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Inspection on 12/01/07 for The Hollies

Also see our care home review for The Hollies for more information

This inspection was carried out on 12th January 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is decorated and furnished to a high standard. The living rooms and dining room are spacious and the overall impression of the service is that it is homely, comfortable clean and pleasant. The home carries out comprehensive assessments to ensure all the needs of service users are considered when planning for their care though it is recommended that an individual moving and handling assessment should be included for each service user. A strong emphasis is placed on training and service users benefit from a competent and skilled workforce. The home achieved the Investors in People Award in November 2004 for the quality of the training it provided. Well over half the care staff team have gained an NVQ level 2 or above in care. Domestic staff are also being encouraged to undertake NVQs. At the time of the inspection one member of the domestic staff had already achieved the award. The domestic staff at this home achieve a very high standard of cleanliness.

What has improved since the last inspection?

The two areas highlighted in the last report have not improved significantly.

What the care home could do better:

The daily notes need to contain more detail. The staff are not always recording the assistance that they give. Care plans could be clearer if each area of need was itemised individually. Better cross-referencing systems need to be introduced between care plans and the daily records. The small amounts of personal money kept securely by the home for some service users were audited. The amounts showed that withdrawals had been recorded but the actual money appeared not to have been removed therefore the accounts were not accurate. This issue needs to be addressed by the home. Formal supervision is not being provided to staff six times per year. Risk assessments need to be completed separately for each area of risk and should indicate the proposed date for the next review. All staff must have had a satisfactory CRB check before they are allowed to work in the home unsupervised.

