Care Home: Station Villa

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 Station Villa is a recently completely refurbished, comfortable home, which continues to provide an established safe environment for the people that live there. The staffing group are stable providing a continuity of care. The registered providers, registered manager, and staff have an in-depth knowledge and understanding of the residents`needs and capabilities. The home`s staff respect the individuals` right to privacy and dignity, and work hard to promote independence. The wellbeing of the resident is foremost in the operation of this home. Outcomes for the people that live there are good. What has improved since the last inspection? The whole property has been completely refurbished and redecorated to a high standard. The Statement of Purpose (SoP) and Service User Guide (SUG) have been made available in audio CD format. What the care home could do better: More could be done to ensure people receive monies due to them directly into their own accounts. The registered manager should do more to demonstrate the involvement of other relevant agencies and people in determining risk-assessments, and ensuring the assessments reflect the activities undertaken. The registered provider should ensure that care plans are reviewed to provide the information needed to direct care. The home could be more consistent in protecting the interests of the residents via a robust recruitment procedure. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Station Villa 18 Station Hill Hayle Cornwall TR27 4NG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Alan Pitts     Date: 2 7 1 0 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Station Villa 18 Station Hill Hayle Cornwall TR27 4NG 01736755251 Telephone number: Fax number: Email address: Provider web address: stationvilla@swallowcourt.com Name of registered provider(s): Type of registration: Number of places registered: Swallowcourt Limited care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability learning disability Additional conditions: The registered person may provide the following category of service only: Care Home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: learning disability (Code LD) The maximum number of service users who can be accommodated is 16 Date of last inspection Brief description of the care home Station Villa is a large detached house situated in a residential area near to the railway station in Hayle and within walking distance of the town. Swallowcourt Ltd purchased the home in January 2005 and are now the registered providers with Mrs C McLean as the registered manager. The service can provide care and accommodation for up to 16 residents. There are currently 16 single bedrooms, of which 8 provide ensuite facilities. Provision Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 16 0 16 13 Brief description of the care home of bathrooms and wet rooms ensure that no more than 4 residents will share a facility. There are 5 chalet-type rooms to the rear of the main building for the more independent residents. There is a platform lift for access from the main building to the annexe at the rear and to the garden, and 7 rooms have wheelchair access. There is parking for 6-8 vehicles at the front of the building. The improvements look impressive and improve the comfort and well being of the people that live there. Some of the service users at Station Villa attend day care facilities and others attend other centres for weekday activities. The registered manager advised that fees ranged from 450 to 820 pounds per week in 2009. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place on the 27th October 2009, over a period of approximately 6 hours. The inspection included: discussion with the registered manager and staff, a tour of the premises, examination of relevant documentation, and the inspector met with 6 of the people that live there. The residents have lived at Station Villa for a number of years and the registered manager and staff have a good understanding of their care needs, though this does not always correlate with the care documentation. The overall rating reflects the outcomes for the people that live there. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information for residents is available and efforts have been made to provide this in alternative formats. The registered providers endeavour to ensure that prospective residents will fit in with the existing residents, and obtain pre-admission assessment information to aid this. Evidence: The homes Statement of Purpose (SoP) and Service User Guide (SUG) have been reviewed and they are current and accurate, reflecting the level of service offered (e.g. staffing levels available). The complaints procedure is included in the SoP. The SoP and SUG are now available on an audio CD, or printed document. There is an old pictorial version of the SUG, but this is not currently in use. The registered manager advised the inspector that a video version was being developed. Station Villa has an established group of people living there. A prospective resident has visited the home on a number of occasions and has stayed overnight. The resident met with the existing people that lived at the home. Pre-admission assessment information is obtained, and the registered manager has liaised and worked with other Care Homes for Adults (18-65 years) Page 9 of 28 Evidence: agencies. There have not been any new admissions to the home since the last inspection. Placements are initially agreed on a first month trial basis, and the home maintains good contact with referring agencies, family and representatives. The registered manager is aware of the importance of a successful placement for the existing residents as well as the new person coming to the home. Care Homes for Adults (18-65 years) Page 10 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each resident has a plan of care. The care documentation shows the involvement of other health care professionals. The registered providers described practices that do enable some residents to take responsible risks. Evidence: Care plans are in place for each resident, but care should be taken to ensure they provide accurate up-to-date information, sufficient to direct care provision. There is a, not uncommon, tendency to assume knowledge in the care plans as both the residents and staff are long established at Station Villa. Currently entries tend to be too brief, especially where the resident is more able (e.g. independent). More can be done to ensure the individuals needs and preferences, and capabilities are evident in the plan of care (e.g. going to bed/getting up, bathing, money management). There is good evidence of the involvement of the people that live there in reviewing their care. There is good evidence of the people that live there being able to make meaningful choices about their lives, including participation in activities, choice of food, and Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: selection of colours and fabrics for their rooms. Risk assessments are in place, but these do not always reflect risks pertinent to the activities undertaken by an individual. Residents participate in daily chores such as doing their own laundry, and have a direct say in what is on the menu. One resident is the coordinator for residents meetings, to which one