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Inspection on 02/10/07 for Lawn Park Care Home

Also see our care home review for Lawn Park Care Home for more information

This inspection was carried out on 2nd October 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

A relaxed and calm atmosphere was evident on entering the home. Staff were observed to interact with service users in a kind and respectful manner and good relationships were maintained. Staff when spoken with were knowledgeable and able to discuss service users individual needs. Service users spoken with spoke very highly of the home and care received, the following positive comments were expressed "staff are lovely, they are very nice and caring," "I have got friends here and it is nice to have company," staff are nice, kind and respectful," " I can smoke in the smoking room if I wish," "it is nice to have companionship and the atmosphere is nice, calm and relaxed." Activities have continued to develop and many more are now on offer for service users to enjoy and join in if they wish, service users spoken with who do join in activities said that they enjoyed these. A wholesome and appealing menu is on offer and choices are offered at each meal, service users spoken with confirmed that food was very good and plentiful. Sufficient staff are available to meet service users needs and staff continue to complete compulsory training. In depth quality assurance monitoring takes place to ensure that service users receive a quality service where they may express their views and opinions.

What has improved since the last inspection?

The preadmission procedure has been updated to ensure that staff gain an in depth assessment of prospective service users needs to ensure that the service is able to meet these before they move into the home. Medication policies and procedures have improved and staff have undertaken additional training to ensure that service users are fully protected. Ongoing redecoration and refurbishment continues to take place ensuring that service users live in a well-maintained and comfortable environment. Activities on offer to service users have developed thus ensuring that more choice is available for those service users who wish to join in.

What the care home could do better:

Information gained within the initial assessments of service users needs must be utilised within the plan of care to ensure that their needs are fully met and service users are protected. When a service user experiences complex needs, plans of care must be in place to ensure that their needs are fully met and again they are protected.

