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Inspection on 05/09/07 for Laughton Croft Nursing Home

Also see our care home review for Laughton Croft Nursing Home for more information

This inspection was carried out on 5th September 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

What the care home does well

The management team and staff continue to work hard to improve the service they provide to the residents. The home has a relaxed atmosphere and staff are welcoming, with a friendly manner. People said that they were happy with the care provided and that the manager and staff team were very supportive. Comments included: `we have not come across any member of staff that we did not like as they are all pleasant`, `they are all friendly, helpful and professional`, `first impressions have continued, we would happily recommend this home to others` and `they seem to genuinely care, they have time to talk and listen`. There is a robust recruitment system in place to make sure that staff are suitable to work with vulnerable people before they start working at the home. Staff are well trained and supported with a high percentage holding a National Vocational Qualification or the equivalent.

What has improved since the last inspection?

Records and peoples comments indicate that residents and relatives are now involved more in the care planning process. The content of the care plans has improved regarding medical conditions such as wound care. Residents have access to a better activities programme. The documentation of staff inductions has improved, but further development would be beneficial.

What the care home could do better:

Care plans, which tell staff what support people need and how they prefer to have their care delivered, need to contain more detail about their preferences. This will give staff have a clearer picture of their role in supporting each individual person. All residents need to have a detailed social care plan, which tells staff what they would like to do and how this will be facilitated. The activities coordinator and staff can then use this information to make sure that suitable stimulation is provided on an individual basis. Other areas that would benefit from some attention included the following. Information provided in risk assessments should be incorporated into the care plans more clearly so that staff have better guidance as to how to minimise identified potential risks. They should also be dated and signed when reviewed to show that they are being regularly monitored. The activities coordinator should be provided with appropriate training so that she has enough skills and knowledge to meet the needs of individual residents.

