Inspection on 12/12/05 for Linden Lodge

This inspection was carried out on 12th December 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Linden Lodge 28/06/07

Linden Lodge 18/05/06

Linden Lodge 06/09/04

Linden Lodge 24/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Linden Lodge 38a Linden Way London N14 4LU Lead Inspector Wendy Heal Unannounced Inspection 12th December 2005 11:30 Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 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 Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Linden Lodge Address 38a Linden Way London N14 4LU 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) 020 8447 9195 020 8447 9195 www.craegmoor.co.uk Parkcare Homes (No. 2) Limited Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11) of places Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The number of service users accommodated to not exceed 8 in Linden Lodge, 38a Linden Way and 3 at 38 Linden Way. One specified service user who is over 65 years of age may remain accommodated in the home. The home must advise the regulating authority at such times as the specified service user vacates the home. 25th July 2005 Date of last inspection Brief Description of the Service: Linden Lodge is owned by Parkcare Homes Ltd. The home provides care for up to 10 residents with mental health needs. It consists of two adjoining houses and is situated in a pleasant residential area of Southgate. The home is close to local shops and facilities and is near to public transport routes. 38 Linden Way has 3 bedrooms, each with en-suite facilities. There is a lounge and kitchen on the ground floor and a room upstairs for staff where they sleep in at night. 38a has 7 bedrooms, each with a hand basin. There is also a lounge and kitchen/dining room, bathroom and an office used by staff. There is an attractive garden at the rear with a patio area. All residents have their own bedroom. The staff team consists of a manager, 2 senior support workers and support workers. A minimum of 2 care staff are on duty in the daytime and 2 sleep in at night. Residents take part in a variety of activities, both within and outside of the home. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and lasted approximately five hours. The manager was present throughout and assisted fully with the inspection. The premises were inspected and three of the residents who were at home were spoken with. The other member of staff on duty was also spoken to. A considerable selection of records, including care plans, staff files and health and safety documents were inspected. What the service does well: What has improved since the last inspection? The service users guide has been updated by the manager. Residents have contracts in place, which specify terms and conditions. Care plans have been updated. This was a requirement made at the previous inspection. Risk assessments are in place. Residents all have access to specialist healthcare. Staff have undergone adult protection training. These were both requirements made at the last inspection. The showerhead in the bathroom has been repaired. The identified resident has adequate curtains supplied. These were requirements made at the previous inspection. The new sink unit and work surface has been replaced. An immediate requirement had been made in relation to this. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 6 Staff have undergone some fire safety training. A requirement made at the previous inspection. All door closures are effective accept one, an immediate requirement was made in relation to this at the previous inspection. A requirement has been made in relation to one fire door in the lounge at this inspection. A risk assessment has been made in relation to the fire door opposite the kitchen. This was a requirement made at the previous inspection. The London Fire and Emergency Planning Authority have been consulted. This was an immediate requirement made at the previous inspection. An up to date fire risk assessment has taken place. This was an immediate requirement made at the previous inspection. The COSHH materials are now kept in a lockable cupboard. This was an immediate requirement made at the previous inspection. Thermostatic valves had been fitted throughout the home. This was an immediate requirement made at the previous inspection. The first aid boxes contain relevant items. This was an immediate requirement made at the previous inspection. The boiler has been serviced. This was an immediate requirement made at the previous inspection. What they could do better: When a new resident enters the home a record of all initial meetings, tea visits, overnight stays and assessment must be in place. A requirement has been made in relation to this. Care plans must be reviewed on a monthly basis. A requirement has been made in relation to this. Care plans and risk assessments should include actions agreed at review meetings. A good practice requirement has been made in relation to this. The patio door was not functioning and could not be opened. This was a requirement made at the previous inspection, an immediate requirement at this inspection. The front door and laundry doors have not been replaced. This was a requirement made at the previous inspection and restated at this inspection. The cooker had not been replaced. This was a requirement made at the previous inspection. An immediate requirement has been made at this inspection. The pebbledash exterior is still unsound. A requirement was made at the previous inspection and restated at this inspection. All staff must receive regular supervision and yearly appraisal. This was a requirement made at the previous inspection and restated at this inspection. All staff must undertake first aid, food hygiene and infection control training. A requirement has been made at this inspection. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 7 A quality assurance system must be in place with the feedback compiled into a report – a requirement first made on 1 April 2005. The current manager was not in post at this time. The requirement has been restated. 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. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 8 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 Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, & 5 The home is good at ensuring that residents and prospective residents have the information they need to decide whether Linen Lodge is the right place for them to live and making sure that each resident has a contract. However, they must improve their documentation of the process to ensure that residents’ needs are fully met. EVIDENCE: Since the previous inspection there has been one new admission to the home. The inspector noted a letter from the social worker confirming that an interview with this resident regarding his admission to the home had taken place. However, there was no written documentation available regarding this meeting or the residents’ assessment. A requirement has been made in relation to this. The statement of purpose was seen and contains all the key information a new resident and their family might wish to have about the home. The home has a service user guide that was updated by the manager in June 2005. It clearly specifies the terms and conditions of the home including a notice period. Service users files were examined and showed that each of the residents in the home at the time of the inspection had signed a contract with the home, which set out the terms and conditions on which the accommodation is provided. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 10 The manager and staff interviewed showed they had a good understanding of individual residents and could talk in detail in relation to their role. The residents spoke positively in relation to the staff and the support they receive from them. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 These standards are partly met. The care plans have been updated but need to be reviewed on a monthly basis. Residents or their representatives need to sign their care plans to ensure their needs are fully met. EVIDENCE: Service users care plans were inspected. Files contained care plans, which were clear to read. This was a requirement made at the previous inspection. The care plans are not being signed by the residents or their representatives. A requirement has been made in relation to this. The care plans must be reviewed on a monthly basis, signed and dated. A requirement has been made in relation to this. There are risk assessments in place for each resident, which are being regularly updated. This was a requirement made at the previous inspection, which has been met. Care plans and risk assessments should include actions agreed at review meetings. A good practice recommendation has been made in relation to this. In the home it was observed that residents are supported to make decisions within their home environment making drinks, snacks and deciding on the type of activities they wish to undertake. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 The home is good at supporting residents to lead as ordinary a life as possible. Residents enjoy their meals and mealtimes at the home with a variety of food offered. EVIDENCE: On the day of the inspection, which was unannounced, nearly all of the residents had gone out to take part in a range of activities in the community. Residents attend day centres on average for two days per week. One resident attends a Jewish day centre to meet his needs. One resident has permanent employment. Some residents enjoy going to the local shops and cafes. Residents go out together every Friday for a meal, drink and to play pool. There is a gentle exercise class Tuesdays and Fridays. The residents have games such as darts, dominos and bingo available for their benefit. As it is the Christmas period they are having a Christmas party and organising a play. The inspector is of the opinion that it would be beneficial for some structured activities outside of the home to be researched for the identified resident who has all of his activities planned by the home. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 13 A good practice recommendation has been made in relation to this. Residents are able to take part in age peer and culturally appropriate activities such as attending church. On the day of the inspection residents spoke with the inspector on a one to one basis. Residents stated “they were happy with activities and felt safe and comfortable in the home”. Residents contact varies from personal visits to telephone calls. On the day of inspection the kitchen was clean and tidy. Residents were happy with the food provided and on the day of the inspection a take away meal was provided. Staff interacted with residents and there was a warm friendly atmosphere in the home. Residents’ privacy was respected. Residents have keys to their rooms. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21 The standards are partly met. Residents are supported with their personal care in an appropriate manner. Their physical and emotional needs are met. However, there is no evidence to show care plans are reviewed on a monthly basis to ensure residents’ needs are fully met. EVIDENCE: Residents all have access to primary and specialist healthcare appointments based on individual healthcare needs, such as blood and cholesterol checks, dental and chiropody appointments and GP visits. The medication administration records were inspected and were adequate. There are no residents that administer their own medication in the home at present. Care plans are clear to read. The manager has to ensure that care plans are kept up to date and reviewed monthly. A requirement has been made in relation to this. Risk assessments are available and up to date. This was a requirement made at the previous inspection. The illness and death of residents is recorded on residents’ files and signed by them. During the inspection it was observed that where residents needed assistance with personal care it was conducted in the privacy of their bedrooms. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Residents can be confident that their views are listened to and acted upon since the recording of complaints and action taken is adequate. Residents are protected from abuse, neglect and self-harm. EVIDENCE: The home has guidelines and procedures for staff in relation to adult protection. Staff have undergone adult protection training. This was a requirement made at the previous inspection, which is now met. Residents spoken with did not express any concerns in relation to the running of the home. The residents’ money was checked for five residents at Linden Lodge. They both had records of expenditure and receipts were available. The complaints book was inspected. No complaints had been received since the last inspection. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 29 & 30 Parkcare Homes have failed to maintain Linden Lodge properly so that residents have a well-maintained and safe living environment. EVIDENCE: The home offers an appropriate domestic type environment. Residents’ bedrooms were inspected and found to be adequate. The tour of the building showed a reasonable standard of cleanliness. Outstanding maintenance tasks that needed to be rectified at the previous inspection i.e. the showerhead in the bathroom by the manager’s office had been repaired. The identified residents bedroom had suitable curtains provided. A new sink unit and work surface had been provided in 38 Linden Lodge. All of the above requirements made at the previous inspection were met. However, the patio door was not functioning correctly and could not be opened, this still has not been rectified. This was a requirement made at the previous inspection. An immediate requirement was made at this inspection. The cooker had not been replaced. This was a requirement made at the previous inspection. An immediate requirement was made at this inspection. The pebbledash exterior is still unsound this was a requirement at the previous inspection and restated at this inspection. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 17 The front door and laundry doors need to be replaced. This was a requirement made at the previous inspection and restated at this inspection. The lounge door must be replaced. This was a requirement at this inspection. These areas must be attended to by the home in order that residents can enjoy living in a home, which is well maintained and is safe. Residents in this home require no specialist equipment. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35 & 36 Parkcare Homes have failed to ensure that all staff at Linden Lodge are fully supervised and appraised. EVIDENCE: On the day of the inspection a staff member was sick and the manager had covered the shift in their absence. Staff files were inspected not all staff receive regular supervision at least two monthly. A requirement has been restated from the previous inspection. The staff had not undertaken their appraisals due to a new supervision format being introduced. Staff must have an annual appraisal. A requirement has been restated from the previous inspection. Three staff had undergone training in fire safety. A requirement made at the previous inspection. However, all staff had not had training in fire safety. The requirement has been restated at this inspection All staff must undertake training in food hygiene, first aid and infection control. A new requirement has been made in relation to these at this inspection. A number of staff were undertaking their NVQ 2 and Level 3. One staff member is undertaking their NVQ assessor’s course. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Residents do not have the benefit of knowing their views and wishes are fully taken into account when the home reviews the quality of care provided and tries to find ways of improving the service. Parkcare Homes is failing to make sure that residents at Linden Lodge are living in a safe environment. This will only be met when the current work is completed. EVIDENCE: The home has two monthly residents meetings. This allows residents to put forward their views and comments in relation to the running of the home. Attempts are being made by the manager to put in place a systematic process by the home for reviewing and improving the service it offers which is based on maximising the involvement of residents, as well as other interested parties such as families and professionals involved with the home. The home must make sure there is such a system in place so that residents have the opportunity and support to have a major say in how the home is run. A requirement made at the last inspection is restated at this inspection. At the previous inspection fire safety measures in the home were inadequate and needed urgent attention. The following action has been taken in relation Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 20 to the immediate requirements given. All door closures are effective with the exception of one door closure in the lounge, which is in the process of being fitted. Magnetic door closures had been installed; safety notices now contain all relevant information. A risk assessment has been made on the fire door by the kitchen with the defective lock. The door is due to be fitted with a push bar system (14 December 2005). One of the two locks has been removed. The London Fire and Emergency Planning Authority have been consulted about fire safety arrangements in the home and their advice acted upon. An up to date fire risk assessment of the premises had taken place. The cleaning and COSHH materials are kept secure in a lockable cupboard. Thermostatic valves have been fitted on radiators throughout the home. These were all immediate requirements made at the previous inspection. Fire safety training has taken place for three staff. This was a requirement made at the previous inspection. However, all staff must receive training and is therefore restated at this inspection. The first aid boxes now contain all relevant items. The boiler has been serviced. These were all requirements made at the previous inspection. The manager is working hard to improve the safety within the home, which will improve the quality of care offered. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 2 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 X X X 3 3 LIFESTYLES Standard No Score 11 2 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X X 2 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Linden Lodge Score 2 3 3 3 Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 2 X DS0000010565.V269824.R01.S.doc Version 5.0 Page 22 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 YA2 Regulation 14 (a)(b) Requirement The registered persons must ensure that written documentation is available regarding tea visits, overnight stays and residents’ assessments when a new resident moves into the home. The registered persons must ensure that each resident’s care plan is reviewed monthly and is signed and dated. Immediate Requirement The patio doors which were not effective in the conservatory must be replaced. A requirement made at the previous inspection. Timescale 31/08/05. Immediate Requirement The cooker hob in Flat 38a had not been replaced. This was a requirement made at the previous inspection. Timescale 31/08/05. The registered persons must ensure that the pebbledash exterior is made good and a schedule for action is sent to the CSCI area local office. This was a requirement made at the DS0000010565.V269824.R01.S.doc Timescale for action 01/01/06 2. YA6 15 30/01/06 3. YA24 23 (2)(b) 19/12/05 4. YA24 23 (2) (b) 15/12/05 5. YA24 23 (2)(b) 30/01/06 Linden Lodge Version 5.0 Page 23 6. YA24 23 (2)(b) 7. YA36 18 8. YA36 18 9. YA24 23 10. YA35 23 11. YA39 24 12. YA42 24 previous inspection. Timescale 31/08/05. The registered persons must ensure that the front door and laundry door are repaired or replaced. A requirement made at the previous inspection. 31/08/05. The registered persons must ensure that all staff in the home have regular supervision, at least two monthly. This was a requirement made at the previous inspection 31/08/05, restated at this inspection. The registered persons must ensure that all staff have an annual appraisal. A requirement made at the previous inspection timescale 31/08/05 restated at this inspection. The registered persons must ensure that all staff receive fire safety training. Some staff have received fire safety training, however, all staff must undertake this training. The registered persons must ensure that all staff have training in first aid, food hygiene and infection control. The registered persons must ensure that there is a proper quality assurance system in place which is based on the views and wishes of residents and that this feedback is compiled into a report. Previous timescale 31/08/05. Restated at this inspection. The registered manager must ensure that the one remaining door closure in the lounge is functioning effectively. 15/01/06 15/01/06 02/02/06 02/02/06 02/02/06 02/02/06 10/01/06 Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA12 Good Practice Recommendations Care plans and risk assessments should include actions agreed at review meetings. It would be beneficial for some structured activities outside the home to be researched so that they can be made available to the identified resident who has all of his activities based from the home. Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Linden Lodge DS0000010565.V269824.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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