Inspection on 03/07/08 for South Park Residential Home

This inspection was carried out on 3rd July 2008.

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

South Park Residential Home 02/05/07

South Park Residential Home 04/05/06

South Park Residential Home 21/10/05

South Park Residential Home 25/04/05

South Park Residential Home 05/10/04

South Park Residential Home 22/04/04

South Park Residential Home 08/01/04

South Park Residential Home 15/10/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE South Park Residential Home 193 South Park Road Wimbledon London SW19 8RY Lead Inspector Liz O`Reilly Unannounced Inspection 3rd July 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address South Park Residential Home DS0000027229.V366486.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. South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South Park Residential Home Address 193 South Park Road Wimbledon London SW19 8RY 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) 0208 296 9602 020 8944 1915 lanoireuk@aol.com South Park Residential Home Ltd Ms Rose Hughes Care Home 11 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (11) of places South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd May 2007 Brief Description of the Service: South Park Residential Home provides accommodation and care for eleven older people. The home is privately owned and is located in a residential area of Wimbledon, close to shops, churches of different denominations and good public transport links. Accommodation is provided over two floors serviced by a lift. Current fees range from £425 to £440 per week. South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means people who use this service experience adequate quality outcomes. This unannounced inspection was carried out by one Regulation Manager and one Regulation Inspector over one day. We had the opportunity to speak with six people who use the service, one member of staff and the home manager. Before we visited the service we supplied surveys for people who use the service and staff. We have used information from all of these sources along with our observations to reach the judgements in this report. The organisation completed their own assessment of the service (AQAA). However in a number of instances this document appeared not to relate to this service. The Responsible Individual must ensure that, in future, information provided in this document is accurate and relating to this particular service. What the service does well: What has improved since the last inspection? South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 6 Staff have continued to make improvements in the care plans for individuals which helps in providing a more person centred service. The Service User Guide has been reviewed which ensures that people who use the service are provided with up to date information on what they can expect from the service. Risk assessments are in place which makes sure that individuals are supported to take informed risks. The complaints procedure is on display in the service for people who use the service and visitors. The manager is keeping a record of repairs which should assist in providing a better maintained environment. 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. South Park Residential Home DS0000027229.V366486.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 South Park Residential Home DS0000027229.V366486.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): 1, 3 & 6 People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who use the service are given information on what they can expect from the service. Assessments are carried out to make sure that the needs of individuals are known, and can be met, before they move in. EVIDENCE: A Service User Guide has been produced for the home. This provides individuals with information on what they can expect from the service should they choose to move in. This document could be more easily accessiblexzxxx no reg 6. The manager encourages individuals and their family or friends to visit the home, where possible, before they make any decision about moving in. South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 9 We looked at a sample of files for people who use the service. We found pre admission assessments had been carried out, by staff from the local authority, before admission. These assessments ensure that the service can meet the needs of individuals. Assessments are also used to make sure that staff have some knowledge about the needs and preferences of individuals before they move in. People who use the service or their representatives are requested to complete a personal questionnaire which provides more details of individual preferences, life history and interests. South Park Residential Home DS0000027229.V366486.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 & 10 People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Each person who uses the service is provided with a care plan which sets out their individual needs. These plans could be more person centred and include evidence of consultation with the individuals concerned. The health care needs of people who use the service are met. EVIDENCE: Each person using the service is provided with a care plan setting out individual needs and preferences. Staff are reviewing care plans each month which ensures that the care provided is adjusted should there be any changes in individual circumstances. Care plans include information on daily living skills, care needs, leisure, health and emotional well being. Staff have included some good information on the South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 11 social history of people who use the service which assists in providing more person centred care. Care plans should include more detail on how people are to be