Inspection on 23/10/07 for Tanglewood Care Home

This inspection was carried out on 23rd October 2007.

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 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

Tanglewood Care Home 08/06/06

Tanglewood Care Home 27/01/06

Tanglewood Care Home 10/08/05

Tanglewood Care Home 04/02/05

Tanglewood Care Home 15/07/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Tanglewood Care Home 36 Louth Road Horncastle Lincs LN9 6EN Lead Inspector Kathryn Emmons Unannounced Inspection 09:30 23 October 2007 rd 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 DS0000002521.V341345.R03.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. DS0000002521.V341345.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tanglewood Care Home Address 36 Louth Road Horncastle Lincs LN9 6EN 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) 01507 527265 01507 527965 oluremi@twhealthcare.co.uk www.tanglewoodcarehomes.co.uk Tanglewood (Lincolnshire) Limited Acting manager in post. Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55), Physical disability (9) of places DS0000002521.V341345.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. The home is registered to provide nursing and personal care to service users of both sexes within the following categories:- Old age, not falling within any other category (OP) 55, Physical Disability (PD) 9. Up to 5 service users, accommodated within the main body of the home under the category of PD, can be aged between 50 and 64 years. Up to five of the following rooms may be used to accommodate people within category PD: 16, 17, 18, 19, 40, 41, 42 and 43. When used by service users within the category PD, these rooms will be used on the basis of single occupancy and total occupancy will be reduced accordingly. Up to 4 service users can be accommodated in the bungalows and can be aged between 35 and 64 years under the category PD(4). One service user can be accommodated within the main body of the home under the category of PD(1) and can be between 35 and 64 years of age. 8th June 2006 Date of last inspection Brief Description of the Service: Tanglewood is situated in the market town of Horncastle, which has a range of local services and facilities. It is one of a group of homes operated by the same company. It is set in its own landscaped gardens and comprises of a main home with rooms on two floors which can be accessed by a lift or stairs and four bungalows within the grounds each having lounge, bathroom, toilet, kitchen and bedroom facilities. There are car-parking facilities to the front of the property. The home is registered as a care home with nursing for up to fifty-five older persons; however, within these numbers it is also registered to provide care for up to nine service users with physical disabilities within the age range of fifty to sixty four years. The home has developed a comprehensive statement of purpose, which makes reference to the principles of care such as privacy, dignity, independence and choice. We were told that the current fees for a weeks stay at the service range from £348 - £698 depending on the level of care required and if the service user is receiving residential care or nursing care. Extras charged for include chiropody, hairdressing toiletries and newspapers. DS0000002521.V341345.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the service took place on October 23rd 2007. This visit was unannounced and took place over 7.5 hours. The registered manager no longer works at the service and a new manager has been recruited who has worked at the service as the deputy manager. Care received by three residents was looked at in detail. This is a method called case tracking. This included looking at their personal records, a range of general home records and staff detail records. Staff were spoken with and the care they provided was observed. One relative completed one of the comment cards we had sent out before the visit. We also received a completed self-audit document completed by the previous manager, to provide information before we did a site visit. We also looked at how the provider makes information about their service, including CSCI reports available to prospective service users. The commission is trying to improve the way we engage with people who use services, so that, we can gain a real understanding of their views and experience of social care services. We are using a method of working where the Expert by Experience is an important part of the inspection team and helps the inspector to get a picture of what it is like to live in or use a social care service. The Expert by Experience spoke with 16 residents and 5 relatives on their own, contributed to the inspection process and provided a separate report. Comments and observations are reflected in this report. What the service does well: There was evidence that information about residents have been obtained before they went to live at the home. This means that staff can have an understanding of residents needs to ensure these can be met before an offer of admission is made. Residents made positive comments about the activities provided and example were give of the variety. This means that residents have opportunities to engage in worthwhile activities. Residents said there is a good choice of food available and they are consulted regarding the choice of food. This means that residents are able to express their opinions and are provided with a varied diet. Staff receive training and are engaged in a National Vocational Qualification training programme. This means that they have more knowledge and skills to provide care for residents. DS0000002521.V341345.R03.S.doc Version 5.2 Page 6 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 DS0000002521.V341345.R03.S.doc Version 5.2 Page 7 be made available in other formats on request. DS0000002521.V341345.R03.