Inspection on 30/01/07 for Gables (The)

This inspection was carried out on 30th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Gables (The) 06/12/08

Gables (The) 06/12/07

Gables (The) 16/08/07

Gables (The) 05/10/05

Gables (The) 06/05/05

Gables (The) 28/09/04

Gables (The) 22/06/04

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

CARE HOMES FOR OLDER PEOPLE Gables (The) The Gables Pembroke Road Woking Surrey GU22 7DY Lead Inspector Joseph Croft Unannounced Inspection 30th January 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Gables (The) DS0000013649.V325433.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. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gables (The) Address The Gables Pembroke Road Woking Surrey GU22 7DY 01483 828792 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) Mrs Deoranee Boodia Mr Jugmohan Boodia Mrs Deoranee Boodia Care Home 16 Category(ies) of Learning disability over 65 years of age (14), registration, with number Mental disorder, excluding learning disability or of places dementia (2) Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range of persons accommodated will be: 2 aged 45 to 64 years. 5th October 2005 Date of last inspection Brief Description of the Service: The Gables is a family owned and managed residential care home providing personal care for up to 16 Older People with Learning Difficulties. The home is a large detached house in a residential part of Woking, and is accessible to the main motorways and public transport. The facilities include large communal rooms, single bedrooms and a games room with a pool/snooker table. Car parking is provided to the front of the house. Residents have access to the garden at the rear of the home. The fees for the home range from £329 to £750 per week. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) undertook an unannounced site visit on the 30th January 2007 using the new ‘Inspecting for Better Lives’ (IBL) process. This inspection was conducted by Regulation Inspector Mr J Croft and was assisted throughout the site visit by the manager who was representing the establishment. The inspection took place over a period of 5 hours commencing at 10:00 and concluding at 15:00 hours. The inspection process included a tour of the premises, sampling of residents’ care plans, risk assessments, staff training records and staff recruitment files. Other documents sampled included policies and procedures, staff duty rota, menu, medication and records of medicines. The inspector had discussions with the manager, who is also the owner, and staff on duty. The inspector also had discussions with three residents who were present during the inspection. Residents informed the inspector they were happy living at the home, they liked their bedrooms, the food was good and they liked the activities they partake in. The pre-inspection questionnaire completed by the manager has been used as a source of evidence in the findings of this report. Four residents returned their comment cards. The manager stated that she had unfortunately not sent the comment cards to relatives or other visiting professionals, but this would be done immediately. Feedback was provided at the end of the inspection to the manager. The inspector would like to thank the staff and residents for their cooperation during the inspection. Eight requirements have been made during this inspection. What the service does well: Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 6 Policy and procedures for pre-admission assessments ensure prospective residents needs and aspirations are identified and met. Residents are supported in a dignified and respectful manner. Residents are provided with opportunities to improve their lifestyle and are offered a healthy balanced diet. The home has diversity pictures, ornaments and artefacts depicting positive ethnic images of European and Asian cultures. The home has a complaints system to enable residents and their families to raise concerns. Residents are protected by staff having knowledge and understanding of adult protection issues. What has improved since the last inspection? What they could do better: Risk assessments for residents must be reviewed on a regular basis. The registered person must ensure nutritional screening of residents is undertaken. Appropriate door restraints that conform to the Fire Safety Regulations must be fitted to fire doors to eliminate the use of door wedges. The laundry floor must be impermeable and readily cleanable to prevent the spread of infection. The registered person must ensure that POVA first checks and Criminal Record Bureau clearances are undertaken on all staff before they commence duties in the home, and that all recruitment files contain the appropriate information. A quality assurance survey must be undertaken on an annual basis to ascertain the views of residents, relatives and other associated professionals to ensure the home is run in the best interests of residents. The registered person must ensure annual health and safety checks are undertaken. The registered person must ensure that the risk assessments in regard to the Control of Substances Hazardous to Health (COSHH) are updated and reviewed on a regular basis. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 7 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. Gables (The) DS0000013649.V325433.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 Gables (The) DS0000013649.V325433.