Inspection on 16/10/06 for Park House

This inspection was carried out on 16th October 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 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

Park House 26/09/08

Park House 03/02/06

Park House 09/08/05

Park House 03/03/05

Park House 21/10/04

Park House 11/02/04

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 Park House Park House Tyringham Nr Newport Pagnell Bucks MK16 9ES Lead Inspector Sue Smith Unannounced Inspection 16th October 2006 11:45 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 DS0000015068.V309385.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000015068.V309385.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Address Park House Tyringham Nr Newport Pagnell Bucks MK16 9ES 01908 613386 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) Mr Edward Nigel Broadway Mrs Gillian Elaine Broadway Care Home 24 Category(ies) of Dementia (4), Old age, not falling within any registration, with number other category (24) of places DS0000015068.V309385.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. This home is registered for 24 older people inlcuding 4 people over the age of 65 with dementia. The room at the back of the property is to be used to accommodate the identified service user only. The suitability of the accommodation for this service user is to be reviewed 3 monthly with a copy of this review being sent to the NCSC. When the room is vacated by the identified service user, the proprietors will need to apply to the NCSC for its re-registration. 3rd February 2006 Date of last inspection Brief Description of the Service: Park House is situated in the country estate of Tyringham; it is 3 miles from the town of Newport Pagnell, which provides a range of shops and community facilities. Park House has 24 single bedrooms of which 19 have en-suite facilities; accommodation is provided over two floors. A shaft lift is available to assist residents with access to the upper floor. The home has lovely grounds including two courtyard gardens. DS0000015068.V309385.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection of the service since the implementation of IBL2 (Inspecting for Better Lives). The inspection was undertaken on the 16th October 2006 by Sue Smith (Regulatory Inspector). The Proprietor who is currently managing the home was available throughout the inspection. The Inspector used a triangulated methodology to complete this inspection, pre-inspection information and documentation was used in the planning process to ensure hypothesis were formulated to support the inspector to explore issues of concern and verify practice and service provision. During the inspection a variety of documentation was assessed, which included Careplans, Risk Assessments, Monitoring tools, Medication procedures, Rota’s, Recruitment files and Training records. The Inspector for Case Tracking purposes identified four Service Users. In addition the Inspector met with three other Service Users to gain their views on care provision. All Service Users and family members spoken with at the time of inspection were happy with the service provided and were complimentary of the Proprietor/Acting Manager and her team. As a result of this inspection one recommendation is made to support the home to further improve its practice. The Inspector would like to thank the Proprietor, Service Users and Staff for their hospitality and the support given to complete the inspection process. What the service does well: The Provider is currently managing the home; she is competent in the role, possessing the necessary skills and experience to fulfil the role. Positive relationships between herself, Service Users and staff is evident. Individual plans of care are in place to support Service Users, which are regularly reviewed. DS0000015068.V309385.R01.S.doc Version 5.2 Page 6 A good standard of care is implemented at the home by suitably trained and skilled staff. The home has a thorough recruitment procedure in place, which is reflective of security checks being undertaken before employment commences. Service Users take part in a wide range of activities, which meet both their social and cultural needs. Visitors are welcomed at the home with families supported to continue playing a part in their loved ones lives. Meals are nutritious, varied and appealing with a variety of snacks and refreshments offered throughout the day. The home has a comprehensive complaints procedure, which is reflective of timescales for action. The home operates an open door policy for all relevant parties to express their concerns for resolution before the necessity for a formal complaint. The home follows the local authority protection of vulnerable adults policy and its reporting systems to ensure the ongoing protection of Service Users from abuse. The environment is well maintained providing a pleasant and homely environment for Service Users to enjoy. Feedback comments from Service Users, family members and visiting professionals were complimentary of the care provision at the home. The home has robust health and safety systems in place, which are subject to regular audit to ensure the ongoing protection of Service Users and Staff. What has improved since the last inspection? The Proprietor has implemented an audit system for all Careplans, which ensures regular monthly monitoring of these plans. The Proprietor is undertaking a critical inspection of the premises to enable them to plan a complete refurbishment of the facilities provided. DS0000015068.V309385.R01.S.doc Version 5.2 Page 7 More immediate decoration and repair to the premises have been identified and programmed for immediate action. Manual handling risk assessments are in place with two additional profile beds purchased to support manual handling at the home. The home continues to offer a full programme of training to its staff to support them in their roles. The home continues to provide a high standard of care and support to Service Users. