Inspection on 22/06/07 for The Laurels

This inspection was carried out on 22nd June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Laurels 19/03/09

The Laurels 13/08/08

The Laurels 26/07/06

The Laurels 30/11/05

The Laurels 21/07/05

The Laurels 10/11/04

The Laurels 17/09/04

The Laurels 10/03/04

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 Laurels (The) 130/134 Church End Lane Runwell Wickford Essex SS11 7DP Lead Inspector Ann Davey Unannounced key Inspection 22nd June 2007 09:00 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 Laurels (The) DS0000018035.V341381.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. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laurels (The) Address 130/134 Church End Lane Runwell Wickford Essex SS11 7DP 01268 764105 01268 450909 enquiries@thelaurelsltd.co.uk 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) The Laurels Limited - Roger Green & Co Manager post vacant Care Home 22 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (5), Old age, not falling within any other of places category (22) Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2006 Brief Description of the Service: The Laurels is registered for the accommodation and care of twenty-two older people over the age of 65, who may have a range of care needs. One double room is provided and there are some en-suite facilities provided. The home provides a comfortable lounge area with a large adjoining conservatory. Further facilities include a dining/sitting room and a small television room that can also be used to provide a private area for service users and visitors. This is currently used for storage. Bathrooms and toilet facilities are provided throughout the home in sufficient numbers. A passenger lift accesses the first floor. The home is furnished and decorated to a good standard. At the rear of the home there is a well-designed and stocked garden providing adequate seating. The home is located within a short distance of Wickford town centre on bus and train routes. There is off road parking facilities to the front of the home. The range of fees given at the time of the site visit was £550.00 - £575.00 per week. Any additional fees will need to be discussed directly with the home before admission. The home’s Statement of Purpose and Service User’s Guide can be obtained from the home on request. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection which started at 9am and finished at 5pm. The last key inspection took place on 26th July 2006. The home does not have a registered manager and the registered provider has indicated to the inspector that he does not wish the person in control of the day-to-day management of the home be referred to as the manager. Therefore for the purposes of this report and for ease of reference, this person will be referred to as the person in charge of the day-to-day management. The registered provider was away on holiday at the time of the visit, but spoke with the inspector by telephone. The person in charge of the day-to-day management, staff, relatives, residents and a visiting professional were spoken with during the course of the visit. In addition, completed surveys were received prior to the inspection from 5 residents, 2 members of staff and 2 relatives. The comments received from these surveys have been reference within the report. The day was pleasant and the home was cooperative and helpful. The inspection process was undertaken without any difficulty. A partial tour of the home was made. Care practices were observed and a random selection of records viewed. A notice advising any visitors to the home that an inspection was taking place was displayed in the main entrance hallway. The notice extended an invitation to anyone who may like to speak with the inspector to make themselves known. All matters relating to the outcome of this inspection were discussed with person in charge of the day-to-day management and notes were taken. Full opportunity was given for discussion and/or clarification both during and at the end of the inspection. What the service does well: What has improved since the last inspection? Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 6 Arrangements have now been made to change the supplier of medication to the home. This will hopefully bring about a simplified recording system for the home. 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. Laurels (The) DS0000018035.V341381.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 Laurels (The) DS0000018035.V341381.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 (standard 6 is not applicable in this home) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have their care needs assessed by the home to ensure that the proposed placement is suitable. EVIDENCE: The records of the two most recent admissions to the home were assessed. Full assessments were in place and the assessed needs were documented. Prospective residents wishes and preferences are sought and recorded. It is the home’s practice to invite any prospective resident to spend some time in the home before any decision about their future is made. One resident said that move into the home had been very pleasant. Laurels (The) DS0000018035.V341381.