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): Quality in this outcome area is good. Standards 3 and 6 were assessed. This judgement has been made using available evidence including a visit to this service. Policy and procedures for pre-admission assessments ensure prospective residents needs and aspirations are identified and met. EVIDENCE: The home has not had any new admissions since 2002. The manager explained the admissions procedure that would be followed. This included requesting a full needs assessment from the care manager, from which it would be determined if the home could meet the prospective residents’ needs. Prospective residents would be invited to visit to the home for a meal, and further day visits would be encouraged prior to residents moving into the home. Reviews would be undertaken after six weeks, three months and then six months. The home had a Referral and Admissions Policy and Procedure. The manager stated the home does not provide intermediate care. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 10 Gables (The) DS0000013649.V325433.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): Quality in this outcome area is adequate. Standards 7, 8, 9 and 10 were assessed. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning are in place, however, risk assessments must be regularly reviewed. Residents are supported in a dignified and respectful manner. Procedures in regard to the safe administration of medication ensure the health and safety of residents. EVIDENCE: The inspector sampled two care plans as part of the case tracking process. Care plans contained information in regard to the individual personal, social and health care needs of the residents. There was evidence of monthly reviews having been carried out, and annual reviews had been undertaken. Care plans included residents’ religious and cultural requirements and had been signed and dated by residents. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 12 Risk assessments sampled had not been reviewed on a regular basis. A requirement in regard to this has been made. Records of visits by the GP and other health care professionals are maintained. Residents stated they visit the doctors at the surgery, but can be seen by the GP in the privacy of their bedrooms if they are not able to attend the surgery. Residents have access to all NHS services. Arrangements are in place for residents to see a Dentist and Optician on a regular basis. Nutritional screening had not been undertaken on a periodic basis, and residents’ weights had not been monitored. A requirement in regard to this has been made. Medication stocks and records sampled evidenced that residents were receiving their medication as prescribed. Clear records were maintained of all medication received into the home, and returned to the pharmacy for disposal. Records of medicines dispensed tallied with medicines kept in the Nomad packs. Medicines are kept secure in a locked medicine cabinet. The manager stated only those who have received the appropriate training are responsible for administering medication. The home has a Medical Policy and Procedure that was reviewed in 2006. During discussions with the inspector residents stated they always receive their medication on time. The manager informed the inspector that no resident currently living at the home self medicates or is prescribed a controlled drug. Two residents have recently died at the home. The manager and staff had managed the issues associated with death and dying in an appropriate and sensitive manner. During discussions with the inspector residents stated they are treated with respect and dignity, they liked living at the home and that staff always knock on their bedroom doors and call each other by their first names. Residents are able to use the home’s roaming telephone to make and receive telephone calls in private. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Standards 12, 13, 14 and 15 were assessed. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their life style, social activity and keep in contact with relatives and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: The pre-inspection questionnaire returned by the manager shows that the home offers internal and external activities for residents. These included puzzles, knitting, make up sessions, and art and craft. On the day of the inspection residents were observed reading, one resident was attending a day centre, and another resident was going to do some shopping. During discussions with the inspector residents stated they like the activities they do, and had been out to restaurants and theatres. . Residents’ interests and hobbies are recorded in their care plans. One resident informed the inspector that she attends the local church every Sunday, which she enjoys. The manager stated that the local clergy regularly Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 14 visits the home. The home has diversity pictures, ornaments and artefacts depicting positive ethnic images of European and Asian cultures Residents informed the inspector they have visitors to the home, and they can see them in private. It was difficult to ascertain the amount of visitors the home has, as the visitors’ book had not been used for some time. A good practice recommendation has been made that the manager uses the visitors’ book to record visits to the home by relatives, friends and other associated professionals. Residents stated they make choices about their day, the activities they wish to do, and can spend time on their own. Residents’ bedrooms had their personal possessions in them. The manager informed the inspector that residents