Inspection on 22/05/06 for Lynwood Residential Care Home

This inspection was carried out on 22nd May 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lynwood Residential Care Home 23/05/07

Lynwood Residential Care Home 26/10/05

Lynwood Residential Care Home 31/05/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Lynwood Residential Care Home Limited 22/26 Grosvenor Road Paignton Devon TQ4 5DY Lead Inspector Judy Hill Unannounced Inspection 22nd May 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 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. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lynwood Residential Care Home Limited Address 22/26 Grosvenor Road Paignton Devon TQ4 5DY 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) 01803 551581 01803 527491 Lynwood Residential Home Limited Mrs Hilda Teale Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (22), of places Physical disability over 65 years of age (22) Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home may accommodate a maximum of 22 service users in the registration categories of old age, dementia - over 65 years of age and physical disability - over 65 years of age. To accommodate and care for one person (named elsewhere)who is under 65 years of age and is displaying the symptoms of dementia. 26th October 2005 Date of last inspection Brief Description of the Service: Lynwood Residential Home is registered to provide accommodation and care for a maximum of twenty-two men and women who fall into the registration categories of Old Age, Dementia over 65 years of age and Physical Disability over 65 years of age. Lynwood is situated in residential area of Paignton and is within walking distance of the town centre and the railway and bus stations. The service providers have produced a written Statement of Purpose and Service Users’ Guide, both of which will be provided to prospective service users on request. Reports of previous inspections are available on the CSCI Website and can be seen at the home on request. The homes fees range from £290 to £385 a week and additional charges are made for professional hairdressing, chiropody and a private telephone line, if required. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information contained in this report was gained from a pre-inspection questionnaire that had been completed by the registered manager and the responsible individual, the homes Statement of Purpose and Service Users’ Guides, questionnaires completed for the Commission by three of the residents and a relative of one of the residents, and additional records including the staff rotas, staff recruitment and training records, menu plans and the record of food provided and service users case records, including needs and risk assessments and reviews, care plans and daily staff reports. During the home visit several residents were engaged in conversation and the registered manager and two members of staff were engaged in spoken with about the care provided. A partial inspection of the premises was carried out and the interaction between the registered manager, staff and service users was both directly and indirectly observed. The site visit was unannounced. What the service does well: Detailed assessments are carried out to ensure that prospective residents care needs are identified. The resident’s health care needs are monitored and timely referrals are made to the professional healthcare services as and when necessary. The resident’s medication is stored safely and administered by trained staff. The registered manager and staff treat the service users with dignity and respect. The residents are free to receive visitors at any time. The complaints procedure is well publicised and complaints will be listened to and dealt with appropriately. Adult protection procedures are in place to protect the residents from abuse. The home is currently undergoing a programme of refurbishment and the completed rooms have been finished to a very high standard. The ground floor lounge and dining room are exceptionally well presented. A Jacuzzi bath has recently been provided in the newly refurbished ground floor bathroom and this is suitable for people with physical disabilities. A very high standard of cleanliness is maintained throughout the home. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 6 The staff are well trained and over fifty percent of them are qualified to NVQ 2 level or above. Safe recruitment practices are used to ensure that unsuitable staff are not employed to care for the residents. The registered manager is qualified and experienced and well regarded by the staff and residents alike. The responsible individual overseen the management of the home and supervises the registered manager. A quality assurance system is in place to ensure that the residents views will be listened to. Regular maintenance is carried out on the gas and electrical appliances and routine checks are carried out to ensure that the premises are maintained safely. A professional risk assessment has also been carried out and this provides good guidance on safe working practices. What has improved since the last inspection? What they could do better: The care planning and review process identifies how the residents health and personal care needs can be met, but also needs to focus on how their individual social, occupational and recreational needs can be catered for. All of the residents should be able to choose when to get up in the mornings. A good range of social activities are arranged by the home, but more consideration should be given to how the residents individual social, occupational and recreational needs identified in the assessment process can be met. The quality of the meals is good and alternatives to the set meal are available to the residents but the alternatives need to be included in the menu plans to ensure that the residents are aware that they have choices. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 7 The care staffing levels are not high enough to meet the assessed needs of the residents. 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. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 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 the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of the written needs assessments seen indicates that new residents can be confident that the service will be able to meet their needs. EVIDENCE: During the home visit four of the residents written needs and risk assessments were inspected as part of a process of case tracking. The four service users were randomly chosen and detailed recorded needs assessments were seen on each of the service users case files along with written risk assessments. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents can be confident that their health and personal care needs will be met and that they will be treated with dignity and respect by the registered manager and staff. However, more could be done to meet their individual social needs. EVIDENCE: The care plans of four of the residents were inspected as part of the case tracking exercise during the home visit. These were seen to be to be detailed, frequently reviewed and kept accessible to the staff. The outcomes of risk assessments and risk management strategies were also seen in the service users files. Evidence that a key worker system is used was seen in the form of pen pictures or profiles of the service users and was further evidenced in conversations with staff. Although the care plans were seen to cover the service users health and personal care needs well, these documents, together with conversations with residents and the registered manager demonstrated that more attention needs Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 11 to be given to considering how their individual social needs can be met (see Daily Lives and Social Activities). Daily reports and care plans provided evidence that the residents health care needs are monitored and that timely referrals are made to the professional healthcare services as and when necessary. An inspection of the medication administration practices, records and storage was carried out as part of the case tracking process. The resident’s medication is administered by senior staff, who have received appropriate training. The records seen were found to be clear and up to date and the storage arrangements were satisfactory. No non-prescribed medicines are given to the residents, and this is recognised as an example of good practice. The registered manager was asked what each item of medication was used for and was able to provide this information. During the inspection the registered manager and staff were observed to be treating the residents with dignity and respect and the residents who were engaged in conversation made very positive comments about the way that registered manager and staff treat them. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents can be confident that they will be able to receive visitors at any time. The quality of the meals is good and special diets can be catered for. Choices and alternatives to the set meal are available, but more could done to ensure that the residents are aware of this. The residents will have the option to join in organised social events, but more could be done to ensure that the individual social, recreational and occupational needs of the residents are met. EVIDENCE: Some social activities are arranged for the residents most days and these include games (bingo and hangman), musical entertainers and home baking. Details of these are posted in the home and observations during this and previous home visits have been well attended. However, conversations with some of the service users, an inspection of needs assessments and care plans, and feedback from service user questionnaires indicates that more could be done to ensure that the residents individual social, occupational and recreational needs are fully considered in the care planning process. Examples of how this provision could be improved were discussed with the registered manager and included the need to provide additional staff support Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 13 to enable residents to attended local Church Services to visit friends who live close by when they wish to do so. Although there was very little evidence to suggest that the service users are not able to exercise choice in their daily routines, conversations with residents indicated that some of the residents who require help to get up, washed and dressed are provided with this assistance at a time that is convenient to the staff and not at a time chosen by them. This was discussed with the registered manager. The homes policy on visitors is included in the Statement of Purpose and states that the residents are free to receive visitors at any time. Several of the residents spoken with said that they regularly received visitors and very positive comments were received from a visitor about the warm welcome she received from the staff. Several of the service users spoken with made very positive comments about the quality of the meals provided. The meals seen during the inspection and the food that was seen being prepared for high tea looked well cooked and appetising. A record is kept of food provided in the form of menu plans and a record of alternative meals. Records were also seen in the kitchen of the special dietary needs of the residents and their personal likes and dislikes. Although it was demonstrated that the residents can have a wide range of alternative meals if they do not want the set meal, the alternatives are not listed on the menu plans in order to demonstrate that the residents are aware that they have a choice. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 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): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents can be confident that their complaints will be taken seriously and dealt with appropriately and that policies and procedures are in place to protect them from the threat of abuse. EVIDENCE: A copy of the homes Complaints Procedure is included in the Statement of Purpose and the Service Users’ Guide. No complaints, concerns or allegations have been reported to the Commission since the last inspection. The homes record of complaints was inspected and contained several entries, all of which had been dealt with efficiently and effectively. The home has policies and procedures on how to recognise and report incidents, which may be considered abusive to the residents, including a Whistle Blowing procedure. These policies and procedures are kept in the staff room and are therefore easily accessible to the staff. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 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, 22 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a clean, safe and well presented home. EVIDENCE: Lynwood is situated in a residential area of Paignton and is close to the town centre and bus and train stations. The home was originally three large terraced houses and the resident’s accommodation is on three floors, with a passenger lift and stair lifts to aid the resident’s mobility within their home. The kitchen, staff room and staff living accommodation are in the basement. The home is currently undergoing a major refurbishment, and the finished rooms, which include both lounges, two of the three dining rooms, the ground floor bathroom (which has been fitted with a Jacuzzi bath that is suitable for use by people with physical disabilities), the entrance hall and most of the bedrooms have been finished to a very high standard. A small number of bedrooms are only accessible via stairs but these rooms are only used by people who can manage the stairs. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 16 The front gardens of the home have been converted into car parking space for staff and visitors. This is most useful because on street parking is limited. The back garden is used extensively by the residents, whether permitting and provides a safe and pleasant outdoor area for relaxation and al fresco eating. The pre-inspection questionnaire that had been completed by the registered manager identified that the home had been inspected by the Fire Safety Officer in January 2005 and that the fire safety equipment had been checked in April 2006, adhesive labels on fire extinguishers were checked during the home visit and confirmed this. The fire alarms are tested weekly and records of staff training and conversations with staff provided evidence of regular staff training in fire safety. The home visit was unannounced and the home was found to be clean and well presented. Thought had been given to providing additional safeguards, including the provision of alcohol based cleansing solutions to enable staff, service users and visits to keep their hands clean and the provision of liquid soap and disposable towels in communal toilets. The laundry facilities are in an outbuilding and since the last inspection a new floor covering had been provided. One of the washing machines has a sluicing facility and is capable of washing soiled linen at a suitably high temperature to ensure that it is thoroughly cleaned. The laundry service was discussed with one of the service users who said that his clothes were always returned clean and nicely ironed. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 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, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents can be confident that safe recruitment practices are used safeguard against unsuitable staff being employed to care for them. They can also be confident that the staff are trained and competent, although there are a few staff training needs which still need to be met. However, the low care staffing levels may prevent the quality of the care provided from being as efficient and effective as it could be. EVIDENCE: The information provided by the registered manager in the pre-inspection questionnaire it was identified that one part-time cook, one part-time chef, both of whom are well qualified, and a part-time kitchen assistant are employed to prepare the residents meals. The manager said that a vacancy currently exists for a second kitchen assistant. One housekeeper/cleaner is employed and from an inspection of the premises, he is doing a very good job of keeping the home clean. The care staffing levels are too low to meet the needs of the residents. At the time of the inspection the home was full and most of the twenty-two residents require a lot of support. The staff rotas show that there are only two care workers on duty from 8am to 6pm and from 8pm to 10pm. Three care assistants are on duty from 6pm to 8pm. One care worker provides waking cover from 10pm to 8am and one care worker is on sleeping in duty and onLynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 18 call. Feedback from staff and service users, both in conversation and through completed questionnaires identifies that the care staffing levels are not high enough to meet their needs. The feedback included comments that the care staff were sometime too busy to see to the residents care and support needs when they needed assistance and that they sometime had to wait to be attended to. Examples were also seen to demonstrate that the residents social wishes and needs, for example their ability to attend church services, to visit friends in the community and to go shopping where are also severely restricted by the low care staffing levels. Five of the ten care staff have an NVQ in Care at Level 2. Two are now doing NVQ in Care at Level 3 and one hopes to start an NVQ at Level 4 shortly. The recruitment records of four care assistants were inspected as part of the case tracking process. Two had been recruited from overseas and all of the relevant checks and safeguards had been carried out. No written references had been taken up for one member of staff recruited locally but he was employed before the current registered manager was in post. Safe recruitment practices had been used to appoint the forth member of staff. The registered manager has been proactive in identifying the staffs training needs and arranging training courses for them to attend. There are, however, some gaps in the basic training provision, notably in First Aid, Adult Protection and Abuse. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 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, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents can be confident that the home is well managed and safe and that their views will be listened to. EVIDENCE: The registered manager has recently completed her NVQ in Care at Level 4 and Registered Managers Award. She has extensive practical experience of hands on care work and has continued to update her knowledge by attending relevant training courses. She is help in high regard by the staff and by the residents. The owners of the company have retired from the day-to-day management of the home but have played an active role in the on-going refurbishment of the home, which is being carried out to a very high standard. A management consultant is the responsible individual and she oversees the management of the home and supervises the registered manager. She also carries out regular Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 20 monthly visits on behalf of the registered persons, as evidenced by copies of reports sent to the Commission. The registered manager has introduced a quality assurance system using questionnaires to gain feedback from the service users and visitors to the home about the quality of the care provided. Copies of completed questionnaires were seen and the registered manager was able to demonstrate that she is taking notice the comments received. The reports of monthly visits carried out on behalf of the persons in control also very clearly illustrate that the residents are asked about the quality of the service provided. The pre-inspection questionnaire completed by the registered manager and the Responsible Individual states that the home does not handle the resident’s personal finances but encourages people who are unable to handle their own financial affairs to seek help from a family member or professional representative. This is recognised as good practice as it safeguards both the residents from financial abuse and the manager and staff from allegations of financial abuse. The pre-inspection questionnaire identifies that regular maintenance checks are being carried out on the gas and electrical appliances and on the fire safety equipment and lifts. Records were seen that had been completed by the registered manager to show that weekly and monthly checks are carried out to ensure that the premises are safe and well maintained. Records were seen to show that accidents, incidents and illnesses are recorded. A very detailed professional risk assessment has been carried out on the premises and this provides guidance on safe working practices. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X X 3 STAFFING Standard No Score 27 2 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 & 16 Requirement The registered persons must ensure that the resident’s individual social needs are included in the care planning process. The registered persons must ensure that arrangements are made to enable the residents who wish to do so to engage in social activities, including visiting friends and attending Church services, outside their home environment. Previous timescale for compliance 26/11/05 – not met. The registered persons must ensure that they resident’s rights to determine the time that they are helped to get up, washed and dressed are respected. The registered persons must ensure that enough care staff are employed to meet the needs of the residents. The registered persons must arrange ensure that all of the staff receive training in First Aid, Adult Protection and Abuse. DS0000063555.V289573.R01.S.doc Timescale for action 24/07/06 2 OP12 16 24/07/06 3. OP14 12 24/07/06 4 OP27 16 &18 24/07/06 5 OP30 18 24/08/06 Lynwood Residential Care Home Limited Version 5.1 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP15 Good Practice Recommendations Alternatives to the set meals should be included in the menu plans to ensure that the residents are made aware that they have choices. Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Lynwood Residential Care Home Limited DS0000063555.V289573.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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