Inspection on 06/03/06 for Red Rose Care Home

This inspection was carried out on 6th March 2006.

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

Red Rose Care Home 02/04/08

Red Rose Care Home 03/04/07

Red Rose Care Home 02/02/06

Red Rose Care Home 22/03/05

Red Rose Care Home 21/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Red Rose Care Home Brockton Avenue Farndon Newark Nottinghamshire NG24 4TH Lead Inspector Karmon Hawley Unannounced Inspection 6th April 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 Red Rose Care Home DS0000024657.V288097.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. Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Red Rose Care Home Address Brockton Avenue Farndon Newark Nottinghamshire NG24 4TH 01636 673017 01636 678423 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) Mrs M J Daniel Linda Claire Gee Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Named Service user to be accommodated for TI category. There after the home`s registration reverts back to accommodate up to 44 service users within the OP category. Service users shall be within category OP Date of last inspection 02/02/06 Brief Description of the Service: Red Rose Care Home is a 44 bedded home for older people including nursing. It is a purpose built home in the residential area of Farndon village. Farndon is situated just off the A46, three miles south of Newark. There are 36 single rooms, 10 of which have en-suite facilities; there are also 4 double rooms. There are communal lounges, dining areas, bathrooms and toilet facilities. The home is domestic in character and well maintained. The grounds are well maintained and service users are able to access these areas. There is also a reasonable size car park. Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the site visit an analysis of the performance of the home over the previous year took place in line with the key national minimum standards. The evidence gained was assessed and thus the site visit planned in accordance with further evidence required to demonstrate compliance with the national minimum standards. A concern had also been received by the Commission for Social Care Inspection with regards to the over use of lap belts this issue was also to be addressed during the site visit. The unannounced site visit took place in four hours and was performed by one inspector. The main method of gaining evidence during the site visit was case tracking, this is a method of sampling the records of four randomly selected service users to ascertain if the needs of service users are appropriately assessed and identified needs are being catered for by the home to maintain optimum health and wellbeing of the service user. Four service users and two relatives were spoken with so as to give the inspector an insight into the conditions and standards within the home. Those spoken with were happy with the staff, care received and the standards within the home. The registered provider and the deputy manager assisted in the inspection process and two members of staff were spoken with. Staff were able to demonstrate an understanding of service users needs and the core values and principles in relation to their job role. What the service does well: A kind and caring ethos was prevalent throughout the home and staff were welcoming and helpful towards the inspector. Service users spoken with expressed they were happy with care received, staff were kind and thoughtful and respected them as individuals. The two relatives spoken with spoke very highly of the home and the care their relative received. The deputy manager stated that to ensure equality and diversity is acknowledged and upheld within the home staff are educated to be aware of individual needs and requirements. To assess service users capacity to consent and not to assume, therefore addressing whole person needs, taking into account individuality and autonomy, past experiences and how they affect the service user today. Staff spoken with were able to hold discussions with regards to service users needs, Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 6 the core values and principles and adult protection with thought and consideration to service users whole person needs. Care plans observed covered all identified needs and in depth records were maintained with regards to significant events and care received, thus enhancing continuity of care. Staff training continues to develop ensuring staff individually and collectively have the require skills and knowledge to meet service users needs. What has improved since the last inspection? What they could do better: To ensure service users needs are fully assessed and met the provider is required to apply for a variation of category of registration to include elderly Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 7 dementia, until this has been approved no further service user within this category is to be admitted to the home. To demonstrate that service users capacity to consent, human rights and risks have been fully assessed with regards to the use of lap belts a clear audit trail is to be available. To ensure service users are fully protected appropriate risk assessments are required to be in place where service users are wearing lap belts. 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. Red Rose Care Home DS0000024657.V288097.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 Red Rose Care Home DS0000024657.V288097.