CARE HOMES FOR OLDER PEOPLE Lawn Park Care Home Lucknow Drive Sutton In Ashfield Nottinghamshire NG17 4LS Lead Inspector Karmon Hawley Unannounced Inspection 2nd October 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 Lawn Park Care Home DS0000024645.V342034.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. Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lawn Park Care Home Address Lucknow Drive Sutton In Ashfield Nottinghamshire NG17 4LS 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) 01623 515340 01623 440174 lawn.park@fshc.co.uk Keslaw Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Rosalind Kennedy Brown Care Home 49 Category(ies) of Old age, not falling within any other category registration, with number (49), Physical disability (10) of places Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service user shall be within categories OP (49) and PD (over 60 10 beds) 14th September 2006 Date of last inspection Brief Description of the Service: Lawn Park is situated in an idyllic position overlooking the park in Sutton In Ashfield near Mansfield Nottingham and is within walking distance to a bus route into the main town. It provides 34 beds for personal care with nursing and 15 beds for older people with either nursing or personal care needs. The home comprises of two floors and is furnished at a good standard. 32 bedrooms have ensuite. There is a large and comfortable lounge, conservatory, smaller sitting room and a dining room from which the wild life can be observed in the pleasant and accessible gardens, there is also a large car park. The current weekly fees are as follows: residential - £290–£455 and nursing £360-484 plus the nursing contribution. There may be additional top ups, nursing and council contributions. Chiropody and hairdressing are not included in the fees. This information is made available to prospective service users on the point of enquiry. Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager about Lawn Park and by undertaking a visit to the service with the inspector using a method called “case tracking.” “Case tracking” involves identifying individual service users who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspector also checked that information provided by the manager matched individual experiences of the service user living at the home by talking with them and observing the care received. General records maintained by the home were looked at to ensure these were maintained and provided positive outcomes for service users. What the service does well: What has improved since the last inspection? The preadmission procedure has been updated to ensure that staff gain an in depth assessment of prospective service users needs to ensure that the service is able to meet these before they move into the home. Medication policies and procedures have improved and staff have undertaken additional training to ensure that service users are fully protected. Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 6 Ongoing redecoration and refurbishment continues to take place ensuring that service users live in a well-maintained and comfortable environment. Activities on offer to service users have developed thus ensuring that more choice is available for those service users who wish to join in. 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. Lawn Park Care Home DS0000024645.V342034.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 Lawn Park Care Home DS0000024645.V342034.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are assured the service will assess and meet their needs prior to them entering the home. The service does not offer intermediate care. EVIDENCE: The manager visits prospective service users in the community to carry out a preadmission assessment to ensure that the service is able to meet their needs. The assessments were available within service users files and this has been updated since the previous inspection to ensure that staff gain more detailed information. Prospective service users and relevant others may visit and spend time at the home before making a decision as to whether to move in. One service user spoken with discussed how their relative had made all the arrangements for them and they had visited the home before a decision was made. Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 9 The service does not offer intermediate care. Lawn Park Care Home DS0000024645.V342034.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 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are protected by the services medication policies and procedures. EVIDENCE: Service users undergo various assessments such as the activities of daily living, pressure area care, manual handling and risks to ensure that their needs are highlighted. Assessments were personalised and identified service users preferences, likes and dislikes, however this information was not always utilised within the plan of care. Plans of care in general were thorough and covered the required needs, however where one service user had diabetes mellitus there was no specific plan of care in place in regard to all care required, information about medication and blood glucose monitoring was available within other areas, however changes in these had been made and not Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 11 noted within a care plan. There also was no information on how staff should act in the event of an emergency arising due to diabetes mellitus with the exception of to contact the doctor. Also where a service user experienced epilepsy, despite being on medication for this and it being documented on the hospital transfer note there was no plan of care or risk assessment in place. When this was discussed with staff they were aware of the service users condition and how they would deal with a seizure should it occur. Appropriate risk assessments were in place for all highlighted risks with the exception of the above and where one service user was at risk of falling out of their chair. These issues were discussed with the regional manager who stated that all this would be actioned immediately. Daily records were maintained and were in depth reflecting service users needs and condition. On speaking with staff they were able to discuss the care offered to service users who are bed bound or who may have an infection. Plans of care in place corresponded with the information given. Staff spoken with were knowledgeable and able to discuss service users needs. All service users spoken with spoke highly of the staff and care received, they all felt that their needs were met. There was evidence within service users case records to demonstrate that the doctor, district nurse and other specialist service are accessed as required ensuring that service users health care needs are met. During the brief tour of the home specialist