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 & 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect to have a plan of care drawn up by the home that details their assessed care needs. Residents can also expect to receive the services of health care professionals as appropriate, but medication practices must be improved to ensure residents safety. EVIDENCE: The home accommodates residents with diverse care needs, and was able to demonstrate through observation and discussion that individual needs are known to staff and managed well. Five care plan records and other associated care/health documentation was selected and assessed. Care needs were documented and risk assessments were in place. Resident’s wishes and preferences were recorded. Three of the five residents required the services of a community nurse, but these assessed needs were only recorded on one record. The home was asked to rectify this shortfall immediately because inadequate information could lead to staff not being aware of these needs. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 10 Residents are registered with a local GP practice, although they may register with another GP of their own choice. A visiting community nurse told the inspector that she had a good relationship with the home and enjoyed her visit to the home. The home reported good working relationships with all other health care professions. Completed surveys from residents and relatives indicated that they were satisfied with the care provided. Residents and relatives spoken with during the course of the day were positive about the care in the home. During the last inspection shortfalls were noted concerning the completion of medication administration records. In discussing progress about this aspect of care, the home said that there had been continuing issues around medication supplies, storage and administration recording systems. Currently the home is negotiating a contract with a new pharmaceutical supplier. The home hopes to have this in place by the end of August 2007. On inspecting the current medication storage and recording system shortfalls were noted. The home confirmed that from viewing a random selection of medication administration records (MAR sheets), residents do not have individual PRN (as/when) protocols in place. Handwritten medication dosages and administration information concerning prescribed drugs had been made by the home on the MAR sheets with only one initial. Entries made by the home should be ‘double signed’ in accordance with current guidance for the safety of residents. Prescribed eye drop medication was stored in a ‘mini fridge’, but there was no means of monitoring the temperature inside to ensure compliance with pharmaceutical storage instructions. In addition, this medication once opened needed to be discarded 28 days from opening, there was no opening date on the boxes. It was positive to note that residents ‘end of life’ preferences and wishes are sought and sensitively recorded on care records. Care practices were observed during the day. Staff were attentive to residents. There was good humour amongst staff and residents and the rapport was warm and natural. Residents were dressed in keeping with the age and gender. Laurels (The) DS0000018035.V341381.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 good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have a lifestyle that meets their expectations and be provided with a balanced diet. EVIDENCE: The home accommodates residents with varying social, recreation, leisure, hobbies and interests needs and requirements. The vast majority of residents have active family involved and regularly go out with family to various events and activities. One resident has very specific personal interests and hobbies which are met by the home, whilst others, because of frailty or choice prefer a more communal ‘in house’ approach to this aspect of care. From speaking with residents, staff and relatives, the home tries to achieve a good balance in this area of care. The home was able to demonstrate ‘in house’ activities, external entertainers, personal hobbies/leisure pursuits and opportunities for residents to attend community-based activities are arranged by the home on regular occasions. The home had a collage full of photographs taken of events in the past year on the wall in the entrance hallway. The home accommodates a monthly church service for those who wish to attend. In the past when a resident has expressed a wish to attend a church in Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 12 the community, the home said that it has ensured that appropriate arrangements are made for this to happen. Through practice observed and documentation it was evident that whenever possible and practicable, residents are encouraged to exercise choice and control over their lives within the home. For example, one resident chooses to be out most of the day and the home saves his main meal until the evening whilst another resident prefers to spent much of the day in the privacy of her own bedroom. Records demonstrated that the home provides a balanced diet. The menu for the day was displayed and residents (and records) demonstrated that alternatives to the main dish are always available. The inspector sat with five residents whilst they had their lunch. Tables in the dining area had been laid well, cold drinks were available and the quality of crockery and utensils was good. The lunch looked appetising and was served well. Residents wore clean linen tabards to protect their clothing. Residents spoke well of the food and all seemed to have good appetites. Staff were heard to ask residents if they required more gravy and if they had enough to eat. Relatives may have a meal in the home if required. Staff were seen to stand over residents whilst they were assisting which the person in charge of the day-to-day management agreed was not good practice. Laurels (The) DS0000018035.V341381.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 adequate. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure and safeguarding adults from harm’ procedure does not reflect current local authority guidance. EVIDENCE: The complaints procedure is displayed but the content needs to be amended to reflect current guidance that was sent to the home by the Commission. The home has a complaint record log and said that no complaints have received since the last inspection. However, one relative said that a complaint was made to the home about laundry matters, but there was no record of this. The home was informed that the Commission had received a letter of concern about the installation of the CCTV within the home. In addition, the home was informed that of the nine completed surveys received prior to the inspection, three had raised concern about the CCTV that had been installed earlier in the year. This is referred to within the ‘environment’ section of the report. Residents and relatives said that they felt comfortable about raising any issue of concern with the person in charge of the day-to-day management. Records demonstrate that staff have received ‘safeguarding adults from harm’ training. The home has a file that contains local authority guidance on the matter. The homes own policy did not reflect current practice and must be amended to ensure staff know what to do and who to report any suspected Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 14 incident to. The home did not have the current local authority telephone contact number to report any suspected incident. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 15 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. Residents can expect to live in a home that is clean, pleasant and well decorated and furnished. EVIDENCE: A partial tour of the home took place. Bedrooms seen were personalised, clean and comfortable. Communal areas were bright, well furnished and maintained to a good standard. The standard of décor, furnishings and equipment throughout the home was of a good standard. There were no unpleasant odours anywhere in the home. It was a very warm day, but ventilation throughout the home was comfortable. Residents have the use of a large secure, well-maintained garden area. There were no protective aprons or gloves for staff to use within the laundry area. These were kept in a storage area away from the laundry. Latex gloves and plastic aprons were left in unattended communal areas within the home. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 16 The home is registered to provide care for residents with specific needs associated with dementia and this practice poses potential safety risks. The person in charge of the day-to-day management of the home agreed that this was not safe or good practice and would address them. The kitchen area and food storage areas were clean and orderly. The home has good car parking facilities at the front. The registered provider has recently installed a CCTV system within the home. Cameras are located in communal areas, corridors, on exit doors and within the laundry and kitchen areas. There are two monitors, one is in the main lounge/dining residents’ area which views corridors, communal areas and exit doors, whilst the other monitor is situated in the registered providers office (on 2nd floor) which in addition to the afore mentioned, also monitors the kitchen and laundry areas which are only used by staff. The Commission has received three surveys and one letter all expressing concern about the use of the CCTV. One member of staff spoken with during the inspection voiced concern about the need for cameras in the laundry and kitchen areas whilst other staff did not feel comfortable about expressing an opinion about this matter. Notices are displayed about the use of CCTV within the hallway, but the person in charge of the day-to-day management of the home said that this practice was not referenced within the Statement of Purpose or the Service User’s Guide. There was no evidence that constructive or inclusive consultation had taken place prior to the system being installed. This aspect of care is referenced under standard 33 i.e. the home is run in the best interests of service users’. The current situation needs to be acknowledged by the home and be managed in constructive and consultative manner to bring about a positive outcome for all parties concerned. In addition, the Statement of Purpose and Service User’s Guide must be amended to reflect current practice. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 17 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. Residents can expect to be cared for by staff who have been provided with good training opportunities and are subject to robust recruitment processes. Residents will not necessarily know from information on the roster about which staff will be on duty. EVIDENCE: The person in charge of the day-to-day management said that there is a minimum of 5 care staff on duty in the morning and a minimum of 4 care staff on duty afternoon/evening seven days a week. There are 2 ‘awake’ members of staff on duty at night. In addition, the home employs domestic and cooking staff seven days a week and a maintenance/handyman works regular hours. The person in charge of the day-to-day management confirmed that there is no rota for ancillary staff and the current rota for care staff was not clear in presentation or detail. The inspector was told that draft rota is complied on a daily basis and a formal rota is constructed in retrospect at the end of every month. The rota for May demonstrated that the detail was not accurate as on some days the document showed only one person on duty. The hours worked by the person in charge of the day-to-day management are not being recorded. The person in charge of the day-to-day management agreed that the management of staff rota was not in line with regulatory requirements. The inspector obtained copies of these documents. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 18 The person in charge of the day-to-day management said that the home has a small core group of staff and that a recent recruitment drive has recently taken place. Currently the home supplements staffing levels with agency staff, but this should cease once the new staff are inducted. The last documented staff meeting and staff supervision session both took place in June 2006. The recruitment records of the two most recently recruited members of staff were viewed. Records were in good order and contained an induction section. Training records demonstrate good training opportunities for staff. The person in charge of the day-to-day management demonstrated a commitment to ensuring that staff are adequately trained. Currently the home has three staff trained to NVQ level 2 standard, four staff trained to NVQ level 3 standard with other staff booked to undertake these courses. Staff looked smart and clean in their uniforms. Staff spoke well of communication systems within the home and demonstrated a good understanding of individual residents care needs. Information within the completed surveys was positive about this aspect of care. Residents spoke well of staff. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management and administration systems within the home have not been maintained in accordance with regulatory requirements. Inconsistent management processes within the home generate a range of outcomes from good to inadequate. EVIDENCE: The home has not had a registered manager in post for approximately six years. During this time, the person in charge of the day-to-day management has undertaken this responsibility. The view of the registered provider is that an application will not be made. The person in charge of the day-to-day management hours has a NVQ level 4/Registered Manager’s Award. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 20 The registered provider has an office within the home and is present on most days therefore, no Regulation 26 (visit by person in control) reports are necessary. The management, review and update of environmental and safe working practice risk assessments was of a good standard. A senior member of staff undertakes responsibility for this and the home should be commended on this. The home safe keeps small amounts of personal allowances for residents upon request. These records were in good order. The home has recently completed a Quality Assurance report. Currently this forms part of the last resident/relative meeting records. The quality Assurance report should stand as a separate document. It is the home’s intention to widen the next cycle of surveys and questionnaires to include all other stakeholders. A random selection of service and maintenance records were sampled and found to be in good order. The person in charge of the day-to-day management acknowledged that the inspection identified a number of regulatory shortfalls and that standards identified at the last inspection had not been maintained. For example, staff roster information and medication issues. The person in charge of the day-today management said that there was an increasing demand on her time with administration and this had proved difficult to balance with other demands because of recent staff shortages. It was understood that this had been subject to discussion with the registered provider. Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 21 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 3 8 3 9 2 10 3 11 3 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 1 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 Requirement Current medication practices must be reviewed to ensure that all practices are in line with legislation and guidance for the safety and wellbeing of residents. This was in respect of the storage of prescribed eye drop medication, PRN (as/when required) protocols ensuring that all handwritten dosage and administration details made by the home are checked and recorded as being correct by two members of staff. 2 OP16 22 The content of the complaints procedure must be in line with regulatory requirements and follow current guidance. Also, every complaint received by the home must be recorded and records held in accordance with regulatory requirements. The home must ensure that a clear and current procedure is in place so that if a suspected case of adult abuse is made, staff DS0000018035.V341381.R01.S.doc Timescale for action 31/08/07 31/08/07 3 OP18 13 31/08/07 Laurels (The) Version 5.2 Page 23 know how to manage it and who to contact. 4 OP27 18 A document must be in place providing at any given time the names of all staff on duty, how many staff on duty, what hours they have worked, and in what capacity. The registered provider must ensure that the day-to-day management of the home is reviewed so that practices, processes and systems within the home are comply with regulatory requirements. The registered provider must be able to demonstrate that there has been an adequate consultation process with staff, relatives and residents about the installation of the CCTV system. 31/08/07 5 OP31 12,13,17, 18,22 & 23 31/08/07 6 OP33 4,5,12,21 & 24 31/08/07 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 Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Laurels (The) DS0000018035.V341381.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!