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000002521.V341345.R03.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 4 ,5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Through pre admission assessment systems residents can be confident that their assessed needs can be met when they are admitted to the home. Up to date information enables residents to make an informed choice regarding living at the service. EVIDENCE: From looking at three resident files we could see that information regarding residents needs had been obtained before they had been admitted to the home. In one file we saw that the relative of the resident had been able to visit the service and ask questions before a decision was made for the resident to be admitted. Two documents are in place called the service user guide and the statement of purpose. These two documents are available to residents and their relatives and inform them of the services they can expect if they live at the home. Details also include who the staff are and what jobs they do, what DS0000002521.V341345.R03.S.doc Version 5.2 Page 10 the environment is like and what to do if they have any concerns. We saw that contracts were in place which had been signed by the resident or their relative. We saw on one file a letter to the resident confirming that they needs could be met at the home. This enables residents to have confidence that they are going to live in a home where staff can meet their individual needs. The expert by experience spoke with a resident who had been admitted to the service to receive intermediate care. They said they liked their room which had its own television and that they were looking forward to going home now they had received the support to get better in order for this to happen. DS0000002521.V341345.R03.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Incomplete care plans and risk assessments put residents at risk of not having their needs met. Lack of signing for medication and not reordering with sufficient time places residents at risk of not receiving their medication correctly. Systems in place provide access to health care professionals. Resident’s dignity and privacy is maintained. EVIDENCE: Through case tracking we looked at three residents care files. In each file there were some details missing. These were different for each file and included details such as lack of completed property list, photographs, no social needs assessment. In two files there were no care plans for physical needs such as nutrition and washing and dressing. Two files did contain the blank paper work but this had not been completed. This was discussed with the acting manager who addressed the situation promptly. There were body maps and admission details and records of visits from health care professionals. Where care plans were in place these had been signed by the member of staff. An entry was DS0000002521.V341345.R03.S.doc Version 5.2 Page 12 written each day and night for each resident. This enables staff to see the current wellbeing and health needs for each resident. We spoke with many residents and generally residents felt staff knew their care needs. We could see from files that care plans had been signed by relatives. One of the residents case tracked has fallen quite a few times in a short space of time. There wasn’t enough detail in place to show how the falls were going to be minimized. Those care plans that were in place had been reviewed monthly and a record was maintained to show this. Residents who spoke to us said they had access to Doctors and opticians and dentists when they needed them. During the visit we saw that 6 residents were referred to the doctor and we saw in records that doctors were called when residents needed medical support. A chiropodist visits the home every four weeks. A manicurist also vists the home. Medication records were seen for all residents who received nursing care and those residents case tracked. Generally records had been competed correctly but we saw that there were a few signatures missing and in two instances residents had run out of one of their medications, as this had not been reordered on time. We also saw a printed instruction box had been crossed out and written over with a different drug and another record where a drug had been handwritten by staff and did not include the maximum dosage the resident could have. Stocks of medication were stored safely and the nurse in charge said a full review of medication arrangements was due to take place. We also saw that where residents were on the same liquid medication as another resident the same bottle of medication was used. Residents told us they were treated with respect and the expert by experience saw an example of this when a resident was addressed as “Mrs” rather than by her first name. Interactions were seen by us that were valuing and appropriate examples were when a resident had entered the manager’s office and was not clear where they were. The acting manager dealt this with in a sensitive manner. Support in using the toilet and taking a bath were given in a discreet way and staff were seen to knock on the doors to bedrooms and bathrooms before entering. DS0000002521.V341345.R03.