Inspection on 01/02/07 for The Gables

This inspection was carried out on 1st February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

The Gables 17/01/06

The Gables 20/05/05

The Gables 09/12/04

The Gables 12/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE The Gables 22 Post Office Road Dersingham Kings Lynn Norfolk PE31 6HS Lead Inspector Mrs Jacky Vugler Key Unannounced 1st February 2007 09:10 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 The Gables DS0000027426.V329603.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. The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Address 22 Post Office Road Dersingham Kings Lynn Norfolk PE31 6HS 01485 540528 01485 540528 lyndamcinerney@aol.com 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) Ms Lynda McInerney Miss Mandy Irene Sadler Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: The Gables is a care home providing personal care and accommodation for sixteen older people. It is privately owned by Miss Linda McInerney. The home is a large detached house located in the village of Dersingham and is in close proximity to the shops, library and other facilities of the village. The home was opened in 1987. It consists of accommodation on the ground and first floors, with the majority of bedrooms being on the ground floor. Fourteen of the homes bedrooms are single and there is one shared room. The home does not have a passenger lift, but there is a stair lift providing access to the four bedrooms, which are on the first floor. The home has shrubs planted to the front and rear of the property, which several of the bedrooms look onto. The weekly fees as at January 2007 are £338 - £380. Additional costs include hairdressing at £4 up to £20 for a perm, chiropody £8.50 and newspapers as priced. The Gables DS0000027426.V329603.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 key inspection lasting eight hours on a weekday. Ms Lynda McInerney, the Proprietor, and Miss Mandy Sadler, Registered Manager, were both present throughout the inspection. Thirteen residents were accommodated on the day. Many records were viewed and a tour of the building was undertaken. Three residents were spoke to privately, as well as four in the lounge. Five visitors and three members of staff were also spoken to. Six comment cards were received from residents, three from relatives and friends, and one from a GP. All indicated a high level of satisfaction with the care provided. Many areas of good practice have been highlighted throughout the report. What the service does well: What has improved since the last inspection? The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 6 Since the last inspection there have been many improvements to the premises, both internally and externally. This includes the refurbishment of most of the bedrooms, lounges, dining room, kitchen and the toilets. Outside, the house has been repainted and many trees have been removed, and shrubs planted, giving a much improved outlook. Other work is still ongoing, especially on the first floor where an en-suite, a new toilet and a shower room are being fitted. The home is commended for all these improvements. Other improvements have been made to the care planning process on the admission of new residents. These include an assessment of the skin condition, a falls assessment and a nutritional assessment. There is also a daily exercise chart, which evidences that the residents are encouraged to take some form of regular exercise to prevent pressure sores. Members of staff now have their own areas of responsibility, for example, medications, continence and activities. 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. The Gables DS0000027426.V329603.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 The Gables DS0000027426.V329603.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, 4 and 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each resident received enough information for them to make an informed choice about where to live. No resident moves into the home without having his or her needs assessed and can be assured that the home can meet these needs. Prospective residents and their relatives are encouraged to visit the home prior to admission EVIDENCE: Details are taken during the first enquiry to the home. Prospective residents and their families are then invited to the home where a more detailed assessment of their care needs is undertaken. During this visit they would be able to meet other residents and staff and have a look at the various The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 9 photographs of activities and events. Also, the policies and procedures are available as well as the statement of purpose, service users guide, the inspection report, comment cards and the monthly newsletter. The format for the pre-admission assessment is regularly updated and now includes the moving and handling assessment, the residents weight and has a space for comments. The monthly newsletter is written by the proprietor of the home and is given to new residents and is displayed various places throughout the home. It welcomes new residents and staff, and those returning from hospital, as well as topical information of things going on in the home. It gives health advice and a reminder of the key workers. Contributions are also welcomed from residents and visitors. The January newsletter said that there will shortly be an inspection and if any resident or relative would like to speak to the inspector to let them know. This newsletter is to be commended. On admission the resident is given a copy of the Terms and Conditions agreement, the statement of purpose, complaints procedure and a statement of care. Staff also have a written assessment prior to the care plan being written. The home has a flexible approach to admissions, which allows the prospective resident time to be sure that they are making the right decision. For example, currently a prospective resident is receiving day care until he sure what to do. This is good practice. The Gables DS0000027426.V329603.