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 The quality rating in this outcome area is poor this judgement has been made using available evidence including a visit to the home. Service users are assessed prior to admission, however several service users have been admitted out of category for which the home has been registered for, thus their needs may not be fully met. EVIDENCE: The manager assesses service users in the community prior to admission and service users may visit the home and spend time there prior to making a decision to entering the home. Within service users files examined there was evidence of preadmission assessments taking place which covered the requirements of the standard, however out of the nine service users files observed seven had been diagnosed with dementia. In the case of four, their nursing needs were deemed to outweigh their mental health needs, however three service users were out of the homes registered category. The deputy manager stated that service users with dementia are on occasion admitted into the home following an assessment as to whether the home can meet their needs. Red Rose Care Home DS0000024657.V288097.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 The quality rating in this outcome area is adequate this judgement has been made using available evidence including a visit to the home. Service users health, personal and social care needs are set out in an individual plan of care, however fully meeting service users needs may be compromised due to the home admitting service users out of the homes registered category and a clear audit trail of reasoning behind the use of lap belts not being clearly available. Safety of service users may also be compromised due to the lack of risk assessments with regards to the risk of entrapment and the use of restraint. Service users health care needs are met. Service users are protected by the homes policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Service users undergo various assessments with regards to the daily activities of living, manual handling, infection, dependency, nutrition and continence. Information gained underpins the basis of the plan of care. Plans of care in place were personalised and covered highlighted needs. Daily communication records were maintained and were in depth and reflected significant events Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 11 and changes. Appropriate risk assessments were in place with regards to entrapment and the use of bed rails, however these did not include the use of lap belts, where one service user had been identified as being at risk of entrapment. Consent had been received from service users relatives prior to the use of lap belts following a discussion as to the reason why however there was no clear audit trail to demonstrate service users capacity to consent, human rights and risk with regards to the use of lap belts clearly available. Service users who had lap belts in place had relevant plans of care in place with regards to pressure area care, the deputy manager stated that service users are moved regularly during the day, staff spoken with were able to substantiate this. Care plans with regards to mental health needs were also in place and reflected changes and care received, however plans in some instances were pre-printed with amendment as required. Care plans were reviewed on a monthly basis with follow up care offered if required from the community Psychiatric nurse and Psycho geriatrician. The deputy manager stated that if service users present problems with challenging behaviour specialist assistance is sought. Staff have undertaken a distance learning course on dementia awareness, the deputy manager stated this has proved beneficial with regards to enhancing person centred care and it is being considered that this course be made mandatory. She also stated that staff are aware of the issues of restraint and the majority of staff have completed adult protection training. Staff were able to discuss holistic needs and how rights, choices and preferences are maintained and were able to discuss the issues of restrain and the reasoning behind why lap belts are used within the home, however with regards to the issues of capacity to consent and the human rights act one member of staff had limited knowledge. Service users spoken with stated they were happy with care received, their needs were met and staff were helpful. The induction programme covers maintaining privacy and dignity of service users and staff were able to discuss these issues. All consultations are received in private and in addition to service users rooms there are various quieter areas around the home, which may be used. Service users have access to a telephone and there is the optional of having their own telephone should they wish. Screening is available in double rooms. Service users spoken with stated staff were respectful and they felt their privacy and dignity is maintained. On observation staff were seen to treat service users with respect whilst offering care and during interaction with service users. There was evidence to demonstrate the multidisciplinary team and specialist services are accessed and relevant aids and adaptations are in place, which were observed during the tour of the building. Medication inspected corresponded with the prescription. There were appropriate policies and procedures in place. Registered nurses have also undertaken training in the safe administration of medication. An appropriate contract is now in place with regards to the disposal of medicines in line with current legislation. Red Rose Care Home DS0000024657.V288097.