Inspection on 16/05/05 for Longlands

This inspection was carried out on 16th May 2005.

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

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

Other inspections for this house

Longlands 14/08/07

Longlands 24/08/06

Longlands 28/10/05

Longlands 25/11/04

Longlands 01/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE LONGLANDS Balfour Road Blackbird Leys Oxford OX4 5AJ Lead Inspector Jane Handscombe Unannounced 16 May 2005 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 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. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Longlands Address Balfour Road, Blackbird Leys, Oxford OX4 5AJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01865 779224 01865 774769 The Orders of St John Care Trust Mrs Valerie jarvis Care home 47 Category(ies) of Past or present alcohol dependence over 65 registration, with number years of age (3), Dementia - over 65 years of of places age (20), Learning disability over 65 years of age (3), Old age, not falling within any other category (47), Physical disability over 65 years of age (20) LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NA Date of last inspection 25 November 2004 Brief Description of the Service: LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, lasting 7 hours, which took place on the 16th May. The purpose of the visit was to see how the home is meeting the National Minimum Standards. The visit involved speaking to residents in order to ascertain their views upon the care and the services they receive at the home, the staff members and the manager of the home, viewing care plans and assessments, whilst observing the general day to day operations of the home. The home presented as one, which was of a homely atmosphere and clean and tidy throughout. Residents were going about their daily activities in a calm relaxed manner. Staff were seen to provide care and support in an unhurried manner whilst respecting the residents’ dignity and respect at all times. Comments received from residents during the inspection included: ‘If you were in a hotel you wouldn’t get better’ ‘They bend over backwards to help me’ ‘Most of the staff are very good’ ‘It was an answer to a prayer getting in here’ The inspector would like to thank the residents and staff members for their assistance during the inspection. What the service does well: Residents spoken to during the inspection were complimentary of the staff and the care they receive at the home. The home offers a varied programme of activities and liaises with residents regarding their ideas and suggestions for trips that would be of interest. The home works with residents on a one to one basis to look into the resident’s lifetime wishes that have not been achieved and has in some cases assisted residents to achieve these. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: There are a number of things that Longlands needs to undertake to increase the health safety and welfare of their residents. Hot water in communal basins were recorded to be of a very high temperature thereby compromising the residents health and safety. A requirement has been made within this report to consult with environmental health regarding the hot water in the home and the ongoing safety of the residents; any actions recommended to be implemented as directed. Assessments and Care Planning were inconsistent, incomplete and of poor quality. However it is envisaged that with a new format that has now been put in place and training undertaken, this should allow for a clearer, comprehensive system of recording residents’ needs to ensure that staff are clear in knowing what the residents’ needs are, and what to do for each individual person living at the home. A recommendation that care plans should be reviewed once a month, with the involvement of the resident and/or their representative has been made. Furthermore the care plans must be updated at least on an annual basis or more often to reflect the changing needs of residents. Whilst the feedback gained from residents regarding the meals offered at the home was very good, the home must ensure that vegetables offered with the meal are cooked properly, which was not the case during this inspection, and furthermore, where residents do not like what is on offer, the home ensure an alternative be offered. Where an alternative is prepared, as was the case during the inspection, every reasonable effort should be made to prepare this in a reasonable time so the resident may enjoy it with their fellow residents. A recommendation can be found within this report advising that food is properly prepared, and that it be made available at a time that is reasonably required by residents. Whilst there are policies and procedures regarding the recording, handling, safekeeping, safe administration and disposal of medicines into the home, staff LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 7 must follow these procedures. Medication such as eye drops, which have a shelf life of one month after opening, were found to be in use and undated. A requirement has been made to ensure eye drops are clearly marked with the date of opening, to ensure out of date medication is not being administered. A further requirement around medication issues, addresses an issue where the inspector found the medication administration records (MAR) viewed during the medication round, to be confusing and unclear. 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. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. The system of assessing prospective service users was of poor quality, inconsistent and incomplete. The absence of important information, including thorough needs assessments could potentially place residents using the service at risk of harm, and does not ensure that their needs are being met. EVIDENCE: All prospective residents are provided with information regarding the home, and are assessed in their own surroundings in order to ascertain that the home is able to meet their individual care needs. Prospective residents are invited to visit the home in order to allow the resident to meet with the staff, fellow residents and view the facilities and services offered at Longlands, in order that they can make an informed choice as to whether the Longlands is suitable for them. The inspector viewed 8 residents files, picked at random, and found the procedure of assessing residents before admission to be of poor quality and incomplete. The assessment should inform and shape any care planning and is LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 10 not good practice to accept people without the benefit of a comprehensive assessment. The majority viewed failed to contain the signature of the resident/their representative to evidence that they had played a part in the process. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, and 10. Improvements in assessing the residents needs and reviewing these needs is paramount, to ensure that the health and social care needs of residents are identified and met. Incomplete assessments and lack of reviews lead the inspector to believe that residents could be at risk of not having their health care needs met appropriately. Residents experience a sense of privacy at all times. EVIDENCE: Throughout the inspection staff were observed to demonstrate particular sensitivity on entering bedrooms, bathrooms and toilets and were seen to knock on doors before entering and address the residents in an appropriate manner. Likewise during the meal time, residents were offered help, when required, in an appropriate manner. Individual plans of care are available but are of poor quality thus not ensuring that all aspects of health, personal and social care needs are identified and planned for. Care plans for 8 residents were viewed and generally the information within the care plans were not up to date, and had not been recently reviewed. It is a requirement that the registered manager must ensure that assessments of residents needs and their care plans are kept under review and revised at any time when its necessary to do so and a LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 12 requirement and recommendation to address this has can be found within this report. One care plan viewed, showed that the resident had been admitted in July 2004 and no record of weight had been recorded until the end of April 2005. Another file in which the resident was admitted to the home at the beginning of July 2003 appeared to imply that no reviews of care had taken place since admission, since there was no evidence to support that any had taken place. A further resident’s file highlighted that a bath hoist would be needed to assist in bathing although this was not highlighted on any risk assessments. Where there are potential risks to the resident and/or staff members, these must be identified within a risk assessment with the relevant means to be undertaken to eliminate unnecessary risk. The lack of risk assessments for moving and handling means that both the staff and residents safety and well-being is potentially put at risk. A further file showed the personal inventory to be unsigned by the resident/advocate, staff or a witness and a further file did not contain any personal inventory. The manager must ensure that personal inventories are undertaken for each resident upon admission and it is a good practice recommendation that they be dated, witnessed and signed in order to protect the interests of both the resident and the home. A requirement and a recommendation have been made within this report to address these issues. The home has policies and procedures for the receipt, recording, storage, handling, administration and disposal of medicines in the home and records of those received, administered and disposed of are kept to ensure that no mishandling takes place. The manager informed the inspector that recent medication training has taken place at Longlands (provided by external trainers) which 10 members of staff attended. The inspector observed a medication round during her visit and found eye drops to be open and undated. Since this type of medication only has a lifetime of 4 weeks once opened, a requirement has been made within this report to ensure that medication of this type be dated upon opening. A further observation was that of one resident’s medication administration record (MAR) which the inspector found confusing. After explanation from the manager and the care leader, it was apparent that clearly defined dates must be marked on the MAR sheets corresponding to each week so as to allow for clarity and a requirement has been made to address this. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15. Contact with family, friends and the local community are encouraged. A varied programme of activities satisfies the recreational interests of the residents. EVIDENCE: Residents spoken to on the day of the inspection, informed the inspector that friends and relatives are welcome at any time and that they are able to see them in private if required, this was verified by visitors spoken to during the day. The home provides a varied programme of daily activities for residents to choose to partake in if required. Activities include relaxation to music, quizzes, bingo, sensory sessions and one-to-one work in which discussions around lifetime wishes that haven’t been achieved and would like to try and achieve take place. The home works very hard in order to try and help the residents fulfil these lifetime wishes wherever possible. The home liaises with residents and seeks their ideas for places of interest when planning trips and outings. Once a month, all the city homes meet at Headington’s British Legion for entertainment and tea; 10-12 residents from Longlands enjoy attending these sessions. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 14 The residents have worked together, over the last two months, producing a book of memories for the recent VE celebrations in which entertainment was organized at the home. The residents spoken to on the day of inspection, reported that the day was very enjoyable and included sing-alongs, a magician and a specially organized tea. The residents informed the inspector that they generally enjoyed the food, that there was choice available and they were always presented well, tasty and ‘plenty of it’. However on the day of the inspection,the residents voiced that they were unhappy with the carrots served with the main meal, which were very hard and barely cooked. Where residents do not like choices on the menu for the day an alternative can be provided, however the inspector noted that when alternatives were offered, the staff were very slow to accommodate. Mealtimes play a very large part in the residents’ lives and are also seen to be a period where they may socialise with fellow residents, every effort should be taken to ensure that residents can enjoy their meals with their fellow residents when required and a recommendation has been made within this report to address this. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, and 18. Residents are aware of the complaints procedure and confident that any concerns they may have, will be taken seriously, acted upon appropriately and that they will be listened to. EVIDENCE: The home has a complaints procedure in place, which was observed to be displayed on notice boards within the home in order that residents, friends and their families have access to it and are informed of their right to complain if the need arises. Each resident is also provided with a copy in his/her service users guide. The inspector was informed by residents and their families that they were confident to raise any concerns or complaints they may have, and should the need arise, were confident that they would be dealt with seriously and appropriately. As one resident put it ‘the manager – I can go to her about anything, she’s very good about anything that troubles me’ The manager informed the inspector that all the residents are registered on the electoral role and are able to access and take part in the electoral process by postal vote or can be assisted in attending the local polling station if required. Residents have access to an independent advocacy service, which is provided at no cost to the home or the residents. The service is provided by Age Concern Oxfordshire whose details were on display in the home and is also found in the service users guide. The system of accessing the service is by telephone referral either by the home, if the resident wishes to approach a staff member, or by self-referral. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 21, 24, 25 and 26. The home provides comfortable surroundings, which are equipped to meet the residentsdiffering needs. Risk management in relation to the health and safety of the premises was inconsistent. EVIDENCE: Residents are encouraged to bring personal belongings with them upon admission to personalise their rooms, which it was observed that many have done so. The home provides comfortable safe bedrooms furnished to meet the residents needs. However, personal inventories must be undertaken to document a record of these belongings brought into the home (see health and personal care section of this report). On the day of the inspection, the home was generally well maintained and clean with a homely atmosphere. There were a satisfactory number of bathrooms and bathing facilities all of which were easily accessible and clearly marked. Hot water tested in a number of these, were of very high temperature which could pose a risk to the health and safety of the residents and a requirement has been made at the end of this report to address this along with a further requirement which relates to the inspector having found LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 17 some chlorinated sanitizer powder in an unlocked cupboard in one of the communal toilets. Hazardous substances must be stored safely in order to protect the safety of residents. Further recommendations have been made to ensure that hand towels are in place in all communal and bathrooms which was not the case during the inspection. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29. The manager has been actively recruiting staff and now has a full team to meet the needs of the residents, which will allow for more continuity and less reliance upon agency staff. EVIDENCE: The home has a full complement of staff after having relied heavily upon agency staff. Since October 2004, 7 care assistants, 2 new care leaders, 1 head of care and an administrator have been recruited, this should ensure that the residents needs will be met by both the skill and numbers of staff and offer greater consistency in who provides the care for them. A sample of staff files were viewed which evidenced that there are stringent policies and procedures in place with regard to the recruitment of staff, and all relevant checks and induction training are adhered to, thereby protecting and supporting the residents in their care. In one case, the inspector viewed a letter in which the manager was directed by the organization, to allow a new member of staff to undertake care duties without supervision before a check had been carried out by the Criminal Records Bureau, the manager followed good practice in that the carer was supervised until the check was cleared thereby protecting both the residents and the carer’s safety and interests. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 37 and 38. In view of the findings during the inspection around assessments, care planning and premises issues, the home is inconsistent in their approach to the health safety and welfare of the residents. The absence of thorough assessments of needs, inconsistency in assessing risk and lack of reviews of these needs does not protect and promote the health, safety and welfare of those using the service and could result in residents being placed at risk. EVIDENCE: The manager has many years of experience and skills in providing care for older people and has always run the home in keeping with the standards expected of a manager. Recent staff shortages and low morale of staff members have, in the inspectors view, led to poor practices taking place around assessments, care planning and medication issues. A full complement of staff should ensure that the poor practices, found during this inspection, will be stamped out and the home will operate in the best interests of the residents using the service. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 20 In discussion with the manager, it was reported to the inspector that a new care planning format has been introduced and training undertaken by herself and the senior members of staff, who will be cascading the training to other staff members, which will ensure that assessments, individual plans of care and reviews will be comprehensive and address the needs of the residents appropriately. The manager demonstrated soon after the visit, that staff follow procedures with regard to adult protection and she follows up any allegations and incidents of abuse in the appropriate manner, and informs the relevant parties as required. The recruitment practices undertaken by the manager provide safeguards for the residents, all appropriate pre employment checks are carried out and staff files contained all the relevant information and documentation to evidence this.. Requirements have been made within this report to ensure that the health, safety and welfare of the residents is paramount. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION x x 2 x x 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x 2 x x x 1 1 LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 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 38 Regulation 13(4)(a) Requirement The registered manager must consult with Environmental Health regarding the hot water in the home and the ongoing safety of the residents. Any actions recommended by the Environmental Health must be implemented as directed and CSCI informed in writing of the outcome The registered manager must ensure full assessments are carried out with all prospective service users and to which they/their representatives have been included in the assessment process. All existing residents asessments/reviews/care plans must be revised and updated within a 3-month period. The registered manager must ensure that assessments of residents needs and their care plans are kept under review and revised at any time when its necessary to do so. Timescale for action EHO to be contacted by 15.07.05 3 14(1)a,c Immediate and henceforth 14(1)a,c 16.08.05 7 14(2)a,b Immediate and henceforth Immediate LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 23 3 and 7 13(4)c The registered manager must identify and document potential risks to the resident and/or staff members within a risk assessment with the relevant means to be undertaken to eliminate unnecessary risk. The registered manager must ensure that medication is within expiry date. The registered manager must ensure MAR sheets contain clearly defined dates correspond to each week to allow for clarity. The registered manager must ensure that personal inventories are completed for all new residents. The registered manager must store hazardous substances safely. and henceforth 9 13(2) Immediate and henceforth Immediate and henceforth Immediate and henceforth Immediate and henceforth 9 13(2) 17(2) Schedule 4(9)b 38 13(4) 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 37 Good Practice Recommendations It is a good practice recommendation that personal inventories be dated, witnessed and signed in order to protect the interests of both the resident and the home. It is a good practice recommendation to gain a signature from the service user/representative evidencing that they have been involved in the assessment and care planning processes and for all staff undertaking the assessments, to sign and date the relevant documentation. It is good practice recommendation to ensure hand towels are available to residents in all communal bathing and H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 24 3 and 7 21 LONGLANDS toileting facilities. 15 It is a good practice recommendation to provide meals which are properly prepared and available at a time that is reasonably required by residents. LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Burgner House Cascade Way, Oxford Business Park South Cowley Oxford OX4 2SU 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 LONGLANDS H57-H08 S13158 Longlands V226572 160505 Stage 4.doc Version 1.30 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!