Inspection on 17/12/07 for Rosedale

This inspection was carried out on 17th December 2007.

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

Rosedale 11/08/06

Rosedale 13/12/05

Rosedale 05/08/05

Rosedale 03/08/04

Rosedale 20/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Rosedale 25 Kings Road Horsham West Sussex RH13 5PP Lead Inspector Gwyneth Bryant Key Unannounced Inspection 07:45 17th December 2007 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 Rosedale DS0000014688.V354000.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. Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosedale Address 25 Kings Road Horsham West Sussex RH13 5PP 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) 01403 265236 Mrs Rosemary Adele Pavoni Mr Adelindo Pavoni Mrs Rosemary Adele Pavoni Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th August 2006 Brief Description of the Service: Rosedale is a care home registered to provide personal care and accommodation for up to eighteen people over the age of sixty-five who are not in need of nursing care. It is a Victorian house situated in a residential area near to Horsham town centre. It has fourteen bedrooms of which three are double and four have ensuite facilities. All bedrooms have at least a hand wash basin. There is one large lounge and a smaller area overlooking the rear garden. There is a main dining room and some of the frailer service users are able to use a smaller dining room to enable staff to give them more individual attention. Level access to all floors is facilitated by the provision of stair lifts and a ramp to the lounge areas. There is a large well maintained rear garden which boasts a bird table and pet rabbits. There is a good size frontage that provides parking for up to eight vehicles. As from August 2007 the fees are from £351 to £450, which includes activities and outings. Additional charges are made for hairdressing, toiletries, chiropody, newspapers and dry cleaning. Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place in just under six hours. The purpose of the inspection was to check compliance with the key standards and other standards as necessary. There were eighteen people in residence on the day one of whom was in hospital. Three people living in Rosedale were spoken with individually, in addition to discussion with two care staff, the cook and the Registered Manager. A tour of the premises was carried out and a range of documentation was viewed including care plans, personnel and medication records. Twenty-five surveys were returned of which eleven were from staff, six from families and eight from people living in Rosedale six of whom needed help from staff and families to complete the survey. In the main, comments were positive with people praising the level of care given but both staff and people living in the home mentioned the lack of activities. Information was requested from the Registered Providers prior to the site visit and was provided. This information is included in the report as necessary. Comments included: • • • • • • • • • • Tends to most needs of my mother They are caring – cannot find any fault Very satisfied with the home Takes time to listen to their troubles There have been no concerns over my friends care Any requests are met with a sympathetic and supportive response. Provides a caring and homely atmosphere Treats residents as individuals (Name) and her staff have a warm and caring attitude to their residents and are happy to go that extra mile to make life happier and more comfortable for those in their care. Telephone messages are always relayed immediately and mum is able to use the telephone to speak to anyone who calls. What the service does well: The atmosphere of the home was relaxed and homely. People living in the home were seen to be treated with care and respect by staff and daily routines are flexible ensuring that people using the service have the opportunity to maintain control over their daily lives. People are encouraged to bring their own possessions in order to personalise their individual rooms and many have done so. The home is well maintained throughout which ensures it is a comfortable and attractive place in which to live. Meals are good with provision made for those who have particular dietary needs ensuring that people have a varied and well balanced diet. Systems for dealing with complaints are Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 6 satisfactory ensuring that any concerns are listened to and acted upon. All staff provides the required documentation prior to starting work ensuring that people living in the home are not at risk. People living in the home are regularly consulted by the provision of a resident’s forum and staff induction is carried out in accordance with the Skills for Care Council guidance ensuring that all new staff are familiar with the practices in the home. There is a comprehensive staff training programme and the home is on target to exceed the required 50 of staff with at least National Vocational Qualification Level 2 in care. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Rosedale DS0000014688.V354000.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 Rosedale DS0000014688.V354000.