Inspection on 19/04/06 for Clare House

This inspection was carried out on 19th April 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

Clare House 07/11/08

Clare House 29/10/07

Clare House 13/12/06

Clare House 27/09/05

Clare House 19/04/05

Clare House 30/11/04

Clare House 02/06/04

Clare House 01/03/04

Clare House 16/04/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Clare House Whittlebury Road Silverstone Northants NN12 8UD Lead Inspector Irene Miller Unannounced Inspection 19th April 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 DS0000012744.V288984.R01.S.doc Version 5.1 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. DS0000012744.V288984.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Clare House Address Whittlebury Road Silverstone Northants NN12 8UD 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) 01327 857202 01327 858976 apopat@aol.com Clarex Limited Vacant Care Home 25 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (25), of places Physical disability over 65 years of age (25) DS0000012744.V288984.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1 named person may be accommodated over the age of 62 years No one in the category of DE (E) may be admitted to the home if there are already 5 service users in this category accommodated within the home. To limit the number of service users in the categories DE (E) 27th September 2005 Date of last inspection Brief Description of the Service: Clare House is a detached property situated in the village of Silverstone to the south of Northampton and is set back from the road in pleasant gardens. The Home provides personal care for 25 residents over the age of 65 years, some of whom have an additional physical disability. They have recently been registered to take up to 5 residents who have dementia. There is an ongoing process of refurbishment to update and improve the facilities. There is a communal lounge, conservatory, library area and a large pleasant dining room that can accommodate all of the residents at meal times. Bedrooms are over three floors with a passenger lift for access to the first floor. All bedrooms are single rooms. Fees range from £350.00 for a standard bedroom to £465.00 for a large bedroom with en-suite facilities. In addition there is a main kitchen catering for all the main meals and a refurbished laundry to cater for all the residents needs. The registered provider is Mr Atul Popat; the position of registered manager is vacant. DS0000012744.V288984.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved tracking the care of three residents, through a review of their records, and discussion with them where possible, observation of care practices, discussion with the registered person, residents and staff. The inspection took place over a period of 6 and a half hours following a period of two hour’s preparation, which included reviewing previous inspection reports and other documentation. What the service does well: Information is available to prospective service users so that they can make an informed judgement as to whether the home can meet their needs. There is a committed staff team, and residents are protected by the homes recruitment policy and practices. In the absence of a registered manager to oversee the day-to-day running of the home, the staff team have managed admirably in ensuring that residents receive good quality care. The home has a medication policy in place and only designated staff that have received full medication training are given the responsibility of administering medication. The medication storage and administration records were all in order. Choice and options are available to residents and how they spend their day and includes social activity involvement. Residents meetings take place to give residents the opportunity to have their say and raise any concerns. Visitors are made welcome by the staff, comments from visitors were very positive, that the staff always make themselves available if they need anyone to speak to regarding their relatives care, that the staff are very caring and kind. The registered provider relates well with residents and visitors to the home. DS0000012744.V288984.R01.S.doc Version 5.1 Page 6 Information is available for residents and their representatives if they wish to make a complaint about the service and residents are protected from abuse. The home has a policy on the protection of vulnerable adults to follow should any allegations of suspected or actual abuse occur. The Commission for Social Care Inspection has not received any complaints or concerns about the service since the last inspection. All the residents spoke highly of their satisfaction with their bedrooms, the rooms were furnished to a high standard pleasantly decorated and personalised with pictures, ornaments, television, radio and small items of individual furniture. The bathrooms and toilets are decorated to a high standard Furnishings within the communal areas are pleasant of a high standard and suitable to the needs of the residents living at the home. The garden is well maintained and outdoor seating is available. What has improved since the last inspection? What they could do better: For prospective residents entering the home, who are diagnosed with dementia, the emotional needs should be identified in the resident’s assessments. The pre-assessment documentation looked at was not dated or signed by the responsible person for conducting the assessment. There are a variety of communication books in use which result in the care plans and risk assessments systems not being fully put into practice and promoted. Assessed needs are not consistently transferred into the residents individual care plans. The employment of an activity co-ordinator would provide the resource to enable suitable activities to take place on a regular basis, for resident’s individual preferences and as a group. Risk assessments need to be put into place to identify potential hazards and implement control measures whilst the redecoration programme and structural changes are taking place. DS0000012744.V288984.R01.S.doc Version 5.1 Page 7 The appointment of a registered manager to oversee the day to day running of the home would provide leadership and support for the staff team and release the registered provider to discharge his business responsibilities fully. 