Inspection on 31/05/07 for Carter House

This inspection was carried out on 31st May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Carter House 20/06/06

Carter House 16/11/05

Carter House 29/06/05

Carter House 16/03/05

Carter House 26/08/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Carter House 1&2 Farnham Gardens West Barnes Lane London SW20 0UE Lead Inspector Emma Dove Unannounced Inspection 31st May, 10th and 13th August 2007 5:00 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 Carter House DS0000042026.V340797.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. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carter House Address 1&2 Farnham Gardens West Barnes Lane London SW20 0UE 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) 020 8947 5844 hilma.dunn@ccht.org.uk Central & Cecil Housing Trust Ms Hilma Dunn Care Home 45 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (23) of places Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Nursing Places To include no more than 15 service users requiring nursing care at any one time. Dementia Places To include no more than 22 service users with Dementia at any one time. Nursing Unit 2nd Floor - Qualified Staff A qualified 1st level nurse must be available on the nursing unit at all times. This person must not have any management responsibilities for the home other than within the nursing unit. Care Staff - All Floors 07:30 hrs to 14:45 hrs - a minimum of seven care assistants must be available at all times. 14:15 hrs to 21:30 hrs - a minimum of six care assistants must be available at all times. 21:00 hrs to 08:00 hrs - a minimum of five care assistants must be available at all times. Management One full time manager 40 hours per week. One full time deputy manager 40 hours per week. A member of the management team to be available seven days each week. Ancillary Staff Administrative staff 37.5 hours per week Domestic staff 136.5 hours per week Cook 49 hours per week Kitchen assistants 102 hours per week Laundry staff 70 hours per week Reviews The organisation must ensure that the above minimum staffing levels remain under review and that at all times suitably qualified, competent and experienced persons are working in the home in such numbers as are appropriate for the health and welfare of service users. Distribution of staff The number and distribution of nurses, care staff and ancillary staff must be reviewed at regular intervals. If at any time the evidence indicates that there are insufficient staff of any category available to meet the assessed needs of service users, the CSCI will require additional staffing as appropriate. As agreed on the 8th August 2006, one place can be used for a service user under the age of 65 years, requiring nursing care. DS0000042026.V340797.R01.S.doc Version 5.2 Page 5 4. 5. 6. 7. 8. 9. Carter House Date of last inspection 20th October 2006 Brief Description of the Service: Carter House is a purpose built care home, which can provide nursing care for fifteen older people and residential care for thirty older people, twenty-three of whom may have dementia. Forty-three people are currently living there with two people in hospital. The home is owned and managed by Central and Cecil Housing Trust (CCHT), a charitable organisation who own and manage four other similar services in the Merton and Richmond area. Accommodation is provided over four floors with a lounge, dining room, kitchenette, bathrooms and single bedrooms available on all four floors. People who use the service have access to enclosed gardens to the rear and side of the home. A lift serves all floors. Carter House is situated in a residential area of Raynes Park, close to local shops, public transport, churches of a number of denominations and leisure facilities. The home is staffed twenty-four hours a day by trained nursing staff and care assistants. People receive three meals each day with drinks and snacks available between meal times. Information regarding the CSCI is available in the Statement of Purpose and Service Users Guide to the home and is displayed in the entrance. The weekly fees are from £418.00, further details are provided on request. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours on the 31st May 2007 and four hours on the 10th and 13th August 2007. One inspector visited and spoke with people who use the service, visitors, staff and the manager. Records were looked at, communal areas and bedrooms were seen. Questionnaires were sent to relatives, placing social workers and health professionals. Nine questionnaires have been received, comments from these are included in the relevant sections of this report. An Annual Quality Assurance Questionnaire was returned. Appropriate notifications have been sent to the CSCI by the service. What the service does well: What has improved since the last inspection? What they could do better: People who use the service, their relatives and placing social workers commented that more activities and outings could be provided and more permanent staff would be beneficial. One person also suggested staffs attitude towards people who use the service who smoke, could be improved or more accepting. Some care plans could be more person centred and include more details of peoples’ needs and how they should be met. The profile sheet should be completed for all people. Medication must be signed for at the time it is administered. The balance of controlled medication must be checked to ensure it is correct. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 7 Work must continue to employ more staff. The training programme must include training in the care of people with dementia. 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. Carter House DS0000042026.V340797.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 Carter House DS0000042026.V340797.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): 1, 3, 4 and 5 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home understands the importance of having sufficient information when choosing a care home. Clear information has been developed to help people understand the services provided. This information is given to all people and their relatives or representatives. Assessments are completed before admission. EVIDENCE: A Statement of Purpose and Service Users Guide have been developed which include information about the services provided, to assist people in making the decision about whether the home is the right one for them. One questionnaire indicated that they ‘always’ and ‘sometimes’ received enough information, two other people indicated that they ‘usually’ had enough information from the home. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 10 The manager reported that assessments are completed before admission and that people are encouraged to visit to look around, spend time with staff and people already using the service and have a drink or meal, to help them decide that the home is ‘right’. A new incentive has been developed where relatives are available to support new people through some of the worries about moving into a care home. This will help people understand how the service operates. Two placing social workers commented that assessments ‘always’ and ‘usually’ gathered enough accurate information to ensure peoples needs can be met. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 11 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 and 10 People who use this service receive adequate quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who use the services have access to health services both within the home and in the local community. Generally peoples health needs are monitored and intervention taken. An appropriate medication policy is accessible to staff, medication records are generally up to date. EVIDENCE: Care plans are in place and have been reviewed almost every month. The level of detail in some care plans has improved to ensure people’s needs are fully recorded and can be met. However some care plans require more information about people’s needs and how staff should meet them. Some different forms are in use, this could lead to confusion for staff. A profile sheet is in place in all case files, however the level of information included in the profile varied from a detailed social history to nothing being recorded. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 12 Two visitors commented that staff pay a great deal of attention to peoples personal hygiene and appearance and that their relatives are always well presented. Risk assessments are in place and have been updated. Two questionnaires stated that the home ‘always’ and ‘usually’ meets peoples needs and provides the care and support expected or agreed. Three questionnaires indicated that the home ‘always’ and five questionnaires noted that the home ‘usually’ meets people’s different needs including religious and cultural needs. Comments including ‘I can’t praise them enough’, ‘the highest level of care and attention appears to be in place to ensure my relative is comfortable and well looked after’ and ‘the home provides good hygiene, food and security’. Two questionnaires stated that people’s health needs are ‘always’ and ‘usually’ properly monitored and that people’s privacy and dignity is maintained. Medication policies, procedures and practices are good. Medication is appropriately stored. Records examined identified two gaps in the signing, which senior staff were addressing, staff had administered the medication but not signed. The records of a controlled drug did not tally for one person, this must be addressed. Two questionnaires stated that the home ‘always’ manages people’s medication appropriately. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 13 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 and 15 People who use this service receive adequate quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Generally staff are aware of the need to support people to maintain their social, emotional and communication skills. People using the service are given the opportunity to take part in a variety of activities within the home and in the local community. The food served is generally good quality, well presented and meets peoples dietary needs. Staff receive training in how to support people who need help when eating. EVIDENCE: A number of regular activities are provided including a visit from an artist and an aromatherapist every week, a fortnightly film show, reminiscence sessions, concerts, clothing sales and fund raising events. Some people had been on a trip to Richmond Park recently. Information about activities and outings is accessible throughout the home to people who use the service, their relatives and other visitors. Two members of staff have completed training through a specialist organisation on providing activities in care homes. One person said ‘there’s not much to do’ and another person said ‘I like the artists visit’. One person suggested that a calendar with the day and date Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 14 might be helpful. A number of questionnaires stated that ‘more activities and more outings’ could be provided, a suggestion was made to ‘turn the television off and do more hand crafts, painting or gardening’ and ‘more fresh air’ might be of benefit. Five questionnaires reported that the home ‘always’, two questionnaires said the home ‘usually’ and one said the home ‘sometimes’ supports people to live the life they choose. Representatives from Catholic Churches visit each week to administer Holy Communion and a Church of England service is held. The Salvation Army and the local Free Church also visit. The manager reported that representatives from other religions would be invited if an individual requested. Visitors were seen to be made welcome, offered drinks and updated with information about their relative or friend. Four questionnaires indicated that people are ‘always’ and one person ‘usually’ kept in touch with their relative at the home. One person said ‘I feel I can rely on them to contact me’. Three questionnaires stated that staff ‘always’ keep them up to date with their relatives progress while one person said that they are ‘usually kept up to date. A varied menu is provided with a choice of main meal including a vegetarian alternative. The manager reported that regular meetings are held with catering staff to ensure they are aware of people’s choices and preferences. Catering staff have been involved in developing a better menu for some people. This has improved a number of peoples diet and records of weight monitoring confirmed this. Any health, medical and religious dietary needs are catered for, with information recorded for staff. Comments about the food included: ‘sometimes it’s better than others’ and ‘the food is always good’. The tables were seen to be laid with cutlery, salt and pepper and flowers. In one unit, people sat together, ate and chatted with staff with the mealtime seen to be a relaxed and pleasant experience. The manager reported that they hold regular diversity events with evening entertainment and meals to reflect peoples different cultures. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 15 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 and 18 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The service has a complaints procedure which is clear and easy to understand and is accessible to people who use the service and visitors. Generally people who use the service and their representatives are aware of how to make a complaint. Staff complete training in the protection of vulnerable adults. EVIDENCE: The complaints procedure is included in the Statement of Purpose and Service Users Guide and displayed around the home for people who use the service and visitors to access. Four questionnaires indicated that people were aware of how to complain and that concerns had been appropriately managed. One person said that they had not received any information about the home and would not know how to make a complaint, although the home responds appropriately to concerns. Comments also included ‘they listen and act’ and ‘there is little to complain about’. The manager reported that complaints are taken seriously and responded to. Records indicated that three complaints have been received since the last inspection. These have been dealt with appropriately. Staff complete training in the protection of vulnerable adults and are aware of their responsibilities to report concerns and have clear procedures to follow. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 16 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, 20, 21, 22, 23, 25 and 26 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home was purpose built and provides an environment that is appropriate to the needs of people who use the service. The home is well maintained with specialist aids and adaptations in place to meet individuals needs. Bedrooms are single and people are encouraged to personalise their rooms. EVIDENCE: The home is separated into four units, one on each floor. Each unit has a lounge, two have a separate dining area, single bedrooms, toilets, a shower room and adapted bathroom and a small kitchen to prepare breakfast, supper, drinks and snacks. People have access to two enclosed gardens to the side and rear of the home, both have been developed and are well maintained by relatives and enjoyed by people who use the service and their visitors. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 17 One person said that their relative ‘feels at home’. One person said ‘it’s as good as it could be without being in my own home’. One person said that they have their photographs, newspaper and television and what else could they need. The manager said that they plan to improve the environment, particularly for people who have dementia, making it easier for them to find their way around and to reflect things they remember. The manager reported that people are encouraged to personalise their bedrooms and this was seen to be the case in most rooms. People generally made positive comments about the home, their rooms and the garden. One person said that staff leave curtains and lights ‘just right’. This was recorded in the individuals care plan. All areas of the home were clean, light and fresh. Questionnaires confirmed that the home is always kept clean. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 18 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 and 30 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who use the service have confidence in the staff that care for them. The service has a good recruitment process which acknowledges the importance of having the right staff to deliver good quality services and for the protection of individuals. Staff have access to appropriate training. EVIDENCE: The staff rota reflected one member of staff on duty on the ground and first floor, two and sometimes three members of staff on the first floor with four members of staff on the second floor. The manager, senior staff, domestic, catering and administrative staff are at the home in addition to these staff. The staffing levels were seen to be sufficient to meet peoples needs, although a number of relatives, placing social workers and people who use the service made comments or raised concerns about the length of time it sometimes takes to find staff. People made positive comments about the staff including ‘the staff are very good’, ‘the staff are kind and listen’ and ‘staff help’. The manager reported that they are continually working on recruiting new staff and the number of permanent staff has increased. This work must continue to Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 19 ensure all vacant posts are filled to provide a better quality of care and support to people who use the service. Appropriate policies and practice are in place for the recruitment of staff. Staff files contained the required information including an application form, two written references, proof of the individuals identity and confirmation that a Criminal Records Bureau check had been completed. Staff have access to appropriate training which helps them provide a good service. Domestic staff have completed NVQ training, care staff are in the process of completing NVQ to Level 2. Staff confirmed that training is useful to carrying out their role. The service also makes good use of training provided by the local authority. Requirements have been made for staff to complete training in the care of people who have dementia. The manager reported that some staff have completed this training, this will need to be ongoing as new staff start work. The manager has shown commitment to developing staff to provide better quality care and services. Three questionnaires said that staff ‘always’, four questionnaires commented staff ‘usually and one questionnaire indicated that staff ‘sometimes’ have the right skills and experience and training to do the job. Peoples comments included ‘staff do training’ the usual carers, no problem’, ‘the permanent staff are excellent’, ‘some staff are very good’, ‘staff do well’ and ‘agency staff may not be fully experienced but are able to do their duties’. Carter House DS0000042026.V340797.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, 32, 33, 35 and 38 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The manager has the required experience and qualifications to run the home. She works to continually improve the services and provide an increased quality of life for people who use the service. The manager promotes equal opportunities and understands the importance of being person centred. Clear health and safety policies are in place with good systems to confirm that required checks are carried out. EVIDENCE: The manager demonstrated good knowledge and understanding of people who use the services needs and how they should be met, working with relatives and Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 21 managing staff. Senior staff are completing training to develop their management skills and to provide supervision and appraisals for staff. Regular meetings have been held with people who use the service and their relatives. These meetings are used to plan outings and activities and make changes to the way the service is managed if needed. A representative from the organisation visits every month and checks some records, speaks with people who use the service, staff and any visitors. A report is written with a copy at the home. A copy of this report must be sent to the CSCI. The home holds some money for people who use the service, this is appropriately stored with up to date records. Three balances were checked and found to be correct, up to date and signed by staff. Appropriate policies, procedures and records are in place and up to date to ensure people who use the service, staff and visitors health and safety is maintained. The gas check was completed in February 2006, the hoists were tested in May 2007 and portable electrical appliances were checked in August 2006. Carter House DS0000042026.V340797.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 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 X 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1&2) Requirement Timescale for action 01/10/07 2. OP9 13 (2) 3. 4. OP27 OP30 18 (1) a 18 (1) c All care plans must include details to ensure all the individuals needs are recorded and can be met by staff. (previous timescales of 14/09/06 and 22/12/06 not met) Medication must be signed at the 01/10/07 time it is administered and the balance of controlled drugs must be checked to ensure it is correct. Staffing levels must be kept 30/11/07 under review to ensure peoples needs are met at all times. New staff must complete training 31/10/07 in the care pf people with dementia to ensure staff are fully aware of how to meet peoples needs. Carter House DS0000042026.V340797.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 OP7 Good Practice Recommendations Consideration should be given to standardising care plan formats. Carter House DS0000042026.V340797.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Carter House DS0000042026.V340797.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!