Inspection on 17/11/05 for Foxton Grange

This inspection was carried out on 17th November 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Foxton Grange 08/04/08

Foxton Grange 19/04/07

Foxton Grange 28/04/06

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

CARE HOMES FOR OLDER PEOPLE Foxton Grange 571 Gipsy Lane Leicester Leicestershire LE5 0TA Lead Inspector Mrs Gillian Adkin Unannounced Inspection 17th November 2005 09:30 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 Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 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. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Foxton Grange Address 571 Gipsy Lane Leicester Leicestershire LE5 0TA 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) 0116 2460616 0116 2766593 home.fxg@mha.org.uk Methodist Homes for the Aged Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (36) Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To be able to admit the named person of category DE subject of variation application number V22608 dated 13/07/05. To admit the named person of category DE named in variation application V25523 received on 05/10/05 who is under 65 years of age. 28.06.05 Date of last inspection Brief Description of the Service: Foxton Grange Nursing and Residential Home is a care home offering accommodation to up to thirty six older people. The home is registered to accommodate older people with dementia and/or mental disorder. The home is divided into four separate units individually named. The home is located approximately fifteen minutes away from the centre of Leicester if travelling by car. Bus services are available near to the home. The home can be easily found just off the outer ring road. The building itself is purpose built and situated in a quiet area. There is parking available at the front of the building. All accommodation is provided on the ground floor level. All areas of the home were accessible to people who use wheelchairs.The home has a secure garden area for service users to walk. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was inspected against the Regulations as in the Care Standards Act 2000. This was an unannounced inspection, which took place over one day and commenced at 09.30 am on 17/11/05.The inspection took 6.5hours. The acting care manager facilitated the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through review of their records, discussion with them, and their relatives, care staff and observation of care practices. This inspection report additionally addresses specific areas where requirements and/or recommendations were identified at the previous inspection. During this inspection a tour of the accommodation occupied by those case tracked took place and the inspector viewed internal records, and care plans. The inspector spoke to residents, nurses, and care staff. Several relatives were available during this inspection for comments. There were 36 residents accommodated at the time of this inspection of which all had been assessed as having medium /high dependency needs. Conversation with service users tracked was limited due to communication difficulties, however positive comments were received from relatives as detailed below. Typical comments included: “My relative is always clean, she gets showered and changed every day I think” “Staff give my relative her meals wherever she wants them” “I have not seen my relatives care plan and would like to be more involved in it” “I have never had to complain in the eighteen months my relative has been here” “There is usually plenty of staff around” “Rooms are very comfortable and warm, my relative is very happy here” “The staff are very patient and very kind” Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 6 “ The meals are very good” “ Staff always maintain the dignity of my relative” “I feel involved in my relatives life and feel I still have a part to play” Discussion with the acting care manager indicated that the home was still in a transitional state having been taken over by Methodist Homes for the Aged within the last six months. It was indicated by her that care plans were in the process of being changed to incorporate new M.H.A documentation and therefore were varied in their content. What the service does well: What has improved since the last inspection? The home was still in a period of transition, new documentation and paperwork was being introduced. M.H.A.documentation seen appeared to be robust and new policies and procedures are being introduced. An annual satisfaction survey has been completed which demonstrates that overall 5.69 of those surveyed were happy with the service provided. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 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 Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 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): 3.4.5; Standard 6 is not applicable to this home. Assessment procedures and the involvement of relatives or representatives will ensure that persons moving into the home are confidant that their needs will be met. EVIDENCE: Care and assessment records for three residents were inspected. Assessment records were well documented and included mental health and wellbeing assessments. A relative spoken with indicated that he had not been formally involved in his relatives assessment prior to admission, this assessment had been undertake by a Social worker. The decision to move his relative to the home had been agreed with him however. Discussion with the acting care manager indicated that although service users are re-assessed after an initial one-month period trial stays are not usually Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 10 practicable. The acting care manager stated that where practicable relatives are involved in the initial period of occupancy. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 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 Care plans lacked a consistent approach to evaluation and a person centred approach was not fully evident. This puts residents at risk of not having their needs fully met. Medication records were not accurately maintained this places residents at potential position of risk of harm. EVIDENCE: The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through review of their records, discussion with them, and their relatives, care staff and observation of care practices. Care records seen were in a transitional stage with new (Methodist Homes for the Aged) documentation being introduced. One care plan tracked was not fully representative of identified needs and previously identified management behaviour needs had not been addressed in the plan or in a risk assessment. A further plan contained significant data, some of which required archiving to ensure the document was readable. Personal choices had not been identified in care plans sampled and the person –centred approach described in the Statement of Purpose was not apparent. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 12 Discussion with staff on the units however indicated that they were fully aware of service users needs and were able to describe recent changes to care. Staff discussed their involvement with professionals and relatives in relation to the care they provided. Staff stated they were routinely involved in care plans and described how nurses updated them and informed them during handovers of any changes to the plan. A relative spoken with and shown the care plan indicated that he was not aware of its existence or purpose and when asked stated “he would like to be more involved”. Evaluation was noted in all of the three plans inspected and daily records sampled described care given, it was noted however that the approach to evaluation was inconsistent and did not always reflect actual person centred care and outcomes. Relatives of service users spoken with indicated that they were happy with the level of involvement afforded them and praised staff for maintaining privacy and dignity often under difficult circumstances. Typical comments included: “Staff always maintain the dignity of my relative” “I feel involved in my relatives life and feel I still have a part to play” Medication records were inspected in relation to those service users tracked additionally other associated medication records were also inspected to confirm if a requirement made at the last inspection had been met. Sufficient evidence was found to confirm that medication records were still not being signed accurately after administration of medicines and further more an essential medication as prescribed for a service user tracked (Haloperidol) had not been signed for on record sheets. Staff were unable to confirm if this medicine ha been given to the individual concerned. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 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): 13.14 The lifestyle experienced by service users and their ability to maintain essential links is achieved by knowledgeable staff, flexible routines and acknowledgement of individual relationships. This results in a fulfilling lifestyle for service users’ living in the home. EVIDENCE: Observation during this inspection and discussion with relatives and friends demonstrated that visitors are made welcome at the home at any time without restriction. Relatives described how they were free to move about the home and could visit their relatives/friends in private if required. Two relatives informed the inspector that they had been invited to have Xmas lunch with their relative. Community contact is limited due to the nature of most service users condition however the chaplain John Hucknall holds religious services in the home. Pastoral care and ministry can be delivered to service users according to their own faith and beliefs as identified in the service user guide. The home utilises the services of volunteers whenever available and a mobile library visits the home regularly. One the day of this inspection an external entertainer was visiting the home, service users appeared to enjoy the music therapy provided. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 14 Discussion with relatives and examination of internal records demonstrated that advocacy services are provided where required and two relatives indicated they held Power Of Attorney status for their relative. Staff gave appropriate answers to questions regarding choice and control and assisting service users to be independent. Service users were observed freely moving about the home without restriction and examples were witnessed and confirmed at lunchtime where service users were offered the opportunity to choose where they ate their meal. Recommendations were made regarding the recording of individual choices in care plans. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 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 There is an effective complaints policy and procedure for residents and their representatives to access. This ensures that they are suitably protected. EVIDENCE: During this inspection it was noted that a complaints, comments, compliments document was on display in the foyer of the home, this also incorporates a mini resident survey regarding a number of aspects of service provision. Complaints procedure is also documented in the Methodist Homes for the Aged documentation although the procedure does not fully describe the stages of the process and details of the Commission for Social Care Inspection. No service users tracked were able to comprehend the complaints process however relatives spoken with clearly demonstrated they understood how to complain. Records inspected indicated that no complaints remain unresolved at time of inspection. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 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): 19.22.24 Clean, safe and well maintained living areas are provided which are reflective of individual needs. Provision of suitable equipment promotes independence and ensures that individual needs are met. EVIDENCE: During this inspection the accommodation of those service users’ case tracked was inspected additionally the communal areas used were observed. All areas inspected were clean, well maintained and appeared to be suitable for the service users. The acting care manager confirmed that an internal audit of the home has` recently been undertaken by the maintenance manager to identify decorating and maintenance matters to be completed during next year. Three out of four units have recently been re -decorated. A variety of specialist equipment was noted during the inspection including Kirton chairs, nursing beds, hoists, grab rails, and a pager system for staff. Bed linen was noted to be in a good condition, and a lockable drawer is provided for valuables. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 17 The inspector raised questions about the bedroom doors being locked during certain times of the day and it was indicated by the staff that this was namely regarding immobile residents who did not regularly go back to their rooms in the day time and due to other service users who may wander and use the room unknowingly. It that was agreed with the acting care manager that where specific arrangements were made for individuals, that this should be fully documented in care plans and where required risk assessments completed. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27.29 Provision of suitable numbers staff ensures that service users needs can be met. Outcomes for service users would be further improved by ensuring that the recruitment procedure is strengthened. EVIDENCE: Discussion with staff and relatives indicated that currently the staff group was relatively stable. The inspector clarified this with the acting care manager. Staff indicated that a number of new staff have commenced work recently. The inspector was able to fully inspect staff rosters and staffing levels on the day of inspection were noted to be appropriate for the numbers of service users accommodated. Service users were described in pre inspection documents as having medium/high dependency needs and a calculation of hours indicated that the home were providing 854 hours of care and nursing over a seven day period and this figure demonstrates that the home were meeting the recommended staffing hours as per the department of Health Residential Forum guidance. On the day of inspection ten staff were on duty in the morning, nine staff in the afternoon and four staff were on duty at night. Staff files inspected contained all essential documentation however did not contain suitable evidence of identity. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 19 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): 33.35.38 A system of risk assessment is in place but evidence found indicated weaknesses in a number of areas. Inadequate management of health and safety potentially puts service users’ at risk and does not protect their welfare and safety. EVIDENCE: The home was recently purchased by Methodist Homes for the Aged and the organisation are committed to seeking the views of others in a number of ways. These are described in the Statement of Purpose. Regular residents/ relatives meetings are organised and surveys are conducted annually. A breakdown analysis of the most recent survey was seen and indicated that service provision had improved since the last annual survey. The acting care manager confirmed that where service users were unable to participate in the survey a suitable advocate would be used. Policies and procedures are in place regarding the management of service users finances and these were inspected. Methodist Homes for the Aged Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 20 documentation such as the Policies and procedures, service user guide and Statement of Purpose do not fully describe the internal management system and a the Organisations non interest earning account held centrally. No evidence could be found to demonstrate how service users’ and /or their representatives were kept informed about their account and currently no statements are issued to individuals. See requirements. Records kept internally were inspected and concern was raised regarding the account of a service user tracked where money had been issued to a member of staff in August 2005 but no documentary proof (receipts) had been placed on file to identify how the money had been spent. The acting care manager was unable to give a satisfactory explanation for the reason this had happened but stated she had made a number of informal attempts to obtain the receipts. The service user was case tracked and was unable to answer questions about personal finances. Nothing was found in the care plan to address risk associated with handling of money. The system was considered to be sufficiently weak as to place service users at potential risk of financial abuse. Records were provided by the registered provider detailing all recently