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. DS0000012744.V288984.R01.S.doc Version 5.1 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 DS0000012744.V288984.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Standard 6 does not apply to this service. Quality in this outcome area is adequate. This Judgement has been made using available evidence including a visit to the service. Information is available to prospective service users so that they can make an informed judgement as to whether the home can meet their needs. EVIDENCE: There is a statement of purpose and service user guide available for prospective residents and their representatives, and contracts in place. There was pre assessment documentation, of residents daily living activities, moving and handling, pressure area care, nutrition, cognitive and physical dependency needs. However the emotional needs of prospective residents entering the home, who are diagnosed with dementia, had not been addressed within the homes assessment. The pre-assessment documentation looked at was not dated or signed by the responsible person for conducting the assessment. DS0000012744.V288984.R01.S.doc Version 5.1 Page 10 Residents are given the opportunity to visit and assess the quality of care prior to moving into the home. DS0000012744.V288984.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is adequate. This Judgement has been made using available evidence including a visit to the service. Residents could be at risk of their heath and personal care needs being only partially met, due to care plans and risk assessments not being fully put into practice and promoted. EVIDENCE: For a resident who had recently moved into the home, there was preadmission assessment documentation available, which demonstrated that the home had looked at the needs of the resident, prior to admission and there was assessment documentation available from the placing authority. However this information had not been transferred into an individual care plan, no risk assessments had been put into place to address the significant risks relating to the individual residents safety, which had been identified in the assessment from the placing authority. There was a variety of communication books which staff use to record observations of residents changing needs and residents care needs, such as a DS0000012744.V288984.R01.S.doc Version 5.1 Page 12 continence programme book, a bath book, daily record book and correspondence book. On speaking with staff they had an in-depth knowledge of each residents needs, and said that information on the care needs of residents was shared at staff handovers and through the communication books. For residents who require pressure area care, treatment from the district nurse, records on the care and treatment required were available within the resident’s bedroom. The home has a medication policy in place and only designated staff that have received full medication training are given the responsibility of administering medication. The medication storage and administration records were all in order. There were records of visits by the residents General Practitioner within the care plans. All the residents spoken to said they enjoyed living at the home saying that the staff were very helpful and that they were treated with respect. Staff were observed caring for residents with sensitivity and respect. DS0000012744.V288984.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is adequate. This Judgement has been made using available evidence including a visit to the service. Choice and options are available to residents and how they spend their day and includes social activity involvement. EVIDENCE: There was no scheduled activity to take place with residents on the morning of the inspection; residents were sitting in the lounge, and the conservatory some reading newspapers. Residents said that there were activities for them to join in with if they wished and that the staff do spend time to sit and chat with them, saying that the staff did the best that they can, and that they are very busy. One member of staff has been given a position of resident and visitor liaison person, with the aim to spend time with residents and visitors on a social level. However this position had not been available over recent weeks and was not available on the day of inspection. DS0000012744.V288984.R01.S.doc Version 5.1 Page 14 The home does not employ an activity co-ordinator, individuals from outside of the home who specialise in providing activities suitable for care homes are used, there was a notice on display on the residents notice board advertising a fortnightly event that takes place, from a physiotherapist promoting exercise. Minutes of residents meetings identified that some residents would like to go on outings more often, the home does not have its own transport the registered person said that this area has been discussed with families, who have said that they would rather take their relative on one to one outings. One of the residents case tracked choose to spend time within their bedroom; there was information within the care plan that identified what their social and personal preferences were on how they wished to spend their time. On visiting the resident there choice was respected and confirmed through discussion and evidenced through reading material being readily available a television, daily newspapers and fictional books. The resident said that the staff often visited and that they did not feel isolated. There was full access to the call alarm system if they needed to summon help at any time. The home has regular visits from the clergy and Holy Communion is offered to residents weekly. Visitors were made welcome by the staff, comments from visitors were very positive, that the staff always make themselves available if they need anyone to speak to regarding their relatives care, that the staff are very caring and kind. The dining room is pleasant and welcoming, residents said that the food was very nice, concerns that were raised at the last residents meeting that took place in February 2005 were the mealtime arrangements, that some residents had to wait up to thirty minutes for their meals to be served, that the vegetables were sometimes over cooked, one resident was unhappy with seeing the staff in the kitchen area looking through the food hatch during the mealtime. The registered person said that they have addressed the residents concerns and that the vegetables have improved, that individual mealtime arrangements have been negotiated with the residents who found this a problem and a screen had been provided to cover the food hatch during the mealtime. The meal on the day of inspection was beef casserole, mashed potatoes and mixed vegetables. The kitchen was clean and tidy and systems were in place to reduce the risk of food cross contamination. DS0000012744.V288984.