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): 12,12,14,15 The quality rating in this outcome area is adequate this judgement has been made using available evidence including a visit to the home. Service users are facilitated as able to experience a lifestyle in the home which matches their expectations, preferences and satisfies their needs, however this requires further consideration with regards to service users who are considered more dependant and have mental health needs to ensure their needs are fully met. Service users are enabled to maintain contact with family, relevant others and the local community should they wish. In the main service users are enabled to exercise choice and control over their lives, however those service users with mental health needs who were observed to be wearing lap belts, further consideration with regards to their capacity to consent, the human rights act and individual risk assessments need to be explored and a audit trail be available to demonstrate all these issues have been considered. Service users receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: The deputy manager stated that there is no specific activities coordinator employed at present however a member of the care staff is currently carrying Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 13 out this role with the support of other staff. The provider stated that this position is currently being reviewed and developed in order to provide activities according to individual needs. Staff spoken with substantiated activities take place and one service user expressed she was satisfied with the level of activities available. The routine of the home was stated to be flexible and service users were able to choose when they arose, retire and how they spent their day. One service user spoken with substantiated this and stated they were settled and happy with life within the home. However due to the level of need of some service users who had lap belts in place it was difficult to ascertain their opinion on this matter. The deputy manager stated that service users are offered choice and control over their lives, staff spoken substantiated this, however there was an issue where a staff member was unsure as to the capacity to consent and service users individual human rights. The deputy manager stated due to staff undertaking the dementia awareness course their skills are currently being further developed so that choices are offered in a more structured and beneficial way. There are no restrictions placed upon visiting and visitors may be received in private should they wish. One service user spoken with stated her son was always made welcome in the home. Two visitors were spoken with during the inspection, they spoken very highly of the home and the level of care offered; an excellent rapport was evident between them and the staff. Visiting is discussed briefly in the service users guide and also when relatives and service users visit the home prior to admission. Religious needs are facilitated as required; a vicar currently visits the home on a regular basis to offer Holy Communion. A brief social history is available within service users case files, the deputy manager stated that this was currently being redeveloped so more thorough information can be sought and thus implemented accordingly within service users plans of care. The kitchen was clean, tidy and hygienic. Appropriate records were in place. There was evidence of a wholesome and nutritional diet being offered. Alternatives are currently offered should a service user dislike anything on the menu. Service users spoken with stated food was at a good standard and choices were offered. Staff substantiated that specialist diets were catered for; there was evidence of service users requirement on display in the kitchen. Service users are enabled to deal with their personal finances, there is also the facility of a safe to hold larger amounts of money should it be required. Should a lockable facility be required these are available. Relatives mainly act as advocates, however should an independent advocate be required this would be accessed. Service users may bring in personal possessions if they wish and rooms were noted to be personalised during the tour of the home. Red Rose Care Home DS0000024657.V288097.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 The quality rating in this area is good; this judgement has been made using the available evidence including a visit to the home. Service users and relevant others may be confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: Relevant policies and procedures are in place with regards to dealing with concerns and complaints and staff spoken with were able to discuss how these would be dealt with. Service users and the two relatives spoken with expressed no complaints. An open door policy is maintained with regards to the manager and provider, therefore service users and relatives may approach them at any time should they wish. No complaints have been received since the previous inspection, however one concern with regards to the over use of lap restraints was received by the Commission for Social Care Inspection, therefore issues surrounding this were analysed during the inspection and are discussed in the standards relating to health and personal care and daily life and activities. With the exception of four catering staff all staff employed now have an appropriate criminal records bureau check in place. Measures have been taken to ensure the recruitment and selection polices and procedures ensure all new staff have the relevant checks in place prior to commencing employment. Relevant policies and procedures were in place with regards to the protection Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 15 of vulnerable adults and staff spoken with were able to discuss these policies in relation to their job roles to a good standard. Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The quality rating for this outcome area is good this judgement has been made using available evidence including a visit to the home. Service users live in a safe, well-maintained environment that is clean, pleasant and hygienic. EVIDENCE: There are sufficient domestic staff employed to ensure the home remains clean pleasant and hygienic. Hand wash facilities are available around the home and the majority of staff have been trained in infection control. The laundry room is organised and relevant equipment was noted to be in place. Red Rose is a purpose built home; therefore wheelchair access to all areas is promoted. There is a lift to the second floor and there are various seating, dining areas service users may access. There are also ample bath and toilet facilities. The home and grounds are well maintained and there is an ongoing maintenance program. Red Rose Care Home DS0000024657.V288097.