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with appropriate activities and are supported to continue with hobbies they enjoyed before living at the service. Staff have an awareness of residents spiritual and emotional needs. Residents have control over who visits them. Dietary needs and preferences are catered for. EVIDENCE: Residents made very positive comments regarding the activity programme in place at the home. Examples given were events managed and arranged by the activities co-ordinator, visits from school children coming in to the home to provide entertainment. There was a choice of library books available, which are changed periodically. A monthly newsletter is given to residents informing them of the activities programme which is varied. This means that there will always be an activity that a resident can be involved in no matter what their limitations are. A local radio station plays through out the home which means that those residents unable to watch the television or read newspapers can keep up to date with the news both locally and nationally. Residents can have DS0000002521.V341345.R03.S.doc Version 5.2 Page 14 visitors when they chose and there were various spaces around the home where residents can meet with visitors in private if they don’t want to use their bedroom. Staff were seen to be welcoming and accommodating to visitors who attended the home during our visit. Resident meetings take place and residents have this opportunity to raise any issue they have. Minutes are then produced and displayed around the home Residents spoken to generally made positive comments about the food. They said there was a good choice available and that the kitchen staff often asked them if the food was to their liking. Two residents said that sometimes they had food, which was not very hot, and thought this might be due to being served onto cold plates. This was bought to the acting managers attention who confirmed that this issue would be addressed. One resident said they had a cooked breakfast and the expert by experience received a vegetarian meal at lunchtime. Soft diets and diabetic diets are also catered for. Residents confirmed that they received the food they chose and that they were able to change their mind if they wanted to. Condiments are provided in sachets at the table so residents can hep themselves. Some residents require assistance with the sachets due to limited mobility in fingers and hands. The inspector observed lunchtime. Lunch was well presented and residents took their meals in an unhurried setting. One comment card received and two staff told us that tea time was very busy at the home. The beginning of tea time service was seen on the ground floor of the home and this did not seem hurried or any residents seen calling for assistance. DS0000002521.V341345.R03.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints policy on display enables people to know how to make a complaint. A Safeguarding adults policy provides staff with a working awareness of what constitutes abusive practice. EVIDENCE: Prior to the visit pre inspection self audit information was sent to the commission. This recorded that there had been one complaint since the last inspection in June 2007 and no safeguarding adult referrals. A complaints file was in place and this contained the complaint the self audit referred to. This was investigated in accordance with Lincolnshire’s safeguarding adults procedure. The complaint had been made in respect of the alleged lack of care a resident received while saying at the service. The complaint was not upheld but there were some action points made regarding more accurate record keeping in respect of changes in welfare and medication administration. A complaints procedure is in place and is on display in each bedroom and at various points around the home. The acting manager said that no complaints had been made since she had taken over in September and to her knowledge no complaints had been made previously. We evidenced that a complaint hasd been made, and the residetn was not fully satisfied. This was also discussed with the acting manager who confirmed that any other issues raised would be dealt with as a complaint and the service complaints procedure followed. DS0000002521.V341345.R03.S.doc Version 5.2 Page 16 A comment card received showed that another resident knew who to speak to if they had any concerns.Staff spoken with knew what to do if a resident or visitor raised any issues. Residents spoken with were clear who to speak to if they had any concerns. There were notices on display around the home advising staff, visitors and residents how to raise alerts if they believe abuse may be occurring in the home. A safe guarding adults policy is in place. Three staff when asked said they did not remember having received Safe Guarding adult training, This was discussed with the acting manager who said that training had been given but that certificates had not been placed in staff files or recorded in the training file. One of the staff spoken with was given a scenario regarding safe guarding adults and asked what action they would take. They answered appropriately and said that they were sure that all staff knew what constituted abuse and had an awareness of this. DS0000002521.V341345.R03.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and pleasant service, which they have control over. Décor and furnishings are residents choice and specialised equipment enables them to be as independent as possible. EVIDENCE: Since the last inspection a full refurbishment programme has taken place. This included redecorating the home including bedrooms. New carpets, new furniture and soft furnishings were seen around the home. We saw specialized equipment such as hoists in place and resident made positive comments about the environment. A hair dressing salon is available and residents are able to spend time wherever they chose. A conservatory enables residents to sit in a quiet peaceful area and residents also chose to sit in the main reception area of the home. The gardens are landscaped and have garden furniture so residents can sit outside in a comfortable environment. DS0000002521.V341345.R03.S.doc Version 5.2 Page 18 The home was clean and tidy and fresh throughout and residents we spoke with told us they were satisfied with their bedrooms. We could see that residents had been supported to personalise their rooms. A lift is in place for residents to be able to move between floors independently. We saw residents able to move independently around the service. All corridors were free from hazards and had hand rails fitted to provide support for residents. An infection control policy is in place and staff were seen wearing gloves and aprons and using correct disposal bags when dealing with dirty laundry. DS0000002521.V341345.R03.