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 & 18 Quality in this outcome area is good. This Judgement has been made using available evidence including a visit to the service. Information is available for residents and their representatives if they wish to make a complaint about the service and residents are protected from abuse. EVIDENCE: The home has a complaints policy, which outlines that the responsible person within a maximum of twenty-eight days will respond to any complaints, and information is available on the residents and relative’s notice board as to how to make a complaint about the service. The registered person has an open door policy and said that they are available to speak with residents and visitors at any time should they have any concerns about the service. The Commission for Social Care Inspection has not received any complaints or concerns about the service since the last inspection. Thank you cards and letters of appreciation were available to view, which had been sent to the home from residents who had spent time at the home on respite care and from families of past residents. They were very complimentary of the care and support that the home had given. The home has a policy on the protection of vulnerable adults to follow should any allegations of suspected or actual abuse occur. DS0000012744.V288984.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 & 26 Quality in this outcome area is adequate. This Judgement has been made using available evidence including a visit to the service. The home seeks to provide a pleasant internal and external environment, however areas relating to safety that have not been addressed could compromise the resident’s well being. EVIDENCE: The home is in the process of extensive decorating and refurbishment taking place. Throughout the corridor areas within the home redecorating is in progress, and carpets being replaced. No formal risk assessment process has taken place to formally identify any of the potential hazards to residents, visitors and staff or any control measures to be put in place during this period. DS0000012744.V288984.R01.S.doc Version 5.1 Page 17 The registered person said that paints and other combustible materials in use during the redecoration programme were being stored outside of the home when not in use, a risk assessment identifying where these combustible materials are to be stored was not available. Where fitted carpets had been removed, they was carpet remnants laid on the floor, which had the potential for residents and staff to trip, one area in particular was outside the bedroom of a resident who is registered blind. No risk assessment was in place on how this potential tripping hazard was to be reduced. The registered person agreed to remove the carpet remnants and said that this area was to be fully carpeted within the next two weeks. There are plans to create more communal space within the home, to include some structural changes to the communal areas within the property being undertaken. The importance that risk assessments being in place for contractors, residents, staff and visitors was discussed with the registered provider and the importance of residents, staff and visitors being fully consulted throughout the refurbishment stages. The fire alarm call points are activated on a rotational basis, on a random day each week. The records of fire system checks indicated that the system had been checked by the fire safety contractor two weeks prior to the inspection taking place, however no subsequent check had taken place by the home since the contractors visit, this was discussed with the registered person who explained that due to the redecoration this was an area that had been over looked. The registered person said that the fire system would be checked by the end of the week. Staff said that they did not know when the fire alarm was tested, and the fire procedure does not indicate on which day the week the fire alarm is to be tested. However residents, staff and any visitors within the home on the chosen day of the fire alarm test are made aware prior to activation that the alarm is to sound for test purposes. A limited tour of the building was conducted and resident’s rooms were furnished to a high standard pleasantly decorated and personalised with pictures, ornaments, television, radio and small items of individual furniture. All the residents spoke highly of their satisfaction with their bedrooms, one resident said that from their bedroom they could see the house in which they had been born. Furnishings within the communal areas are pleasant of a high standard and suitable to the needs of the residents living at the home. The garden is well maintained and outdoor seating is available. DS0000012744.V288984.R01.S.doc Version 5.1 Page 18 The home has a standing aid for residents who require extra help and assistance in this area, residents were seen to be using walking aids. The bathrooms and toilets are decorated to a high standard, and protective equipment is available for staffs use. One the first floor there is a large bathroom with a bath hoist available, and another bathroom with a sit down a shower facility, however there was a walk in bath on the ground floor which was being used as a storage area for mattresses and bedding the registered person agreed to make arrangements for these to be removed to ensure that the bathroom was available should a resident wish to use it. The laundry has commercial washing machines with an automatic dosage system in place to reduce the risk of staff coming into contact with detergents, however there was two bottles of bleach out on the sink that could be a potential hazard for residents living with dementia who may enter the laundry. Risk assessments had not been put into place to address this hazard. The home was clean and free from any offensive odours DS0000012744.V288984.