Inspection on 02/03/06 for The Lawns Neighbourhood Care Centre

This inspection was carried out on 2nd March 2006.

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

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

Other inspections for this house

The Lawns Neighbourhood Care... 28/03/09

The Lawns Neighbourhood Care... 27/03/07

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Poldhu

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Lawns Neighbourhood Care Centre Bristol Road Quedgeley Gloucester Glos GL2 4QW Lead Inspector Sharon Hayward-Wright Unannounced Inspection 2nd March 2006 09:45 X10029.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 Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 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 and Care Homes for Adults 18 – 65*. 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 Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Lawns Neighbourhood Care Centre Address Bristol Road Quedgeley Gloucester Glos GL2 4QW 01452 721345 01452 723628 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 Lawns NCC LLP Miss Anna Marie Carrier RGN, BSc (hons) Care Home 31 Category(ies) of Learning disability (2), Old age, not falling registration, with number within any other category (31), Physical of places disability (15) The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4/5/05 Brief Description of the Service: The Lawns is a care home providing nursing care, for adults over the ageof 18 years. A qualified nurse is on duty 24 hours a day. The home is currently caring for some service users who have very specialist needs. The main accommodation is provided in a converted older style house, with a contemporary extension, and is provided on two floors. Staircases, a shaft lift and stair lift provide access to the upper floor. Various equipment and adaptations have been provided for assisting service users and staff, which includes assisted bathing facilities and hoists. Service users’ private accommodation is provided in single rooms on both floors, though there is one shared room on the upper floor. Many of the rooms have an en-suite facility.There are several lounge areas and a dining room. An adjoining day centre provides an additional spacious room. A pleasant and accessible garden also includes a ‘sensory patio’ area. There are many opportunities for social activities available inside and outside the home. Two specially adapted wheelchair buses are available to transport service users. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3 hours, one day in February. The Registered Manager and a number of care staff were spoken to, as were 14 service users to gain their views on the home. Care plans, personnel files, outcomes of quality assurance questionnaires, medication and service users monies were all looked at. A tour of part of the premises took place and staff were observed going about their daily work and interacting with service users. The service users, Registered Manager and staff all welcomed the inspectors and provided full cooperation with the inspection process. Two requirement remains outstanding at this inspection and must be addressed by the home. What the service does well: The health needs of service users are well met with evidence of good multi disciplinary working taking place. The home is able to care for service users with complex needs and disabilities from the age of 18 years upwards. A core group of staff have worked at the home for a number of years providing continuity of care and experience. Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. Continued investment has significantly improved the appearance of this home creating a comfortable and safe environment for those living there and visiting. Service users are encouraged to make decision about the decoration of their rooms where able. A number of rooms seen reflected the personalities and lifestyles of the service users. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 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 Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The statement of terms and conditions provides residents with information about the service they receive from the home. EVIDENCE: Since the last inspection the home has become a non-smoking environment. This was done in consultation with the residents – none of whom smoke. In accordance with this the Registered Manager has revised the terms and conditions and Statement of Purpose. Prospective residents are informed that the home promotes a non-smoking environment, an area in the garden is designated a smoking area for people wishing to smoke. A risk analysis is undertaken and if the Registered Manager feels that a prospective resident The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 9 who wishes to smoke may put others at risk then they would not be admitted to the home. An explanation of the reasons for this would be given to them. The new documents were available for examination. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7&9 The home has a consistent care planning system in place, however an assessment of service users needs is required to ensure care plans are meeting the care needs of the service users. The systems for administration of medication are good with clear arrangements being in place to ensure service users medication needs are met. EVIDENCE: The care files of four service users were examined in detail. None of these had an assessment of their needs in place; therefore it was difficult to determine The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 11 how the home identified the care needs for the service users and maintain an ongoing assessment of their needs. Risk assessments were seen for moving and handling and pressure sores, however in the case of these four service users the last review of their pressure sore risk assessment was September 2005 or in one case May 2004. The moving and handling assessments had also not been reviewed and for one assessment the last documented review was May 2000. This must be addressed. Monthly reviews were seen and where applicable service users had signed their care plans. The homes medication system was checked. The qualified nurse explained the procedure for administration of medication. A number of MAR sheets were examined; all but one had been signed and checked by another person. The home undertakes regular audits of their medication and stock control procedures are in place. The records for controlled medication were examined and no issues were identified. One bottle of liquid medication was found not to have been dated on opening but this is not the norm as all the others were dated. A record in the medication file stated that a tablet was found missing during a stock control check. The home must notify the Commission for Social Care Inspection of this, see standard 37. A requirement was issued at the last inspection requiring the home to complete a care plan and risk assessment for the service user who selfadministers their inhaler. The risk assessment has been completed but not the care plan. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: No standards were assessed at this inspection. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Residents feel that they would be listened to and action would be taken if they had any concerns or complaints about the home. EVIDENCE: A complaints policy and procedure is in place that meets with the National Minimum Standards. All new residents are given a copy with the Statement of Purpose and Service User Guide when they move into the home. This pack was available for examination. Several residents were spoken with and said that they were not aware of the complaints procedure. However they said, ‘I’ve nothing to complain about’, and ‘I have no concerns’. In addition residents said that they would speak to the proprietor, manager or staff. One person said that if it were anything serious they would speak to the proprietor. Another person said they had a copy of the complaints procedure that they had been given when they moved into the home but had no cause to use it. The registered manager said that the complaints procedure is displayed in the home. At the time of the inspection it was not displayed on notice boards on the ground floor. It was felt that it had been taken down due to redecoration. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 14 The registered manager must make sure that residents are aware of the complaints procedure and have access to a copy. There was evidence that regular house meetings are taking place when residents may express any concerns. Minutes for these are displayed on a notice board in the lounge. Residents took part in a recent quality assurance survey and where any issues or concerns were raised, the registered manager said that these were addressed with the resident concerned and action taken where appropriate. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: No standards were assessed in full at this inspection, however recent investment in the home has greatly improved the environment. Service users’ rooms seen were individual to each service user and several had chosen the colour their room was painted. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 29 A robust NVQ programme is in place providing a staff team with the skills and qualifications to meet the needs of service users. Further improvements in the records obtained when employing new staff will protect service users from the risk of possible abuse. EVIDENCE: The registered manager confirmed that a NVQ Programme is provided to staff and that two care assistants have recently completed their awards at level 2 bringing the number of care assistants with NVQ’s or equivalents to 23. An additional 2 care assistants are hoping to start their awards. The home has exceeded this standard. Since the last inspection a new application form has been produced which requests that prospective staff give a full employment history and to give reasons for any gaps in employment. There was also evidence that during the The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 17 interview the Registered Manager is exploring reasons for gaps in employment. This is then being recorded either on the application form or on their personal record sheet. Three references are requested for new staff. The records for two new members of staff were examined. Although two personal references were in place for one member of staff, there was no evidence of a reference from their last employer. The Registered Manager said that a verbal reference had been received and a written reference had been promised. This must be obtained. There was also evidence that the person had previously worked with vulnerable adults or children. The Registered Manager must provide evidence that she has tried to obtain verification for the reason for leaving from previous employers in care settings. CRB checks for staff were sampled. Where there are cautions or warnings highlighted, the Registered Manager discusses these with the prospective staff member and risk assesses whether employment is viable. These checks can now be destroyed. Proof of identity and a photograph are in place for staff. Some have provided two proofs of identity and others one. It is recommended that the home make sure they have proof of identity as well as proof of residence for staff. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35, 37 & 38 The Registered Manager is of good character and able to discharge her responsibilities fully. She has a supportive, open approach to running the home, which benefits the service users, staff and relatives. The home is protecting residents from possible financial abuse by having robust systems in place monitoring financial transactions. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 19 Health and safety processes are in place providing a safe environment for residents to live in. EVIDENCE: There have been no changes to the management of the home. The Registered Manager is aware of the importance of keeping herself updated especially as the home cares for service users with specialist needs. Service users all said they find the Registered Manager helpful and friendly and could go to her if they had any concerns. Financial records for three people were examined. Receipts are being obtained for personal expenditure and can be cross-referenced with the financial record sheet. It is recommended that transactions be numbered to correspond with numbers on the receipts. This would make auditing of the records significantly easier. Any crossings out on the financial record should be initialled. One person had gone out for the day on a day trip and their accounts indicated the amount of money they had taken with them. This is good practice. The Registered Manager informed the inspectors of two incidents that are reportable to the Commission for Social Care Inspection under Regulation 37. The Registered Manager must inform the Commission in writing about these. Health and safety documents were examined confirming that regular checks are in place for fire equipment, fire training and drills, monitoring of hazardous products and environmental risk assessments. The risk assessments were last reviewed in 2004 these now need reviewing. The Registered Manager stated that she had arranged for a fire risk assessment to be completed by an external organisation. Since the last inspection additional fire doors have been fitted throughout the building and smoke alarms fitted in the attic. All staff must attend at least two staff meetings a year where they receive fire instruction. They also have personal copies of the fire procedures. Night staff receive additional 1:1 instruction on a three monthly basis. Records of fire instruction are kept for staff. On the day of the inspection a group of residents went out for a day trip. A generalised risk assessment is in place for outings. The Registered Manager described how they manage identified hazards for such outings. Although these risks are managed they are not recorded. The risk assessment must include this information. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 20 The home is well maintained and has a regular maintenance programme in place. New carpets have been fitted throughout the home and communal areas have been redecorated. A bathroom has also been refurbished and redecorated. The grounds are also well maintained. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 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 X 2 3 3 X 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X ENVIRONMENT Standard No Score 19 2 20 X 21 X 22 X 23 X 24 X 25 X 26 X STAFFING Standard No Score 27 X 28 4 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 X 34 X 35 3 36 X 37 2 38 2 The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 22 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 14 Requirement The Registered Person must ensure service users have an assessment of their needs completed and kept under review. The Registered Person must ensure service users risk assessments are kept under review. The Registered Person must include in the identified service users care plan, a plan relating to them self-medicating. Timescale of the 1/8/05 was not met. The registered person must obtain a written reference from the last employer and obtain verification of the reason for leaving former positions in care, wherever practicable. Environmental Risk assessments must be reviewed. Timescale of the 1/8/05 was not met. The Registered Person must notify the Commission for Social Care Inspection in writing of the DS0000065043.V269536.R01.S.doc Timescale for action 20/06/06 2 OP7 15 01/05/06 3 OP7 15 01/05/06 4 OP29 19 Sch 2 31/03/06 5 OP19 13(4) 01/05/06 6 OP37 37 01/04/06 The Lawns Neighbourhood Care Centre Version 5.1 Page 23 7 OP38 14(3) two incidents discussed at inspection. The risk assessment for outings must include how hazards are managed for individual service users. 31/03/06 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 3 4 5 Refer to Standard OP7 OP7 OP16 OP29 OP35 Good Practice Recommendations The home should keep bed rails risk assessments under review. The home should devise a consent form for service users who self-medicate. The Registered Manager should remind service users about the complaints policy and procedure and where to find this document. Proof of identity and proof of residence should be obtained Receipts should be numbered and cross-referenced with transactions on the financial records. Any corrections on the financial record should be initialled. The Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: 0845 015 0120 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 Lawns Neighbourhood Care Centre DS0000065043.V269536.R01.S.doc Version 5.1 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. 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