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. All people moving into Rosedale must have their needs assessed to ensure that the home can meet those needs. EVIDENCE: Pre-admission documentation was viewed for recent admissions and while they identify care needs they need to be expanded to include how the home will meet assessed needs. The Registered Manager had not assessed one person who had been recently admitted. As this person was admitted from a London hospital the Registered Manager accepted the assessment from the placing authority, however it did not accurately reflect their care needs. Although the home is endeavouring to meet this lady’s’ needs, the Registered Manager agreed that it is not possible to do so in the long term and has already arranged a reassessment for early January. Comments in returned surveys included: • I was able to stay at Rosedale for several weeks to see if I was happy here before making my final decision. Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 9 • • The manager always visits residents in their homes prior to admissionshe is available to answer questions and discuss any queries and gives regular updates. The owner visited me at home and I was happy with her and what she said about Rosedale – I was happy to move in In addition to those people resident in Rosedale the home provides day care for up to two additional people and the Registered Manager needs to monitor the impact of the day care facilities in respect of communal space and staffing levels. Rosedale DS0000014688.V354000.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. . Care planning systems reflect the current needs of people living in the home but improvements need to be made to the safe handling and recording of medication and risk assessments need to be more detailed. EVIDENCE: Six care plans were viewed, in conjunction with daily notes and medication records. Some aspects of the care plans were very good with preferred daily routines identified and followed in line with the individuals’ choice. While care needs were identified there is an assumption that all staff are aware of how to meet those needs; care plans would be improved if they included clear direction to staff on meeting assessed needs. Basic risk assessments have been carried out and these also need to be expanded to include details of identified hazards and the controls in place to reduce risk. This is in particular for risks associated with tissue breakdown, self-medication, and falls and for those with specific disabilities such as impaired sight. Daily notes are maintained and these are variable with some providing sufficient details to inform the care plan reviews and others that are bland in that they merely Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 11 state ‘had a good day’. It was good to note that the daily notes indicated that people living in Rosedale are offered drinks and snacks if they wake at night or are unsettled in the evening. In addition, daily notes showed that staff used their initiative when giving certain medication by administering it when it is needed rather than adhering to a rigid timetable. Observation of staff practice and discussion with them and the Registered Manager indicated that care plans do not reflect the work put in by staff to provide good care, based on creating a relaxed rapport with people living in Rosedale. Good record keeping is essential to ensure all staff are able to provide a person centred level of care. Healthcare needs are met with people being asked if they wish to retain their own opticians, dentists, GP’s and chiropodists or use the ones who regularly visit the home. Weight charts are maintained and most people have gained weight since moving into Rosedale, indicating that food is enjoyed. Comments in returned surveys included: • The ‘girls’ are all very nice and kind • We are lucky to have found Rosedale • I am very lucky and pleased to be in this home • My friend is very happy in Rosedale and always says how lucky she is to be there. • This is an exceptionally good care home. • Rosedale provides superb care in a lovely family atmosphere • Excellent staff – they do all they can for you • Rosedale provides a homely atmosphere. • Staff are always willing to go the extra mile. • The care given to my friend has been wonderful. She has improved physically and mentally due to the unstinting care show to her by (name) and her staff. Staff training records showed that all staff who administer medication have received appropriate training, via distance learning, however, it is not always put into practice. Medication Administration Records were viewed and a number of signatures had been overwritten to show medication had been refused, this suggests that staff are signing the chart prior to the medication being administered. In addition there were a number of gaps, signatures scribbled out and correction paper used to delete signatures. It is important to ensure there are clear records to show whether or not medication has been administered and by whom. Despite these shortfalls, one carer spoken with demonstrated a good knowledge of good practice including not signing for medication until it has been administered. All of the shortfalls in respect of person care were discussed with the Registered Manager who agreed to address them with immediate effect. Throughout the site visit staff were seen to treat people living in the home with care and respect and this was confirmed by those spoken with all of whom spoke highly of the care given by staff. Rosedale DS0000014688.V354000.