Care Home: Tomlinson Avenue

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What the care home does well The service provides care to 42 people with varied learning/ physical disabilities on a respite basis. They are able to accommodate the maximum of four people at any one time. The service promotes a stimulating environment for people. relatives spoken to said " we are happy with the service". " staff are very friendly and the manager is very supportive". This suggested people received positive outcomes. One person said " the service is run fairly well and it has a good atmosphere". One staff said " the service puts clients first in everything". The service was able to demonstrate its ability to put people first by enabling them to make decisions about their activities, choice of meals etc. Effective risk assessments were in place to ensure people were able to take calculative risks. The staff team appeared dedicated to meeting the needs of people. Staff spoke positively about the things they did with people and what their needs were. The service had in place satisfactory complaints and safeguarding procedures to ensure people can be listened to. What has improved since the last inspection? Since the last inspection the registered manager has taken a career break and so another manager had been recruited to the post in recent months. In the short time there was evidence of great dedication by the team to ensure people receive a consistent standard of care. What the care home could do better: The service should ensure that support plans reflect the current needs of people using the service and clear interventions are recorded for each person. These plans should be reviewed on a regular basis and people should be consulted about the contents of the plans before they are implemented. This was a requirement made in the previous inspection. Recruitment procedures should be reviewed to ensure all documents relating to care staff are kept in the home and are kept up to date. Satisfactory storage should be made available for controlled drugs in line with the policies and procedures of the home. An effective quality assurance system should be in place to ensure the views of people can be monitored. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Tomlinson Avenue Respite Service 96 Tomlinson Avenue Luton Beds LU4 0QP     The quality rating for this care home is:   one star adequate 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: Andrea James     Date: 1 2 0 1 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. the things that people have said are important to them: They reflect 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 30 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Tomlinson Avenue 96 Tomlinson Avenue Respite Service Luton Beds LU4 0QP 01582605196 Telephone number: Fax number: Email address: Provider web address: fiona.dwyer@luton.gov.uk Name of registered provider(s): Type of registration: Number of places registered: Luton Borough Council care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Category: Learning Disability Current respite service users who are over 65 years of age may continue to receive a service from the home, as long as their needs are being met. No new service users over 65 years of age may be admitted to the home without prior consultation with the CSCI. Evidence that the service meets the requirements of the local Environmental Health Department must be forwarded to CSCI within one month of opening. Gender: Male & Female No. of residents: 4 Period of Stay: Respite (max 4 weeks stay) Date of last inspection Brief description of the care home Tomlinson Avenue is a fully refurbished and extended detached house, which provides a respite service for up to 4 adults with learning disabilities at any one time. It is located in Luton, in the middle of a busy residential area with many local amenities. There is a bus stop directly outside the home, which provides a regular service to Care Homes for Adults (18-65 years) Page 4 of 30 4 Over 65 0 Brief description of the care home Luton and Dunstable. It is not intended that the home will accommodate people with a physical disability however; it can accommodate people who require the use of a wheelchair on occasions. The accommodation was arranged on two levels and consisted of 2 single bedrooms on each floor. Shared space included a bathroom and separate toilet on the first floor, on the ground floor there was a disabled access shower and toilet, kitchen, laundry room, lounge and conservatory. Individual and communal rooms had been decorated to a high standard and were well equipped with regard to furnishings, fabrics and entertainment systems. A staff office/sleeping in room was on the first floor. There was an enclosed garden with ramped access for wheelchair users, and parking space for a small number of cars. Care Homes for Adults (18-65 years) Page 5 of 30 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: one star adequate 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 was an unannounced inspection undertaken on the 12th of January 2009. The manager was present for the duration of the site visit. The inspection process lasted for 7 hours. The Inspection followed a case tracking methodology where a sample of peoples files were randomly selected to inspect. Where possible these people were spoken to and their key workers interviewed to get an understanding of what it was like for them to use the service. We also contacted their relatives to be able to triangulate information received. The report consists of information received from care staff, people using the service, Care Homes for Adults (18-65 years) Page 6 of 30 relatives and the manager of the service. 