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents health, personal and social care needs are described in their care plan and their needs are fully met. Residents are protected by the homes policies and procedures relating to medicines. All the residents feel that the staff treat them with respect and their right to privacy is upheld. EVIDENCE: Two care plans were viewed in detail and four others more generally. They all contained a photograph and gave a comprehensive life story of the resident, which is good practice. There are good details of the residents health and personal care needs and these include their preferences. The care plans were signed by the resident, reviewed monthly and included a sheet stating the The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 11 current situation. The daily records were also detailed and written after each change of shift. The care plans have also been improved since the last inspection, for example, residents skin condition is checked on admission and the key worker updates it weekly, this is good practice and the manager gave two examples where this evidence was important. A nutritional risk assessment is also carried out on admission and the dietician referred to if necessary. A daily exercise chart has been added to the care plans, to ensure the residents that are able to at least walk a short distance every two hours in order to maintain their mobility, and a reminder is in the monthly newsletters. Another new measure is that carers are allocated areas for which they are responsible, for example, medications, staff training, monthly weighing of residents. Many risk assessments are in place including a new falls risk assessment, which is accompanied by a falls diary and was seen to be completed. These were seen to be signed. The home operates a key-worker system and the names of the key-workers appear in the newsletter. One questionnaire received from a relative said, I am involved in every aspect of care. Visits by other healthcare professionals are recorded in the daily records. However, it is recommended that a separate record be kept of their visits and that it includes the date and reason for the visit. Other professionals involved in the care are the GP, District Nurse, respiratory nurse, continence advisor and the falls team. The physiotherapist and the dietician are involved following a referral from the GP. The Chiropodist visits the home and residents are taken to the local optician and dentist. All the questionnaires returned from residents and relatives, plus those spoken to confirmed that the residents are treated with respect and their privacy and dignity are protected. One resident said, they always keep me covered and close the door, they always knock before coming in. Since the last inspection a larger medication trolley has been purchased and a medication fridge. The trolley was clean and tidy and kept in the medical room chained to the wall. A medicine round was observed and this was conducted appropriately. The medication administration records showed the medicines to be counted and signed in and were appropriately completed with the use of codes. No old stock was found. No residents wished to administer their own medications. One medication was seen to be stored and recorded as a controlled drug and this good practice. The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 12 A homely remedies book was in use, which stated the resident, amount, reason for giving and the balance and this level of recording is seen as good practice. The medications are regularly reviewed by the PCT. All care staff have completed training in the administration of medicines. The Gables DS0000027426.V329603.R01.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 excellent. This judgement has been made using available evidence including a visit to this service. The residents can choose to participate in activities provided, although many prefer not to. Residents are able to maintain contact with their family and friends, and the local community if they wish. Residents are helped to exercise choice and control over their lives. Residents receive a varied nutritious diet in pleasing surroundings. EVIDENCE: There are many residents from the village of Dersingham and the nearby district, many have known each other for years and also other residents visitors, together with members of staff who live locally. This gives the home a very friendly and relaxed atmosphere and keeps the residents in touch with the local community. The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 14 There are in-house activities most days and on the day of inspection, was snakes and ladders and Holy Communion. One visitor said her relative likes to take part in activities like snakes and ladders, she keeps winning. One resident doesnt like to take part in activities, but said the staff play dominoes with him. Another resident said she likes to take part in activities, we exercise and go for a walk. A keep fit session takes place monthly by an ex physiotherapist and in March, weekly reminiscence sessions will take place as a trial and if successful this will continue. The mobile library and hearing aid technician visit and