CARE HOMES FOR OLDER PEOPLE The Hollies 86-90 Darnley Road Gravesend Kent DA11 0SE Lead Inspector Sally Hall Key Unannounced Inspection 12th January 2007 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 The Hollies DS0000024034.V326817.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 Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hollies Address 86-90 Darnley Road Gravesend Kent DA11 0SE 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) 01474 568998 01474 332980 evergreenhce@btinternet.com Mr Peter Anthony Rogers Mrs Helen Elizabeth Rogers Mr Peter Anthony Rogers Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: The home is located close to shops and public transport and Gravesend town centre is within walking distance. The Hollies was originally two semi-detached houses which have been converted and extended into one large building. The extension to the home is modern and purpose built. All the rooms within it have en-suite facilities. It is decorated to a high standard and is comfortably and attractively furnished. The refurbishment of the rest of the home has also been done to a high standard. There are two large living rooms, two smaller quiet rooms, a separate dining room and a large conservatory. The home has a large attractive garden with a patio area and lawn. The home is accessible throughout, has a new shaft lift and handrails fitted throughout in halls and corridors. The fees for the home range from £ 375 to £450 per week. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key Inspection at The Hollies took place on 12th January 2007 between 11am and 4pm. The link inspector was Sally Hall On the day of the inspection the Inspector agreed and explained the inspection process with the home’s manager and the administrator since the owner/registered manager was on annual leave. Time was spent reading a sample of care plans, written policies and procedures and records kept within the home. Staff were spoken with and a tour of premises was undertaken. The focus of the inspection was to assess The Hollies in accordance with the key National Minimum Standards for Older People. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. The home was asked to complete a pre–inspection questionnaire though surveys were not sent on this occasion. However, the inspector was able to talk both to service users and their families during the day. Their experiences are reflected in the report. What the service does well: The home is decorated and furnished to a high standard. The living rooms and dining room are spacious and the overall impression of the service is that it is homely, comfortable clean and pleasant. The home carries out comprehensive assessments to ensure all the needs of service users are considered when planning for their care though it is recommended that an individual moving and handling assessment should be included for each service user. A strong emphasis is placed on training and service users benefit from a competent and skilled workforce. The home achieved the Investors in People Award in November 2004 for the quality of the training it provided. Well over half the care staff team have gained an NVQ level 2 or above in care. Domestic staff are also being encouraged to undertake NVQs. At the time of the inspection one member of the domestic staff had already achieved the award. The domestic staff at this home achieve a very high standard of cleanliness. The Hollies DS0000024034.V326817.R01.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 be made available in other formats on request. The Hollies DS0000024034.V326817.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 Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users’ needs are fully assessed prior to admission to ensure that the home can meet their needs. EVIDENCE: The service users’ files were sampled for the most recently admitted service users. The pre-admission assessments had been completed with all the information required under 3.3 of the Standard. The assessment tools used by the home are comprehensive and cover all aspects of the service users’ lives. Some of this assessment is completed during each service user’s trial stay at the home and the information is used to determine if the home can meet the long term needs of the service user. Service users who have been referred via the social services care managers have detailed assessments and care plans on their files. The home does not provide intermediate care. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can feel confident that their personal, social and health care needs will be met. However, recording systems within the care planning procedures need to be improved. Service users benefit from living within a home where they are treated with respect and their rights to privacy are upheld. Service users are protected by the home’s robust medication procedures EVIDENCE: The home has a very comprehensive assessment process in place in which the needs of service users are reviewed every six months. The care plans seen indicated the care required by the individual service user and included the observations that needed to be made by staff to ensure the service users’ well being. However the care plans would be clearer if each individual need is The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 10 itemised and followed through rather than listing and dealing with them all as a whole. The care plans are reviewed monthly and most service users have had a new assessment and care plan written every six months. The daily records however did not give the detail of the care provided by the staff. It was difficult for example to evidence that service users’ hygiene needs had been met and generally the daily records did not cross reference well with the care plans. Service users are able to keep their own doctors when possible. All service users can chose to keep their own GP and new service users can choose between a number of surgeries locally if they are moving from another area. District nurses visit as required. The administrator confirmed that the chiropodist visits the home every six weeks and that the optician and dentist all visit the home when required. In the service users files samples evidence was seen that service users are weighed on a regular basis and that any health issues were documented and followed up, as are the visits by GP’s and other medical professionals. The risk assessments seen contained several perceived risks on the same form. This made the process unclear and it was recommended that risks be reported on one form each with review dates also listed. It was also noted that the home does not have a separate detailed moving and handling assessment. This is required and should be undertaken for all service users. The manager explained that only staff trained to do so carry out the administration of medication and the home ensures that two staff are on every shift. There is a list of the staff members who are considered competent to give out medication in the home along with copies of their signatures for easy recognition if there are any queries. The medication storage room was inspected. It was tidy, well ordered and clean. Medication was stored correctly. A check of the medication records indicated that staff were giving and recording medication correctly. Medication Record Sheets were completed correctly. Sheets did show that medication is checked in when it arrives at the home. The home has no controlled medication at this time. Service users spoken to all agreed that they were treated with respect by the staff as well as being offered plenty of choice. Staff were seen knocking on service users’ doors before entering. They were also heard speaking sensitively when asking the service users questions of a personal nature. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 11 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. Quality in this outcome area is adequate. Service users’ recreational needs and interests are not being properly addressed owing to a lack of staff being able to provide an appropriate range of activities. Service users benefit from having regular contact with their families and friends. Whilst service users benefit from receiving wholesome, nutritious meals some improvement in choice at lunchtimes would enhance the quality of the service provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home no longer employs any activity co-ordinators and activities have become add hoc with no programme being made available for service users. The manager stated that staff sometimes offered activities in the afternoon but this depended on how busy they were. Service users spoken said that they did some activities but it was not like it used to be. They used to have someone The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 12 who came in and did exercises and craftwork but this had not happened for some time. It was evident that the service users spoken to miss their activities. Service users and staff said that they did have entertainers that came in to the home, and a number of entertaining activities took place during December running up to Christmas. There were a number of service users who were able to go out of the home on their own or with family. As there were no activity co-ordinators trips out were now not possible, but in the past the home has been proactive in assuring outings took place. Staff, when they have time, do read the papers to service users and have discussions about the news, including local news. In this way service users were able to keep up with what was happening in their community. There were no restrictions as to when service users’ friends and family can visit the home. Family spoken to said that they were always made to feel welcome by the staff when they visited. Several service users said that they liked the home because they can do as they like. One said that she liked to go to her room sometimes during the day and it was never a problem. Another said that she liked to spend most of her time in her room and again this was not a problem. Service users were seen being encouraged to make choices about everyday things. The service users spoken to said that they liked meals offered. One said that they had improved. They all said that whilst there was choice at breakfast and teatime, there was no real choice at lunchtime. There were alternatives if the main meal was not liked but this was not the same as offering a real choice. The manager was asked to look at this. The meals provided were all home cooked using fresh ingredients and they were well presented. The home kept a copy of what service users ate each day but this was not seen at this inspection. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users can be sure that any complaints about the home and it staff will be taken seriously. The service users are protected by the home’s robust adult protection policy and procedures. EVIDENCE: The adult protection policy and procedure had been reviewed and the home had a copy of the local authority protocols. Staff received relevant training and the manager was reminded that this type of training now has to be refreshed every three years. The manager said that the home had not had a complaint since the last inspection. Service users spoken to knew what to do if they were not happy about anything at the home. The complaint procedure could be found in the Service Users Guide and has been reviewed. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 14 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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained and clean environment. The standard of décor, furnishing and fittings are high, providing a homely and pleasant living environment for the service users who live there. EVIDENCE: Domestic staff are once again to be congratulated on the home’s cleanliness. On a walk around the building there were no offensive odours and all rooms seen were well presented and very clean. Service users also commented on the cleanliness of the home. The home has rooms with en-suite toilet and shower available and a few rooms have a toilet en-suite. Bedrooms that do not have these facilities have a toilet nearby that is shared with a maximum of four residents. The home has a well appointed dining area which is light and bright. The sitting areas include a The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 15 through lounge area which also leads out to a conservatory which is in use all year round. The entire home is well maintained and the standard of décor and furnishing remains high. The home has a warm homely appearance and the grounds complement the home, having a large accessible patio area where service users can sit looking over a mature garden. Service users and staff said that the garden is very colourful during the summer months. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The general safety and welfare of service users may be compromised because of some poor practices in the home’s recruitment procedures. The quality of care offered to service users is enhanced because they are being cared for by sufficient staff who receive appropriate training to ensure they can meet the needs of service users. EVIDENCE: The home employs thirty care staff, eight ancillary staff and a manager. The rotas for the preceding week showed that the levels of staff were kept constant, with sickness being covered. Service users, when asked, said that they felt there were usually enough staff on duty and they didn’t have to wait long for assistance. There were not designated staff offering activities and this is something that needs to be addressed. The home should have a programme of activities and the staff to ensure that all service users get motivational activities to suit their individual preferences. Most staff have an NVQ Level 2 or above and the home continues to encourage its staff to undertake training to give them the skills to meet the service users’ needs. All staff at the home do have First Aid and Basic Food Hygiene