supported along with their individual likes and dislikes. For example staff had included information that one person prefers to have a bath once a week, but there were no details about their preferred day, the time of day, which bathroom they preferred and their preferences around toiletries. This type of additional information throughout the records would assist in providing a more person centred care plan. We found no evidence that people who use the service, or their representatives had been consulted on the care plan. Care plans need to be compiled and agreed with the individual concerned and or their representatives. This will ensure that people who use the service receive the support they need in the manner they wish. Risk assessments are in place but these need to be reviewed on a regular basis to ensure the health and safety of people using the service. Staff had in some instances included details of the support needed for different activities along with the number of staff required. However this was not the case in each file we looked at. We found a number of occasions where staff had completed documents without signing or dating them. To make sure that people are receiving the right level of support staff must sign and date all records. People who use the service told us they always receive the medical support they need. We found medication to be well managed with good record keeping. Staff support people to attend health care appointments and arrangements are in place for regular visits to the service from a dentist and dental hygienist, a chiropodist and an optician. Individuals are also free to use local services in the community for check ups and treatment. GP’s visit the service when required and district nurses will visit should anyone need treatment for dressings or to provide injections. We saw that health care appointments were recorded in the care planning documents along with regular checks on the weight of people using the service. We observed staff supporting people in a sensitive and gentle manner. Staff took time to explain things to individuals and offered assistance in a discreet way. We found staff to be well informed on the individual needs of the people they were supporting. South Park Residential Home DS0000027229.V366486.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 & 15 People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who use this service are offered opportunities to take part in a variety of activities. Staff consult with individuals on a daily basis about what they would like to do. Mealtimes are paced to suit the needs of individuals. Further work could be done on including more detailed information on social interests in care planning. EVIDENCE: People who use the service told us they make their own decisions about what they do each day. An activities programme is produced but staff use this flexibly taking into account what people want to do on a day to day basis. We observed people engaged in activities of their own choosing. Individuals have opportunities to take part in daily domestic tasks such as setting tables and tidying. We found in one file a very good social history. This type of information can assist in supporting people particularly where individuals have difficulty in South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 13 communicating or problems with their short term memory. Staff should consider how they could extend the life history information for each person and how the life history of people could be used in providing activities. We observed that staff have a very good understanding of the individual preferences of the people they support. One person who uses the service told us “I like to watch TV and listen to the radio and I can do that here”. At the time of this visit two medical students were working in the home on a voluntary basis and were engaging people in activities and discussions. Arrangements are made for trips out. One person told us they very much enjoy going out for a pub lunch. People who use the service told us that they enjoyed the food provided. One person told us “the food is good and there is plenty of it”. Another person told us “I like the meals, I am never hungry”. A four week menu is in place but again this is used flexibly with people who use the service asked in the morning what they would like for their main meal which is served at lunchtime. The day before this visit people has enjoyed a barbeque at lunchtime. Although the menu does not show a specific alternative each day a list of numerous alternatives available everyday is in place. Staff keep a record of the meals take by each person each day. We found the cook has a good understanding of the individual likes and dislikes of people. The organisation included, in their assessment of the service, information about an activities coordinator and the completion of a daily menu choice form. This service does not employ an activities coordinator and do not use daily menu choice forms. South Park Residential Home DS0000027229.V366486.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 & 18 People who use this service experience adequate quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. A complaint procedure is in place. The manager understands the procedures for safeguarding people. Staff have received training on protecting people from abuse but this needs to be kept up to date. The records of recruitment need to be up to date to ensure the safety of people using the service. EVIDENCE: The complaints procedure is on display in the service. Systems are in place for all complaints to be recorded along with details of any actions taken and outcomes. Staff were found to have a good understanding of what they need to do should anyone approach them with a complaint. People who use the service told us that they knew who to speak to if they were not happy with the service. Individuals told us they were confident that staff would “sort out” any minor concerns and that the manager would listen to them if they were not happy. One person told us “I have no complaints whatsoever” another said, “I can go to the carers, I’m not afraid to do that”. Staff have had training in safeguarding people. Records suggest that this had mostly been completed through previous NVQ training. The home owner must South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 15 ensure that this training is kept up to date to ensure the safety of people who use the service. The records required on the checks carried out for staff before they start work in the home must also be available. South Park Residential Home DS0000027229.V366486.