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Inspection on 16/06/05 for Dovetail House Care Home

Also see our care home review for Dovetail House Care Home for more information

This inspection was carried out on 16th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

New residents are assessed before admission and a new resident said she had been told what it would be like in the home. A care plan is prepared to cover the admission period. Care plans are well completed and residents are involved in them and their views obtained. Residents said that risks are assessed to see where they are able to take responsible risks and where any limitation should be used. One described an assessment being done to see if a team could be entered into a local pub quiz. Residents spend their day times following an individually tailored programme and residents praised the newly introduced bike riding activity. Contact with family is encouraged and staff provide any assistance needed for this. Residents are involved in housekeeping tasks and some have recently become interested in gardening, which they want to develop. Healthcare is well managed and residents described positive benefits of the support they receive. A visiting nurse felt the home worked well in meeting the healthcare needs of the residents. Residents felt that complaints are listened to and that staff treated residents well. The building is well laid out and kept in good order and clean. Residents described the accommodation as excellent. Staff are recruited following the correct procedures and given a welcome pack with useful information in. There is a record of staff training showing training done and when further training will be provided. All staff have completed, currently enrolled or about to be enrolled on NVQ training. An NVQ assessor thought the home was excellent in its approach to training. The home has meetings where staff and residents can put forward their views and ideas, and residents receive a written response from the manager to any suggestion they make or question they raise. A resident said he was going to raise the use of the term service user, which he did not like.

What has improved since the last inspection?

Details as to the contact that residents have with their relatives are now written into the care plan and the support residents need is now listed in them.

What the care home could do better:

A way of showing when there is a link between a care plan and a risk assessment would make it easier to use these. A review of the food provided in the home to determine the nutritional content of all food provided. The complaints book should always be available in the home.

