Inspection on 07/12/06 for Daw Vale

This inspection was carried out on 7th December 2006.

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 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

Daw Vale 10/10/07

Daw Vale 01/03/06

Daw Vale 26/04/05

Daw Vale 24/11/04

Daw Vale 08/07/04

Daw Vale 24/02/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Daw Vale 56 West Cliff Road Dawlish Devon EX7 9DY Lead Inspector James Rose Unannounced Inspection 7th December 2006 9:00 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 Daw Vale DS0000032522.V315301.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. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Daw Vale Address 56 West Cliff Road Dawlish Devon EX7 9DY 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) 01626 863447 01626 888854 http/www.devon.gov.uk Devon County Council Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (19), Physical disability (12) of places Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Physical Disability over the age of 55 years Date of last inspection Brief Description of the Service: Daw Vale is a care home providing personal care and accommodation for 31 Older People within the category of old age, with or without physical disability. It has 12 beds for short stay use and for rehabilitative care, for people with physical disability over 50 years of age. The home is located on the outskirts of Dawlish, close to shops, a library, churches, doctors surgeries, a hospital, pharmacies, communal gardens, public houses, a post office and a railway station. All bedrooms are for single occupancy. The home has gardens and patio areas with seating and ample parking spaces to the front. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was undertaken over 12.5 hours in December 2006. A pre inspection questionnaire had been completed by the home and evidence was also obtained from questionnaires that had been returned from residents and their relatives. On the inspection visits undertaken at the home samples of care records were examined and six residents were consulted individually in private. Two visitors to the home were asked for their views of the service provide and two healthcare professionals were also consulted. Three members of the care team were interviewed individually in private. A complete tour of the home was undertaken as part of the inspection process and the proposed registered manager assisted throughout. The fees payable weekly at the home are: lowest £274.00 and the highest £363.00. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: The home has a core staff team that are experienced and committed to providing a high standard of care to the residents. The six residents consulted in private advised that they were very happy at the home and had positive comments to make about their carers. Appropriate interaction was observed and good relationships were clearly demonstrated between carers and residents during the inspection. Observations were undertaken of the way care was delivered to residents, it was clear that this was carried out in a sensitive way and residents were always treated with respect. Meals are varied and well balanced with choice always available. All the residents consulted advised that they thought the meals were of good quality and they said they always had enough to eat. One resident said, “ The food is Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 6 wonderful and you can have what you like” another remarked, “I like the food and the carers, I couldn’t be better looked after”. What has improved since the last inspection? What they could do better: When samples of the care records were examined deficits were apparent in the care plans available, in one case the resident concerned did not have a care plan at all. This was discussed with the proposed registered manager who advised that these were the records she had inherited and would make sure that this was put right as soon as possible. A requirement has been raised in this report with an agreed timescale for completion to ensure this is achieved. Daw Vale provides an intermediate care facility, which is currently staffed, by carers who fulfil duties throughout the home. A dedicated care team must be provided who have had specialist training to use techniques for rehabilitation including treatment and recovery programmes, promotion of mobility, Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 7 continence and self-care, and outreach programmes to re-establish community living. A requirement has been raised to ensure this is achieved and a timescale agreed with the proposed registered manager. 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. Daw Vale DS0000032522.V315301.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 Daw Vale DS0000032522.V315301.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, 2, 3 and 6. Quality in this outcome area is good. Prospective residents did receive the information they needed to enable them to make an informed choice about where to live. A written contract of the statement of the terms and conditions is supplied to each resident in the home. Residents do not move into the home without having their needs assessed unless it is an emergency. Residents who are admitted for intermediate care are helped to maximise their independence and return home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Daw Vale is a residential home that is run by the local authority, the elements of care and finance have been separated. Details of the care arrangements are provided by the home and the financial details are dealt with by the finance department and the care management processes. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 10 A long stay resident is given a written statement of the cost of care at the home prior to moving in. Any increases that are made over time are notified to the person concerned by post. It is not the practice of the local authority to provide a copy to the home for the residents file. Details of these arrangements were provided by the local social services office and residents confirmed that they were aware of costs prior to being admitted. Residents admitted for intermediate care are not charged for the service provided by the home. When a resident is admitted to Daw Vale they are all given a welcome pack, this contains a service user guide that is written in plain English and gives details of the services provided and a copy of the complaints procedure. At the time of the inspection the staff details contained in the guide were not up to date and residents were not given a copy of the last inspection report, this was discussed with the proposed registered manager and it has been agreed that this will be undertaken without delay. The views of the residents in the home are also being made available. It is acknowledged that a copy of the last report was available in the entrance hallway along with a complete statement of purpose. Six residents were consulted individually during the inspection and this was undertaken in private. All the residents advised that they felt they had been given all the information they required and came to Daw Vale because this was their choice. All residents files examined at the inspection contained a copy of the contract between the home and the resident that had been signed by all parties to demonstrate agreement. Assessment of a prospective residents needs is undertaken by the manager of the home and a senior carer, all needs are covered in the areas of health, personal and social. Copies of assessments were available on residents’ files and all the residents consulted confirmed that all their needs were met by the service provided and that they had no unmet need. In the case of an emergency admission a full assessment is undertaken as a matter of priority within 72 hours. Residents who are admitted for intermediate care are helped to maximise their independence in order that they can return to their own home as soon as possible. Persons admitted solely for intermediate care stay at the home for a maximum of six weeks. Since the last inspection carried out on the 1st March 2006 44 persons have been through the intermediate care facility at the home. Daw Vale DS0000032522.V315301.