Inspection on 07/06/06 for Ridgemede Care Limited

This inspection was carried out on 7th June 2006.

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

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

Other inspections for this house

Ridgemede Care Limited 28/08/07

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Ridgemede Residential Care Limited Ridgemede Residential Care Rareridge Lane Bishops Waltham Southampton Hampshire SO32 1DX Lead Inspector Annie Billings Unannounced Inspection 7th June 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ridgemede Residential Care Limited DS0000067273.V296709.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. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgemede Residential Care Limited Address Ridgemede Residential Care Rareridge Lane Bishops Waltham Southampton Hampshire SO32 1DX 01489 892511 01489 894435 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) Ridgemede Residential Care Limited Mrs Lorraine Catherine Chummun Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Old age, registration, with number not falling within any other category (36), of places Physical disability over 65 years of age (4) Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th November 2005 Brief Description of the Service: Ridgemede is located in a quiet residential area of Bishops Waltham, with local amenities close by. The home is set in pleasant well maintained grounds and accommodation is arranged on two levels, in twenty-eight single and four shared rooms, all with en suite facilities. Communal areas include a large entrance foyer with comfortable seating, a quiet lounge overlooking the rear gardens, a comfortable sitting room, and separate dining room overlooking the gardens. Additional seating is provided in the grounds. The home is registered to accommodate 36 older people, those suffering with dementia, including up to four service users with a physical disability. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has recently been registered, to reflect the service provision by a limited company, although the management structure remains unchanged. This unannounced inspection took place over four hours plus an additional visit on the 14th April for a further four hours, to look at staff records and hold discussions with the manager. An opportunity was taken to look around parts of the home, view some records and talk to seven staff and eleven service users. All of the core standards were assessed during these visits, and four previous issues identified at the last inspection were followed up. Additional information was supplied within a pre-inspection questionnaire, and comment cards were received from ten service users and six relatives. What the service does well: What has improved since the last inspection? Staff have worked hard to improve the assessment and care planning process, and new systems are being introduced to ensure these processes continue to be developed. Written instructions are now obtained from GP’s following changes in medication. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 6 In response to a recommendation of the last inspection, arrangements are in place for the manager to attend training to allow staff to receive certificated training in the awareness of abuse. Residents’ meetings are now held on a regular basis, to ensure the full involvement of residents on how the service can be improved. New carpet runners have been fitted to the first floor galleried landing. 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. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 7 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 Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 8 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, 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Improvements to the pre-admission process ensure that service users are admitted following a full assessment of needs to confirm their needs can be met, although shortfalls in risk assessment processes compromises the safety of residents and staff. An intermediate care service is not provided. EVIDENCE: Three files were sampled of residents admitted since the last inspection. In response to a requirement at the last inspection, improvements have been made to the pre-admission assessment process, and each file contained a completed assessment of need. The manager advised of further development of this process by the introduction of detailed nutritional assessments and other screening tools, which will be completed following staff training. Risk assessments were available in respect of residents wishing to selfmedicate, and where a risk of falls has been identified. Further work is Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 9 necessary to ensure that any area of risk identified is assessed, and measures put in place to minimise risk is detailed within the care plan, particularly in respect of moving and handling and one resident identified as wandering. Two residents’ files viewed contained a falls risk assessment which identified a falls prevention programme being implemented, but no guidance was given on the level of risk, how staff should minimise the risk or what moving and handling procedures should be undertaken. One care plan states “give assistance where needed with mobility”, while another states “assistance with mobility of 1 or 2 staff”, but does not detail the assistance needed. One instance of poor moving and handling practice was observed during the visit. This was discussed with the senior member of staff on duty, who agreed this might be due to the lack of detail within the moving and handling assessment and care plan. Two residents advised that another resident had wandered into their bedrooms. One said this did not particularly concern them, as the resident left the room when told, although the other confirmed their increased anxiety. The resident’s file was subsequently viewed, and identified an increasing number of incidents of wandering, both inside and outside the home, but no risk assessment had been undertaken and measures taken to minimise risk were not detailed within the care plan. The manager agreed to undertake a risk assessment immediately, and to discuss a care management review with the family and care manager to ensure that appropriate control measures were put in place. A requirement made at the last inspection will therefore be repeated until appropriate assessments have been undertaken. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Systems are in place to ensure that personal care, health and medication are well managed, but the lack of regular care plan reviews does not ensure the guidance given to staff reflects residents’ changing needs. Residents are treated with respect, and their right to privacy promoted. EVIDENCE: Sampling of three recently admitted residents’ files demonstrated examples of good practice, and improvements in care planning. Profiles had been written on each individual giving a brief insight into their history and previous experiences. Recording systems are introduced to ensure that where a specific health care need is identified, i.e. fluid charts to encourage fluid intake or pressure area monitoring where a resident had been admitted with pressure sores, these are kept under review. The manager was reminded to ensure the Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 11 care plan gives specific guidance to staff as to when this should be undertaken, as one record seen was inconsistent. Following discussion at the last inspection about the lack of detail within care plans, the manager agreed to audit the existing residents’ care plans, to ensure that staff receive detailed guidance on how to meet peoples’ needs. This work has yet to be completed, and it was evident from files viewed that reviews are not been undertaken on a monthly basis. One care plan dated the 20.1.06 states “help and assist mobility” and “facilitate all physical and health needs”, but does not detail how or what needs. A risk assessment review dated the 9.3.06 states that 2 or 3 carers are required for transfers, but does not state when 2 or 3 are required, or what procedures should be undertaken. An evaluation on the 17.4.06 details the need for three carers and a handling belt for transfers. Further care notes dated the 22.5.06 mention bandaging on one leg and the need for two carers to hoist transfer. None of this information had been updated on the care plan. A requirement has been made to ensure that all care plans are reviewed on a monthly basis, to ensure that staff have detailed guidance on meeting the residents’ changing needs. Records of health support are good, and identify prompt referral to health care professionals when necessary. Several residents confirmed this and one said that the District Nurse visits them on a weekly basis. The home operates a monitored dosage system for the administration of medication, supplied by the local pharmacist. The records seen in relation to this are well maintained. Residents confirmed they receive their medication at regular times, and procedures are in place to monitor stock levels of medication. Self-medication is encouraged to promote the residents’ independence, and risk assessments were available on those files viewed. Records were also seen that confirm that written instructions are now obtained where a GP makes changes to medication, in response to a requirement of the last inspection. Staff undertaking the administration of medication confirmed they had received training and their competency assessed by the manager. External training has previously been discussed with the manager, although a senior member of staff advised that this had been delayed due to a change of pharmacist. Residents spoken with confirmed they are treated with respect at all times, and that any care is undertaken in the privacy of their own room. Two residents however commented on their privacy being compromised by the behaviour of another resident, and the manager agreed to take appropriate action following the outcome of a risk assessment, as mentioned under standard three. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Activities and routines in the home are based around residents’ preferences. Contact with families is encouraged and choice promoted in the provision of a balanced diet. EVIDENCE: Residents spoken with confirmed that routines in the home are flexible, and based around their own preference, as detailed within the files seen. This was confirmed through observation during both visits. All residents spoken with confirmed their satisfaction with the activities and outings provided, and the choice and quality of food, saying they could not think of any way in which the service could be improved. Comment cards received largely support this view, although two of the ten received suggest that appropriate activities are only provided sometimes, and one resident only likes the food sometimes. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 13 On the day of the visit, arrangements had been made to take the more dependent residents to the seaside for the day. Those spoken with said they had thoroughly enjoyed themselves. Relatives and residents confirmed that contact with families is encouraged and visiting routines are flexible. One relative commented on how welcoming and friendly Ridgemede is. Residents are regularly requested to make suggestions on activities and outings, as seen in a recently introduced newsletter, and as part of the quality assurance audits undertaken, to ensure these meet the interests and preferences of the residents. Menus seen offer a wide variety of choice, with fresh fruit and vegetables available on a daily basis. The cook advised that menus are planned around residents’ preference, informed through regular consultation, and although an alternative is not advertised, records seen confirm that these are always available. The results of a quality food audit undertaken in May 2005 confirmed a high level of satisfaction with the quality of the food. Residents can choose to take their meals in their own room or in the communal dining room, which is attractively laid out and overlooks the gardens. An inspection was undertaken by Winchester County Council Food Standards Agency on the 8.3.06. The report seen confirmed that no issues were identified. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. An appropriate complaints procedure has been developed that residents and relatives feel able to use. Staff have received training and have an awareness of abuse and the appropriate reporting procedures, which ensures that residents are protected. EVIDENCE: The home has developed an appropriate complaints policy and procedure, which all of those residents and relatives who commented said they were aware of. Residents spoken with said they felt able to talk to staff and the manager if they were unhappy, and felt confident that something would be done. No complaints have been received since the last inspection. All staff spoken with, including one recently employed staff member had a good awareness of abuse issues, and the appropriate reporting procedures, and confirmed they had received training from the manager. As a result of a recommendation at the last inspection, the manager is booked to attend a ‘Train the Trainer’ course on abuse awareness on the 5.7.06, to allow future training of staff to be certificated. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a clean, safe, and well-maintained home. EVIDENCE: The premises are homely and comfortably furnished, with a variety of communal areas available. A full time maintenance manager is employed, to ensure that all minor maintenance issues are dealt with promptly and efficiently. The maintenance book was sampled, and demonstrated that issues identified had been dealt on the day of reporting. Since the last inspection the rolling programme of decoration has continued, to include WC’s, laundry, office and one bathroom. Additional grab rails have also been fitted where necessary. New carpet runners have been laid on the first floor galleried landing, in response to a requirement of the last inspection. The wooden dining room floor has become badly scuffed in some areas. This was Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 16 discussed at the last inspection and plans are already in place to address this later in the year. All areas of the home viewed were clean and hygienic, and staff spoken with were commended on their standards of cleanliness. Residents further confirmed their rooms are cleaned to a high standard, on a daily basis. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Residents are support by well-trained staff in sufficient numbers to ensure that residents’ needs are met. Satisfactory arrangements are in place to ensure that residents are protected by the recruitment practices in the home. EVIDENCE: The staff rotas sampled demonstrated that five care staff are on morning shift, three or four until 5pm, and four until 8.30pm. This is in addition to the registered manager and/or another senior member of the management team, who provides additional support to the staff team, as well as maintenance and ancillary staff. Two staff are on awake night duty. No sleep-in member of staff was identified on the rota, nor specific management hours identified, although the need for this to be clearly identified on the rota was discussed at the last inspection. The manager agreed to correct this. Staff spoken with confirmed they do not feel under pressure and that staffing levels are maintained without the need for agency staff. Staff spoken with also confirmed that the team work well together, and there is a good team spirit. Comments made by relatives and residents also confirm that staffing levels are appropriate, and that staff are “very kind, attentive and helpful”, “have a very high standard of commitment to the residents” and “the carers are excellent”. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 18 The pre-inspection questionnaire confirms that only three staff have achieved a National Vocational Qualification (NVQ level 3), with one senior member of staff already commenced on NVQ level 4, although the manager advised that a further four staff were to commence NVQ training shortly, and was continuing to actively encourage other staff to undertake training. Five other staff already hold nursing or social care qualifications. Three staff files were viewed, and confirmed that thorough checks are undertaken, including a criminal records bureau check, prior to employment. The manager has again been reminded to ensure that interview notes are kept on file, to demonstrate that issues identified within application forms submitted are addressed during the interview process. Staff confirmed they receive regular training, both internal and external. Records of training undertaken were viewed, that confirmed a wide variety of training courses. Some shortfalls in update training were identified, although dates have already been booked for these to take place. Discussion with a new member of staff confirmed they had received a one-day induction into the home’s procedures, and that attendance at a full induction had already been planned. The manager confirmed the induction and foundation training is provided to all staff, which meets the specifications of the Sector Skills Council, although workbooks are held by staff members, and were not available to sample. Following discussion with the manager at the last inspection, job descriptions have now been developed to ensure that senior members of staff are fully aware of their roles and responsibilities. In addition to training, the manager advised that staff are regularly set assignments on specific subject matter, to improve their knowledge, skills, understanding and to enhance the level of care provided. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well managed, and financial interests of residents protected, but shortfalls in risk assessments compromise the safety of staff and residents. The quality assurance system continues to be developed to demonstrate the home is run in the best interests of the residents. EVIDENCE: The manager is a qualified general and mental health nurse, and has been managing the home since April 2004. Additional management support is provided by another director of the company, also a registered nurse, who is actively involved in the daily operation of the home. Discussions with the manager confirmed they undertake periodic training to update their skills, and is booked to attend a Train the Trainer course on abuse, to enable this Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 20 knowledge to be cascaded to staff. Evidence seen further demonstrates their continued research via the Internet and professional organisations into ways of improving the service. Quality assurance questionnaires are provided to all residents within their service user guide, but the home has received little response, although annual audits undertaken in 2005 in relation to specific areas of service provision, i.e. food quality and activities have demonstrated a high level of satisfaction. This area still needs to be developed and undertaken on a regular basis, to include families and health professionals visiting the home. Regular formal residents meetings are now held, to ensure they are fully involved in the running of the service. Residents spoken with said these were a good idea, although one said they had yet to be implemented. A suggestion was made that minutes of these meetings should be made available to those residents unable to attend the meeting. The manager agreed to do this. Since the last inspection, senior staff are working with the residents to issue a residents’ newsletter. The first was issued in May, and an invitation for further involvement and ideas was issued at the last residents’ meeting. The home does not keep personal allowances for residents, and prefers that families deal with resident’s finances. Inventories of personal items brought into the home were seen on resident’s files. Maintenance records viewed confirmed that the home ensures that equipment and appliances in the home are appropriately serviced and maintained, including regular audits of the environment, and maintenance checks on wheelchairs undertaken by the maintenance manager. Sampling of the maintenance book confirmed that issues identified had been addressed within the same day. Accident reports sampled have been improved and now provide details on the action taken following any incident, although the senior staff member spoken with was reminded to ensure that action detailed i.e. “Check ½ hourly” can be demonstrated within the care notes, and that reports are filed appropriately to ensure confidentiality. Observation of unsafe moving and handling practice, and shortfalls in risk assessments already identified earlier in the report, particularly in respect of falls, moving and handling and wandering do not ensure that measures are taken to adequately ensure the health, safety and welfare of staff and residents. A requirement has therefore been repeated. Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 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 2 X X N/A 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 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 2 Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 13[4] Requirement The registered manager must ensure that any area of potential risk to service users and staff must be risk assessed, and appropriate action taken to minimise the risk. Previous timescale of 31.8.05 and 31.1.06 not met. The registered manager must ensure that care plans are kept under review and are regularly updated to reflect service users’ changing needs. Timescale for action 31/08/06 2. OP7 15[2]b 31/08/06 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 Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Ridgemede Residential Care Limited DS0000067273.V296709.R01.S.doc Version 5.2 Page 24 - 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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