Care Home: Woodlawn Crescent

Similar services:

• Ashlong House
• Norbury Crescent (30)
• Edenvale
• Wadham Avenue
• Chatsworth Care - Dawson House
• Cowden Road, 52 - 54
• Chatsworth Care - Tudor Lodge
• Foxley Lane (121a)

What the care home does well People who live at the home are happy. The staff feel well supported and have good training. People are able to make choices about their own lives and do the things they want to do. Things are very organised and records are accurate. The staff make lots of checks to make sure everyone stays safe. What has improved since the last inspection? The staff have made some information more accessible to people living there. A new person has moved to the house and has settled in well. People are facing new challenges and trying new things. People living at the home, staff and the Manager have thought about the things that need to changes to make everyone`s life better and they have started to do things to make this happen. There have been improvements to the environment. Some new staff have been recruited. What the care home could do better: The staff need to continue to help people to try new things. The staff need to make even more information accessible to help everyone to understand it. There needs to be some improvements to the way in which people`s medication is recorded to make sure people stay safe and healthy. It would be good for the staff to have more specialist training so that they learn new skills and ways to help people. CARE HOME ADULTS 18-65 Woodlawn Crescent 8-10 Woodlawn Crescent Whitton Middlesex TW2 6BE Lead Inspector Sandy Patrick Key Unannounced Inspection 19th June 2008 12:00p Woodlawn Crescent DS0000017399.V364718.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 Woodlawn Crescent DS0000017399.V364718.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. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlawn Crescent Address 8-10 Woodlawn Crescent Whitton Middlesex TW2 6BE 020 8893 4948 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) h4m067mccafferty@mencap.org.uk www.mencap.org.uk Royal Mencap Society Sheena Assumpta McCafferty Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 4 10th October 2007 Date of last inspection Brief Description of the Service: 8-10 Woodlawn Crescent is a single storey home in a quiet residential road. Whitton town centre and local transport links are near by. The building is owned by Richmond Churches Housing Association, and the service is managed by MENCAP, a charitable organisation. The home is registered for four adults who have a learning disability. The weekly fees range from £1,406 - £1,887. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. As part of the inspection of Woodlawn Crescent we visited the home on 19th June 2008. The visit was unannounced. We met 3 of the people who live at the home, staff on duty and the Acting Manager. We wrote to people who live and work at the home and visitors asking them to complete surveys telling us what they thought about Woodlawn Crescent. All the people living at the home, 3 of their relatives and advocates, 4 professional visitors and 7 of the staff returned surveys to us. We asked the Acting Manager to complete a quality self assessment which told us about the things that had happened since we last visited and the things that were planned. We looked at all the information we had received about the home since the last inspection. This included information on accidents, incidents and monitoring. At the time of the inspection the Registered Manager had been seconded to a more senior management position in the organisation for 6 months. There was an Acting Manager working at Woodlawn Crescent to make sure things ran smoothly while the Manager was away. Four people were living at the home at the time of the inspection. People living at the home told us that they were happy there and that staff gave them good support. Their visitors and professionals who contacted us said that people were well cared for. Some of the things people said about Woodlawn Crescent were: ‘I am very happy living here.’ ‘Overall the quality of care at Woodlawn Crescent is very high.’ ‘There is a warm atmosphere and everyone is very comfortable.’ ‘The staff enable excellent care for individuals by consulting and working with a team of other professionals.’ What the service does well: People who live at the home are happy. The staff feel well supported and have good training. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 6 People are able to make choices about their own lives and do the things they want to do. Things are very organised and records are accurate. The staff make lots of checks to make sure everyone stays safe. 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. Woodlawn Crescent DS0000017399.V364718.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 Woodlawn Crescent DS0000017399.V364718.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, 3, 4 & 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who are thinking about moving to the home are given good information and able to visit the home to help them with their decision. EVIDENCE: There is a Statement of Purpose and Service User Guide. The Manager and staff are planning to create more accessible information for people who are thinking about moving to the home. One person has moved into the home in the last year. They spent time visiting and staying there before they made a decision to move. The Manager spoke with them and other people to assess what their needs were and whether the service at the home could meet these needs. Since this person moved to the home their needs have been reviewed and they have had formal meetings with the Manager and other people who are important to them to make sure the service is continuing to meet these needs. We saw records of these reviews. Three people have moved to the house in the last two years. People told us that they were able to make a decision about whether they moved there and Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 9 that they were given information and visited the home to help them make this decision. Every one has a licence agreement and has been given a handbook of information about the service, including house rules. We saw copies of these. The Manager has developed a new format for tenancy agreements which is more accessible to people living at the home. We saw copies of this. Woodlawn Crescent DS0000017399.V364718.