Inspection on 11/12/06 for Abbey View

This inspection was carried out on 11th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Abbey View 13/03/06

Abbey View 07/11/05

Abbey View 01/12/04

Abbey View 14/06/04

Abbey View 02/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Abbey View Fairfield Coldharbour Sherborne Dorset DT9 4HD Lead Inspector Amanda Porter Key Unannounced Inspection 11th December 2006 10:00 X10015.doc Version 1.40 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 Abbey View DS0000020440.V323433.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 Older People. 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. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbey View Address Fairfield Coldharbour Sherborne Dorset DT9 4HD 01935 813222 01935 813889 abbeyview@coltencare.co.uk www.coltencare.co.uk Colten Care Limited 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) Mrs Joanna Ellis Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55) of places Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate a maximum of 30 service users who require nursing care. The home may accommodate one service user, name known to the CSCI, under the age of 65 in the category of PD. A recommendation is made that Mrs Ellis completes an NVQ 4 in management within six months. 13th March 2006 Date of last inspection Brief Description of the Service: Abbey View is a purpose built care home located on the outskirts of Sherborne in Dorset a few minutes walk to the Old Town and all amenities. It has good public transport links with both a railway station and numerous bus links. The home is registered to accommodate a maximum of 55 older people in 23 single and 2 double rooms on the ground floor and 24 single and 2 double rooms on the first floor. A passenger lift allows access to all floors. All rooms have en-suite toilet facilities and there are 3 assisted bathrooms on each floor. There are 3 lounges and two dining rooms plus an activities room available over two floors and hairdressing facilities, which are regularly available to all residents. The home offers off road parking for staff and visitors and there is also an attractive, well maintained garden/patio area, which is easily accessible. Colten Care Limited owns the home, a company who have a number of care homes in Dorset and adjoining counties, and is managed on a day to basis by the Registered Manager, Mrs Joanna Ellis. Colten Care Limited aims to provide residents with a secure, relaxed and homely environment in which their care, well-being and comfort are of prime importance. At the time of the inspection the weekly fees range from £582 to £806. Additional charges are made for hairdressing, chiropody, newspapers, manicures and dry cleaning. See the following website for further guidance on fees and contracts: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_peop le_choos.aspx Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 11th December 2006 and took approximately six hours. The purpose of the inspection was to assess all of the key standards. The Registered Manager, Mrs Ellis, and her staff were on hand to aid the inspection process. Information gathered for this report came from several sources including: • Reports made to the Commission for Social Care Inspection by the home. • A pre-inspection questionnaire completed by the registered manager. • 13 comment cards completed by residents; 15 by relatives/visitors; 4 by GPs and 4 by health and social care professionals. • Tour of the premises. • Review of a variety of documentation including care records, staff records, maintenance records, policies and procedures. • Discussion with residents and staff. Five residents and six members of staff were spoken with and asked their views on the service provided at Abbey View. Comments received in comment cards and through discussion included: “This home is very happy on the whole – I would not change.” “I am very happy here.” “This home is excellent and a credit to all.” “I have been impressed with the levels of comfort, cleanliness, (which is second to none) and friendliness at Abbey View. All staff are most welcoming and the facilities excellent. It seems to be a very pleasant environment in which to live.” What the service does well: The home provides a very comfortable environment in which to live. Residents are supported with daily living by competent and caring staff. The home carries out thorough assessments prior to residents moving in and this includes finding out about social interests, hobbies as well as health and personal needs. Assurances are given that individual needs can be met. Residents’ health needs are well met by the home and community health professionals. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 6 The home has policies and procedures in place to support those residents needing palliative care. Abbey View has good links with the palliative care services and staff are well trained to deliver such care. The activities arranged within the home meet the expectations of the residents living there. Residents are encouraged to maintain their links with friends and family and all visitors are made welcome. Residents are helped to exercise choice and control over their lives as far as possible. Meals are wholesome and nutritious and planned around the likes and dislikes of residents. Sufficient numbers of staff are on duty throughout the day and night to be able to meet the needs of the residents. Abbey View has an ongoing training programme for staff, which means that residents will be cared for by skilled staff. Mrs Ellis manages her home well and very competent and committed staff, whose main aim is to give a good level of care and support to all the residents, supports her. One comment received about the home stated, “Excellent – Jo Ellis is very good.” Financial procedures within the home also ensure that residents’ interests are protected. The health and safety of the residents and staff are protected by the policies and procedures that the staff follow at Abbey View. What has improved since the last inspection? Since the last inspection the home has continued it’s programme of refurbishment including new carpets laid in the upstairs corridors, small dining room and two lounges. The upstairs lounge has new furniture. Attention has been paid to the garden and it is well maintained. A new role of social carer is being introduced, which means that residents who are unable to attend the group activities have the opportunity of one-to-one time with a member of staff. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 7 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. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents move into the home having had their needs assessed and been assured that these needs will be met. EVIDENCE: The care documentation for five residents was reviewed. Each file contained a pre-admission assessment. Since the last inspection the paperwork used for the pre-admission assessment has improved and now documents that a full and informative assessment had taken place. Sufficient information was gained so that a care plan could be drawn up for staff to follow, to ensure that the resident’s care needs could be met appropriately. The Registered Manager wrote to each prospective resident giving assurances that their needs could be met. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear care planning system in place to make sure that staff have most of the information they need to meet residents needs. The health needs of the residents are well met with evidence of good support from community health professionals. The medication at this home is well managed promoting the good health and well being of residents. Residents are treated respectfully and care is offered in a way that protects their right to privacy and dignity. Policies and procedures are in place and are followed to ensure that, at the time of their death, residents and their families are treated with care and respect. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 11 EVIDENCE: The care documentation for five residents was reviewed. Files contained a variety of assessments including: • Moving and handling • Nutrition • Activities of daily living • Risk of falls • Environmental risks • The risk of pressure sores. Information from the assessments was used to formulate plans of care. Most of the care plans clearly set out individual care needs and how they are to be met. However there were still some that gave general rather than specific instructions as to how needs were to be met. Residents and/or their chosen representatives were invited to be involved in drawing up care plans, which were reviewed regularly. Residents spoken with were happy with the care they received. It was clear from discussions with staff and residents that they have access to the health services they need. There was evidence to show that residents get support from General Practitioners, the district nurse, chiropodists, opticians and dentists. The home has a well-written and informative medicines policy and procedure including reference to self-administration and associated risk assessment and arrangements for ordering, administration and disposal. Medicines were stored securely. Records were kept of the receipt, administration and disposal of medicines. Examination of records indicated that medicines are properly administered in accordance with the prescriber’s instructions. Comments received from residents and their relatives/visitors confirmed that staff treated them with respect and were supportive and kind. 13 residents responded to the question “Do you receive the care and support you need?” and 5 said “Always” and 8 said “Usually”. Out of the 13 responses to the question “Do the staff listen and act on what you say?” 4 said, “Yes”, 6 said, “Usually” and 3 said, “Sometimes.” The home has good links with the community palliative care services. Staff have received training in various aspects of palliative care. Documentation was reviewed with regard to palliative care given at Abbey View and it was clear the staff had a good understanding of the needs of residents and their families towards the end of life. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an adequate range of social opportunities available in the home, which reflects residents’ interests and preferences. There is a strong sense of homeliness and inclusion of family and friends in life at Elizabeth House. Residents are helped to exercise choice and control in their daily lives within their capabilities and desire to do so. The dietary needs of residents are well catered for with a balanced and varied selection of food available that meets their tastes and choices. EVIDENCE: The home employs an activities organiser. Organised activities included: • Gentle exercise to music • Yoga • Minibus outings • Outside entertainers • Word Games • Crafts. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 13 It was clear through discussion with residents and from comments received that some of them preferred to arrange their own social activities, which they were free to do and they could spend their days as they wished. 13 residents responded to the question “Are there activities arranged by the home that you can take part in?” 9 said “Always” and 4 said “Usually”. The home is in the process of introducing the role of “Social Carer”, which means that residents who are unable to attend the group activities have the opportunity of one-to-one time with a member of staff. The menu provided choice and the chef was aware of residents’ likes and dislikes. Residents confirmed they could take their meals where they wished and some preferred to eat in their rooms and some preferred one of the dining rooms. In the Commission for Social Care Inspection survey 13 residents responded to the question “Do you like the meals at the home?” 5 said “Always”, 7 said “Usually” and 1 said, “Sometimes”. Comments included: “All the meals are excellent.” “Good variety.” “We have far too much frozen food, fruit, vegetables and tinned fruit to excess – meat is good and plentiful.” Recently the home has audited the catering at Abbey View by asking residents to complete a questionnaire. It was found that generally the residents were very happy with the catering but comments made have been taken seriously and action has been taken accordingly. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints system with evidence that residents feel that their views are listened to and acted upon. However the complaints procedure does not clearly indicate how a complaint will be processed. Staff members are trained in adult protection. The home’s abuse policy does not currently reflect local adult protection guidelines, protection of residents from abuse is therefore not fully supported and guidance for staff on the correct process to follow is not in place. EVIDENCE: The complaints procedure contained within the service user guide does not give clear indication how a complaint will be processed nor does it provide the information of Dorset County Council or the Primary Care Trust’s complaints departments and this information must be included. Training records showed that some staff had received training in the protection of vulnerable adults. However the home’s abuse policy does not currently reflect local adult protection guidelines, supporting the protection of residents from abuse. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment at Abbey View is good providing residents with an attractive, homely and safe place to live. The home provides a clean, pleasant and hygienic environment for the residents, staff and visitors. EVIDENCE: The home has a programme of routine maintenance and the home provides an extremely comfortable environment in which to live. Records show that a variety of outside agencies have attended the home to undertake the routine maintenance of: • Fire safety equipment. • Gas installation. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 16 • • Lift. Hoists. The grounds are safe and attractive and accessible by residents. A call bell system is available in every room. All areas of the home were clean and there were no unpleasant odours. 13 residents responded to the question “ Is the home fresh and clean?” 8 said “Always” and 5 said, “Usually”. The laundry was well managed and adequate supplies of clean linen were seen to be available. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sufficient staff are employed and deployed to meet the care needs of residents. Shortfalls in the process of recruitment of staff do not protect residents from risk. Staff are well trained and experienced and residents could be confident they would be well looked after. EVIDENCE: Staff rotas showed that each day there were: • Two registered nurses with eight healthcare assistants on duty in the morning. • Two registered nurses with six healthcare assistants on duty in the afternoon. • One registered nurse and four healthcare assistants at night. • The activities organiser and receptionist work eight hours per day, Monday to Friday. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 18 In addition the Registered Manager’s working hours were supernumerary to those above and she worked approximately forty hours during Monday to Friday. She takes it in turns with her deputy to be on call at weekends. Information on who was on call was displayed in the front hall. The deputy manager also has eighteen supernumerary hours per week. There were sufficient domestic staff working to ensure that standards relating to food and meals were meet and that the home was clean. 13 residents responded to the question “Are staff available when you need them?” 6 said “Always”, 5 said “Usually” and 2 said “Sometimes”. 15 relatives responded to the question “In your opinion are there always sufficient numbers of staff on duty?” 7 said, “Yes” and 8 said “No”. From the survey there was a general feeling from residents and relatives that there insufficient staff on duty at the weekends. Through discussion with the manager it was evident that staff numbers had been discussed with residents and they had been reassured by the fact that either Mrs Ellis or her deputy were on call. Five staff files were reviewed. Generally they contained all the information required by law including – • • • • • • Completed application forms Two written references Enhanced CRB and POVA First checks Terms and conditions of employments Documentary evidence of any relevant qualifications Proof of identity. However two members of staff commenced employment before a POVA first check had been sought. Training within the home was discussed with staff, who said they enjoyed the training available and were encouraged by the management team to take up training opportunities. Recent training included: • Common induction training • Moving and handling • Fire safety • First aid • Venepuncture • Customer care • Principles and practice of palliative care • Ethics in palliative care • Helping people facing death and bereavement. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 19 Further information on available training can be accessed through the following websites: www.picbdp.co.uk www.skillsforcare.org.uk Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by a committed and competent manager, who creates an open and positive atmosphere, which supports good care practices for residents. The home reviews some aspects of its performance through a programme of self-review. The information gained has not yet been used to formulate an annual development plan. Residents are assured of sound management of their financial interests. The health and safety of the service users and staff are protected by the policies and procedures followed at Abbey View. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager is an experienced registered nurse and is in the process of completing the NVQ level 4 in management. Staff confirmed that Mrs Ellis is very approachable and communicates a clear sense of direction to the staff. Staff meetings are held regularly and minutes are recorded. The quality assurance system within the home includes the undertaking of a number of internal audits: • Accidents • The call bell system • Care plans • Medication • Housekeeping • Catering The registered manager confirmed that action is taken as a result of their findings. However the quality assurance and quality monitoring system does not include seeking feedback from residents, relatives, friends or stakeholders in the community such as GPs, district nurses on a regular basis. There was also no annual development plan available to those using the service. Residents confirmed that they either deal with their own finances or have appointed a responsible representative to do so. This is frequently another family member. The home does hold ‘pocket money’ for some residents at their request. All monetary transactions were recorded and were seen to be up to date and accurate. Records showed that all staff had received recent training in fire safety and manual handling. Substances hazardous to health were seen to be stored securely. Records showed that equipment had been serviced regularly. Accidents were recorded and appropriate action was taken as necessary. Abbey View DS0000020440.V323433.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Abbey View DS0000020440.V323433.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 OP16 Regulation 22 Requirement Timescale for action 11/03/07 2. OP18 13(6) 3. OP29 19 and Sch 2 The registered person shall establish a procedure for considering complaints made to the registered person by a service user or person acting on the service user’s behalf. (The complaints policy and procedure must be improved to include contact details of the Dorset Care & Health and the local Primary Care Trust.) The registered person shall make 11/03/07 arrangements, by training staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse.(The home’s written procedure for responding to suspicion or evidence of abuse must be in accordance with the Department of Health guidance “No Secrets”.) It is required that staff records 11/01/07 be kept for all staff according to the Care Home Regulations – this must include obtaining a POVA first check prior to the member of staff commencing employment. DS0000020440.V323433.R01.S.doc Version 5.2 Abbey View 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. 2. Refer to Standard OP7 OP33 Good Practice Recommendations Every care plan should give clear and specific information to the reader about how the needs of the resident should be met. The home should continue to evaluate its performance and produce an annual development plan as part of their quality assurance. Abbey View DS0000020440.V323433.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Abbey View DS0000020440.V323433.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. 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