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This Judgement has been made using available evidence including a visit to the service. There is a committed staff team, and residents are protected by the homes recruitment policy and practices. EVIDENCE: On the day of inspection there was one senior carer on duty, three care staff to include two new staff members on induction. There were two domestic staff, one cook and two maintenance workers; in addition the registered person was available. Three staff recruitment files were looked at which all contained the necessary documentation to demonstrate that a robust staff recruitment procedure is followed. The registered provider has employed some staff through a recruitment agency that specialises in finding employment for people within the European community; all the necessary recruitment documentation was available. Staff training records looked demonstrated that mandatory training is available. Training is also available from the Learning and Skills Council on reading and writing for staff that have English as their second language. Staff said that they received induction training, however there were no induction records available for staff who had recently started working at the DS0000012744.V288984.R01.S.doc Version 5.1 Page 20 home, the registered provider said that a date had been arranged to formally record the training that the new staff had received. Other staff induction records were available to view. Experienced staff were observed supporting new staff on duty, through explanation of procedures and where communication books and other records in relation to the residents care needs were available within the home. Five staff have completed the National Vocational Qualification (NVQ) level 2 award and one member of staff has completed the NVQ level 3, the registered provider confirmed that staff who have yet to undertake their NVQ training will have the opportunity to enrol in September 2006. An individual staff supervision system has yet to be put into place. DS0000012744.V288984.R01.S.doc Version 5.1 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 Quality in this outcome area is adequate. This Judgement has been made using available evidence including a visit to the service. The continual absence of a registered manager to oversee day-to-day operations compromises the management of the home. EVIDENCE: In the absence of a registered manager to oversee the day-to-day running of the home, the staff team have managed admirably in ensuring that residents receive good quality care. The registered provider is aware that under the terms of the homes registration that where the owner is not the registered manager a registered manager must be in place, however this post remains to be vacant despite interviews having taken place, to date no suitable candidate has been found. DS0000012744.V288984.R01.S.doc Version 5.1 Page 22 The registered provider has created a part-time senior post to liaise with health care professionals and be available to meet with residents and visiting relatives. However this arrangement was not in place on the day of inspection. A member of the care team, has been delegated the responsibility of overseeing and reviewing care plans and risk assessments. However this arrangement had not been in place for several weeks, resulting in no care plan or risk assessment being implemented by the home for a recent admission to the home. The care plan and risk assessment systems are not fully endorsed, alternative communication methods such as the various books in use continues to result in a separation of information relating to individual residents care needs. Fundamental risk assessments were not in place where significant hazards were present relating to the health, safety and security of individual and collective residents. Staff said that they liked working at the home that training was available and they could approach the registered person, if they had any cause for concern. The registered person said that individual staff supervision is not in place, that staff do have the opportunity to meet with the registered person on a regular basis. The registered provider was observed relating well with residents and visitors to the home. The residents care plans and other confidential information are stored securely; residents are encouraged to only bring small amounts of money into the home, which is stored securely. DS0000012744.V288984.R01.S.doc Version 5.1 Page 23 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 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X 3 X X 2 DS0000012744.V288984.R01.S.doc Version 5.1 Page 24 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 2 Standard OP7 OP38 Regulation 14 13 (4) (c) Requirement Care plans must be in place for all residents, generated from the needs assessments. Risk assessments must be in place where there are significant hazards identified relating to the health, safety and security of service users and staff. Timescale for action 31/05/06 31/05/06 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 OP3 Good Practice Recommendations Prospective residents entering the home, who are diagnosed with dementia, should have their emotional needs identified within the assessment. Pre-assessment documentation should be dated and signed by the responsible person who conducting the assessment. 2 OP3 DS0000012744.V288984.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 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 DS0000012744.V288984.R01.S.doc Version 5.1 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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