CARE HOMES FOR OLDER PEOPLE
Longueville Court Village Green Orton Longueville Peterborough PE2 7DN Lead Inspector
Don Traylen Unannounced Inspection 20th February 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Longueville Court DS0000024316.V273247.R02.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 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. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Longueville Court Address Village Green Orton Longueville Peterborough PE2 7DN 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) 01733 230709 01733 230716 carol.smith@barchester.com Barchester Healthcare Homes Limited Peter Nigel Barlow Care Home 105 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (39), Old age, not falling within any other of places category (101), Physical disability (24), Physical disability over 65 years of age (1), Terminally ill over 65 years of age (101) Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 1 (one) named male over the age of 65 years with Physical Disabilities Dementia (DE) 1 - The one place for one person under 65 years is for a named individual only Dementia DE = 1 female, is for a named person for the duration of their residency only 19th August 2005 Date of last inspection Brief Description of the Service: Longueville Court was opened in 1995 as a modern, purpose-built, spacious care home providing nursing and personal care for up to 105 people over the age of 65 years. The registration was varied in November 2004 for the home to provide care for up to 24 persons with physical disabilities in a dedicated unit within the home. Longueville Court is owned by Barchester Healthcare Homes Limited and is situated overlooking the quiet village green of Orton Longueville, approximately two miles from the centre of Peterborough. The building is a country house style, built on two levels and divided into four units: Memory Lane, Robin, Skylark and Kingfisher. The home is decorated to a high standard and provides en-suite facilities in all rooms except one. It has an atmosphere of spaciousness and comfort. The company claim, “to have created places that are not at all clinical or institutionalised” in their, ‘Welcome to Barchester Healthcare’ pamphlet. Longueville Court has attractive and orderly rear gardens plus a secure inner central courtyard leading from the Memory Lane and Robin units. The Memory Lane unit is located downstairs and has been reduced from 40 bedrooms to 28 bedrooms each with en-suite facilities. There are 4 bathrooms, a large dining room incorporating a kitchen and a large lounge with an additional dining area. The unit is designed as a spacious H layout with long corridors. Memory Lane has its own main entrance doors that are being considered for use as the main entrance to the unit. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. It is recommended this report is read in conjunction with the last report made on the 19 & 22 August 2005. This inspection was carried out by two inspectors who assessed the functioning of the Memory Lane unit that provides care for service users over the age of 65 years who have dementia related care needs or other mental health needs. The inspection started at 10:30 and ended at 13:30. The unit manager and four staff spoke to the inspector. Observations were made of lunch being served of the medication being administered and records of care were read. Staff training was discussed with the care assistants and the registered nurses working in the unit. At the end of the inspection feedback was given to the registered manager Since the last inspection the number of service users provided with care in the Memory Lane unit (dementia care) has reduced from 39 to 29. The home has planned this reduction in the number of places available in the unit. What the service does well:
Longueville Court has been purposely built to ensure spacious and generous space is provided for all service users. All corridors, communal areas and individual rooms are spacious enough to accommodate service users who use wheelchairs. The environment is usually well maintained clean and furnished with very high quality fixtures and fittings. These aspects of what the service does well have been written in previous inspection reports. The catering arrangements are excellent and as has been previously reported, the quality of the food provided is plentiful, appealing and of good nutritional value. The home admits only service users who have been adequately assessed and whose needs the home confidently expects to meet. Staff working in Memory lane unit who were spoken to during the inspection displayed their eagerness and dedication to giving personal care in a manner that was both respectful and person-centred. Care was observed to have been attentive, given a kindly manner and in a calm and confident way. This positive aspect 0of care was noted in the last inspection report and has been maintained. Staff working in the Memory Lane unit appeared to function in a co-operative team spirit. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 6 The home’s history and procedures to respond to allegations or suggestions of abuse has been prompt and appropriate and continues to protected service users. In general, the home’s range of policies and procedures provides adequate guidance to staff and to unit managers. What has improved since the last inspection? What they could do better:
4 of the 8 Requirements made in the last inspection report of the 19 August 2005 have been met. 1 further Requirement has been rendered inapplicable because of the reduction in service users numbers. 3 requirements remain unmet. Care Plans could be improved in various ways. For instance, Care Plans must contain up-to-date details of nutritional intake when this has been identified in the care Plans as a risk. Communication methods, habits and behavioural traits should also be recorded and described in terms of care interventions. At the last inspection the unit manager was attempting to write the plans in a more person specific manner that is yet to be achieved. Each service user living in the Memory Lane unit has very dependent needs. To ensure that adequate and appropriate care can be provided the induction programme for new staff who work in the unit must include dementia care training. Additionally, continuing training must include further dementia related care training as a continuing aspect of appropriate training as well as facilitating staff development. Arrangements need to be made for all staff who have not yet received training in the Protection of Vulnerable Adults to do so as
Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 7 soon as possible. Staff who need support and encouragement to complete NVQ awards should be afforded this support. It was identified by staff that there is an urgent needs for a management system ensure all staff receive regular supervision arrangements. Improvement to the environment in Memory lane unit must be made in the immediate future to ensure that there are sufficient and adequately equipped bathrooms. Despite the generally high quality environment, none of the four bathrooms in Memory Lane unit were adequately equipped to properly meet the needs of service users who required baths. The last report indicated the need for environmental improvements to be made in the Memory Lane unit and for induction training improvements to include dementia related care training and for Protection of Vulnerable Adult training to be provided for all staff. These Requirements are still outstanding. 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
Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 8 contacting your local CSCI office. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 9 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 Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 10 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 the following standard(s): 1, The Statement of Purpose declares the home’s intended service that can be expected by service users and all other interested parties. EVIDENCE: Although not all of these Standards were assessed on this occasion the home has a definite process to ensure they are fully informed of prospective service users needs prior to moving into the home. The last report for 19 August 2005 stated: “The Statement of Purpose (p23) states that ‘ prior to admission a preadmission assessment is carried out to ensure that the home is able to meet the needs of residents presenting themselves for admission to the care home’. Service users files contained pre-admission assessments carried out by a commissioning authority’s Care Manager, as well as additional and extensive assessment detail collated by the home after admission.” And “The home operates a policy of allowing prospective service users, or their representatives, to visit the home before deciding whether to live there. There is usually a 6-week period until the commissioning authority carries out a review to confirm the placement. For privately funding individuals the home offers a 4-6 weeks trial period before making a permanent contract.”
Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 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 the following standard(s): 7,8,9,10, Service users would benefit from comprehensive Care Plans that address all their known needs. EVIDENCE: The range of needs of service users in Memory Lane unit includes bed-bound nursing care for three people. The physical needs of these service users demands the use of a hoist for manoeuvring. Most service users require incontinence care. All service users need assistance to function by being reminded or encouraged with their daily routines. Encouragement to eat and drink is a feature of care necessary for most service users living in Memory Lane. Most have very limited mental capacity and some service users do not have the capacity to manage their self-care. Reassurance and management of agitation, anxieties, depression and distress are essential aspects of dementia care on the unit. Confusion, disorientation and disrupted neurological pathways are symptoms of dementia manifest in most of the service users. In general, there are a group of service users with a range of progressive needs who require a mixture of intensive social and psychological interventions and physical nursing interventions by skilled staff. During the inspection an
Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 12 activities co-ordinator was observed speaking to two service users in the memory lane unit. One Care Plan was read that recorded actions planned for the prioritised risks identified in the Plan but these were not a complete plan of the service user’s needs. For instance one service user had a nutritional screening assessment indicating a high risk of malnourishment, but the page to record details of her care approach was blank, plus there was not any record or reference to her history of eating. One care assistant described this service user’s needs in detail and stated that she had made significant improvement since the risk was identified. Other care staff, including a registered nurse, were fully aware of the service user’s history of need although none of these aspects of her care had been recorded in the Care Plans presented during the inspection. There were no communication or emotional needs described or recorded and no details about food preferences or choices linked to this aspect of care. Three service users who were being cared for in their beds had Care Plans indicating they should be turned at 2 hourly intervals. The records for turning had not been regularly completed by the night time care staff. Whilst Care Plans did contain valuable and precise information vital to health and personal care such as hygiene control and pressure sore management, they were limited and should contain additional facts and plans to direct the care needed and given to each service user. One member of staff who was sitting in the room with service users and was writing in the Care Plans impressed the inspectors with her knowledge and awareness of many of the service users’ needs. The Care Plan read did not reflect the care assistant’s awareness and knowledge and intervention that are used by staff to provide care to service user’s. The outcome for service users is that they are appropriately cared for by staff who have experience and knowledge of service users’ needs, despite the lack of recording of elements of care. Medication records were accurate and explained by one member of staff who was observed administering medication. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 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 the following standard(s): 14,15, Service users are provided with appealing and nutritious meals. EVIDENCE: There was no evidence of service users choices being sought or requested during the inspection. However, there was no evidence of any detrimental effect related to this observation. The choice of having either a bath or shower was reduced because of the limited use and efficiency of the one useable bathroom. A meal of grilled sausages and vegetables was observed being eaten by service users in the dining room. The arrangements for managing the serving and the support given to service users who needed assistance was respectful and carried out in a calm and practical order. Three service users who were cared for in bed where attended by one care assistant. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, Service user can be better protected from the potential for abuse. EVIDENCE: Not all staff had received training in protecting vulnerable adults from abuse. The home’s record of responding to allegations and concerns of abuse has been immediate and appropriate. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26, Attention to maintaining the unit has not been to the previously reported high standards within the home. Service users’ care is affected by the lack of maintenance and lack of attention to providing appropriate bathing equipment in the Memory Lane unit. EVIDENCE: Since the last inspection grab rails have been fitted in one of the bathrooms in the Memory lane unit. Of the four bathrooms in Memory Lane unit only one was used, due to the inadequate equipment installed in the bathrooms. The unit manager stated the unit requires two hoists rather than the one that is available. In the one bathroom that is used the toilet pan was cracked and the bath’s chair was not suitable for all service users. The supply of hot water to the bath and to the sink was barely warm. This was reported by staff to the two inspectors to make bath times longer than usual and to reduce choices for service users. The supply of plentiful hot water to individual bedrooms was reported by the manager to be irregular. The last report for 19 & 22 August 2005 stated: “The manager explained that some service users need to have a
Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 16 regular bath and that no service users can safely get into or out of baths. Only one bathroom has an assisted chair to lower service users into a bath. One bathroom has been fitted with a new deep bath that cannot be operated and remains unused. The two other bathrooms do not have any assisted seats to help service users into the bath”. The bathroom with a high-sided specialist bath did not have a mechanical chair fitted and was unusable and had not been used since the last inspection. One toilet was identified that had a chipped pan. One bathroom was used as a storage room. The last report (19 August 2005) asked for an Occupational Therapist report to assess the environmental service for the needs of service users in Memory Lane unit. This report is still outstanding and should not in any way prevent the home from organising the necessary improvements to the bathrooms that have been indicated in this report and in the last report. Attention to maintaining the unit has not been to the previously reported high standards within the home. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30, Service users would benefit from staff who have received and completed important and specific training that is relevant to service user assessed needs. EVIDENCE: The 24 hour provision of care is divided into two 12-hour working shift patterns in each of the 4 units in the home. Staff benefit from one paid lunch break and two paid “tea” breaks during these shift patterns. Staffing levels arranged for the 29 service users in the unit are for 3 registered nurses and 4 care assistants to work am and for 2 nurses and 4 care assistants to work pm. The 12-hour night shift is covered by 1 registered nurse and two care assistants. Observations showed that the overall atmosphere in the unit was calm, friendly and “ordinary” (in that it was not extra-ordinary or unusual). Staff were noticed to be effective in organising themselves to meet service users anticipated needs during the morning and when a lunchtime meal was being served. A lunchtime meal showed how staff worked well as a team to ensure that each service was offered their food at appropriate times, although some of the service users had to wait until assistance could be offered to them whilst they were eating. Mealtimes are dictated by the needs of all service users, 11 of whom need one-to-one assistance and others who require encouragement or reassurance. Staff who administer medication have been trained in administering medication. Observations showed the management and administration of medication was accurate and delivered effectively by a trained nurse.
Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 18 The following comments about training arrangements should be read in conjunction with the comments made in the same section of the last report made on 19 August 2005. One member of staff stated she had not received induction training. One member of staff who wanted to progress her NVQ award was unable to be supported by the organisation because the unit manager who is linked to assessing her performance could not carry out this function. Not all staff have received training in the Protection of Vulnerable Adults. There were no records available of any staff training kept or maintained in the unit. Each member of staff has a file containing a record of their training but an overall matrix analysis was not available to give an indication of the level of training the unit has received and who needs what training. In-house training had been given for Moving and Handling, First Aid and Challenging Behaviour. Four care assistants stated they had not received dementia care training. Three care assistants reported they had not received regular, recorded individual supervision and were unaware of any arrangements for this although they did reveal they had received annual appraisals. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,36,37, The home is run in the best interests of service users. Quality assurance processes need to be applied to parts of the environment in Memory Lane and to staff training plans and supervisory arrangements. EVIDENCE: The home has a registered manager, who is a registered nurse, The home’s quality assurance system did not identify omissions from care plans described in this report under the section “Health and Personal Care”. Their systems could be enhanced by an arrangement to assess Care Plans in light of the comments already made in this report under Standard 7. The last report indicated specific failings of facilities written in this report and in the section, “Environment”, of the last report for the 19 & 22 August 2005 that have not been the subject of any quality assurance process that the registered manager was able to inform the inspectors of. Four care staff stated they had not received regular supervision. Regular staff supervision is an integral aspect of quality assurance and Standard 36.1 of the
Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 20 National Minimum Standards for Care Homes for Older People expects, “procedures adopted by the home and its induction, training and supervision arrangements are put into place”. Regulation 37 records have been efficiently maintained by the home. Longueville Court DS0000024316.V273247.R02.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 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 3 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 2 3 2 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X 2 3 X Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7OP8 Regulation 15(2)(b) Requirement Timescale for action 01/04/06 2 OP19OP21 OP22 23 (2)(j) Schedule 1 3 OP28 18 (1)(c[I]) 4 OP30 18 (1)(c[i]) Care Plans must be reviewed to include detailed records of identified nutritional care for all service users and developed to include detailed records of care approaches to communication, continence and bed care necessary to prevent pressure sores. 01/05/06 Bathrooms in the Memory Lane unit must be fitted with suitable bath and toilet aids, equipment and adaptations to enable staff to meet the physical and personal care needs of service users. This requirement remains unmet since the timescale set for 01/12/05 in the last inspection report for the 19 August 2005 and may result in legal action being taken. Training in NVQ level 2 awards 01/05/06 must be promoted to enable care assistants and the home to achieve the National Minimum Standard number 2. Dementia care training must be 01/04/06 included as part of the induction
DS0000024316.V273247.R02.S.doc Version 5.0 Longueville Court Page 23 5 OP30 18 (1)(c[i]) 6 OP30 13(6) & 18 (1)(c[i]) 7 OP30 18 (1)(c[i]) 24(1)(b) 26(4)(b) 8 OP33 9 OP36 18(2) training for staff working in Memory Lane. This requirement remains unmet since the timescale set for the 01/10/05 in the last inspection report for the 19 August 2005 and may result in legal action being taken. Dementia care training must be provided for all staff working in Memory Lane unit and must be of an appropriate standard to facilitate staff development. Induction training must include training in the protection of vulnerable adults and must be delivered by a person who has been trained to cascade this training to other staff. This requirement remains unmet since the timescale set for the 01/10/05 in the last inspection report for the 19 August 2005 and may result in legal action being taken. Continuing and ongoing or refresher training in the Protection of Vulnerable Adults must be arranged for all staff. Quality Assurance system(s) to assess Care Plan records, environmental conditions, Staff training planning, arrangements and opportunities must be made to ensure the above requirements are achieved and to ensure the home has checks in place to address these ongoing aspects of quality of care. Regular and recorded supervision arrangements must be in place for all staff. 01/06/06 01/04/06 01/04/06 01/04/06 01/04/06 Longueville Court DS0000024316.V273247.R02.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 Refer to Standard OP1OP7OP 8OP33 Good Practice Recommendations Emphasis and planning should be placed on raising the profile of Dementia Care based on a person centred approach to meet the assessed needs of the current service users and to assure commissioners of services provided in the home’s extra care unit for dementia related care. Longueville Court DS0000024316.V273247.R02.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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