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000015068.V309385.R01.S.doc Version 5.2 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 DS0000015068.V309385.R01.S.doc Version 5.2 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 the service. Pre-admission assessments are undertaken to ensure the home is able to meet the needs of potential Service Users prior to admission. EVIDENCE: The home ensure all potential Service Users have a pre-admission assessment to ensure the home is able to meet their identified needs prior to admission. This includes information received from other specialists and family members to ensure an accurate reflection of the individuals needs is obtained. A copy of the assessment is available in the Careplan. All admissions to the home respect the equality and diversity of Service Users, there are no restrictions on admissions based on sexual preference, race or culture, all admissions are based on the known needs following assessment of the Service User and whether the home will be able to meet these needs. DS0000015068.V309385.R01.S.doc Version 5.2 Page 10 DS0000015068.V309385.R01.S.doc Version 5.2 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 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to the service. Individual plans of care are in place, which are reflective of the Service Users needs, with care implemented in a manner preferred by Service Users. The home has medication procedures in place, which are reflective of current guidance, thus protecting service users. The home provides a good standard of care and support, maintaining the privacy and dignity of the Service Users. EVIDENCE: The Proprietor has recently introduced a new tracking system to ensure all Careplans are reflective of review and the current needs of Service Users, this tracking system includes Careplan objectives, Personal Care Plans, Risk Assessments, Weight/pulse and BP monitoring, bowel records, medication DS0000015068.V309385.R01.S.doc Version 5.2 Page 12 updates and a comments section. The tracking document is maintained monthly. The Careplans themselves were found to be maintained to a good standard and were reflective of review. All files contained a Careplan action plan, assessment forms, moving and handling risk assessments, falls risk assessments, specialist support, behavioural and emotional needs, physical medical needs, personal health check, prescribed medicines record, medical history form and individual support plans. It is recommended the individual support plans in place are formulated with the Service User or a family member to ensure the personal preferences on how care is to be implemented is reflected. Additional health care needs are met through a variety of specialist therapists with the support of a local G.P who oversees the medical and healthcare needs of the Service Users residing at the home. The home has a medication policy in place; there are good systems for the ordering, storage and return of all medication, which are in line with current guidance. There were no gaps evident in the administration records held on behalf of Service Users, however it was noted during the inspection that staff were placing the medication of one Service User on the table during lunch time for them to take at their leisure, this could leave other Service Users at risk of picking up and taking the medication, however as there have been no incidents of this it would seem the risk is minimal, this will need to be addressed by the Proprietor/Acting Manager through a risk assessment and implement any changes to the practice that may need to take place to ensure the ongoing safety of all Service Users. This will be left in the capable hands of the Proprietor/Acting Manager to implement. On inspection it was noted the MAR (medication administration record) sheet for this Service User had already been signed as taken. This practice must cease, staff must only sign the records once the medication has been taken, or in the case of a refused or disposed of medication use the key provided, to ensure the accuracy of the record. This was discussed with the Proprietor during the inspection, medication administration training updates have been planned previous to this inspection and assurances have been given that this area of deficit will be discussed with all staff administering medication. The Commission is satisfied the home are proactive in ensuring their medication procedures protect service users. The staff team are knowledgeable of the needs of Service Users; newer staff feel supported and believe this to be a home that provides them with ongoing training and support to help them to meet the needs of Service Users. The Service Users spoken with at the time of inspection reported an efficient and friendly team who are always ready to help. There were no complaints concerning the care received and they felt their privacy and dignity was maintained at all times. Care is implemented in a manner preferred by the DS0000015068.V309385.R01.S.doc Version 5.2 Page 13 individual with staff taking the time to ask Service Users what their wishes were, new Service Users were happy with the care they were receiving and were settling into the routines of the home with no complaints regarding the provision of care. Staff were observed carrying out their duties throughout the inspection in a professional and sensitive manner. DS0000015068.V309385.R01.S.doc Version 5.2 Page 14 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 good; this judgement has been made using available evidence including a visit to the service. Activities offered at the home are suitable, flexible and enjoyable; ensuring the social needs of Service Users is met. There are no