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are supported to plan their own care, to take risks and to make decisions about the things which affect them. EVIDENCE: Each person has a plan of care and support which records their needs and how staff are going to meet these. Three people have developed their own person centred plan with staff. These use photographs and words which the person has chosen to show others about their wishes, likes, wants and needs. The forth person living at the home was working with staff to develop their person centred plan around the time of the inspection. One professional told us that they felt the staff were very good at giving person centred support which focused on the choices of each individual. Everyone has a key member of staff assigned to them. This staff member helps them to think about their achievements and the things that they would Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 11 like to do. They work with them regularly and meet once a month to discuss this. Everyone reviews their plan of care with their key member of staff four times a year. Once a year they invite people who are important to them to review this plan together to make sure they are getting support to do the things they want and need. We saw care plans, person centred plans and minutes of review meetings. People who live at the home told us that they made decision about their own lives, what they did and what they ate. People are supported to take risks and these are assessed and recorded. We saw that staff had talked to people and tried to help them think about ways to minimise adverse effects so that they could do the things they wanted to do without fear of harm. We saw records of assessments and saw that these were regularly reviewed. There are meetings for the people who live at the home every fortnight. People can discuss their news, forthcoming event and concerns at these. The staff also use the meetings to inform people about plans and changes. We saw minutes of these meetings. The Acting Manager told us that the staff have discussed ways in which they can give people more choices and control over their lives. They are hoping to do this by improving communication and information and for staff to review their practice at team meetings. There is a photographic board of staff on duty and a complaints procedure on display. The staff should think about other information they can give in a more accessible format, such as menus, guides to the kitchen and things that people are doing. The staff we spoke to and those who completed our surveys had a very good understanding of how to support people to make choices and control their own lives. The staff showed a commitment to this and felt that the service was good at this support. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 – 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are supported to learn new skills, take part in social activities of their choice and to have varied lives within and outside of the home. EVIDENCE: People at the home are involved in choosing meals and preparing some food. The Acting Manager and staff told us that they were looking at ways to help people to be more involved with preparing meals, shopping and household tasks. When we visited one person told us that the staff had helped them to go to local shops to choose personal items. It would be useful for people to have a range of sensory equipment at the home which they could use to help stimulate and interest them. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 13 Individual needs, skills and beliefs are recorded within everyone’s support plans. These include their spiritual and cultural needs. People living at the home are supported to go on holiday, or if they prefer have a series of day trips and outings while staying at home. People told us that they were able to make decisions about what they wanted to do. The relatives and friends of people who live at the home told us that the staff helped people to stay in touch. They said that they were made welcome when they visited and that they were invited to meals and special events. The Acting Manager told us that the staff were trying to help some people make new friends and meet new people. They were doing this by accessing local clubs and activities and inviting people from other local homes to Woodlawn Crescent for social events. People use the local community, shops, public transport, clubs and colleges every week. The staff are helping one person look at new activities which they would like to try. Everyone is supported to find out about different things outside the home which would interest them or help them learn new skills. People living at the home told us that the staff treated them well and listened to what they said. We saw the staff supporting people in a kind and friendly way, showing respect to them. Food is freshly prepared by staff. The people living at the home choose a menu for the week and this is varied and balanced. The staff are hoping that people living at the home can be encouraged to participate more in the preparation of meals. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are supported to stay healthy. EVIDENCE: People’s personal care needs are recorded within their care plans. The Acting Manager told us that they aimed for people to receive support from same gender carers. We saw that this was not always the case. Further work in this area should take place to make sure people receive support from people of the same gender wherever possible. Everyone is registered with a local GP and other health care professionals as needed. People told us that they thought the staff worked well with the local community team and other professionals to give people living at the home the support and care they needed. We saw evidence that the staff monitored everyone’s health and that they had made clear plans to show how health needs could be met. People living at the home told us that the staff supported them to stay healthy. We saw staff reassuring people about health issues and listening to their concerns about these. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 15 There is a suitable medication procedure and the staff have all had training in medication. One health care professional told us that the staff consulted them and worked closely with them to make sure people received the right medication. Over the past year there has been improvements to the storage of medication. Everyone has their own medication plan which is clear and includes pictorial guides. The Manager needs to review the medication procedure to make sure it includes information on social leave and homely remedies (non prescribed medication). Medication profiles need to be updated to include all medicines including homely remedies. We saw that some medication was not properly recorded and some was not properly labelled. Records of one medicine did not show the correct amount held. Some medicines which had not been administered were stored in unlabelled envelopes and had not been disposed of in the correct way. Some of the things in the first aid supplies were past the expiry date. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are protected by the service’s procedures on safeguarding and complaints. EVIDENCE: The staff have created a complaints procedure using pictures and symbols to help make this more accessible to people living at the home. The Acting Manager told us that this was going to be displayed in a communal area for everyone to see. Everyone told us that they knew who to speak to if they had a concern or a complaint. Mencap has procedures for safeguarding people and whistle blowing. There is also a copy of the local authority procedure at the home. The staff told us that they knew about these procedures and we saw that they had been on relevant training. Some staff were due to go on refresher training shortly after the inspection. The staff help people to manage their own money. We saw that there were good systems to make sure this was done safely. Records of money held were accurate and there were systems for regular audits and checks of this. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 17 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 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People live in a safe, attractive and well maintained environment. EVIDENCE: People who live at the home told us that they liked the environment and their bedrooms, which they have personalised. Over the past year the communal areas of the home have been redecorated. There has been some new furniture, a newly refurbished bathroom and new soft furnishings. The people living at the home chose the colours and styles for these home improvements. There is a building in the garden which has been used for storage. The Acting Manager told us that staff plan to decorate this room and furnish it some leisure equipment so that people can use this as an activities room. People told us that the house was always kept very clean. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People can be confident that the staff team are appropriately recruited, well trained and supported to do their job. EVIDENCE: People living at the home told us that the staff treated them well and listened to them. Professionals who work with these people said that they thought the staff were very committed and offered good support. One person said, ‘the staff team have a good range of skills and knowledge regarding people’s needs’. The staff who we spoke to and those who contacted us through surveys said that they were well supported. They said that they had the training they needed to do their jobs and that they had regular team and individual meetings to reflect on their own practice. One member of staff told us that they each had delegated responsibilities and this helped them to all contribute to the smooth running of the home. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 19 Some of the staff and other people told us that they would like the home to have more staff so that everyone could have the opportunity for individual activities every day. The staff team is fairly stable and there have not been many staff changes over the past year. One staff vacancy had been recruited to shortly before our visit. The staff attend a number of different training course run by Mencap. When they first start work they have an induction which includes a range of training and a work book which they have to complete. All staff have attended ‘Valuing People’ training where they can learn about supporting people’s diversity. The Acting Manager has started updating staff training profiles. We saw evidence that people had taken part in regular and varied training. It would be useful for the staff to have further training in working with people with challenging behaviour and learning about dementia. There are suitable procedures for recruiting staff which include formal interviews and a number of checks before they start work at the home. We saw records for staff who had recently been recruited. These showed evidence of checks, including criminal record checks. The Manager needs to think about ways to involve the people who live at the home in the recruitment of staff. We saw evidence of regular individual supervision and team meetings with the Manager. These showed that staff were able to contribute their ideas and were given information and direction. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 & 43 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living at the home can feel confident that the service is well managed and organised. Quality and checks on health and safety are designed to keep people safe. EVIDENCE: The Registered Manager has been seconded to a more senior post in the organisation for six months and a Deputy Manager from another home is acting as Manager at Woodlawn Crescent. She showed us that she had a good understanding about the needs of the service and worked closely with the Registered Manager and Area Manager to make sure the service continued to improve and people’s needs were met. The Acting Manager worked with two Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 21 of the people living at the home in a previous role and told us that she has got to know the other people well too. The staff told us that the Registered Manager and the Acting Manager were very supportive and that they listened to others and valued their input. One staff member told us that the staff all felt happy and positive and that the Registered Manager was ‘the best’ they had ever worked with. Another person said that the Managers encouraged them and helped them to develop their own skills. The staff told us that the Acting Manager was doing a good job. Staff and professionals who contacted us said that the service was well managed and very organised. They said that there was a multidisciplinary approach. The certificate of registration on display at the home shows that the Registered Responsible Individual is someone who no longer has any link with the home. The organisation must apply to register someone who has direct responsibility for the home. The Area Manager visits the home each month to conduct quality inspections of the service. They write a report of their findings and make recommendations which they monitor the service’s progress in meeting. There is a continuous development plan which the Manager uses to recorded changes which would improve the service and what action has been taken to achieve these. Things that people suggest in their meetings are included in the plan. The plan includes changes which would benefit people living at the home, the staff team, systems and the environment. We saw how the plans people had made had been monitored and that things people had suggested had been achieved. From talking to people and looking at records we felt that the Managers and staff were committed to the continuous improvement of the service. Records are well organised, up to date and accurate. Some older information in files needs to be archived and the Acting Manager said that she was planning to do this over the next few months. The staff make regular checks on health and safety, including fire safety and these are recorded. We saw that any areas of concern which had been identified were acted upon. All accidents and incidents are recorded and people’s health and risks are monitored. We saw that action had been taken to reduce risks of people having the same accident again. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X 3 3 2 Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 YA20 Regulation 13(2) Requirement Timescale for action The Registered Person must 31/08/08 make sure the medication procedure includes information on social leave and homely remedies (non prescribed medication). The Registered Person must 18/07/08 make sure medication records are accurate and medication is correctly labelled. The Registered Person must 18/07/08 make sure first aid items and other medicines are disposed of and replaced when they reach the expiry date. The organisation must apply for 31/07/08 a suitable responsible individual to be registered in respect of the home. 2. YA20 13(2) 3. YA20 13(2) 4. YA43 7(2) Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA1 Good Practice Recommendations The Registered Persons should develop the Statement of Purpose and Service User Guide to a more accessible format for the service users. The staff should think about other information they can give in a more accessible format, such as menus, guides to the kitchen and things that people are doing. The Registered Persons should consider equipping the home with some sensory equipment which may stimulate and interest some of the residents who spend a lot of their time at home. 2. YA8 3. YA11 4. YA18 Where possible same gender carers should be provided for personal care. The Manager needs to think about ways to involve the people who live at the home in the recruitment of staff. The Registered Persons should ensure that staff have training and support to help them manage challenging behaviour, and to learn about dementia. 5. YA34 6. YA35 7. YA41 The Manager should make sure records are appropriately archived so that older information does not confuse or contradict current information. Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Woodlawn Crescent DS0000017399.V364718.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!