CARE HOME ADULTS 18-65 Dovetail House Care Home Park Avenue Mansfield Notttingham NG18 2AT Lead Inspector Stephen Benson Last Name Unannounced 16 June 2005 09:30 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Dovetail Care Home Address Park Avenue Mansfield Nottingham NG18 2AT 01623 420690 01623 420699 stepforward1@btinternet.com Step Forward (Nottingham) Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Margaret Ann Webster Care home 16 Category(ies) of LD Learning disability, x 16 registration, with number of places Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Category of registration is to be Learning Disability which is specific to those who have acquired Brain Injury caused by Trauma or Illness. 2. Up to 3 beds to be used for palliative care as a result of neurological disorder. Date of last inspection 28 January 2005 Brief Description of the Service: Dovetail House is a care home providing personal care and accommodation for 16 younger adults who have a traumatic or acquired brain injury and includes 3 beds that can be used for palliative care. The home provides individual programmes detailing the care to be provided and can provide long or short term care, assessments and rehabilitation programmes. The home also offers a buddy system to support service users who have moved out of the home and those needing support within the community. A day care service is also available.The home is owned by Stepforward (Nottingham Ltd), which is run as a family business. The home is located in a residential area on the outskirts of Mansfield town centre and is close to shops, pubs, the post office and other amenities. The home was opened in 2003 and consists of a former domestic dwelling, which was previously run as a nursing home. The current providers refurbished the building following purchase and prior to opening. .All of the home’s bedrooms are single and have en-suite facilities. Bedrooms are located on the ground, first and second floors all of which are served by a passenger lift. The home has good-sized gardens that are well maintained and easily accessible. There is a small car parking area to the front of the property and further parking is available on the road. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two unannounced inspections to be carried out between April 2005 and March 2006. The inspection lasted for 7 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, care staff on duty and care practices were observed. Other residents and a visiting diabetic nurse and National Vocational Qualification (NVQ) assessor were spoken with. No relatives were seen during this inspection. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: New residents are assessed before admission and a new resident said she had been told what it would be like in the home. A care plan is prepared to cover the admission period. Care plans are well completed and residents are involved in them and their views obtained. Residents said that risks are assessed to see where they are able to take responsible risks and where any limitation should be used. One described an assessment being done to see if a team could be entered into a local pub quiz. Residents spend their day times following an individually tailored programme and residents praised the newly introduced bike riding activity. Contact with family is encouraged and staff provide any assistance needed for this. Residents are involved in housekeeping tasks and some have recently become interested in gardening, which they want to develop. Healthcare is well managed and residents described positive benefits of the support they receive. A visiting nurse felt the home worked well in meeting the healthcare needs of the residents. Residents felt that complaints are listened to and that staff treated residents well. The building is well laid out and kept in good order and clean. Residents described the accommodation as excellent. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 6 Staff are recruited following the correct procedures and given a welcome pack with useful information in. There is a record of staff training showing training done and when further training will be provided. All staff have completed, currently enrolled or about to be enrolled on NVQ training. An NVQ assessor thought the home was excellent in its approach to training. The home has meetings where staff and residents can put forward their views and ideas, and residents receive a written response from the manager to any suggestion they make or question they raise. A resident said he was going to raise the use of the term service user, which he did not like. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4 and 5 Prospective residents are assessed before admission to ensure that their needs will be met. They are given information about the home and visit so that they know what to expect if they decide to move in. EVIDENCE: There have been 2 recently admitted residents to the home both of whom had community care assessments, which were sent to the home before admission. In addition the manager and a member of staff visited them to assess whether their needs could be met in the home. One of the new residents was case tracked during the inspection and said that the manager and another member of staff had visited her in her previous home and had described to her what it would be like at Dovetail. The resident said that she had been given a correct picture. Staff said that they were given information about the new residents before they moved in. The manager described how resources within the home and local community are used to meet the needs of residents and residents said that their needs were met within the home. New residents are expected to visit the home for a day before moving in and the new resident said that she had spent a day at the home and met staff and other residents. A care plan was seen on her file covering the admission period. All placements are reviewed regularly to ensure that they are still Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 9 suitable and the residents needs are being met. New residents are issued with a statement of terms and conditions. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 It is evident through the care plan system used that the principals and purpose of care planning is understood. EVIDENCE: Care plans are broken down into the following areas: Problem/need, specific agreed overall objective, goals and interventions. There is then a space for these to be signed by a member of staff and the resident. Plans were fully completed and explained the interventions clearly. There were additional behaviour plans indicating how any challenging behaviour should be managed. Residents had signed their plans to say that they had discussed them and were in agreement with them. A member of staff was seen discussing care plans with a new resident who later said that the member of staff had told her what the plan said and asked if she agreed with it, which she did. Staff said that they found the plans informative and checked them for any changes giving examples of changes in diet and managing behaviour. Care plans include a comprehensive risk assessment, which identified where residents could take responsible risks and where there were limitations imposed. A resident said that Loopy (the nickname of a member of staff) had done a risk assessment when she had asked if she could go swimming. There Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 11 were restrictions seen over the use of alcohol or drugs, leaving the unit unescorted and smoking. Residents said that they wanted staff to manage their cigarettes otherwise they would smoke them all at once. Also that they are not allowed to carry a cigarette lighter for safety reasons. Residents said that they agreed with these restrictions. All risk assessments are regularly reviewed. At present care plans and risk assessments are kept in the same file but there is no indication shown as to which care plans are effected by which risk assessments and it is recommended that these are made easier to refer to by doing so. There were details included in care plans as to the procedure staff should follow if a resident went missing. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 15, 16 and 17 Each resident is given opportunities for personal development and able to take part in appropriate activities within the community. Relationships with families are encouraged and supported and residents are encouraged to accept responsibility. Residents enjoy a varied menu. EVIDENCE: Each resident has an individual programme of daily activity. This is prepared taking into account the wishes and abilities of each resident. A number of residents attend a local college and one is hoping to move onto another course that will assist him in gaining employment. Other activities range from going to a shop to buy a paper, attending therapeutic appointments e.g. speech therapy and participating in a women’s group. Leisure activities include swimming, bowling and bike riding, which has only recently been introduced and was commented on by residents as being great. One resident is supported being able to travel to Sheffield to meet up with family to watch the football team he supports. One resident said that she would like to go to the church she used to go to. The manager said that the resident has asked about this previously but changes her mind, but she would ask her again. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 13 Arrangements for family contact are included in care plans and a resident said she is taken to see her son. Another resident has a meal prepared for his family, which they eat together in then dining room after the other residents have eaten. Staff said that they risk assess to see what residents are able to do and how they can help them to be able to do it. One resident said that he had asked to be able to take part in a local pub quiz and this was being looked into at the moment. Residents are able to have keys to their rooms; one said that he had chosen not to have one as he would loose it. Residents said that there were always staff available to talk to. Residents are involved in a number of housekeeping tasks subject to their ability, these include cleaning their own rooms, doing their washing and gardening. Residents said this was a recent interest that they enjoyed and would like to expand to grow their own plants and vegetables. A record is made of meals served in each residents file. Those seen showed a varied menu and there were plenty of food supplies. There were some supermarket own brand items and the nutritional content of these was discussed. The manager contacted the local supermarket to request information about the quality of these foods. The cook was off work for the day of the inspection and a take away lunch was bought and staff were preparing the evening meal. Residents can make their own drinks and there are plans for a few to be able to prepare some of their own meals. Residents said that they have plenty to eat and enjoy the food that they get. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 The arrangements for meeting the physical, emotional and health needs are done in a way to meet the best interests of residents. EVIDENCE: Staff described how they try to maximise what residents can do for themselves, but have to take into account health and safety over things like moving and handling. New staff are inducted over how to provide personal care before they become involved in this. Residents are able to purchase their own clothes and have their hair cut at local hairdressers. Each resident has a keyworker who is responsible for ensuring that all personal support is provided in the most appropriate way. There are good arrangements in place for managing residents’ healthcare and a variety of appointments re made including those that promote well being. One resident described how a positive approach to managing continence had produced extremely positive results. A diabetic nurse was visiting during the inspection and was spoken to. The nurse said that she was happy with how the home worked with her, and there is always somebody ready to handover to her. She also said that she had been uncertain that the resident she visits would be able to manage his own injections but had been able to do so with the support he had received from Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 15 staff. Medication is stored in a small medicine room and the home uses a monitored dosage system. Medicine Administration Records (MAR) were fully completed and only staff who have been trained in medicine administration give medication out. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Residents know how to raise any complaints and do not have any concerns about how they are treated. EVIDENCE: The home has a complaints procedure is displayed in the entrance foyer and included in the service user guide. The manager said that there was a complaints book and this has been seen on previous inspections, however it could not be located at this inspection. The manager recalled that there was one reported complaint since the last inspection, which she had bought to the attention of The Commission for Social Care inspection at the time. A resident said that he is able to voice his opinion and if he is unhappy about anything he just knocks on the gaffer’s door. Another said that staff will listen to any complaint and it gets put down in the book. The home has signed up to the Adult Protection Procedures and a copy of these are available in the home. Staff said they were aware of the procedures but have not yet had training on these. The manager said that training in these is in the process of being set up and also said that there have not been any allegations or incidents of abuse. A resident said he had never been worried about how staff treated residents; he was more concerned at how residents treated staff. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The building is well laid out, suitably furnished and maintained. There are good systems in placed to help prevent the spread of any infection. EVIDENCE: The home is well laid out and was clean, tidy and smelt fresh at the inspection. The home is comfortably furnished and in a good state of repair. A maintenance man is employed to carry out routine maintenance, which is recorded in a maintenance book. Staff said that they felt that the layout was easy to work with and residents said that they thought the accommodation was excellent and a lot of residents are taking an interest in the garden. The main laundry is not suitable to be used by residents but there is an additional washing machine in the OT kitchen for residents use. Systems are in place to control the spread of infection, including an alcohol based hand gel in the entrance foyer, which anyone entering the building is requested to use. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35 The correct recruitment procedures are followed ensuring that staff suitable to work within a care home are employed. Training is well organised and staff receive the training they require to carry out their duties. EVIDENCE: The general manager is responsible for all recruitment and maintains records ensuring that the correct procedures are followed. All new staff are given a welcome pack which includes the code of conduct and practice set by the General Social Care Council and information about brain injury. The General Manager has produced an excellent staff training record showing what training staff have completed and when this was done, what training is currently being undertaken and when staff are planned to undergo training. All care staff have either completed NVQ level 2 or 3, are currently working towards the qualification or are enrolled on the next course. Ancillary staff are also working towards different levels of NVQ’s. The training record shows that all staff are provided with the required mandatory training and the Nottingham Brain Injury Clinic contribute to the rolling training programme. Staff said that the training provided was great and an NVQ assessor spoken with said that the home was first class in its approach to training, and staff have achieved well because of the opportunities they have been given. Residents said that staff are well able to do their jobs. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 There are systems in place for reviewing the quality of care provided and residents are able to put their views forward. EVIDENCE: The standard about the management of the home was not inspected during this inspection, however it is worthy of note that the general manger has had some significant health problems over recent months and during this time he has continued to attend work and fulfil his duties when able. The providers, one of whom is the manager, have appointed an assistant to the role to share in the responsibilities and both were seen to be working effectively together. This is included in this report as an example of a positive management approach and many good wishes for the general manager were heard during the inspection, which the inspector would like to endorse. The home gained the Investors in People award in July 2004 and representatives of the management team have been invited to a post recognition breakfast seminar. There are regular staff, senior staff and resident meetings and notices about a residents meeting next week were seen Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 20 displayed. Staff and residents referred to the meetings and minutes of them are taken. The manager responds in writing to any item raised by residents at the meeting. A resident commented that he did not like to be referred to as a service user (he felt the term user was negative) and preferred to be called resident and said that he was going to raise this at the forthcoming residents meeting When the manager was told this and that the Commission for Social Care Inspection had also reconsidered the use of this description of residents fully endorsed this change. A copy of the last Commission for Social Care Inspection report is displayed in the entrance foyer. Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 4 4 3 Standard No 31 32 33 34 35 36 Score x x x 3 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dovetail House Care Home Score 4 4 3 x Standard No 37 38 39 40 41 42 43 Score x x 4 x x x x C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 22 NO Are there any outstanding requirements from the last inspection? 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 7 17 22 Good Practice Recommendations Indicate in care plans where there is a link between care plans and risk assessments Review the nutritional content of the food provided The complaints book should be available at all times Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Dovetail House Care Home C53 C03 S43884 Dovetail House V234064 160605 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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