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 The quality rating in this outcome area is good this judgement has been made using available evidence including a visit to the home. The numbers and skill mix of staff meets service users needs. Service users are in safe hands at all times. Service users are supported and protected by the homes recruitment policies and practices. Staff are trained and competent to do their jobs. EVIDENCE: Staff rotas were examined and demonstrated that adequate staff are employed. The deputy manager stated that skill mix is taken into consideration when planning the duty rota. Staff when spoken with stated there were adequate staff to meet service users needs. Staff were able to discuss how the supervisory staffing directive had been actioned whilst staff were awaiting the return of criminal record bureau checks. One service user stated that there are sufficient staff to meet their needs. One member of staff has completed the national vocational qualification (NVQ) level 3 and one member of staff is working towards level 3. Seven members of staff are currently working towards the level 2 and three have completed level 2. The induction programme in use is in depth and cross-references to the national vocational qualification. Five staff files were observed, relevant references and applications were in place. Not all files contained photographic identification, however the Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 18 requirement set at the previous inspection with regards to ensuring staff have photographic identification on file has been partly met and the provider stated is due to be completed within the next week. Each member of staff have individual training plans on observation of these they demonstrated that staff training continues to develop and a number of staff have undertaken the dementia awareness training along with health and safety, infection control, adult protection, first aid and food hygiene. Staff stated they felt supported in their development and that training needs are met. One service user spoken with expressed they had confidence in the staff and their abilities. Red Rose Care Home DS0000024657.V288097.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 The quality rating in this outcome area is good this judgement has been made using available evidence including a visit to the home. Service users live in a home which is run in the best interest of service users and is managed by a person who is fit to be in charge, of good character and able to discharge her responsibilities fully. Service users financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager is a registered nurse with relevant experience in managing a care home. She has completed her Registered Managers Award and is awaiting certification. She ensures she remains up to date with mandatory training and also cascades her learning to the staff team. Staff spoken with spoke highly of Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 20 the manager and stated they felt supported in their job role. Service users spoken with also expressed satisfaction of the way the home is run and stated the manager was approachable. Mr Daniels the proprietor speaks with service users every month to ensure their needs are met. He also has an open door policy so service users and relatives feel they may approach him with any concerns. There is an annual development plan in place. Service user questionnaire have been sent to service users and relatives, the administrator is in the process of analysing those returned at present and stated that the feedback is of a positive nature. Four service users personal allowances were checked, these were correct. There were receipts available and one staff member had signed for all transactions. The manager stated that relatives or solicitors are responsible for service users finances. There are lockable facilities available should they be requested. Relevant maintenance certificate and maintenance checks were in place. Appropriate accident records were maintained and evidence of audits taking place were apparent. Red Rose Care Home DS0000024657.V288097.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 1 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 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 Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 22 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 Standard OP3 Regulation CSA 2000 Requirement The provider is required to apply for a variation of registration to included elderly dementia. Until this is approved no further service user within this category is to be admitted into the home The provider is required to apply for a variation of registration to included elderly dementia. Until this is approved no further service user within this category is to be admitted into the home. Appropriate risk assessments are required to be in place for those service users wearing lap belts. A clear audit trail and assessment which takes into consideration service users rights, capacity to consent and the risk is to be available for inspection for all service users who are wearing lap belts. A clear audit trail and assessment which takes into consideration service users rights, capacity to consent and the risk is to be available for inspection for all service users who are wearing lap belts. DS0000024657.V288097.R01.S.doc Timescale for action 20/03/06 2 OP12 CSA 2000 20/03/06 2 3 OP7 OP7 13(4,c) 12(2) 20/03/06 06/03/06 4 OP14 12(2) 06/03/06 Red Rose Care Home 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. Refer to Standard Good Practice Recommendations Red Rose Care Home DS0000024657.V288097.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Red Rose Care Home DS0000024657.V288097.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!