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. Care Homes for Adults (18-65 years) Page 8 of 30 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 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 10 of 30 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. Sufficient information was in place to ensure people were able to make decisions about using the service and peoples needs were assessed upon admission. Evidence: The service had a Service User Guide which was presented in a pictorial format. This document provided sufficient information about the facilities offered by the service but it needed further development to ensure it reflects information about the complaints procedures. One relative spoken to said they were not aware of the complaints procedure. The Service User Guide was last updated in July 2007. The service also had a Statement of Purpose which showed the aims and objectives, experience and qualifications of the staff team. The complaints procedure was found in this document which was last updated in June 2008. We were informed that both documents were due to be updated to reflect the current management structures. The service had procedures in place to ensure potential users of the service were given Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: the opportunity to visit before placement commenced. The documents inspected also showed that contractual agreements were in place for people who use the service. Care Homes for Adults (18-65 years) Page 12 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Opportunities were given to ensure people were able to participate in all aspects of life, but further development was needed to ensure the information recorded is clear and reflects the current needs of people. Evidence: The individual needs and choices were recorded for people to enable care staff to be able to meet their needs. On the day of the inspection three care plans were inspected. These were not supportive of the documents because the documents entitled support plans were reflective of a needs assessment. The document covered areas such as, medical information, religion, communication, emotion,personal care, eating, drinking etc. The records were presented as information and as a result the interventions required for staff in these areas were not clear. The interventions seen were not measurable or specific in understanding how to best care for the person. There was no evidence that consultation with people who use the service or relatives were sought prior to the implementation of peoples care plans. This was a Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: requirement made in the last key inspection undertaken in August 2006. The service ensured that risk assessments were in place for people, although it was stated that the risk assessment should be reviewed in three months for one person it had not been reviewed since April 2008. We were informed that some peoples support plans were not reviewed due to changes in managements structure and some people did not use the service on a regular basis. There was evidence that a review monitoring chart was implemented but this had not been followed through. The service ensured that some people had 3 monthly summaries which were held with key workers and individual people who use the service. In another care plan inspected the person had an in -house assessment undertaken which covered several areas of need but again the intervention required for staff to undertake was not clear. The third persons care plan documentation was implemented in 2007 and doesnt appear to have been updated. This persons risk assessment was implemented in 2006 and was reviewed in 2008. Staff spoken to appeared knowledgeable about the people in their care and what was required of them. One staff member spoke about the additional information staff needs to know to ensure the dynamics of the group when people visit the service. One person spoken to said I am happy here, another said I look forward to coming so I can have a break. From observation people were consulted with regards to social activities and making choices about what they do. On the day of the inspection one person was taken to visit a resource within the community. She was seen to have control over her finances, the time she went and how she travelled. Staff were seen to speak with her in a respectful and professional manner. One person said she felt able to speak to members of the staff team about issues that affects her within her family environment and was assured that her confidences were kept. We found that their were some inconsistencies in places, for example for one person he had not received a review in the last 12 months. This plan was implemented in 2004 and was reviewed in 2006. The manager was aware that further work was needed and was positive that this could be achieved as she was hopeful to get a deputy manager who was due to join the team in less than a months time. Care Homes for Adults (18-65 years) Page 14 of 30 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. Systems were in place that ensured people were able to have opportunities for personal development in regards to activities and nutrition, as a result people were able to fulfill their life expectations. Evidence: People who use the service were given sufficient opportunities for personal development. Three of the four people who use the service were at various day centres on the day of the inspection and the remaining person left in the service had been given the opportunity to engage in appropriate activities. The information recorded on support plans showed that people were encouraged to be a part of the local community. People spoken to said they were able to go to evening clubs, parties and attend other social events with like minded people of the same age Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: or culture. An activity programme was displayed in the home to include the sharing of household chores. A record was also kept for actual activities undertaken. The record for December and January was limited but we were informed that the service closed over the Christmas period. The nutritional needs of people were satisfactorily maintained. We saw a record of two weeks menus that showed people ate a healthy and balanced diet. One relative spoken to was concerned that the service offered a lot of fatty foods to people that was low in nutritional value but there was no evidence to substantiate that information. One person spoken to said I like the food. Care