working as aimed, and as a result it is not a forum for people to talk about the quality of the service they receive, or what they would like to see happen in the future. Staff meetings are completed regularly and we examined minutes. Although progress has been made to developing a quality assurance system that puts people living in the home as central to future developments this needs further development and becomes a requirement of this inspection report. The manager stated that all of the organisation’s policies have been reviewed since the previous inspection was completed. A number of procedures are followed to minimise potential risks to health and safety around the home. These include: • Fire safety checks being completed regularly. (This was a requirement of the previous inspection report). • A fire risk assessment has been completed and reviewed. • There was a landlord’s gas safety certificate dated June 2008. • Fridge and freezer temperatures are recorded daily. • A food probe is used to monitor temperatures of cooked meat. • Staff complete training in health and safety subjects including food hygiene. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 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 4 25 X 26 X 27 3 28 X 29 3 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 3 3 3 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 3 3 X 2 3 X 3 X Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 25 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 YA39 Regulation 24 Requirement A quality assurance system that puts the views of the people living in the home as central in the process must be developed. 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. 2. Refer to Standard YA6 YA6 YA17 Good Practice Recommendations The manager should ensure that the person centred plans are developed for each of the people living in the home. People should be supported to write their own reviews od activities where possible. The manager should continue to develop the home’s picture menus and shopping lists. Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Southfields DS0000067436.V360488.R01.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!