aids such as hoists and cushions were seen. two service users spoken with said that they can see the doctor at any time if they need to and one said that staff had escorted them recently to an out patients appointment. All staff who administer medication have undertaken an update in the safe administration of medication, one member of staff said that this had been useful. All medication checked on the day of the visit corresponded with the prescription chart. Hand written entries had been signed by two members of staff to ensure that these had been checked as correct. One service user spoken with said that staff look after their medication and they were pleased about this as they did not have to worry. Staff continue to be instructed on maintaining service users privacy and dignity during the induction and on an ongoing basis. Staff spoken with discussed how they ensure this is done by whilst delivering care. all service users spoken with said that staff are respectful at all times and one said that staff knock on their door before they come in. during the visit staff were seen to assist service users in a dignified manner and inform them of what they were doing. A member of staff was seen to pass a message received onto a service user in a calm and reassuring manner. Lawn Park Care Home DS0000024645.V342034.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled to live a lifestyle of their choosing with dignity. Service users are enabled to maintain contact with relevant others and they are made welcome when they visit the home. EVIDENCE: An activities coordinator is employed. Activities are carried out on an individual and group basis as required. Activities are varied and include musical movement, quizzes, arts and crafts, reminiscence, hand and nail massage and ball games. The activities coordinator also now works one evening a week to offer further activities such as film nights and cheese and wine evenings. Staff said that the popularity of this is slowly building, however not all service users wish to join in. Service users have also been on recent trips to a safari park and the zoo. On speaking with service users all enjoyed joining in the activities and several discussed the knitting they were doing. All spoken with were happy with the level of activities on offer. Both staff and service users spoken with stated that the routine of the home is flexible and service users may choose how they spend the day. Several service users stated that they can please themselves at all times and they only have to ask and things are done for them. One service user said, “I spend my time as I Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 13 wish, I often go out with my family, I am lucky as I can be independent most of the time.” Service users went on to discuss life within the home and many positive comments such as the following were received, “staff are lovely, they are very nice and caring,” “I have got friends here and it is nice to have company,” staff are nice, kind and respectful,” “ I can smoke in the smoking room if I wish,” “it is nice to have companionship and the atmosphere is nice, calm and relaxed.” There are no restrictions on visiting and staff stated that visitors are always made welcome. Several visitors were observed entering the home and were acknowledged by staff. Service users spoken with discussed how they received visitors saying, “my family always come to see me, they are made welcome and it is a good atmosphere when they are here,” “ I often have visitors or go out with my family, I can entertain them in my room if I want,” and “ my friends come to see me, which I enjoy.” Staff were able to discuss the issues with regard to equality and diversity of service users; they discussed how one service user liked their washing done in a particular way and how each liked different things. Service users are also facilitated to continue practicing their faith if they wish. Plans of care showed that service users individuality, likes and dislikes had been taken into consideration when planning care. If required service users can use an advocacy service to act on their behalf, there was information available about these services in the main entrance of the home. All service users spoken with said that staff were kind and caring, listened to them and respected them. Staff were seen throughout the day to treat service users in a respectful manner and maintain good relationships. The menu seen demonstrated that a wholesome and appealing diet was available and there was evidence of choices available. All service users spoken with said that food was at a good standard, was plentiful and choices were offered. Staff were observed to assist service users with their meals in a dignified manner. The lunch on the day of the visit looked appealing and was plentiful, different meals being offered was seen. Lawn Park Care Home DS0000024645.V342034.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel able to approach staff if they have any concerns and that these will be dealt with appropriately. Service users are protected from abuse and feel safe at the home. EVIDENCE: Appropriate policies and procedures are in place in regard to complaints to ensure these are dealt with appropriately. The service has received three written complaints since the previous inspection, regarding staff availability, pressure area care and staff attitudes, these were all thoroughly investigated and resolved. Three verbal complaints had also been received which again were investigated and resolved. There was evidence to show that if necessary action plans were put into place to address any issues following complaints received. Two members of staff spoken with were able to demonstrate that they were aware of how to deal with any complaints received. All service users spoken with on the day of the visit stated that they were very happy and well looked after, no complaints were expressed. Relevant policies and procedures are in place in regards to adult protection to ensure that service users are protected. Fifty percent of staff have undertaken training in adult protection and the regional manager said that further training has been arranged. Staff spoken with confirmed that had undertaken this training and they were able to discuss how they ensure that service users remain safe at all times. All service users spoken with said that they felt safe in the home. Lawn Park Care Home DS0000024645.V342034.