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. . People in the home have the opportunity to experience a lifestyle that mostly matches their expectations, choice and preferences in respect of leisure activities and meals. EVIDENCE: Activities are provided four days a week and include board games, quizzes and visiting entertainers. Additional Christmas activities have been planned with carol concerts and other musical entertainment. The Registered Manager agreed that it would be better to have daily activities and she is in the process of arranging visits from befrienders during weekends. Those spoken with confirmed that they go out into the community with family and friends to attend local clubs and that their visitors are always made welcome. Comments from surveys included: • • I think more activities could be arranged (for service users). We have discussed this at staff meetings and its being looked into by the manager. We need more activities for residents especially at weekends. DS0000014688.V354000.R01.S.doc Version 5.2 Page 13 Rosedale • • • • • • • • • • • To improve - perhaps more activities. The staff are very friendly and welcoming to visitors Provides excellent meals I like the food very much – I am given a choice of food and how big a portion I would like. We have good food and good cooks Involves residents in activities The activities are very good but I must admit that I don’t always make the most of them. But I am not pressured to join in if I don’t want to. I can have as much as I like (food) and have fruit etc in between meals if I want it Not always keen on activities I do my best to enjoy the music and anything else that is going on Meals are exceptionally good and if there is something I don’t like I can have something different Those people spoken with said how much they enjoyed the meals and the cook confirmed she is aware of individual dietary requirements such as diabetic and pureed meals. On the day she was preparing a hearty homemade vegetable soup and one person said how much they enjoyed the homemade soup and particular desserts. On arrival discussion with a carer found that people living in Rosedale are able to choose both the time and venue of their breakfast, with some having breakfast in their rooms while others have a later meal in the dining room. Rosedale DS0000014688.V354000.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. . The home has a satisfactory complaints procedure with evidence that those living in the home feel that their views are listened to and acted upon. People living in the home are further protected by satisfactory adult protection systems. EVIDENCE: Information from the Registered Providers provided prior to the site visit confirmed that there are policies and procedures on both complaints and safeguarding adults. The complaints book was viewed and it was found that all complaints are recorded and include actions taken and outcomes. People living in Rosedale are also consulted via the residents’ forums and the minutes from these meetings showed that they are encouraged to raise any concerns or make suggestions on improving the service. Comments in returned surveys included: • • • • • Very happy here and much, much happier than when I was living at home. I have never had any cause to complain. Always happy but do know who to speak to if I were unhappy Staff mostly listen to what you say. They are very kind and spend time with me if I have something to say Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 15 All staff have received training in Protection of Vulnerable Adults and the Registered Manager is qualified to continue training staff as an on-going process. People spoken with said they would be happy to speak to staff or the manager should they have any concerns. Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The standard of decor within the home is good, providing people living in the home a safe, homely and comfortable environment. EVIDENCE: A tour of the premises was carried out and most individual bedrooms were inspected. The home continues to provide a safe and comfortable place in which to live and a number of people have taken the opportunity to bring in personal possessions in order to personal their rooms. All bedrooms and communal areas were well maintained and nicely decorated, with the exception of one toilet, whereby the flooring needed to be sealed to reduce the risk of cross contamination. This was discussed with the Registered Manager who confirmed that a grant has been obtained from the local authority to renovate this toilet and include a shower room and the floor will be sealed during the renovations. Comments in returned surveys included: • The home is always clean smelling. DS0000014688.V354000.R01.S.doc Version 5.2 Page 17 Rosedale • • • • While I think all public areas look clean. I think a little more care could be made to the cleanliness of some of the bathrooms. It is a very homely place to live The home is kept spotlessly clean I am well fed – clean & warm. The laundry facilities are satisfactory and washing machines are able to wash clothes at temperatures that control the risk of infection. Staff are trained in infection control and were seen to be working in ways that minimised the risk of cross contamination. Information provided prior to the site visit indicated that there is an on-going maintenance and refurbishment programme for all parts of the home. Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of trained staff to ensure the needs of people living in Rosedale are met and people are protected by robust recruitment practice. EVIDENCE: There are three carers on duty for the morning shift and two for the afternoon and evening periods. Night staffing comprises one waking and one sleeping carer. In addition cooks and domestics are employed. Of the twenty-two care staff over 50 have at least National Vocational Qualification Level 2 in care and there is a plan to reach a target of 70 of care staff with this qualification. Four staff have achieved National Vocational Qualification at Level 3 and a further three are working towards this level. Recruitment records for the last two people to be employed were viewed and these showed that all the required information had been provided including Criminal Record Bureau and Protection of Vulnerable Adults checks, two written references and proof of identity. There is a comprehensive staff induction training programme in place that meets the Skills for Care requirements and ensure staff are familiar with working practices at the home. Comments from staff surveys included: • • Could be better communication between staff during handovers The residents receive good care and support DS0000014688.V354000.R01.S.doc Version 5.2 Page 19 Rosedale • • • • • • • • • • • • • Perhaps more staff We have regular staff meetings and training to keep us up to date. I feel supported with monthly meetings and one-to-one if needed. All information is given in induction We have support once a month at staff meetings and one-to-one basis I feel the residents are our employers and they have an input into the running of their home. In my opinion the standard of care is very high (Staff) Provides a high standard of care to all who use it We have training every month We have daily diary sheets which are filled in at the end of the shift and we have verbal handovers between each change of shift. I have done quite a lot of training and am working towards National Vocational Qualification 2. I feel we are a very good team – working well together and that we look after our service users extremely well. We provide a homely, friendly atmosphere. Staff training records showed that all staff have been trained in fire safety, Protection of Vulnerable Adults and moving and handling with a number who have also been trained in dementia care and first aid. Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service is well managed and most aspects of the welfare, safety and health of people living in the home are protected and promoted. EVIDENCE: The Registered Manager has a extensive experience in the care industry giving her a wide knowledge of the care needs of older people. She exceeds the required level of care related training and has a management qualification. In addition she has up-to-date knowledge of current care practices and has undertaken a number of courses enabling her to provide training to staff. The ethos of the home is open and inclusive and throughout the site visit staff, visitors, healthcare professionals and people living in Rosedale were seen to approach the manager with any concerns or for a chat. Information provided prior to the site visit indicated a number of quality monitoring systems including regular residents forums and staff meetings. Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 21 Small amounts of money are held for people living in the home and all transactions are recorded and receipts provided as necessary. Comments in staff surveys included: • • • • My manager is very easy to contact and meet up with and chat to for any help or advice. This is a very well run home The manager and staff are excellent (name) encourages and promotes staff training which is reflected in the care provided, which is of a very high standard. Despite the comprehensive staff training it was disappointing that two carers were seen to transfer a person in a way that put both them and the person at risk of injury. This was discussed with the Registered Manager who agreed to address the matter with them and provide refresher training. Information provided prior to the site visit showed that regular safety checks are carried out on all equipment, electrical and gas appliances and systems and all policies and procedures are regularly reviewed. All staff receive regular fire safety training and a fire risk assessment has been carried out and identified shortfalls addressed. Regular fire drills are carried and fire alarm systems regularly tested ensuring neither staff nor people living in the home are at risk in the event of fire. Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 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 X X 2 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 2 Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 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 Standard OP3 Regulation 14 (1) (a) (b) (c) (d) 13 (4) (b) (c) Requirement That the pre-admission document includes information on how the home will meet assessed needs. Risk assessments for those at risk of falls, self medication, tissue breakdown, need to include the management of the risk and be regularly reviewed. Particular attention needs to be given to those service users with disabilities such as impaired sight. That care plans include direction to staff in meeting identified care needs of service users and service users need to be involved in the compilation and review of care plans. That all medication administration records are clear, accurate and up to date. That staff follow good practice in respect of moving and handling service users. Timescale for action 17/01/08 2. OP7 17/02/08 3 OP7 15(1) (2)(b)(c) 17/01/08 4 5 OP9 OP38 13 (2) 13 (5) 17/01/08 17/01/08 Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 24 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 OP12 Good Practice Recommendations Consideration needs to be given to the provision of activities on a daily basis. Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Rosedale DS0000014688.V354000.R01.S.doc Version 5.2 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. 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!