restrictions in place on visiting enabling Service Users to maintain their family links and friendships. Meals offered at the home are nutritious and appealing, ensuring the needs of Service Users is met. EVIDENCE: The way activities are planned and implemented at the home is currently being reorganised. Staff have been asked to pick areas of interest from an extensive list which has been approved by Service Users, from this the Proprietor/Acting Manager will match staff to activities to ensure they are facilitated by the right people. The Proprietor/Acting Manager has recently attended a course on planning and facilitating activities for people with dementia and will be sending other staff on this course. She is presently looking at how activity planning is DS0000015068.V309385.R01.S.doc Version 5.2 Page 15 managed and how this could be improved through a diarised system. Service Users views are being sought throughout the reorganisation of this programme. A range of activities continues to be offered to Service Users, which includes day trips when possible. During the inspection a quiz was taking place, which was well attended, Discussion took place with the Proprietor/Acting Manager concerning those Service Users who did not wish to be involved with group activities and the need to ensure 1:1 time was set aside within the new programme for these Service Users. Visitors are welcomed at the home with relatives feeling they are supported and kept informed of important events or changes to the care of there loved one. Feedback from relatives was positive with no reported restrictions in place on their visiting. Meals offered at the home are of a high standard, menus are reflective of variety and a choice of main meal, the nutritional needs of Service Users is regularly assessed with monthly weight monitoring in place, additional support from dieticians is available should there be an issue of concern for any Service User. The meals offered on the day of inspection were tasty and well presented, the meal time was relaxed with staff ensuring those Service Users requiring additional support receive this support in an unhurried and sensitive manner. Any issues of concern such as a Service User missing a meal are reported immediately to the senior member of staff with documentation evident. Service Users generally reported enjoying the menu offered and that there were sufficient snacks, drinks and home baking offered throughout the day. DS0000015068.V309385.R01.S.doc Version 5.2 Page 16 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 the service. The home operates a complaints procedure, which is reflective of current guidance and timescales for action, thus ensuring Service Users, and significant others are able to raise their concerns appropriately. The home follows the local authority Protection of Vulnerable Adults Policy and its reporting systems to ensure the ongoing protection of Service Users. EVIDENCE: The Proprietor has recently updated the homes complaints policy, this has been made available to all Service Users and significant others and now includes the contact details of the Commission, however since its formulation the Aylesbury office has now moved, the change to the new contact details will be left in the capable hands of the Proprietor to amend as soon as is reasonably practicable. All complaints received are logged, correspondence to and from the complainant are stored with the original complaint. The home has received one complaint in the past 12 months, which was not related to standards of care, this has now been resolved with the recent improvements made to the drive leading to the home. The Proprietor has an open door philosophy for Service Users, staff and significant others to discuss issues of concern before they reach the complaint stage. DS0000015068.V309385.R01.S.doc Version 5.2 Page 17 The home operates the Milton Keynes Inter Agency Protection of Vulnerable Adults policy and its reporting systems. There have been no issues of concern in the past 12 months with quarterly monitoring reports sent to Milton Keynes Social Services Department. Abuse training is made available to all staff, which is regularly updated. DS0000015068.V309385.R01.S.doc Version 5.2 Page 18 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, 26. Quality in this outcome area is good; this judgement has been made using available evidence including a visit to the service. The home provides a safe and well-maintained environment for Service Users to enjoy. EVIDENCE: The Proprietors are currently looking critically at the home to plan a complete refurbishment. At this time four carpets have been identified for replacement in Service Users bedrooms, two new profile beds have been purchased to support manual handling, bedrooms 1-5 have been identified for decoration and refurbishment as well as the kitchen, dining room hall and landing. Necessary repairs following water damage to the home has also been scheduled. During the environmental tour there were no issues of concern affecting the health and safety of Service Users identified, the home was maintained and DS0000015068.V309385.R01.S.doc Version 5.2 Page 19 cleaned to a high standard with no offensive odours present. The home is decorated to a high standard and provides furniture and fittings, which are well maintained providing a homely and pleasant environment for Service Users to enjoy. Adaptations and equipment such as hoists, assisted baths and walk in showers are provided to further support Service Users. All of the bedrooms with the exception of two have private toilets and hand washing facilities. In addition the home provides courtyard areas for Service Users to enjoy and is situated in a large estate with small garden areas accessible to Service Users. Service Users spoken with during the inspection were complimentary of the home and the way