Homes for Adults (18-65 years) Page 16 of 30 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 service ensured peoples health care needs were identified and satisfactory measures were in place to protect people, however further development was needed to ensure facilities for the storage of controlled drugs was in place. Evidence: The home had identified the health care needs of people to ensure their needs could be addressed. One person whose needs were complex in nature had enough information for staff to understand his complexities and what to do when he was residing in the home. The support offered to people suggested that their emotional as well as health care needs were met. One person informed us that she was epileptic and the risk assessment in place was to safeguard her, she explained that she had to allow staff to come into her room and give her medication. The policies and procedures for administering medication was satisfactorily maintained. We saw evidence to suggest staff were trained in the safe administration of medication to include rectal diazepam and oxygen. The service had a medication audit on the 19th of February 2007. Risk assessments were in place to cover self Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: medication, administering PRN , recording and receiving medication and the storage of controlled drugs. It was concerning however to note that facilities were not in place for the storage of controlled drugs. The service did not have any one on controlled drugs but had not implemented procedures in the event that this could happen at any time.The home had a locked cabinet fixed to the wall but a facility for storing controlled drugs was not available. Records inspected on peoples care plans suggested some peoples wishes in the event of their death was recorded but this information was not seen on all files. Care Homes for Adults (18-65 years) Page 18 of 30 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. The service had policies and procedures in place to ensure people were listened to and protected from abuse. Evidence: The service had satisfactory policies and procedures in place to ensure peoples views are listened to. Relatives spoken to said they knew how to complain. One relative said some staff are very easy to talk to, especially the new manager. Another relative spoken to said the communication between them and the home was ok so they would feel comfortable to complain should they have a need to do so. Since the last inspection the home have had one formal complaint which was dealt with by following the councils complaints procedure. The relative who made this complaint felt that the complaint was resolved but they were still coming to terms with what happened. The home also had procedures in place to ensure people were safeguarded. Care staff spoke to said they received Safeguarding training. Staff training records inspected suggested staff were trained in recent months and further training was scheduled to take place in coming months. The service had made 4 safeguarding referrals which were reported using the correct procedures. Risk assessments and other measures have been implemented as a result of the referrals and so people were no longer at risk. Care Homes for Adults (18-65 years) Page 19 of 30 Care Homes for Adults (18-65 years) Page 20 of 30 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environmental standards in the home ensured people were able to live in a safe, comfortable and clean environment. Evidence: We were given a tour of the building which was undertaken by one of the person who uses the service. The home was found to be clean and homely in all areas.The conservatory was not being used. we were told that this room is not used in the winter months. Th home had sufficient space to ensure people were comfortable. The bedrooms seen suggested peoples bedrooms suited their needs and lifestyles. one person said she liked her bedroom and particularly liked the colour of the walls and the fact that she could see outside and look at people passing by. All bedrooms had lockable facilities for people to be able to store their valuables and keep medication safely. The home also had separate washing room, kitchen, dining room /lounge and a sleep in room for staff that was also used by the manager as an office. The bathing facilities seen was sufficient for the needs of people and the bathroom / shower room based on the ground floor ensured people with physical disabilities was able to use the facility safely. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: We saw evidence that specialist equipments such as wheelchairs, oxygen tanks etc was available for people to ensure they can maximise their independence. The home smelt clean and fresh throughout and was free from offensive odours. Care Homes for Adults (18-65 years) Page 22 of 30 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 people who use the service received support from a staff team that were competent, qualified and effective, but records held in the home in regards to staff recruitment needed further development, as a result peoples safety could be compromised. Evidence: The service had 42 people on their books and employed 8 full time staff, this was complimented by the use of some part time and bank staff used to meet the required needs of people. The home also used agency staff when necessary. At the time of the inspection we were told that the usage of agency staff had increased. One relative spoken to said I dont think agency staff are good because they dont do a lot with the clients. Another relative spoken to said the staff team had changed a lot and as a result the current staff members does not appear enthusaiastic enough to offer people sufficient actvities. This was mostly noted on weekends. In general relatives and people spoken to were very happy with the staff team. One person said the staff are very friendly. One relative felt that the communication between the staff team and the relatives could be improved. One relative said, I always have to call the home a second time to get an answer to any concerns that I Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: have. The staff team spoken to on the day of the inspection appeared competent and skilled in doing their job but from observation carried out most of the roles for the people rather that support then in doing their tasks. We inspected three staff files and found some inconsistencies in regards to information that was missing. There was evidence that people had proof of identification on file, written references certificates of training undertaken, full employment history and satisfactory Criminal Record Bureau checks but some of these were still with central personnel. The manager was able to verify this at the time of the inspection. The training records seen on the day of the inspection showed that several staff have achieved their NVQ level 3 but it was not clear how many had achieved this qualification as the information had not been collated. Members of staff spoken to were able to confirm that they had this qualification. There was evidence to suggest staff received training in Safeguarding, Corporate induction, Medication, Risk assessment and other mandatory training. Records inspected suggested individual training records were held on file and courses needing updating was highlighted. These included Mental Capacity, Food hygiene, Rectal diazepam, Manual handling and First Aid. The staff files inspected suggested staff were able to have regular supervisions. This was confirmed by staff members spoken to and the acting manager. Staff also commented that the acting manager was easy to talk to. This was observed throughout the inspection process. We were also informed that the service held regular staff meetings where staff are able to communicate with each other in a formal setting. The most recent staff meeting was held on the 5th of January 2009. Care Homes for Adults (18-65 years) Page 24 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The leadership ethos of the home ensured people were safeguarded but further development was needed to ensure peoples views are monitored and accountability of the home can be assured. Evidence: The management of the home has changed as the registered manager had taken a career break. The current manager has worked in the home for several years. She took on her new role on the 24th of September 2008. She has an NVQ level 2/3 and has embarked on her NVQ level 4 which she is soon to complete. She is also an NVQ assessor and is in the process of applying for her registration. She appeared very competent and knowledgeable about the needs of the people who use the service and displayed very good management skills. Staff and people spoken to said the acting manager was good. One person said I like talking to the manager she is very nice. Most relatives spoken to were very complimentary about the new management structure and commented that the Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: manager had very good communication skills. She was described as supportive,understanding and helpful. The service had not yet implemented a Quality Assurance system and as a result the views of people were not monitored. There was evidence presented to us to show that questionnaires were sent to people in 2007 but these had not been analysed. The health and safety policies and procedures in the home were satisfactory to ensure people were safe. We saw fire records to suggest regular checks and maintenance of the fire records were maintained. Some risk assessments for the environment were also inspected but these were implemented in 2006 and as a result needed to be reviewed to reflect the current circumstances. The home had an in- house fire risk assessment in place but this needed further development. The manager said this was identified as an area to be addressed in the near future. The home did not have a registered manager but as previously stated, plans were in place to have the current acting manager registered with the Commission as soon as possible. We were informed that the application was already completed and just needed to be posted. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 6 15 (2) The home must review the 15/10/2006 risk assessments and care plans in consultations with family members and appropriate professionals and update the care plans with all changes and developments that impact upon the service users? life. Care Homes for Adults (18-65 years) Page 27 of 30 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 6 15 The home must review the risk assessments and care plans with familiy members and appropriate professionals. to ensure people recieve a good standard of care. 20/02/2009 2 6 15 Clear interventions must be recorded in peoples care plans. To ensure people receive a consistent service delivery. 20/02/2009 3 6 15 All care plans must be reviewed to ensure they reflect the current needs of people who use the service. To be able to meet the needs of people who use the service. 20/02/2009 4 34 18 Staff records in regards to recruitment must be held in the home and be available for inspection. 20/02/2009 Care Homes for Adults (18-65 years) Page 28 of 30 To ensure the recruitment procedure safeguards people who use the service. 5 39 24 Effective quality assurance systems must be implemented. To ensure peoples views can be monitored. 20/02/2009 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 1 Arrangements should be made to ensure all information available to people who may wish to use the service is updated to reflect the current resources available. Arrangements should be made to ensure satisfactory storage facilities are in place for storing controlled drugs. Arrangements should be made to ensure good relationships can be rebuilt with the relative who still finds it difficult coming to terms with recent outcomes of complaint investigation. Arrangements should be made to ensure the service has a manager that is registered by the Commission. 2 3 20 22 4 43 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: 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 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. 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