handle their own financial affairs, have their own bank accounts and receive regular statements. The home holds small amounts of cash for residents. Financial records sampled were appropriately maintained. The home uses a four-week menu that is displayed on the notice board in the hallway. Residents stated they like the food, and they are offered an alternative if they do not like a particular menu. The menu submitted with the pre-inspection questionnaire includes meat, fish, pasta, fresh vegetables and fresh fruit. The food was appropriately stored in the kitchen areas, and the larder contained a good selection of food. The home had a visit from the Environmental Health Office on the 19th December 2006; two recommendations were made during this visit, which the home has complied with. On this occasion the inspector did not observe lunchtime. Staff at the home attends to the cooking duties, and training in food hygiene had been undertaken. The manager stated that special dietary requirements would be catered for. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Standards 16 and 18 were assessed. This judgement has been made using available evidence including a visit to this service. Residents have access to an effective complaints procedure and are protected from abuse. EVIDENCE: The home has a Complaints Policy and Procedure that was reviewed on the 14th June 2006. This includes the timescales for responding to complaints and the Commission For Social Care Inspection Surrey Local Office contact details. Residents informed the inspector they had never made a complaint, but they would talk to the manager if the need arose. The home has a Protection of Vulnerable Adults Policy and Procedure that was reviewed on the 29th January 2007. Evidence was viewed staff working at the home had attended the Surrey Multi-Agency Training on the Protection of Vulnerable Adults in 2005. The manager informed the inspector that new members of staff receive training in regard to abuse during her induction period to the home. The manager stated that refresher training on the Protection of Vulnerable Adults is to be delivered to all staff on the 1st March 2007. The home has a copy of the Surrey Multi – Agency Procedures February 2005. During discussions with the inspector the manager and staff were able to give an account of the procedures to be followed. The home has a Whistle Blowing Policy and Procedure. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 16 Gables (The) DS0000013649.V325433.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): Quality in this outcome area is adequate. Standards 19, and 26 were assessed. This judgement has been made using available evidence including a visit to this service. The home is generally well maintained, and bedrooms are personalised, however, health and safety issues were identified. EVIDENCE: A tour of the premises was undertaken. On the day of the inspection the home was found to be clean, tidy and free from offensive odours. Bedrooms sampled were bright and contained residents’ personal possessions. Bedrooms and bathrooms had call bells fitted, which were tested during the inspection. Residents had unrestricted access to the communal parts of the home that includes the lounge, dining room, activities room, conservatory and the garden. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 18 Two fire doors were observed to be propped open with wedges, which the manager immediately removed. This was an identified risk for which a requirement was made at the last key inspection. This requirement will be carried forward and must be complied with. The registered person must, after consultation with the fire authority, use appropriate door restraints that conform to the Fire Safety Regulations. The laundry floor requires attention to ensure it is fully sealed and impermeable to prevent the spread of infection. A requirement has been made in regard to this. The home has an Infection Control Policy that was reviewed in May 2006. Evidence was seen that staff had attended training on Infection Control in May and August 2006. Gables (The) DS0000013649.V325433.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): Quality in this outcome area is poor. Standards 27, 28, 29 and 30 were assessed. This judgement has been made using available evidence including a visit to this service. Training needs for staff are addressed. The home has a recruitment policy and procedure in place, however, this has not always been followed when recruiting staff, therefore not fully protecting the residents. EVIDENCE: The duty rota submitted with the pre-inspection questionnaire provided evidenced that there are a minimum of two members of staff on duty per shift, with a third person on duty at peak times of the day. The staffing at the home consists of the manager, three senior carers, two carers and one domestic. The home has one waking night staff and one person covering a sleep in duty every night. The home employs one domestic who also attends to the cooking duties. Staffing at the home includes four qualified nurses, and one who is currently undertaking a degree in Sociology and Healthcare. One new member of the care team had completed the TOPSS (Skills for Care) training. The home has a Recruitment Policy and Procedure in place that had been reviewed by the manager. Random sampling of recruitment files showed that one member of staff had commenced employment before the results of a POVA first check or a Criminal Record Bureau clearance. The manager must take Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 20 appropriate action to safeguard residents at all times, and ensure this person does not work unsupervised until the appropriate clearances have been received. An immediate requirement has been made in regard to this. The manager has since informed the inspector that applications for Criminal Record Bureau had been sent. The manager ensures that staff undertakes the mandatory training, with updates as necessary to maintain their competency to fulfil their duties. Each member of staff has a training file that contains records of training undertaken. Gables (The) DS0000013649.V325433.