Inspection on 10/11/05 for Portland Lodge

This inspection was carried out on 10th November 2005.

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

The inspector 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

Portland Lodge 08/08/07

Portland Lodge 10/11/06

Portland Lodge 13/04/06

Portland Lodge 15/05/05

Portland Lodge 17/11/04

Portland Lodge 18/05/04

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 Portland Lodge 21 Landguard Manor Road Shanklin Isle Of Wight PO37 7HZ Lead Inspector Mark Sims Unannounced Inspection 10th November 2005 09:30 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 Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Portland Lodge Address 21 Landguard Manor Road Shanklin Isle Of Wight PO37 7HZ 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) 01983 862148 Isle of Wight Care Ltd Mrs Tina Sara Hughes-Thomas Care Home 19 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number disorder, excluding learning disability or of places dementia (3), Old age, not falling within any other category (19) Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user may be accommodated under the age of 65 years in the category MD in addition to the three detailed above. 15th May 2005 Date of last inspection Brief Description of the Service: Portland Lodge is registered to accommodate 19 service users, four of which are younger adults (under the age of 65), within 3 categories - DE(E), MD & OP. The property is a large period town house, which is situated along Landguard Manor Road, Shanklin. The amenities of the town are within walking distance for the younger clients and more able bodied, although are potentially too far away for older, less mobile service users to access directly. As the service does not include access to an in house car or minibus, public transport becomes the most obvious route into town with regular bus services passing the home daily. The premises provides accommodation for service users across two floors, although the first floor is only accessible to fully ambulent individuals, as no passenge lift or stairlift is provided. The accommdation at the home is used mainly on a single room basis and communal facilities are open planned, with the dining room and lounge areas opening up onto one another in an L shaped confirguration. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection represents the second statutory inspection of the year for Portland Lodge Residential Home, although an additional visit was undertaken in September 2005 to follow up on concerns raised during the May 2005 inspection, a copy of the findings from this visit are available for perusal within the local offices of the Commission, all inspection visits were conducted on an unannounced basis. What the service does well: What has improved since the last inspection? Significant progress has been made in addressing the shortcomings of the home’s care-planning process identified at the last inspection. Clear and concise assessments are being undertaken and these are now leading into the care-planning programme and the creation of initial care plans for all new service users. The information documented within the plans is good and includes both general care-planning issues and topics for inclusion under the risk assessment plans. A bedroom vacated during inspections has been completely redecorated and refurbished and has been transformed from a dark and empty environment (the choice of the occupant at the time), into a bright and vibrant addition to the home’s accommodation. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 6 The service user now occupying this bedroom, appears happy with the accommodation and is in the process of personalising the environment with appropriate support. What they could do better: Generally all of the issues identified during the May inspection have been addressed, although one or two requirements remain outstanding: hot water taps in two bedrooms are still awaiting thermostatic valves to be fitted, although it is understood that this should have been completed by the end of the month (November 2005) and the external redecoration of the home is progressing, although at a slower pace than anticipated, as it was due for completion at the end of November but appears likely to carry over. Some additional issues were identified during this inspection although these were largely paperwork based and did not necessarily impact upon the service users. Due to the fact that many of the service users, are unable to communicate effectively, a result of their impaired cognition, much of the information gathered about the service users is observational, although the younger clients are more able to converse. The home’s ‘statement of purpose’ and ‘service users’ guide’ literature had not been reviewed and updated since 1 February 2003. The home’s policies and procedures generally had not been reviewed or updated since 1 February2003. Service users whose placements were agreed and funded by the local authority had no access to terms and conditions of residency information. As a result of the policies, etc. having not been reviewed the complaints process provided inaccurate information regards the registering body’s name, although the contact details remained valid. Staff had not received any updated training around adult protection issues, which when added to the fact that the policies they are operating to have not been reviewed or updated since 2003, is concerning. The Regulation 26 reports for the home are not being completed or forwarded to the Commission, this issue has been raised at other inspections and is in need of addressing consistently. The only new issue identified that did not relate to a purely administrative issue was the carpet within the downstairs bathroom, off of the kitchen, where the carpet should be removed and replaced. This process has already commenced in other communal facilities, however this area was found to require urgent attention. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 7 One final issue identified during the inspection but due to be addressed as a separate concern, was the admission to the home of two service users for whom the home has no current registration categories. 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. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 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 Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 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): Standards 1, 2 & 3. The home’s ‘statement of purpose’ and ‘service users’ guide’ documents are not being regularly updated and so require reviewing. The home, to date, has not been providing service users placed via the local authority with terms and conditions of residency, which should be reviewed as the local authority also provide residents with no information relating to their stay or the service to be expected. Improvements have been made to the home’s pre-admission assessment process, which now clearly filters into the care-planning programme. EVIDENCE: An inspection of the information provided to service users or available for consideration on the premises highlighted that the management has not reviewed or revised the home’s ‘Statement of Purpose’ or ‘Service Users’ Guide’ since 1 February 2003. This means that any information or documents provided to people who enquire about the home is likely to contain misleading or inaccurate information, as Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 10 evidenced by the fact that the section designed to provided information about the home’s complaints process still has the ‘National Care Standards Commission’ down as the regulatory body, despite the Commission for Social Care Inspection taking over this function in 2004. Another issue which should be addressed is the fact that all service users admitted to the home are entitled to some form of terms and conditions or statement document, which sets out the nature of the service being delivered and what they can expect from the their stay at Portland Lodge. This particular issue mainly affects those residents accommodated under a local authority contract, as the local authority provide no information or details relating to the service being offered/purchased. As such the responsibility for ensuring people have some basic guidance around the services on offer, their rights regards notice, etc. falls to the service provider, who should seek to provide all service users with terms and conditions relating to their stay and particular situation (privately or publicly funded). At the last inspection the home was heavily criticised for its record keeping and particularly its approach to assessments and care planning. At this inspection the amount of work put into addressing this problem and the significant improvement in the quality of the assessments and the care plans produced was considerable, with two new service users having detailed assessments available that linked clearly into the care planning process. From observations of one of the new clients, seen with a visitor it appeared that the persons assessment and care planning package reflected their immediate needs and also their current circumstances and family support network. Portland Lodge DS0000012525.V249461.R01.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): Standards 7 & 8 Improvements have been made in the care planning process of the home, with clear links existing between the assessed needs and plans developed. The service users appear well supported when accessing appropriate health care services. EVIDENCE: At the last inspection significant problems were reported with regards to the home’s care-planning programme, with information gathered during preadmission and ongoing assessment periods not being transferred across to the service users’ plans. At this visit three service users’ plans were reviewed and all showed considerable improvement, with both clear and fairly detailed pre-admission assessment information available and links between this information and the care plans produced identifiable. The improvements in the home’s approach to care planning and record keeping in general, when talking about the service users’ guides, was perhaps most noticeable in the case of a service user being admitted to hospital, with Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 12 evidence available regarding the changes in their health, details of contacts with health and social care professionals and updated care plans and risk assessments on file. The care and attention provided to this particular service user also provided evidence of the home’s commitment to maintaining the heath and wellbeing of residents, with the manager’s and staff’s willingness to advocate on behalf of people when dealing with health and social care professionals clearly documented throughout the running records. The staff of the home keep in regular contact with a variety of professional agencies, social services, health clinics, Island Doctors On Call, St Mary’s Hospital, etc. to facilitate appropriate support for this individual. The staff of the home on the day of the visit were also preparing to accompany or escort the client to hospital, knowing that they would remain calm and become less agitated if a familiar face was available to offer support. Portland Lodge DS0000012525.V249461.R01.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): Standards 13 & 14 The experience of both the younger adults and older adults resident at the home differ with regards community contacts. The experience of the younger adults residing at Portland Lodge is positive, with choice and independence a cornerstone of their daily care delivery. EVIDENCE: The above standards have been considered in unison and the judgements reached based on the combined evidence provided/gathered. The service provided at Portland Lodge is unusual, as the difference in the age range of the service users means that the service delivered has to be both diverse and flexible, as the needs of the client groups are so dissimilar. For the younger adults their ability to participate in local community activities, shopping, etc. is only limited by their own desire or lack of inclination to participate in or take up such activities. Throughout the inspection several younger service users were noted to be indulging in activities of their own choice, some of which involved activities outside of the home, although others were based in house. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 14 In the past it has been identified that the younger service users have access to a large number of social events and day services and this would still appear to be the case, whilst the older service users are more reliant on family and friends visiting to maintain contact with the wider community. Whilst in the office the inspector had the opportunity to speak (briefly) with one of the younger service users, who had come to see the manager about accessing his monies. The service user was keen to point out that he remained happy with life at the home and that he appreciated the care and attention provided by the staff. He was also happy with the current system for managing his finances, which provide him with access to his monies but meant he had no need to worry about safe storage. A positive for the home, which helps in addressing people’s religious needs or observances, comes in the form of the deputy manager who as a lay preacher has knowledge of other faiths and acquaintances whom she can contact across a variety of denominations on behalf of the service users. During the recent inspection the families of two service users were noted to be visiting the home, one family it is understood choosing to spend most of the day with their relative, as they are relatively new to the home and this should assist the person settle. Unfortunately the inspector missed the opportunity to meet with the client or their family as they were resting when the tour of the premise was undertaken. Another good example of the efforts being made by the home to support service users in maintaining community links and exercise their rights to selfdetermination came through a client who came to see the manager about placing a bet. The client was a little shy and confused but explained that he had recently won on a race and was supported by the home in placing his bets and collecting his winnings, although the manager pointed out that his bets and winnings were both small amounts. The client seemed happy with the arrangements made to support him, as he had been involved with horse racing and betting for a large number of years and enjoyed read form, etc. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 The information provided to service users re the home’s complaints process was out of date and inaccurate. The manager was aware of the local authority adult protection policy and zero tolerance campaign, however staff had not attended any recent adult protection training courses. EVIDENCE: The complaints process, as with many of the home’s policies and procedures, was out of date and had not been updated or reviewed since 1 February 2003. Whilst the general information contained within the policy, (a copy of which the manager states she provides to all new service users or their relatives), remains unchanged, i.e. the address and telephone number of the regulatory body, their title changed in the April of 2004, a fact not addressed by the home. It is important when dealing with service users and/or their relatives to remember that any information provided should be accurate and up to date. It is also important, as part of a services drive to promoting good standards of practice, etc. that a positive quality auditing system be established and that this includes the regular reviewing and updating of key documents. As with the complaints process described above, the home’s adult protection procedure (internal) has not been reviewed or updated since 1 February 2003, Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 16 although a more up to date copy of the ‘All Island Adult Protection Policy’ is available. In addition to having a copy of the ‘Island Policy’ available for staff the manager has also put up posters produced by the Local Authority, publicising their drive towards ‘Zero Tolerance of Adult Abuse’. As part of this drive the Local Authority ran a number of training days and events, including a course aimed at training trainers and general introductions to adult protection. Unfortunately the staff of Portland Lodge did not attend any of these events, and have not recently undergone any updated adult protection training, which given the fact the home’s in house policy is also out of date should be addressed. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 17 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): Standards 19, 25 and 26. The standard of décor within the newly decorated bedroom was good, although some other areas of the home required attention. The delivery of water at excessively high temperatures (in two rooms) has still not been fully addressed. Whilst the home is in the process of replacing the flooring within a bathroom and a toileting facility the need exists to replace the flooring within a third facility, as the bathroom carpet was both odorous and marked. EVIDENCE: A brief tour of the premises revealed that since the last inspection a vacated bedroom has been redecorated and refurbished to a reasonable standard, pale warm colours having been used to create a peaceful and inviting environment. The tour also brought into focus several issues outstanding from the previous inspection, the external redecoration of the home is unfinished, although the front aspect has been repainted and the scaffolding due for removal to the side Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 18 of the home. As indicated above the thermostatic valves have yet to be fitted in the two upstairs bedrooms where the water is delivered excessively hot, the manager advising that this should be completed by the end of November, the delay in getting the plumber around earlier due to his workload. The lock on the upstairs toilet was noted to be broken, which given this facility is used mainly by the younger client group, should be attended to as soon as possible. The carpet situated in the downstairs bathroom should also be replaced, as it was noticed to be odorous and marked during the inspection. It is probably not best practice to have carpets within communal bathing and toileting facilities, which could be the reason why the home has already started replacing the flooring in tow other facilities. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 19 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): Standard 29 The arrangements for recruiting new staff appear reasonably well managed. EVIDENCE: The files of several recently recruited staff were reviewed along with files of staff already employed within the home, ensuring that the home’s selection process was being adhered to accordingly and that full employment details were gathered and verified prior to applicants being confirmed in post, including references, Criminal Records Bureau (CRB) checks and Protection Of Vulnerable Adult (POVA) checks, all files were found to be in order. In addition to the information listed above each file also contained a recent health declaration, application form, information/contact sheet and supporting documentation used in the CRB checking process. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 20 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): Standards 33 & 35. The quality auditing systems of the home are inadequate and cannot ensure the home is run in the best interests of the service users. Service users are appropriately supported and their financial interests safeguarded by the home. EVIDENCE: As highlighted earlier within the report a large number of the home’s policies, procedures and key documents, i.e. the statement of purpose and service users’ guide were out of date or had not been updated and/or reviewed since 1 February 2003. Whilst the manager has introduced a system for monitoring that care plans are reviewed and updated on a monthly basis, the records indicate that this is still not occurring consistently, although huge improvements have been made from the previous inspection visit when no monthly reviews were being documented. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 21 The manager has also been reminded that Regulation 26 visits and reports must be undertaken and that she needs to discuss this with the appropriate person within the company. Copies of all Regulation 26 reports must be forwarded to the Commission for consideration and information. It is the policy of the home not to become involved in the management of service users’ monies, although where a person wishes to retain control of their own financial arrangements every effort to support them is given. As an alternative arrangement to holding monies for service users the home offers a tick system, whereby the home will purchase items for a service user or pay for services and then recoup the money at the end of the month by invoice. Receipts for all purchases are obtained and made available to the families upon request. The manager is presently holding money for two younger service users, who are responsible for spending or disposing of their money as they see fit, each person approaching the manager and signing for the amount of cash they require on a daily basis, etc., the home purely securing the money for them, although a balance for each account is maintained. As pointed out earlier within the report, one younger service user came to see the manager during the inspection, for the express purpose of accessing his monies. It was established with this individual that he was happy with the home in general and was satisfied with the arrangements for handling and safeguarding his monies. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 22 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 2 2 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X X X X X 2 2 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X X Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 23 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. 1 2 3 4 Standard OP1 OP1 OP16 OP18 Regulation Regulation 4 Regulation 5 Regulation 22 Regulation 13 Requirement Timescale for action 28/12/05 28/12/05 28/12/05 28/01/06 5 OP19 The statement of purpose must be reviewed and updated. The service users’ guide must be reviewed and updated. The complaints procedure must be reviewed and updated. The home’s adult protection procedure must be reviewed and updated and training sourced for staff. Regulation The manager must arrange 23 for a revised plan to be forwarded to the Commission for the completion of all outstanding work raised at the last inspection. The lock on the stairs toilet must be repaired Regulation The manager must notify the 23 Commission when the thermostats have been fitted to the sinks, identified at the last inspection Regulation Arrangements to replace the 13 downstairs bathroom carpet must be made, and a date for completion notified to the Commission. DS0000012525.V249461.R01.S.doc 28/01/06 6 OP25 28/01/06 7 OP26 28/12/05 Portland Lodge Version 5.0 Page 24 8 OP33 9 *RQN Regulation The manager must ensure that 26 arrangements for Regulation 26 visits to be conducted must be made, and copies of the reports sent to the Commission. Care Section 24 - The manager is Standards remind that she cannot admit Act service users outside of the homes categories and numbers of registration. 28/12/05 10/11/05 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 OP1 Good Practice Recommendations All new and current service users should be provided with an updated copy of the service users’ guide. Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Portland Lodge DS0000012525.V249461.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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