CARE HOMES FOR OLDER PEOPLE Laughton Croft Nursing Home Laughton Croft Gainsborough Road Scotter Common Gainsborough Lincs DN21 3JF Lead Inspector Dawn Podmore Key Unannounced Inspection 5th September 2007 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 Laughton Croft Nursing Home DS0000002541.V338914.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. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laughton Croft Nursing Home Address Laughton Croft Gainsborough Road Scotter Common Gainsborough Lincs DN21 3JF 01724 762678 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) Croft Carehomes Limited Charlotte Mannion Care Home 36 Category(ies) of Dementia (36), Old age, not falling within any registration, with number other category (36) of places Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only :Care Home with Nursing - code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 36 The service users in the category OP (Nursing) reside in the main home The service users in the category DE (Nursing) reside in the extension 2. 3. 4. Date of last inspection 12th April 2006 Brief Description of the Service: Laughton Croft is a single storey building situated about a mile from the village of Scotter, half way between Scunthorpe and Gainsborough. Accommodation is provided in thirty-four single rooms and one double room each with en-suite facilities. The home is set in a rural location surrounded by wooded and grassy areas. There are car-parking facilities to the front of the building. Since the last inspection the Commission has registered a new manager, Charlotte Mannion. At the time of the inspection the home confirmed that the weekly fees ranged from £395 - £570 depending on the residents assessed needs. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, is available from the main office. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took any previous information held by C.S.C.I. about the home into account. The inspection included a site visit, which took place over 2 days, 2 hours on 5/9/07 and 5 hours on 26/9/07. The main method of inspection used is called case tracking. This involves selecting a proportion of residents and tracking the care they receive through the checking of records, discussions with them and the staff who care for them and observation of care practices. A partial tour of the home was also conducted which included looking at some bedrooms, toilets and communal areas. Documentation was sampled and the care records of three residents were examined. Interviews with staff took place and survey forms were used to gain peoples view on the service being provided. An hour was also spent observing a small group of residents in one of the lounges. All observations were followed up by discussions with staff and examination of records. As observation was used during the inspection residents were only spoken to informally as part of the tour of the home. On the day of the visit 30 people were living at the home. What the service does well: What has improved since the last inspection? Records and peoples comments indicate that residents and relatives are now involved more in the care planning process. The content of the care plans has improved regarding medical conditions such as wound care. Residents have access to a better activities programme. The documentation of staff inductions has improved, but further development would be beneficial. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 6 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. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 7 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 Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 8 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): 3&6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A satisfactory admission procedure ensures that prospective residents are fully assessed before admission to ensure that the home is able to meet their needs. EVIDENCE: The home has an admission policy, which includes assessing resident’s needs before admission. Files contained detailed assessments of peoples care needs, which included information collected from outside agencies such as social services and the hospital. Relatives who returned surveys confirmed that assessments had taken place and contracts and/or terms and conditions of residency issued. People said, ‘we talked it through with the manager, very good attitude’, ‘we visited unannounced at lunchtime and staff were very helpful’, ‘we tested it with a respite stay before making it permanent’ and ‘we felt very at home straightaway’. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 9 The manager confirmed that the home does not currently provide intermediate care. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal care and health needs are being met by staff who understand their needs and deliver care in a respectful manner, but care plans contain only minimal detail about resident’s preferences. People are able to manage their medications themselves if they can, but if they need help staff are trained to support them with it in a safe way. EVIDENCE: Each resident had an individual file, which contained information relating to his or her care needs. We looked at 3 files, which included care plans and risk assessments covering subjects such as, manual handling, pressure risk, nutrition and falls. Although the care plans contained good information about medical needs they lacked detail about peoples individual choices and preferences and therefore were not person centred. For example one plan said ‘assist with shower/bath as is her choice’, but it did not say how and when the resident preferred these to be undertaken. As some residents with dementia are Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 11 unable to tell staff what they want it is important that care plans include as much information as possible about their personal likes and dislikes. Another area needing attention was regarding the planning of people’s social and recreational needs. The planned care had been reviewed regularly and amendments to care plans showed that care was being evaluated appropriately. Detailed risk assessments had been carried out to identify any potential risks associated with peoples care. However the assessments for safely moving people would benefit from more information. For example one said that the resident was being nursed in bed and gave clear instructions about how to do this, but it did not say how to handle them should the need arise to move them out of