conducted safety and maintenance checks which were considered to be appropriate and well managed. It is recommended that was noted that fire lectures /drills although fully recorded did not detail the names of staff attending and it was agreed that this would be beneficial. It was of greater concern to the inspector that upon observation of the fire door in the Hamilton Lounge and upon discussion with staff it was apparent that the fire door did not automatically open as described by them. Staff described how the key was kept in the kitchenette cupboard adjacent to the lounge. However the door is clearly marked Fire Door and therefore should not be locked. Records provided indicated that a fire officer’s inspection was conducted in March 2005 and recommendations made. Additional internal records dated 14/11/05 indicated that the door was fully functional and an annual service check undertaken in October further confirms that the door was safe and operational, (information provided by the acting care manager after inspection) A fire risk assessment was in place and seen and it was agreed that the risk assessment must be reviewed in light of concerns raised at inspection and that immediate action taken to ensure the safety of people accommodated. The matter was considered sufficiently serious to require an immediate requirement notice be issued. The Commission received a suitable response detailing the action to be taken Within given timeframes. Accident records inspected were representative of recent events in the home. It was however noted that a service user who had sustained a serious injury had not been reported under Regulation 37of the Care Standards Act 2001 and consideration had not been given following the event to referring the incident onto a relevant body such as the Referring social worker or review officer. Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X 3 X 3 X X STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 1 X 2 1 Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 22 Yes 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 OP38 Regulation 4(a) Requirement Appropriate arrangements must be made to ensure that the fire door as identified in Hamilton Lounge is inspected and is made fit for purpose. Investigation must take place regarding medication not signed for as identified at inspection. Requirement not met from last inspection. A: Investigation must take place regarding the whereabouts of receipts for money withdrawn from a service users account as identified at inspection. B: The system of managing money in the home must be reviewed to ensure that service users are protected from financial abuse. The registered provider must include in M.H.A Policies and procedures details of the centrally held account, which fully details the non-interest earning account details. The registered provider must DS0000063830.V266808.R01.S.doc Timescale for action 17/11/05 2 OP9 13(2) 17/11/05 3 OP35 17(9) 17/11/05 4 OP35 20(3) 31/01/06 5 OP35 17(9) 31/01/06 Page 23 Foxton Grange Version 5.0 6 OP29 7.9.19 7 OP8 12(a) 8 OP38 37. provide suitable evidence to service users/representatives at regular intervals of the management and status of their individual accounts. The registered provider must bring staff files up to date to include documentation as described in Schedule 2 of the Care Homes Regulations The registered provider must ensure that care records include plans for all identified needs and incorporate associated risk assessments. The registered provider must give notice without delay of any reportable incident and must ensure that staff with this responsibility are fully aware of the process. 31/01/06 31/01/06 01/12/05 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 4 5 6 Refer to Standard OP38 OP7 OP7 OP18 OP7 OP35 Good Practice Recommendations It is recommended that is recommended that the Fire training log include details of those who have attended training. It is recommended that care plans and medication records include photographs of service users’. It is recommended that care plan evaluation is consistent and reflects care delivered in the previous month. It is recommended that where service users bedroom doors are locked for security reasons this is fully documented in care records. It is recommended that care plans include individual choices. It is recommended that the service user guide is amended DS0000063830.V266808.R01.S.doc Version 5.0 Page 24 Foxton Grange 7 8 OP7 OP18 9 OP16 10 11 OP7 OP37 at the earliest opportunity to reflect the management of service users money at Foxton Grange. It is recommended that care plans be brought up to date and fully completed within two months and prioritised according to level of dependency. With regard to any serious injuries sustained after an accident the registered provider should give due consideration to referral under the protection of vulnerable adult process. It is recommended that the Service user Guide and Statement of Purpose are brought up to date at the earliest opportunity to reflect timescales in the complaint process and information about the Commission for Social Care Inspection’s involvement in investigating complaints. The registered provider should where practicable consult with the service user and or appropriate advocate regarding the completion and evaluation of care plans. The registered provider must store sensitive /confidential information such as care records in accordance with principle 7 of the Data Protection Act 1998 Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Foxton Grange DS0000063830.V266808.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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