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely and comfortable environment, which is well maintained. EVIDENCE: A maintenance person is employed by the home and records were seen to show that routine maintenance is carried out as required to ensure that service users live in a well-maintained environment. Ongoing redecoration also continues ensuring service users live in a comfortable environment. To brighten up darker areas within the home additional lamps had been purchased and as redecoration has taken place lights have been changed, the home remains a little ‘dull’ in areas however the regional manager is aware of this and is considering any further changes that may be made. The kitchen has undergone refurbishment enabling staff to maintain good standards of hygiene and infection control. There are plans to put a new floor in the bathroom, which is non-slip, thus protecting service users and staff from slips. Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 16 There are sufficient housekeeping and domestic staff on duty to ensure the home remains clean and tidy. All areas of the home accessed throughout the visit were clean, smelt fresh and were tidy. One service user spoken with said, “the home is always clean and tidy and staff are kept busy cleaning it,” and another said, “I have brought lots of my own things into the home and made my room more personal.” Lawn Park Care Home DS0000024645.V342034.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel that staff are available at all times to meet their needs and that staff are trained to carry out their job role. EVIDENCE: The staff rotas observed demonstrated that sufficient staff are employed to meet the needs of service users. Both staff and service users spoken with said that there were enough staff available to meet service users needs. Staff stated that the team all worked well together and helped each other when needed. Service users said, “the staff always answer my buzzer when I ring it,” staff are here if I need them but I generally look after myself” and “there are enough staff here to help me all the time.” Throughout the visit staff were visible and observed assisting service users as needed. To ensure that all new employees are aware of their roles and responsibilities they undergo an induction. This covers the routine and policies of the home and service users needs. There was evidence to show that this takes place in the information received by the Commission for Social Care Inspection prior to the visit and staff personal files seen. Fifty six percent of staff have attained the National Vocational Qualification (a performance and knowledge based assessment based upon nationally recognised standards) level 2 or above, thus ensuring that staff have a sound knowledge of caring for the client group. One Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 18 member of staff spoken with said they were hoping to complete a National Vocational Qualification in hospitality in the near future. Demonstrating that a thorough recruitment process takes place, all four staff personnel files observed contained the required evidence, such as references, Criminal Record Bureau checks (a police check to see if an individual has a police caution or conviction) and personal identification. Both staff members spoken with confirmed that they had undergone a Criminal Record Bureau check. Staff continue to have personal training development files and staff spoken with confirmed that they had undertaken compulsory training. They stated that they were well supported in their training and development and were able to discuss issues in regard to infection control. The staff training matrix seen showed that there are some areas such as infection control and health and safety that require attention, however the regional manager and administrator confirmed that this training had been arranged. Two service users spoken with said, “I think the staff are really good, they are well trained as they know how to look after me properly” and “the staff seem very good and know what they are doing.” Lawn Park Care Home DS0000024645.V342034.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home which is well run and where their views and best interests are fully considered. EVIDENCE: The manager has worked at the home since 1986, initially as a registered nurse and the deputy manager. She has completed the NVQ registered managers award and remains up to date with compulsory training and other training related to her job role. Staff and service users spoken with spoke highly of the manager and stated she was caring and approachable and managed the home well. In depth monthly audits take place in regards to quality assurance to ensure that a quality service remains available for service users. The audit results seen demonstrated that action plans are put into place as required to ensure Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 20 any deficits are addressed. In addition to this regular service users and relative meetings are held, the minutes showed that service users have discussed quality assurance issues at these meetings. Staff meetings also take place and again quality assurance issues are addressed. Service users have just completed a customer service questionnaire, which will be returned to the head office where comments will be analysed. One service user spoken with said that they had money kept in safekeeping by the home; they confirmed they can access this money at any time and that they felt it was kept securely. The administrator and the manager deal with service users finances and undertake regular audits to ensure that these remain safe. Within one service user care plan observed financial arrangements were discussed. The information provided to the Commission for Social Care Inspection prior to the visit demonstrated that all routine maintaince and serving checks such as the gas, mains electrics and the lift are undertaken. The lift certificate was seen on the day of the visit, which was in date. Thirteen members of staff have undertaken training in health and safety and further training is arranged. Audits of all accidents, pressure sores and falls take place every month to ensure that these can be closely monitored and any appropriate action taken. Lawn Park Care Home DS0000024645.V342034.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 3 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 3 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 Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 Information gained within the initial assessments of service users needs must be utilised within the plan of care to ensure that their needs are fully met and service users are protected. When a service user experiences complex needs, plans of care and risk management plans must be in place to ensure that their needs are fully met and they are protected. Timescale for action 05/11/07 2 OP7 13(4,c) 05/11/07 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 Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Lawn Park Care Home DS0000024645.V342034.R01.S.doc Version 5.2 Page 24 - 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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