it is maintained, making special compliment to the grounds and their enjoyment of this area. DS0000015068.V309385.R01.S.doc Version 5.2 Page 20 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 good; this judgement has been made using available evidence including a visit to the service. There are sufficient numbers of suitably qualified and experienced staff to meet the needs of Service Users. The home operates a robust recruitment system, which ensures all relevant security checks are put in place prior to a start date, thus ensuring the ongoing protection of Service Users. The home provides ongoing training to support the staff to meet the needs of the Service Users. EVIDENCE: The home has a thorough recruitment procedure in place, which includes ensuring all security checks are undertaken prior to the commencement of employment. The home is currently operating with eight staff on each morning shift and six staff on each evening shift to ensure adequate cover is available to free up staff to attend training events and facilitate activities for Service Users. There is a strong commitment evident towards attending training, with the Proprietor placing emphasis on sourcing a wide range of training, which will support staff to further meet the needs of the Service Users. There is a DS0000015068.V309385.R01.S.doc Version 5.2 Page 21 training matrix in place, which reflected all mandatory training having taken place with updates booked. Individual training files are in place for all staff members, which were open to inspection. All staff have recently received Dementia training facilitated by an Alzheimer’s Society approved trainer. The Proprietor herself has recently attended dementia courses and ensures she keeps herself up to date with any significant changes in care practice through training. Service Users spoken with during the inspection were generally complimentary of the staff team; they felt they were friendly and approachable and that they were in safe hands. All Service Users knew who to speak to should they have an issue of concern and felt they would be listened to. There were no issues of concern relating to how care is implemented raised during this inspection with feedback comment cards reflective of positive comments from both Service Users and relatives. Staff spoken with during the inspection enjoyed working at the home and felt supported by the Proprietors and Senior team, there were no issues of concern raised during this inspection by staff members in relation to how the home operates or care provision. DS0000015068.V309385.R01.S.doc Version 5.2 Page 22 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 the service. A suitably qualified and experienced Proprietor is currently managing the home ensuring the home is run in the best interest of Service Users. Staff are supported to meet the needs of Service Users with a full programme of training in place. The home ensures it follows current health and safety guidance with an audit system in place to ensure the ongoing protection of Service Users. EVIDENCE: DS0000015068.V309385.R01.S.doc Version 5.2 Page 23 The home is presently without a full-time manager, however in the interim the Proprietor has taken over the management responsibilities of the home, this is proving a positive measure with the Proprietor/Acting Manager in the process of doing a complete audit of systems and procedures which affect the day to day operation of the home. It has been advised the Proprietor/Acting Manager write to the Commission outlining her proposals for the future management of the home. Staff reported feeling comfortable with the management style of the Proprietor and find her open and approachable. Service Users were happy with the arrangements in place with no reported negative impact to Service Users or detrimental change to the way care is delivered. The proprietor has implemented a thorough quality audit system which includes obtaining the views of Service Users and significant others, the audit system breaks the home into three areas – Residents, Staff and Household, the system is outcome focused with planning documents open to inspection. The quality audit system is in line with the national minimum standards for older people, and is reflective of a quarterly monitoring document as well as an annual audit of the home. The home has a thorough health and safety monitoring system in place; checks are undertaken with audit notes attached to ensure a rotating programme of checking is implemented monthly. In addition the home has implemented an annual planner which ensures all areas to be checked are planned in advance taking into consideration the seasons and necessity to further check some areas more often than others. All Health and Safety risk assessments were last updated in October 2006. The last fire inspection conducted by the Milton Keynes Fire Authority took place in April 2006, there were no issues of concern or actions required following this report. Weekly monitoring of the fire alarm zones takes place with records open to inspection. Monthly inspections of the emergency lighting are also in place. The last evacuation drill took place on the 19/9/06 and staff on the 31/8/06 undertook fire training. The homes fire risk assessment was last updated on the 28/9/06. DS0000015068.V309385.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000015068.V309385.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations It is recommended the individual support plans are formulated with the Service User or family member to ensure the personal preferences of how care is to be delivered are accurately reflected. DS0000015068.V309385.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 DS0000015068.V309385.R01.S.doc Version 5.2 Page 27 - 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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