these dates are displayed and in the newsletter. One member of staff is artistic and is responsible for organising special occasions, for example, Christmas, Easter, the boat race and birthday parties. Residents are also taken to local flower festivals, shops and the local primary school for Christmas carols. Activities participated in are recorded in the residents daily records and also two photograph albums of activities are available at the entrance to the home. It is recommended that a separate record of activities is kept. The proprietor said that currently they are not able to go on trips further afield as they have been refused a disabled badge for parking. One visitor said of visiting, there are no restrictions whatsoever, the door is always open. Many visitors were seen entering the home during the inspection. Staff take residents to the local shops and schools visit and the children of staff visit. An ex member of staff takes her dog weekly for the residents to pet. Choices given to residents were observed during the day and these were confirmed by the residents and visitors. For example, what they would like to wear, what time they would like to go to bed and get up, whether or not to take part in activities or eat in the dining room. A relative said, the home has more choices than he (resident) can take on. The management have the philosophy that it is the residents home. The home uses a three-week rolling menu which is nutritious and varied. The kitchen was clean and tidy with the appropriate records kept. The lunch on the day looked appetising and was attractively presented. On admission all residents now have a nutritional assessment completed. One relative said, there is a lovely choice of food, hes (resident) gone off lunches, but they will let him have the meat in a sandwich. A group of residents said the food is good, good choice, good variety, we can have extra drinks when we want. A relative said they will do whatever he wants. The cook is currently doing the NVQ level 2 in food preparation and the assessor was at the home during the inspection. The Gables DS0000027426.V329603.R01.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their complaints will be listened to and taken seriously. Residents are protected from abuse. EVIDENCE: The complaints policy is displayed in the hallway and kept by the front door with the complaints book. A copy is also in the policy file and with the residents contract. It is also sometimes included in the newsletter. There are no complaints recorded. All of the residents and visitors spoken to were aware of to whom to speak if they had a complaint and all were confident that they would be listened to. One relative said, she is having excellent care, we dont have any cause to complain. All staff have completed training in abuse awareness and the majority have had training from an outside agency in the past and now receive regular updates using a video and questionnaire. A new policy displayed in the medicine room and in policy file at front door and a copy is given to staff during their induction. The whistle blowing procedure is also in policy file and with the staff contracts. The Gables DS0000027426.V329603.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, 21, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Many improvements have been undertaken to improve the facilities in the home and to the outside of the home and gardens, ensuring the residents live in a safe, well maintained environment. Residents have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable toilets and bathrooms. Residents live in safe, comfortable bedrooms with their own possessions around them. The home is clean, pleasant and hygienic. EVIDENCE: The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 17 Since the last inspection there have been many improvements to the premises, which were recorded in the maintenance book. These include the refurbishment of all bedrooms except for three, including new carpets and curtains. An en suite is currently being added to a single bedroom on the first floor as well as a new toilet and shower. The kitchen has been completely refurbished as well as all the toilets. The dining room and lounges have been refurbished. The outside of the building has been repainted and lots of trees have been removed and many new plants and shrubs have been planted. The management said that bedrooms are always redecorated before a new resident is admitted and the carpet is replaced if necessary. All communal areas were nicely furnished and homely. There are two lounges, a quiet lounge and one where there is a television and a copy of the newsletter is displayed. Residents bedrooms were personalised to their taste, comfortable and homely. One relative said that the resident feels safe in his room. The laundry area was clean and tidy and the majority of staff have completed training in infection control. All areas of the home were clean and tidy, and the home was odour free. The Gables DS0000027426.V329603.