staff member is invited to take minutes. The registered provider and staff were knowledgeable of individuals capabilities, and liaise effectively with the local community and other health professionals. The home maintains good links with the external facilities used by the people that live at Station Villa. There are risk assessments, but more could be done to show that they reflect the activities undertaken by the individual. The outcome from such assessments should then be reflected in the care plan (the action needed, if any, to minimise risk). Care Homes for Adults (18-65 years) Page 12 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are encouraged to have social relationships with family and friends, and lead active lives outside of the home. Risk-assessments help to identify where residents rights and responsibilities need to be respected. The meals provided in the home are satisfactory with healthy eating encouraged. Evidence: Residents make use of external facilities, such as day centres, clubs, and work experience. All have a family member available, though contact varies. The home have been supportive in finding work placements for residents. Residents use local transport to access facilities nearby and further afield, such as shopping trips. Some residents have their own interests, and these are encouraged and supported. People have the opportunities to meet other people and friends, or maintain an intimate relationship with people of their choice. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: Daily records evidence when the residents have had visitors. The people living at the home can receive their visitors in private in their room, or in one of the communal areas. Residents can also telephone their family and friends or visit them at any time. Some of the residents go home at varying times. Some go out unaccompanied, although it is expected that they inform staff where they are going and when they will return. Residents are free to decide if they want to be sociable or if they would prefer to spend time alone in their room. The current residents fall within a 30-year age group, and their activities and lifestyle are in keeping with this. The registered providers and registered manager are aware of possible diversity issues presented by differing age groups. The registered manager and staff were seen to interact appropriately with residents. Residents have unrestricted access to the home and the garden. Bedrooms are lockable, and all but two people have their own keys to their room and the front and back doors. There is a 4-weekly menu, and residents are asked what they would like to eat in the forthcoming week. Choice is assisted with the use of pictorial representations of meals. Some meals may be provided at the day/work placements during the week, and the registered manager maintains good links with these facilities. There are no current needs for specialised diets. The record of food provided shows where people have opted for an alternative meal. The home uses the Safer Food, Better Business guidelines provided by the local authority. Thirteen care staff and the cheff have had training in handling food safely. Care Homes for Adults (18-65 years) Page 14 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides sensitive and flexible personal support. Residents receive access to all the healthcare facilities available. Residents are protected by the homes medicine practices. Evidence: The registered manager and staff said they ensure that appropriate personal support, care and encouragement are provided in such a way as to respect residents privacy and dignity. The care records, observation, and discussion with the registered manager and staff show that the residents waking day is flexible. Residents are encouraged to direct their own lifestyle, including clothing, appearance, activities, and relationships. Discrete guidance and support regarding personal hygiene is provided. The residents are receiving access to the health care facilities they are entitled to (e.g. dental checks, eye tests). The staff have undertaken medicine training via the registered providers training facility. Two of the residents self-medicate and risk-assessments are in place in this respect. Medicines are stored in a room that was comfortably warm on the day of the Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: inspection, but consideration should be given to installing active mechanical ventialtion in readiness for warmer months. Medicines that require cool storage will be placed in a dedicated medicines fridge, which is currently on order. Medicines are administered from the original packaging. Medicine Administration Records were seen to be in order, but care needs to be taken to ensure they show a second signature to indicate the entries have been checked. We discussed the benefits of greater use of the homes fax facility, with a view to changes in prescriptions. There is an appropriate medication policy and procedure. Staff were observed and heard to care for one resident who was unwell at the time of the inspection. medical opinion was sought and staff treated the resident professionally and with respect and sensitivity. Care Homes for Adults (18-65 years) Page 16 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents were seen to interact with staff in a relaxed manner. The staff have a clear understanding of Adult Protection issues and procedures that will protect service users from abuse. Evidence: The people that live at Station Villa are enabled to maintain contact with relatives and friends, and external agencies through visits and telephone calls. There is a current complaints procedure, and a simplified pictorial version is also available though not in regular use. The registered manager confirmed that this has been explained to residents, and people are asked if they have any complaints or concerns at the regular residents meetings. The complaints procedure does state that a response will be made within 28 days. The home has investigated one complaint since the last inspection, which was satisfactorily resolved within 28 days. Sixteen of the eighteen staff have attended training on safeguarding and five have undertaken training in the Mental Capacity Act. Training certificates are available to support this. Advice regarding various forms of potential abusive situations and procedure are available to staff and are raised during induction training. There are relevant procedures in place. Residents are not consistently protected by the homes recruitment practices. There is a need for the providers to alter the current financial arrangement whereby Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: money for 3 residents is paid into one shared bank account. This account does not pay interest and may therefore deny the people money otherwise due to them. The remaining residents can manage their own finances, or have a representative do so for them. Care Homes for Adults (18-65 years) Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a comfortable, homely environment, which is clean and hygienic. Evidence: Station Villa has been completely refurbished this year. There are currently 16 single bedrooms, of which 8 provide ensuite facilities. Provision of bathhrooms and wet rooms ensure that no more than 4 residents will share a facility. There are 5 chalettype rooms to the rear of the main building for the more independent residents. There is a platform lift for access from the main building to the annexe at the rear and to the garden, and 7 rooms have wheelchair access. There is parking for 6-8 vehicles at the front of the building. The improvements look impressive and improve the comfort and well being of the people that live there. Station Villa provides a homely environment with comfortable communal accommodation. The home is furnished and decorated to a high standard. Every effort is made to involve clients in deciding their own decorating colour schemes and in choosing furnishings. One client did not want the standard furniture offered, and has chosen to temporarily move into an empty room until the personally selected furniture arrives. Each bedroom has sufficient power sockets, and a telephone and TV point. Six people have requested telephones, which the inspector was advised is in hand. Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: The home is close to local amenities and residents make use of public transport to access facilities further away. Regular maintenance and testing of the premises is undertaken, to include; for example, gas safety; and hard wiring testing. The parking area to the front of the property has been resurfaced since the last inspection. The home was found to be clean on the day of the inspection. The laundry is new and includes an industrial washing machine and dryer, sink, and handwashing facilities. The communal dining and lounge areas are spacious and comfortable. The kitchen is new and well equipped, though being an internal room consideration should be given to installing active mechanical ventilation in this room and the adjacent store. The chef advised the inspector that the extractor fan over the cooker is not particularly efficient. There is a nurse call system in place for those that need it. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is providing sufficient, competent support staff to provide for the welfare of the people that live at Station Villa. The home does not consistently adhere to a robust employment procedure. Evidence: Staffing is flexible according to planned activity and individual care needs, but the following is the usual staffing ratio for the current occupancy level: 7am - 10am: 3 carers 10am - 3.30pm: 2 carers, cleaner, chef 3pm - 9pm: 3 carers 9pm - 7am: 2 carers There are 18 care staff (including the registered manager) of which 10 have achieved the equivalent of NVQ Level 2 in care or above, and 3 staff are undertaking this training. There is supporting documentation in the staff files. There is good evidence in staff files of ongoing training provided by the registered providers trainers at their own training facility in Redruth. The registered provider ensures new members of staff undertake a National Training Organisation compliant induction programme. The personnel file for the most recently appointed staff member was inspected. This showed two references, but: neither were addressed specifically to the registered manager or the home; both were handwritten and not on headed paper (showing Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: ownership by the organisation providing the reference; only one reference was supported by a letter requesting a reference; and the previous employer reference showed an address different to that of the employing organisation given in the application. The registered manager confirmed that she couldnt remember how the previous employer reference had been obtained. The staff file and the registered manager confirmed that all staff receive a job description and contract, and a copy of the Genral Social Care Council handbook. There is good evidence of regular and frequent staff supervision taking place. Care Homes for Adults (18-65 years) Page 22 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is led by a manager who is able to demonstrate, through her qualifications, experience, and ability, that she is competent in all areas of her job and provides strong leadership of staff and provides high quality services. People are confident their views underpin all self-monitoring, review and development by the home. The health safety and welfare of the people that live there are protected and promoted. Evidence: The manager is qualified, competent and experienced to manage Station Villa and meets its stated purpose, aims and objectives. The manager undertakes regular training and development meeting Skills for Care specifications, to maintain her knowledge, skills and competence while managing the home. There are clear lines of accountability throughout the home. The registered providers visit and provide support for the registered manager. As well as being the registered manager she is also a practitioner and works along side the staff offering them support, supervision and guidance. Throughout the inspection there was evidence of a high commitment to ensuring a high level of care and comfort for the people that live there. Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: The manager fosters an atmosphere of openness and respect, in which people feel valued and that their opinions matter. There is use of internal quality assurance tools, and residents are consulted as part of everyday normal practice. Quality assurance findings have been summarised and provided in a report. The quality assurance tools not only indicate how a service is performing, but also allow for comparison with other homes operated by the registered provider. The company have produced Health and Safety Policies and procedures, which detail organisational and individual responsibilities for health and safety. The manager has developed a system whereby all staff are given appropriate policies and procedures relating to the job they are doing at the time and are encouraged to familiarise themselves. Staff sign to indicate they have read policies and procedures. Records detail regular required checks on fire systems and staff training. The registered provider maintains current invoices and records to show ongoing maintenance and safety checks. The insurance cover in place ensures that the home is well able to fully meet any loss or legal liabilities. All records inspected, with the exception of any specifically mentioned in this report, were up to date and in sufficient detail. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 34 19 The registered provider must ensure that a robust employment procedure is consistantly adhered to. This is to protect residents from abuse. 02/11/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 The registered manager should ensure that care plans are reviewed to ensure they provide the information needed in order to direct care provision. The registered manager should do more to demonstrate the involvement of other relevant agencies and people in determining risk-assessments, and ensuring the assessments reflect the activities undertaken. The registered manager should make arrangements for people to receive monies due to them directly into their own accounts. This is to maximise independence and protect residents. The registered manager should install active mechanical ventilation in the kitchen, adjacent storeroom, and medicine room. Page 26 of 28 2 9 3 23 4 30 Care Homes for Adults (18-65 years) Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!