Inspection on 08/05/07 for Glebe House Care Home

This inspection was carried out on 8th May 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glebe House Care Home 08/05/06

Glebe House Care Home 05/12/05

Glebe House Care Home 01/08/05

Glebe House Care Home 28/02/05

Glebe House Care Home 02/08/04

Glebe House Care Home 06/02/04

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

CARE HOME ADULTS 18-65 Glebe House 7 Southdale Caistor Lincs LN7 6LS Lead Inspector Elisabeth Pinder Key Unannounced Inspection 8th May 2007 09:30 Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 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 Glebe House DS0000002566.V336344.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 Adults 18-65. 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. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glebe House Address 7 Southdale Caistor Lincs LN7 6LS 01472 852282 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) Blair.house@craegmoor.co.uk Health & Care Services (UK) Limited Post Vacant Care Home 24 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (23), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th May 2006 Brief Description of the Service: Glebe House is operated by Health & Care Services UK and is located in the village of Caistor, where there are a variety of local facilities such as shops, churches and community facilities. The home offers accommodation to 24 residents with mental health difficulties. The building is set in its own grounds, with car parking to the rear of the property. The home is a two-storey building with a lift providing access to the 1st floor. All of the rooms are single bedrooms, some with en-suite facilities and there are three lounges, one used by people who smoke and a separate dining room. On the first floor there is a rehabilitation unit. This consists of a lounge/dining area, kitchen, bathroom and six single bedrooms. The home has a mini-bus for residents use and there is also easy access to public transport. The current weekly fee range is £311.00 - £1360.00. Additional costs are made for hairdressing, chiropody, toiletries and holidays. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and formed part of a key inspection. The visit lasted just under six hours and took into account previous information held by The Commission for Social Care Inspection (CSCI) including previous inspection reports, their service history, monthly reports written by a representative of the company, pre-inspection questionnaire and records of any incidents that had been notified to the CSCI since the last inspection. Prior to the visit fifteen residents ‘Have your say about’ questionnaires were received and comments from these will be mentioned throughout this report. The site visit consisted of case tracking a sample of four people’s records, talking to two of them, observing staff interaction and assessing their care. A general conversation was held with some people at various times of the day. One carer, the activity co-ordinator, the deputy manager and acting manager were also spoken to. No visitors were on the premises during the visit. This site visit focussed on all the key standards. What the service does well: What has improved since the last inspection? One requirement regarding quality assurance has been addressed and further questionnaires have been sent out to residents and their relatives/representatives to continually monitor the service being offered. Two recommendations made by the Environmental Health Officer have been addressed. One toilet has been changed to a shower room, which a staff member said was so that it was more easily accessible for a resident. Residents have been given the opportunity to attend classes in Maths and English. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 6 Staff have been given copies of the General Social Care Council (GSCC) code of conduct. 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. The summary of this inspection report can be made available in other formats on request. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People coming into this service have access to a range of information to help them make a decision about moving into the home and they are involved in an assessment of their needs prior to being admitted. EVIDENCE: The majority of ‘have your say about’ questionnaires identified that residents were asked if they wanted to move to this home and were given enough information to help them decide that it was the right place for them. One specific comment was ‘I am happy here at this home’. Residents spoken to during the visit also said that they were given information about the home as part of their admission process and they were able to visit the home before making a decision to move in. One resident said she had slept over and this had helped her make a choice. Prospective residents are given an information pack containing the statement of purpose and service user guide, however, on examination of the statement of purpose, it did not detail the facilities offered in the rehabilitation unit or how residents can access CSCI reports. This was discussed with the deputy Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 9 manager and she agreed to address these issues to ensure all people accessing this home know the full range of services offered. Records examined of two new residents showed that full needs assessments had been carried out by the manager, however, as these were not dated it was unclear when these had been carried out. Both residents confirmed that they had been visited at their previous address and their care needs were discussed. One of the residents care managers was contacted and they confirmed their involvement but said that they had not yet visited the service as it was ‘out of city’ but they will be attending a review shortly. Where possible information is gathered from residents representatives, social workers and other professionals involved in their care. Individual contracts are held on residents files. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents are able to make decisions and choices as to how they lead their lives, however, there is a potential risk that needs may not be met unless individual care plans cover all areas of life including goals and future aspirations. EVIDENCE: Four care plans were examined and these mainly contained information relating to problems and illnesses. For example, diabetes, medication or communication needs. They did not give sufficient detail about sleeping, eating and drinking, occupation and leisure, maintaining family contacts, relationships and finances. The care plan for one resident using the rehabilitation unit gave no indication of this or of the goals and aspirations for this person. Care plans did not refer to making individual choices, personal preferences or maintaining privacy, however, residents comments confirmed that they are always involved in these processes. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 11 Individual files have a record called ‘my health’ which includes information about health care needs and have been written by the residents. Information provided in the pre-inspection questionnaire identified that there had been no changes made to policies available for privacy, dignity, choice and independence, risk assessing and service user finances. Individual risk assessments have been written in relation to residents needs and these are clear and show the action staff need to take to minimise the risk. However, these do not all cross-reference with care plans, for example, a health action plan states blood glucose monitoring should be undertaken twice weekly, whereas the risk assessment states daily. This was discussed with the manager who agreed to review this. The home has a “key worker” system and each resident has two designated key workers, most knew who their key-workers were and said that they get on well with them. Staff spoken to had a good knowledge of the support that residents need. Seven residents are currently using the rehabilitation unit which aims to enable residents to plan for their future and, if possible, move on from residential care. The manager said that one resident is waiting to move into supported living accommodation. Residents living in the rehabilitation unit plan menus and shopping, prepare and cook their own meals and carry out cleaning and laundry tasks. One member of staff, who had only been working in the home for about eight months, said she had completed an introduction to rehabilitation in her induction but this did not include the aims and purposes of rehabilitation. This was discussed with the manager who agreed to look into providing some training for staff. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This home provides a range of activities and leisure interests, both within the home and community. These are based on the preferences of residents who are encouraged to make choices about their preferred lifestyles and routines. Residents’ rights are respected. Meals are well managed in the main home and the rehabilitation unit. EVIDENCE: Various responses were received in residents’ questionnaires, some felt that they are ‘always’ able to make decisions about what they do each day whilst others indicated ‘usually’ and ‘sometimes’. Residents spoken to during the visit said ‘there are no restrictions, I can do what I want so long as I tell staff where I am going’ and ‘I came to live here because there was much more to do than where I was living’. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 13 The home’s activity co-ordinator is currently on maternity leave. A temporary worker has recently been employed and although this person has no previous experience, she is seeking the views of residents and working alongside them to help them to pursue their hobbies and develop new interests. During the visit, some residents were having their nails painted and in the afternoon a group went out for a health walk organised by the local GP surgery. Monthly resident meetings are held where topics discussed include holidays, day trips and menus. A discussion was held with the manager regarding the action taken to address issues raised at these meetings and he agreed to commence each meeting with details of what has been done to address topics. Information taken from reports written by a representative of the company identified when meetings had taken placed and that residents had asked to go to the zoo and the seaside and both had been arranged. Two residents go out to the ‘Pelican Trust’ in Lincoln where they are able to pursue a number of skills including computer skills. According to their benefits they may receive a small allowance for attending this scheme. Two residents have recently attended a Maths class in a nearby town and eight residents joined an English group held in the home. Transport is available through the use of a minibus, however, some residents use public transport. During the previous inspection it was recommended that a specific meeting is held with the head cook and residents when the summer menu is to be drawn up and this had been carried out. The cook now joins monthly resident meetings and the majority of residents spoken to said that they enjoy the meals. Four weeks menus were supplied prior to the visit and although these showed choice and variety for the main meal and tea, the same breakfast was offered everyday with no cooked alternative available. This was discussed with the deputy manager who said it had never been raised but she will put it on the agenda for the next residents’ meeting. One resident who is currently using the rehabilitation unit said that they have a weekly meeting where they decide on the menu and plan the grocery shopping accordingly. This is supported by a member of staff who also helps residents with the shopping. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The health and care needs of people the service supports and their preferred lifestyles are being met. EVIDENCE: Individual health action plans have been written and records are kept for weight, diabetes, epilepsy, opticians, dentist and chiropody. Records of visits to GP’s, (general practitioner), psychiatrists and other healthcare professionals are recorded. Medication records were completed satisfactorily and administration protocols for individual residents were followed on the day of the visit including the administration of ‘when necessary’ medication. Medicines are stored appropriately and information taken from the preinspection questionnaire identified that no changes had been made to the medication policies and procedures. Care plans identified that staff should ensure that any homely remedies given to residents do not interact with their prescribed medicines, however, in Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 15 discussion with the manager it was established that no homely remedies are given at this home. He explained that policies are company policies written to cover a range of services and he agreed with the need to protect residents from risk and will ensure all policies are specific to Glebe House. The service has regular monitoring visits from the local pharmacy and they have made arrangements with the pharmacy for the disposal of unwanted medicines. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are protected by the procedures in place for handling complaints and allegations of abuse and are encouraged to raise any issues. EVIDENCE: Information taken from resident questionnaires identified that 99 of those who responded knew how to make a complaint and the majority felt carers listen and act on what they say. Comments from residents spoken to during the visit indicated that they felt safe in the home and comfortable to talk over any problems with their keyworkers or any member of staff. No one raised any complaints about the service during the visit. Policies and procedures are in place for staff to follow to protect and promote the well being of residents. These cover complaints, safeguarding adults and whistle blowing. Records indicated there have been no complaints or safeguarding adult investigations since the last inspection. Although three incidents had been reported to Lincolnshire County Council safeguarding adults team, these did not result in investigations. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents benefit from generally comfortable and safe accommodation, however ground floor corridors are in need of attention with regard to décor and carpeting. EVIDENCE: The majority of questionnaires completed by residents indicated that they felt the home is fresh and clean. Specific comments read ‘the staff keep the inside clean’ and ‘it is nicely decorated’. However, another comment read ‘we should have better furniture for the lounge and dining room as there are not enough chairs’. This was discussed with the manager who confirmed that new furniture has been ordered. Information provided in the pre-inspection questionnaire showed that there is an on-going programme of redecoration and refurbishment and records are kept of any maintenance issues. Since the last inspection the pantry has been Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 18 repainted and one toilet has been changed to a shower room, which a staff member said was so that it was more easily accessible for a resident. Areas of the home seen were generally clean, tidy and comfortably furnished, however, some ground floor carpets were frayed and wallpaper and paint work were damaged. The manager said that plans are in place to address this. Two residents’ bedrooms were viewed and these had been personalised and they said they had been able to arrange them as they wanted. All bedrooms have locks and residents were seen using their keys to open and lock their rooms. Residents using the rehabilitation unit are expected to assist in some domestic tasks to increase their independence and one resident spoken to said she enjoyed doing her own laundry and keeping her room tidy. The Environmental Health Officer visited this service on 26/03/07 and made two recommendations, both have been addressed. The manager is aware of the smoke free legislation coming into force from July 2007 and arrangements are in place for residents to have one designated smoke room. Grounds and gardens are well kept and residents said how much they enjoyed being outside. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 19 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for people living in this home. The service recognises the importance of training to ensure staff are knowledgeable and equipped to meet the needs of residents. EVIDENCE: Information taken from the pre-inspection questionnaire showed that three care staff are available between the hours of 07:15 and 21:30hrs and two between 21:15 and 07:30hrs. The manager and deputy manager’s hours are in addition to these and they cover any shortfalls. Staff spoken to said they felt that there are enough staff on duty to meet the needs of the residents currently living in the home, they always have time to complete their tasks without rushing and have time to support residents. Questionnaires identified that the majority of residents feel that they are well treated by staff, one specific comment read ‘I like the staff because they listen and care’. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 20 Information in the pre-inspection questionnaire showed that 56 of care staff have achieved a National Vocational Qualification (NVQ), which is a recognised training award in care. Training undertaken within the last twelve months included crisis prevention and intervention, protection of vulnerable adults and all statutory training. During the previous inspection training was being arranged for staff to undertake specific training in mental health and staff have now attended a half day course and a further course is planned for 21/05/07. A discussion was held regarding equality and diversity issues and the manager agreed to look into providing training for staff. Since the previous visit two new staff members have been employed and their records showed that they had been recruited using robust procedures based on equal opportunities. Satisfactory CRB/Pova checks had been received prior to their employment and staff have been given copies of the General Social Care Council (GSCC) code of conduct. New staff are provided with an induction booklet which covers areas such as understanding of care principles, communicating effectively and developing as a worker. Records showed that staff receive regular supervision and staff confirmed this during discussions. There was also evidence of regular staff meetings, where staff said that they can air their views and receive information. Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 21 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This service is being well managed with procedures in place to ensure the health and safety needs of residents are met and monitor the quality of care provided. EVIDENCE: The acting manager is in the process of submitting an application for registration to the Commission. He is a qualified nurse in mental health and has been working in the home since December 2005. He has obtained his Registered Managers Award (RMA) and a degree in health care studies. Staff said that they get good support from both the manager and deputy and both Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 22 are approachable and available for advice when required. Residents spoken to said they both listen to our opinions. Pre inspection information shows that a range of company policies and procedures are available and these include, quality assurance, management of hazardous substances, equal opportunities, fire safety, food safety and health and safety. Staff said that they have access to policies and procedures as they are kept in the office. Records show that fire equipment checks, fire evacuation drills and fire safety training are carried out regularly. Accident/incident records are in place and the Commission had been notified of any events affecting the well being of residents. Residents’ files are stored securely in a locked office. Records are kept of financial audits and residents’ monies checked on the visit were recorded correctly and were accurate. The company has a quality audit system in place and the manager confirmed that questionnaires have recently been sent out to residents and their relatives/representatives and once completed an action plan will be drawn up to address any issues raised. To date the home has not had any response from professionals using the service and a discussion was held regarding sending out specific questionnaires to them. The manager agreed to look into this. There are also various other means of quality assessing the service such as regular staff meetings, staff supervision and monthly visits made by a representative from the company. Glebe House DS0000002566.V336344.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 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 24 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 YA6 Regulation 15 Requirement Care plans must be in more detail covering all aspects of life including goals and future aspirations to ensure residents’ needs are met. Timescale for action 31/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincolnshire Area Office Unity House, The Point Weaver Road Lincoln LN6 3QN 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 Glebe House DS0000002566.V336344.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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