The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 17 certificates and it is planned that all staff eventually will receive training in customer service. All new care staff at the home undertake recognised induction as well as an introduction to the home itself which is also offered to ancillary staff. Evidence was seen of the implementation of the induction process for new staff on the staff files sampled. The new staff files sampled did however show that staff were working with the service users prior to a satisfactory CRB being received. This would normally require the staff member to be chaperoned at all times by another staff member. Whilst this was possible during the day, it was not normally possible during the evening/night shifts owing to a lack of staff being available to offer supervision. It was also noted that the offer letter to new staff does not state that the post is subject to the home receiving a satisfactory check. One CRB check inspected was that from another home. This is also not acceptable practice since the home must carry out its own checks even if the staff member has worked for them in the past. All other documents required for the recruitment of staff were available on file. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 18 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, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from the warm and inclusive atmosphere within the home. The home strives to ensure that the health, safety and welfare of the service users is promoted and protected. The quality of care offered to service users might be compromised because staff do not receive regular formal supervision. Whilst service users’ personal monies are kept securely within the home, the recording of this money needs to be reviewed and improved. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 19 EVIDENCE: The registered manager/owner has over 30 years experience in the care profession and has been running care homes since 1984. He holds a RGN/RMN and a Diploma in Management. His wife, also the registered provider, is a State Enrolled Nurse and completed a management course in 1995. While sitting with service users in the lounge it was evident that there was a good rapport between the service users and the staff. Good two-way banter was observed and the home had a friendly feel about it. This was also expressed by two of the service users spoken to privately by the inspector. Several service users said they would have no problem speaking up if they were not happy with anything. Files were seen to be kept securely and were up to date and in good order. A check of the money and corresponding records still showed discrepancies but this was due to money not being taken out when it had been recorded as being paid out. In each case the balance showed more money was available than was shown. It is important that monies recorded as being paid is removed when the recording is made and not left until the end of the month. The balance shown on the record is the amount that should be securely stored. It was however noted that staff were not aware of what incidents needed to be notified to the Health and Safety Executive under the RIDDOR. At least cases were identified that should have been notified. The manager was asked to ensure that she has a good understanding of the requirements for RIDDOR and regulation 37. Staff supervision on a formal basis is not happening six times per year. During the last inspection evidence was seen this was happening every 3 months. However this is not now the case and some staff, from the evidence seen on file, have only had one session in the last year. The process involves input from the owners, manager and training manager who take the supervision. The training manager comes to the home at night to supervise the night staff and the domestic and ancillary staff also receive supervision. Regular staff meetings are also held. The fire test record book evidenced that tests were being carried out in the home as required. The compliance certificates for LOLER for the lift and bath hoist was seen. Certificates were seen for the electrical installation, electrical appliances, fire alarm system, boilers, emergency lighting, call alarm system and GAS. The training matrix seen showed staff had undertaken most of the required courses, such as infection control, fire training, health and safety etc. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 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 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X X 2 2 3 The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 21 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 Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP35 Regulation 20 Requirement The registered person ensures that service users control their own money except where they state that they do not wish to or they lack capacity and that safeguards are in place to protect the interests of the service user. The system for recording the service users monies must be reviewed. A service user plan of care generated from a comprehensive assessment (see Standard 3) must be drawn up with each service user, which provides the basis for the care to be delivered. To include details of care delivered in sufficient detail to show promotion of independence, choices made etc. Staff must ensure that the daily record show that the care delivery is taking place. The routines of daily living and activities made available are flexible and varied to suit service users’ expectations, preferences and capacities. This includes a DS0000024034.V326817.R01.S.doc Timescale for action 31/03/07 2 OP7 15, 13, schedule 3.1 31/03/07 3 OP12 16.2 31/03/07 The Hollies Version 5.2 Page 22 programme of activities through the week that service users chose to take part in as well as one to one provision depending on preference and capability. 4 OP29 19 schedule 2 The registered person operates a 13/01/07 thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. Ensuring that all staff have a satisfactory CRB check before they can work unchaperoned, any offer should be made subject to the above The registered person shall ensure that persons working at care home are appropriately supervised. In that: staff are regularly supervised as per the standard and that this continues. Records required by regulation for the protection of service users are maintained, up to date and accurate and sent to the appropriate authorities, i.e. Riddor. 31/03/07 5 OP36 18 6 OP37 17 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard OP15 OP13 Good Practice Recommendations Offer a real choice of meals at lunchtime, rather than just alternatives. Service users who do not go out by themselves or are taken out by families are also able to maintain links with the local community and go on trips out etc. The Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Hollies DS0000024034.V326817.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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