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, 20, 24, 25 & 26 People who use this service experience poor quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. People who use this service are provided with a comfortable and homely environment. However there are a significant repairs outstanding and furnishings are showing significant signs of wear and tear. More care needs to be taken to ensure that the building is cleaned thoroughly. EVIDENCE: At the time of the last inspection of the service a requirement that all damaged chairs must be replaced was made. This has not been done. We found a number of armchairs in the lounge area were badly damaged, one chair in a bedroom was being held up by a storage box and dining chairs were in need of repair. South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 17 We found, in bedroom five, the light fitting needed replacement, the carpet is in very poor condition and the decorating had been completed to a poor standard. Bathrooms are in poor condition. On the first floor we found the grab rail to be rusting and the bath chair to be in need of replacement. On the ground floor, in the bathroom and shower room the facia behind the toilets was in poor condition. Generally the home was found to be clean and tidy however all bathrooms and toilets were in need of a deep clean to include extractor fans and tiles. A review of all the flooring in bedrooms needs to be carried out and where regular cleaning does not leave rooms clean and fresh new flooring must be installed. The doormat to the patio doors in the lounge is in poor condition. It is of serious concern that the fire escape door could not be closed, the alarm to this door was not working, the fire door to the top of the stairs could not be closed and one door in the ground floor corridor designated as a fire door was not closing properly. We also noted that not all windows were fitted with window restrictors. We sent a letter to the home owner requiring repairs be made to the fire doors and that window restrictors be fitted with short timescales for completion due to the risks posed to people who use the service. We visited the home again and found these repairs had been carried out. The owner stated in their assessment of the service that there were stocked fridges in dining areas of units in the home. This information does not refer to this service. Were also informed, through this document, that a rolling programme for the redecoration and replacement of soft furnishings and carpets around the home was in place. We found this to be inaccurate. South Park Residential Home DS0000027229.V366486.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 & 30 People who use this service experience adequate quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. There are enough staff on duty at any one time to meet the needs of individuals living at the service at the time of this visit. Staff have a good knowledge of the needs of people they support. The records of pre employment checks for staff are not sufficient. The opportunities for training do not meet minimum standards. EVIDENCE: People who use the service told us they were very happy with the staff group and their approach. Staff were described as “lovely”, “very good” and “very patient with people”. We observed staff working in a considerate and gentle manner. There are two care staff on duty at all times during the day. At night one member of staff is awake with another member of staff asleep on the premises. A record of any times when the person sleeping has been called to assist with care during the night is kept. This makes sure that staffing levels remain sufficient. South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 19 In addition to the care staff, the manager, a cook and a cleaner are also on duty during the day. At the time of the last inspection a requirement was made for the records of pre employment checks on staff to be up to date. We found this had not been done. These checks assist in ensuring the safety of people who use the service. This requirement is therefore carried forward. Failure to comply with this requirement may result in legal action being taken by the CSCI. We looked at staff training records. Staff have been provided with opportunities for training however the records showed staff had not been provided with any training since February 2007. In order to ensure that people who use the service are supported by a well informed and trained staff group further opportunities must be provided for staff to receive up to date training. The assessment of the service by the owner stated that staff had received additional training on safeguarding people and challenging behaviour over the last 12 months. We were also informed through the assessment that staff had been provided with training on mental health issues, dementia care, infection control and supervision. We found no evidence to support these statements. The owner also stated that plans for improvement were for staff to commence NVQ level 3 training. South Park Residential Home DS0000027229.V366486.