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents needs are met by the numbers and skill mix of staff, and they are in safe hands at all times. Residents are protected by the homes recruitment policies and practices. Staff are trained and competent to do their jobs. EVIDENCE: The Manager undertakes the management duties and is on call. The Head of care works within the rota, caring. Thirteen residents were accommodated on the day of inspection. During the day from 7 am until 9 pm there are two care assistants working and during the night there is one waking carer and one sleeping in, in case of emergency. In addition the cook works 6 hours every day and a housekeeper works for four hours a day. Relatives comments included, the staff are wonderful, very patient, the staff are part of our family. Residents comments included, we can talk to staff, they know what they are doing, they look after us very well. The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 19 Of the eleven care staff employed ,seven have achieved an NVQ level 2 or above qualification, which equates to 63 of the care staff. One carer has the NVQ level 3 and another two would like to undertake this. Prospective staff are interviewed by both the Proprietor and the Manager. Two staff recruitment files were looked at in detail and others more generally. All files contained the relevant documents including references and evidence was seen of the criminal records bureau disclosures. Training records were viewed and these contained evidence of induction, which takes place over two months, and mandatory training, which was up to date. All staff had received training in medication, nutrition, falls and abuse awareness. Other training undertaken by staff included, Diabetes and continence. These certificates were displayed on the wall in the hallway. This home has a stable staff team ensuring continuity of care for the residents. Comments from staff included, we are a good staff group, we all get on well, the staff team are brilliant, its a good team, training opportunities are very good. The Gables DS0000027426.V329603.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, 32, 33, 35, 36, 37 and 38 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 home which is well managed by a person who is fit to be in charge and the residents benefit from leadership and management of the home. The home is run in the best interests of its residents and they are safeguarded by the homes record keeping and policies and procedures. Residents financial interests are safeguarded. Staff are appropriately supervised. The health, safety and welfare of the residents and staff are promoted and protected The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 21 EVIDENCE: Although the Proprietor is not there every day, she works closely with the Registered Manager. She concentrates mainly on administrative tasks, and covers when the manager has a day off. The Registered Manager is a qualified nurse, has the Registered Managers Award and is an NVQ assessor. She has completed other training including abuse awareness, first aid, managers skill workshop, first aid appointed persons, food hygiene and health and safety. The home is run very openly and is inclusive of the residents and their families. All those spoken to said that they are easy to talk to and approachable, smashing. Residents and relatives spoken to referred many times to the monthly newsletter produced by the Proprietor, saying it is very good and helpful, lovely. The results of a quality assurance questionnaire given to residents in June 2006 and staff in October 2006 have been forwarded to the Commission. They include the topics, outcomes and comments made. The results indicated that all residents were happy at the home and they felt they could approach any member of staff. The nine staff questionnaires returned indicated that they were all happy working at the home. This occurs every six months, which is good practice. Many audits are undertaken, for example, medications, residents money, water temperatures and many more. There are no residents meetings held at this home, but it is very small and from the feedback from residents and relatives it is evident that they all speak to the management or staff whenever they want to and certainly on a daily basis. The many thank you cards and letters are displayed on the office door. As previously mentioned, a pictorial monthly newsletter is written by the Proprietor and this is seen as good practice. The residents financial records were seen and well completed with the income and expenditure, and receipts were kept. Eight were randomly checked with the records, and were correct. These are audited quarterly by two staff. Regular staff supervision is conducted and written records are kept on an updated format. The manager receives supervision from the proprietor. The policies and procedures file is kept by the front door and they were seen to be updated in January 2007. Fire records were seen including risk assessments, updated January 2007, and service certificates for the fire alarms, emergency lighting and the fire fighting The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 22 equipment. Service certificates were also seen for the hoist, bath hoist, and the stair lift. The premises risk assessments and the accident records were seen and in good order. The Gables DS0000027426.V329603.R01.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 4 x 3 3 4 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 3 3 3 3 x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 x 3 3 x 3 The Gables DS0000027426.V329603.R01.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. Standard Regulation Requirement Timescale for action 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 2 Refer to Standard OP8 OP12 Good Practice Recommendations It is recommended that a separate record be kept of other healthcare professionals visits to include the date and reason for the visit. It is recommended that a separate record of activities undertaken is kept. The Gables DS0000027426.V329603.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 The Gables DS0000027426.V329603.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. 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