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. An enthusiastic and trained care team cares for residents. The organisations recruitment procedures when followed completely, ensure residents are cared for by safely recruited staff. EVIDENCE: Residents spoken with made positive comments about staff such as “they are really good” “They are busy but will always give you help.” and “They cant do enough to help you”. Residents comments apart from two did not indicate that they had issues with the staffing levels. We spoke with 5 staff who told us that in the past couple of months 8 staff had left the home which meant that sometimes not enough staff were on duty as agency staff couldn’t cover and staff were already working long hours. Four staff said they were concerned about the lack of time they had to spend with residents. Staffing levels particularly in the morning have been raised as an issue by staff with the acting manager who confirmed that she was going to be taking action. The duty rotas seen showed that there were less staff then normal working the morning shifts on some occasions. It is acknowledged that this is not a reduction intentionally but due to not being able to cover shifts with staff. Two staff had concerns about the staffing in general. Staff meetings DS0000002521.V341345.R03.S.doc Version 5.2 Page 20 do not currently take place. This was discussed with the acting manager who confirmed that these matters would be looked into. Staff told us and we saw an induction list in place. Staff told us that they had seen videos on health and safety, moving and handling and had been given verbal instruction on fire safety as part of their induction. One of the senior care staff is responsible for arranging training and providing certificates. Pre inspection information showed that staff have been trained in National Vocation Qualifications and that 35 had NVQ 2 or above. Staff informed us of the recent training they had received such as health and safety and a practical moving and handling session. Three recruitment files were looked at. A recruitment policy is in place and all files seen contained the correct checks such as references, completed application form and Criminal Record Bureau checks and identification. This means that staff have been recruited safely and residents can be confident that they are cared for by people who have the necessary skills and attitude to care for them. We saw that one set of references did not include a reference from the staffs previous employer. New care staff were due to start in the following weeks and a deputy manager was starting work the following week. DS0000002521.V341345.R03.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An acting manager who has a good rapport with residents, and visitors manages the service. Residents are protected by the services health and safety polices and procedures. Financial management systems keep residents monies safe. Quality assurance systems show how the service is run in the best interests of the service users. EVIDENCE: A new manager who had been the deputy manager is currently managing the service. The acting manger was seen interacting with residents and visitors to the home. Residents made positive comments about the manager and the manager was positive and responsive to discussions with us. Interactions with residents were professional and appropriate. The acting manager will be DS0000002521.V341345.R03.S.doc Version 5.2 Page 22 making an application to become the registered manager for the service. The acting manager is a qualified nurse with many years experience of caring for older people and in the care home sector. A quality assurance system is in place so residents and visitors to the home can see how the providers intend to improve the service and action any points residents raise. Residents and relatives are given a questionnaire to complete every couple of months and an audit visit is carried out every month by the services Regulation and Compliance manager. These reports are sent to the commission and copies are kept in the home. We looked at financial records for three of the residents. Monies were held in a safe way and a clear audit trial was in place to ensure resident’s money was safeguarded. Pre inspection information evidenced that polices and procedures are maintained. Records are in place at the home, which show that servicing of equipment and systems such as the fire safety system, heating system and lift are up to date. DS0000002521.V341345.R03.S.doc Version 5.2 Page 23 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 3 3 3 3 3 3 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 2 17 x 18 3 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 DS0000002521.V341345.R03.S.doc Version 5.2 Page 24 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 OP9 Regulation 13(2) Requirement Medications need to be signed for correctly and reordered to ensure residents have the correct prescribed medications. This includes not sharing their medication with other residents. All residents must have a service user plan including risk assessments in pace to ensure their assessed care needs are know, met and reviewed. Timescale for action 30/11/07 2. OP7 15 23/11/07 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 DS0000002521.V341345.R03.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Unity House The Point Weaver Road Lincoln LN6 3QN 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 DS0000002521.V341345.R03.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. 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