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 & 38 People who use this service experience adequate quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The manager has the experience and knowledge to manage the service. Regular checks are carried out to ensure the health and safety of people who use the service, staff and visitors. The poor condition of fire doors and the lack of window restrictors on all windows puts the safety of people who use the service at risk. EVIDENCE: South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 21 The manager has been working in the service for many years and has a good understanding of the needs and preferences of people who use the service. Staff told us that they felt well supported by the manager. The manager informed us that she had completed NVQ level 4 but still had not received the certificate. This issue has been outstanding for some time. The organisation should make sure that when staff have completed training certificates are on file. Systems are in place for people who use the service to leave small amounts of cash with the manager for safekeeping. At the time of this visit we were informed by the manager that she was not holding any money. People who use the service are consulted on day to day issues through regular meetings where they can raise concerns or make suggestions. We were informed that the organisation had sent out surveys to people who use the service but the service has not as yet received any feedback from these surveys. An annual review of the service has not been completed. Staff carry out regular checks on the environment to make sure it remains safe. We looked at the record of checks on fire alarms, hot water and lift maintenance. These checks were up to date. Fire drills are held on a regular basis to make sure that staff and people who use the service know what to do should the alarms go off. We found a number of sinks supplied with bars of soap and fabric towels. To decrease the risk of cross infection sinks need to be supplied with paper towels and liquid soap in appropriate dispensers. In order to make sure that the safety of people who use the service is protected any repairs needed to fire doors or windows must be carried out without delay in future. South Park Residential Home DS0000027229.V366486.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 2 X 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 2 X X X 2 2 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 5 Requirement In order to make sure that people who use the service receive the care and support they need in the way they wish evidence of consultation with individuals or their representatives on their care plan must be in place. Individual risk assessments must be reviewed on a regular basis in order to protect people who use the service. Timescale for action 26/10/08 2. OP8 13(4) 26/09/08 3. OP30 18(1)( c) To make sure that staff can meet 26/09/08 the needs of people who use the service all staff must be provided with up to date training. A copy of the training programme for the next twelve months must be provided to the CSCI. 4. OP29 19 Schedule 2 In order to ensure the protection 26/09/08 of people using the service the following pre employment checks DS0000027229.V366486.R01.S.doc Version 5.2 Page 24 South Park Residential Home must be carried out :• • Two written references one of which from the last employer Written confirmation from the last employer wherever possible of why they left their job if this work involved children or vulnerable adults A full employment history with explanations for any gaps in employment • 5. OP19 23(2)(b) (c)(d) 6. OP20 23(2)(c) Timescale of 01/06/08 not met. To make sure the people who 26/10/08 use the service are provided with a safe, well maintained environment the following actions must be taken:• An audit of the environment throughout the service, taking into account the issues noted in the body of this report, must be carried out. • An action plan for the repair or replacement of furnishings, fittings and aids following this audit must be provided to the CSCI. • To ensure that people who use 26/10/08 the service are provided with well maintained furnishings an audit of the chairs in the home must be carried out. All damaged chairs must be replaced. Timescale of 01/06/08 not met. 7. OP26 23(2)(d) To make sure that people who 26/09/08 use the service are provided with a clean environment all bathrooms and toilets must DS0000027229.V366486.R01.S.doc Version 5.2 Page 25 South Park Residential Home receive further cleaning, on a regular basis, to include extractor fans and tiling. 8. OP38 13(4)(c ) To reduce the risk of cross infection sinks need to be supplied with paper towels and liquid soap in appropriate dispensers. 26/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations In order to ensure that residents are provided with care tailored to their individual needs and strengths the home manager or senior member of staff should be provided with training on person centred care planning. To assist in making sure that people who use the service are provided with the support they need more information on how the needs and wishes of people will be provided should be included in the care planning. To make sure that care planning and health care documents are kept up to date all staff need to sign and date all records. The results of surveys carried out by the organisation should be published and used as part of the annual service review. The views of people who use the service should inform the development plan for the service. 2. OP7 3. 4. OP7 OP8 OP33 South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 South Park Residential Home DS0000027229.V366486.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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