bed. Staff said that assessments were regularly reviewed, but there was no evidence of this. It was recommended that they be signed and dated when reviewed, even if there were no changes, so that they demonstrate continual monitoring. Daily records were comprehensive and showed that outside agencies such as doctors, district nurses, dentists and chiropodists visited the home regularly to meet people’s health care needs. We saw a variety of equipment being safely used around the home to assist people, these included hoists, mobility aids and specialist beds. The provider’s Annual Quality Assurance Assessment (A.Q.A.A.), past inspection reports and observation during the visit, demonstrated that the home has satisfactory policies, procedures and documentation concerning the receipt, storage, administration and disposal of medications. Residents and relatives said that they were happy with the way care was being delivered and confirmed that they had been involved in the care planning process. They felt that people’s needs were being met and said, ‘they make tactful suggestions about clothing and they are working very hard to build her up’, ‘the staff have time to talk and listen’, ‘since she as been in the home we have seen an improvement, she is more alert and content’ and ‘we were surprised at how settled she seemed from the start’. Staff demonstrated a good knowledge of the people they cared for. During the observation period they were seen supporting people in a cheerful manner and were responsive to resident’s needs and preferences, as well as respecting their privacy and dignity. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Resident’s benefit from a range of social and therapeutic activities, but documentation of their recreational needs is inadequate. People maintain contact with their friends and relations and make choices about their day-today lives. EVIDENCE: Not all residents had a social care plan that told staff about their past and present hobbies and interests. The plans that were available did not provide adequate information or guidance to staff on how to provide appropriate stimulation. There is an activities person who coordinates a varied programme of stimulation and activities, but as records do not say what people prefer to do, it could not be determined if their needs were being fully met. The programme included: bingo, hairdressing, manicures, arts and crafts, games such as dominos, hand massages and nail care. The activity coordinator spoke enthusiastically about her job and said that although she had no formal training she used books from the library to give her ideas. It was Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 13 recommended that formal training be provided especially regarding facilitating appropriate stimulation for people with dementia. Relatives told us, ‘mother likes to watch rather than participate, but is encouraged to do so by staff’, ‘we attended the summer fayre, mum sometimes complains of being bored’, ‘usually doesn’t wish to take part’ and ‘I am not sure if they could do much more, maybe newspapers or a few activities, they seem to sit around a lot’. Staff said that framed leaf paintings on the wall in the lounge had been done by residents and a mobile and sensory lighting had been made for one resident who stayed in bed all the time. The home does not have any transport to take residents on outings but staff said that most people preferred not to go out. One relative said that she was happy with the care her mother received, but would like her to go out more. To bring the community into the home entertainers had visited periodically, such as a choir, a magician and a guitar player. A fete had taken place in the summer and a theatre group are to perform a pantomime at the home at Christmas. The local vicar has recently retired but staff are looking for an alternative person to provide spiritual visits. During the observation period staff were seen offering residents choices in the drinks and biscuits being served. The lunchtime meal looked nutritious and well presented. Relatives said that they were happy with the meals served and that choices were available. They said, ‘mum needs encouragement and there is always someone there to help her’, ‘the foods beautiful’, ‘mum seems impressed with the meals’ and ‘the food is all sourced locally and freshly prepared’. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has satisfactory procedures for handling complaints and people feel confident that any concerns would be addressed appropriately. Residents are protected by the home’s procedures for handling allegations of adult abuse. EVIDENCE: The home has a complaints procedure, which tells residents and relatives how to make a complaint and how it will be handled. A copy is given to all new residents as part of the Service User Guide and displayed in the home. Information provided by the manager and records examined showed that concerns had been correctly addressed and documented. However it was suggested that more space be allotted for the recording of all the details, as well as any actions taken and the outcome. Compliment letters and cards were also included in the file. Relatives who returned surveys said that they were happy with the service provided and had no complaints. The home has a policy and procedure about safeguarding adults from abuse so that staff know what they should do if they have any concerns in this area. They also use the local authority policy and procedure regarding this subject. Training records, as well as staff comments, demonstrated that they had received training in this subject and had a good understanding of the types of abuse that may happen and who to report any concerns to. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home live in a clean, comfortable and homely environment, which offers a good standard of décor and furnishings. EVIDENCE: We took a partial tour of the home which included looking at the bedrooms of the residents being case tracked. Bedrooms were personalised with photographs and mementos. The general environment was clean, tidy and homely, with no unpleasant odours. Information provided prior to the visit highlighted that a redecoration programme was in place. Garden areas were well maintained. People who returned surveys said that they were happy with the facilities provided and that the home was always clean with no unpleasant odours. Comments included: ‘after visiting other EMI homes this one struck me as the Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 16 cleanest, warmest and friendliest one’, ‘beautifully clean’ and ‘all the rooms are bright and cheerful’. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are safeguarded by the home’s robust recruitment procedure, which ensures that staff are suitable to work with vulnerable people. Residents receive care from staff who are knowledgeable about their needs and have received satisfactory training and support EVIDENCE: Information provided and comments from staff and relatives indicated that the staffing levels were sufficient to meet the needs of people currently living at the home. Observations demonstrated that staff cared for people in a calm, relaxed manner. People told us ‘all the staff are friendly, helpful and professional’, ‘my mother has an assigned carer, she really is lovely and considers my mother a pleasure to look after’, ‘we have not come across any member of staff that we did not like as they are all pleasant’ and ‘mum has only been there a short time but has settled well and loves the carers’. The home has a satisfactory recruitment procedure, which helps to make sure that suitable people are employed. The files of 2 new staff included an application form, 2 satisfactory written references and a C.R.B. (Criminal Records Bureau) certificate. Where staff had been employed before the C.R.B. was received a P.O.V.A. (Protection of Vulnerable Adults) initial check was recorded. Staff had received an induction to the home, which included completion of an induction sheet and shadowing an experience member of the Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 18 team. Since the last inspection the induction form had been revised and additions made to the content. It was however suggested that further development regarding the different job descriptions at the home would be beneficial. The home has a training program that includes essential subjects, such as manual handling, fire safety, abuse awareness and health & safety, as well as specialist areas like dementia. It was suggested that training in the Mental Capacity Act and Equality and Diversity be added to the training programme so that staff had a better understanding of supporting people appropriately. Staff said that they felt well trained and supported. Records confirmed that most staff had undertaken essential training with more sessions planned for the future. Staff said that N.V.Q. (National Vocational Qualification) training was also being encouraged. Information provided by the manager showed that over 50 of care staff had attained an N/V.Q. level 2 or the equivalent. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good leadership, guidance and direction are provided to staff to ensure that residents receive a good standard of care. Residents are happy with the service they receive. EVIDENCE: The Registered Manager is a qualified nurse with management experience. She holds the Registered Managers Award, and is currently undertaking a course on dementia, with additional courses to enhance her knowledge on the subject planned for next year. People said that they felt that the home was well managed and that the manager was approachable and fair. They told us, ‘first impressions have continued we happily recommend the home to others’, ‘satisfied with the Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 20 service of the home’, ‘there is always some one to talk to if the need arises’, ‘can’t fault them at all’, quite happy with the care’ and ‘someone always asks if we are okay and if we are happy with mum’. The home has a quality assurance system to gain the views of people who use the service and ensure that the systems in place are being followed. Surveys had been sent to relatives, but the response had been poor with only one being returned. The manager said that resident/relatives meetings had taken place as well as individual care reviews. The finances of residents being case tracked were examined and found to be accurately documented, including receipts and signatures. The recommendation from the last report regarding obtaining 2 signatures had been addressed. There are a range of policies and procedures available to guide and instruct staff. There is also a programme in place to service and maintain equipment in the home on a regular basis. Information provided by the manager before the visit demonstrated that checks on equipment such as hoists and fire systems had taken place. The last report from the Fire Officer recommended one area that needed some attention. This was concerning the fitting of 2 additional smoke alarms; these were to be fitted the following day. In January 2006 Lindsey District Council introduced a star rating system with regards to the quality of kitchens and food provision in care homes. The assessment of the home included looking at the kitchen layout and equipment as well as food hygiene and practices. Following the visit in July 2007 Laughton Croft has been awarded a 4 star rating. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 (1) Requirement Timescale for action 01/01/08 2. OP12 16[2] [m] & [n] Care plans must be in sufficient detail to enable care staff to provide individualised care. Staff will then have access to better information about people’s preferences and this will help them support residents in the way that they prefer. 01/01/08 People must be consulted about their recreational needs and an individual plan devised to meet these needs. This will make sure that they receive the kind of activities they prefer. Records must demonstrate how these needs are being met so that staff can evaluate if appropriate support and stimulation has been provided. Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP7 Good Practice Recommendations Information provided in risk assessments should be incorporated into the care plans more clearly so that staff have better guidance as to how to minimise identified potential risks. Manual handling risk assessments should be reviewed on a regular basis, then dated and signed so that they clearly demonstrate that any changes have been considered. It was recommended that formal training be provided especially regarding facilitating appropriate stimulation for people with dementia. 2. 3. OP7 OP12 Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House Weaver Road Off Whisby 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 Laughton Croft Nursing Home DS0000002541.V338914.R01.S.doc Version 5.2 Page 25 - 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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