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): Quality in this outcome area is adequate. Standards 31, 33, 35, and 38 were assessed. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based openness, however, areas in regard to the health and safety require improvement. EVIDENCE: The manager has shown that she has kept herself updated on issues relating to the care of residents. She is a qualified nurse and holds the Registered Managers Award (NVQ L4), and the D32, D33 NVQ assessors award. The manager has attended other external training in regard to her role as the manager. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 22 During discussions with the inspector the manager stated that the last survey of residents, relatives and other associated professionals had been undertaken in 2005. A requirement has been made that quality assurance must be undertaken on a regular basis to ascertain the views of residents, relatives and other associated professionals to ensure the home is run in the best interests of residents. Residents stated they have meetings with the manager on a daily basis. At the time of the inspection the manager was in the process of writing an annual development plan for the home. The manager stated this would be available in the home for inspection. The home has Policies and Procedures in place in regard to the work care staff are to undertake. However, the Policies and Procedures sampled during this inspection had been reviewed, but not all had the dates written to state when they were reviewed. A good practice recommendation in regard to this has been made. Management of resident’s personal accounts was found to be in order. The pre- inspection questionnaire forwarded to the Commission For Social Care Inspection Surrey Local Office provided evidence that health and safety records are maintained, however, not all of these were up to date. The gas installation, central heating system, Legionella and the passenger lift had not been serviced since 2005. The manager informed the inspector that the passenger lift is for accessing the new building that is not currently being used. A requirement has been made that the registered person must ensure all annual health and safety checks are undertaken. At the time of writing this report the manager has informed the inspector that she has made arrangements for these appliances to be serviced. The Control of Substances Hazardous to Health were appropriately stored in a secure lockable cupboard, however, the risk assessments for these had not been reviewed since 2001. The registered person must ensure that the risk assessments in regard to Control of Substances Hazardous to Health (COSHH) are updated and reviewed on a regular basis. Gables (The) DS0000013649.V325433.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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 X X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 24 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 2 3 Standard OP7 OP8 OP19 Regulation 13 (4) (c) 12 (1) 13 (4) (c) Requirement The Registered Person must ensure all risk assessments are reviewed on a regular basis. The Registered Person must ensure nutritional screening of residents is undertaken. The Registered Person must not use wedges on fire doors, and after consultation with the fire authority, must use appropriate door restraints that conform to the Fire Safety Regulations. The Registered Person must ensure the floor in the laundry room is appropriately finished to ensure it is readily cleanable to prevent the spread of infection. The Registered Person must ensure that POVA first checks and Criminal Record Bureau clearances are undertaken on all staff before they commence duties in the home. The Registered Person must undertake quality assurance on a regular basis to ascertain the views of residents, relatives and other associated professionals to ensure the home is run in the DS0000013649.V325433.R01.S.doc Timescale for action 06/02/07 28/02/07 30/01/07 4 OP26 12(1)(a) 13(3) 14/03/07 5 OP29 19 (1) (a) (b) 30/01/07 6 OP33 24 31/03/07 Gables (The) Version 5.2 Page 25 7 OP38 13 (3 – 6) 8 OP38 13 (4) (c) best interests of residents. The Registered Person must 28/02/07 ensure all appliances at the care home have an annual maintenance service undertaken. The Registered Person must 28/02/07 ensure that the risk assessments in regard to the Control of Substances Hazardous to Health (COSHH) are updated and reviewed on a regular basis. 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 Refer to Standard OP13 OP33 Good Practice Recommendations The visitors book should be used to record visits from relatives, friends and other associated professionals Policies and Procedures should have the date recorded when they were reviewed. Gables (The) DS0000013649.V325433.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Gables (The) DS0000013649.V325433.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!