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. Quality in this outcome area is adequate. The care planning processes in the home were incomplete. Residents are able to self medicate and the administration of medication undertaken by the home ensures residents are safe. Residents felt they were treated with respect and that their privacy was maintained in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five care plans were examined in detail and some deficits became apparent. One resident did not have a care plan available at all. Some information was missing from the care plans and some reviews had not been undertaken. This position was discussed with the proposed registered manager who advised that these were the records she had inherited and she wanted to correct the situation as soon as possible. The home does use agency carers to ensure a full team on accusation, which makes the need for a detailed care plan even more essential. A requirement has been raised in this report to ensure that there is a comprehensive care plan available for each resident in the home and a timescale for completion was agreed with the proposed registered manager. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 12 Care plans that had been completed recently in the home were comprehensive and covered all a residents needs in the areas of health, personal and social. For residents admitted to the home for intermediate care comprehensive detailed records were available. Six residents were consulted individually and in private during the inspection process, they were all very complimentary about the quality of the service they received and advised that all their needs were met at the home. One of the residents advised, “They look after me very well, better than I have ever had in my life” and another stated, “You couldn’t do better than this anywhere”. Residents confirmed that they were always treated with respect by the staff at the home and that care was taken to ensure their privacy was maintained. Two visitors were also asked for their views and they said that the service provided was helpful and comprehensive and could not make any suggestions how the service could be improved. Healthcare professionals who provide a service to the home and visit it regularly were also asked for their views of the service provided and they were all complimentary and said the home had their confidence. Residents who wish to self medicate are able to do so subject to a risk assessed approach to ensure they have the capacity and are safe. The recordings of the administration of medication undertaken by the home were examined and in general were clear and up to date. Some deficits were found in the recording of medication that was in cream form and this was discussed with the proposed registered manager. She advised that she would undertake an immediate investigation and ensure that the matter was rectified. All medication in the home was stored under secure conditions and medication that was unused was recorded appropriately and returned to the pharmacist. From observations made during the inspection it was clear that care was delivered in a sensitive way to residents who were given time to answer questions and when they were mobilising. Privacy was seen to be given appropriate priority by staff particularly when providing personal care to residents. Carers were seen to always knock on residents’ bedroom doors before entering and relaxed good-natured banter was overheard between carers and residents throughout the inspection process. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 13 Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. Residents advised that they enjoyed life at the home and said there was plenty to do. There are no restrictions on visiting and residents are encouraged to maintain contact with family and friends. Assistance is provided to residents to help them to make their own decisions about matters that affect them. Residents were very complimentary about the quality of the food provided at the home, which was to their liking. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Six residents were consulted individually and in private as part of the inspection process. They all advised that they enjoyed their life at Daw Vale, which they said “suited them” and added that there was always something to do. I discussed the activities available in the home and residents could not suggestions any additions they would like when asked. The activities programme is displayed in the home to ensure residents are kept informed. Some of the activities undertaken are: bread making, painting, quizzes and bingo. Entertainers are retained once every two months and trips Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 15 out are arranged to destinations chosen by residents. The children make visits into the home from local schools and a ‘sing a long’ is arranged and sometimes the donkeys are brought in from the local sanctuary. Coffee mornings are arranged and games are available that residents can play and a library with large print books visits the home on a regular basis. Daw Vale does not have any restrictions on visiting and people are made welcome when they arrive. Two visitors were asked for their views and were very positive about the home. Encouragement is provided for residents to maintain their contacts with family and friends. A small telephone room is provided on the ground floor where residents can make calls with complete privacy. Residents were very clear that they were able to make their own decisions about matters that affected them in the home and this was confirmed from observations made during the inspection. Time was taken by staff to allow residents to consider their answer to questions asked. All the residents consulted advised that they liked the meals provided at the home and one resident said “I wish I could cook like that” another resident said she liked the arrangements at mealtimes when they have their meals at small tables in the dining room. The home has a menu system and residents are consulted about what foods they would like for their meal, choice is always provided. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. Residents and their visitors are confident that complaints raised would be taken seriously and dealt with quickly. Service users are protected from all types of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents are given a copy of the home’s complaints procedure as part of the welcome pack when they are admitted into the home, the information is easy to read and all the residents consulted during the inspection understood the system. Residents were confident that if they raised an issue it would be taken seriously by staff and a resolution found to their satisfaction without delay. The home has a detailed policy and procedure for adult protection that meets all the legislation and carers are trains in its use. Three carers were interviewed individually and in private during the inspection process, they were all clear on the different types of abuse they could encounter and what action they should take if they discovered any abuse taking place. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 17 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 and 26. Quality in this outcome area is good. Daw Vale is a well maintained home that is safe and comfortable for residents. The home is clean and pleasant throughout with high standards of hygiene evident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complete tour of the building was undertaken as part of the inspection all rooms were seen including toilets and bathrooms. No outstanding maintenance was apparent and the home was free from malodour. Six residents that were consulted stated that they liked their rooms and the environment provided at Daw Vale. One resident said, “I feel at home here”. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 18 There is a running maintenance and redecoration programme in place and the front of the outside of the home and some of the internal corridors have been redecorated since the time of the last inspection in March. Some residents’ bedrooms have also been redecorated. The facilities of the home were in good condition and new easy chairs and a large hoist have been recently provided. The base of one pillar hoist had peeling paint that presented a hazard to residents; this was pointed out to the proposed registered manager who dealt with the matter that day. The laundry area of the home was well designed and maintained and appropriate systems were in place to ensure infection control to ensure residents were safe. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. There are always sufficient staff available to appropriately meet residents needs. The home has an appropriate recruitment policy and practice that ensures residents are safe. The home must provide a dedicated team for residents having intermediate care. Carers are trained and competent to discharge their duties appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home always has sufficient staff on duty to appropriately meet the needs of the residents. Until recently the care team did have some vacancies and experienced agency personnel were used to fill the gaps. The proposed registered manager has undertaken recruitment of new carers and the team is now at full strength. Residents that were consulted during the inspection were very complimentary about the care team and advised that they could always get help when they needed it and that their ‘call bells’ were answered in a timely fashion when used. Three personnel files were examined of the care team, they demonstrated that written references were followed up by the home on each person employed Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 20 and that all the necessary checks had been undertaken to ensure that residents were in safe hands. The home offers intermediate care in addition to residential care; this is undertaken in separate facilities in the home. Currently these beds are staffed from the care team that works throughout the home. This is inappropriate and a requirement has been raised in this report to ensure that a dedicated care team for intermediate care is provided. The home has a recorded active training programme in place for carers. All new carers undertake a detailed induction programme where all basic training is completed. Three members of the care team were interviewed individually in private as part of the inspection process; they were able to clearly demonstrate their understanding of care and the adult protection policy and procedures. They were aware of the different types of abuse known and what action should be taken if this was ever found. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. Daw Vale is managed by a person who is very experienced and is fit to be in charge. The home is run in the best interest of residents. The financial interests of residents are appropriately safeguarded. The health and safety and welfare of residents and staff are given appropriate priority. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The proposed registered manager of the home is a very experienced person who has worked at Daw Vale for many years. She is currently awaiting the completion of additional checks to complete her application to the Commission to be the registered manager. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 22 Currently the home has a detailed quality assurance system in place to assertain residents’ views of the service provided at the home. In addition residents meetings are held and individual consultations with residents are also undertaken. The home also has a suggestions box and visitors’ comments book in the main entrance hall. The Local Authority still hasn’t made a decision about the home’s future, it was understood at the last inspection that this would be undertaken by April 2006. The home assists residents with the administration of their pocket monies. Detailed records are maintained of all transactions and two signatures are used for each transaction. Receipts are retained by the home for any purchase made on behalf of a resident. Health, safety and welfare issues are taken very seriously by the management of the home and detailed records are maintained of issues raised. The home’s recordings of the fire precautions undertaken were up to date and the appropriate procedures were in place for harmful chemicals and reports were made of any dangerous occurrences as required. Regular checks are made for unwanted bacteria in the home’s water supply and all equipment in the home is regularly serviced to ensure it is safe for residents and staff. Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 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 X X 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 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 Standard OP6 Regulation Requirement Timescale for action 01/02/07 2 OP7 18(1)(a) – The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users – (a) ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users; The registered providers must ensure that a dedicated care team is provided, to give intermediate care, who have had specialist training to use techniques for rehabilitation including treatment and recovery programmes, promotion of mobility, continence and selfcare, and outreach programmes to re-establish community living. 15(1) Unless it is impracticable to carry 25/01/07 out such consultation, the registered person shall, after consultation with the service user, or a representative of his, prepare a written plan (“the service user plan”) as to how the DS0000032522.V315301.R01.S.doc Version 5.2 Daw Vale Page 25 service user’s needs in respect of his health and welfare are to be met. The registered providers must ensure that there is a service user plan (care plan) that covers all needs in the areas of health, personal and social drawn up for each resident in the home. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Daw Vale DS0000032522.V315301.R01.S.doc Version 5.2 Page 27 - 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!