Inspection on 30/01/08 for The Lawns Residential and Nursing Home

This inspection was carried out on 30th January 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Lawns Residential and... 23/02/07

The Lawns Residential and... 29/03/06

The Lawns Residential and... 09/01/06

The Lawns Residential and... 17/11/04

The Lawns Residential and... 23/04/04

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Bilney Hall

Hill Barn

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

CARE HOMES FOR OLDER PEOPLE The Lawns Residential and Nursing Home Lawn Lane Springfield Chelmsford Essex CM1 7JB Lead Inspector Sarah Hannington Unannounced Inspection 30th January 2008 10:00 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 The Lawns Residential and Nursing Home DS0000015351.V358840.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 Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lawns Residential and Nursing Home Address Lawn Lane Springfield Chelmsford Essex CM1 7JB 01245 450101 01245 464123 haguet@bupa.com www.bupa.com BUPA Care Homes (BNH) Ltd 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) Mrs Jacqueline Eunice Saville Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (14), Physical disability (14), Physical disability of places over 65 years of age (52), Terminally ill (8) The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Persons of either sex, aged 18 years and over, who require general nursing care by reason of a physical illness/disability -14 Persons of either sex, aged 65 years and over, who require general nursing care by reason of a physical illness/disability - 52 Persons of either sex, aged 18 years and over, who require general palliative care - 8 Old age, not falling within any other category - 14 Total number of persons accommodated not to exceed 52. Date of last inspection 23rd February 2007 Brief Description of the Service: The Lawns provides accommodation in a modern and well maintained, purpose built two storey brick building. The home has nineteen single bedrooms and two double bedrooms on the ground floor and twenty-nine single bedrooms situated on the first floor. both floors are accessible via a passenger shaft lift. The home is situated in the grounds of Springfield hospital, within three miles of Chelmsford town centre and mainline train station. There is a bus stop outside of the home. The Lawns caters for a variety of people including Older People, Younger Adults with Physical Disabilities and people who have a diagnosed Terminal Illness and the fees paid range from £527.31 to £1009.87 per week. A copy of the Commission for Social Care Inspection report is available at the home on request. The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Star. This means the people who use this service experience good quality outcomes. The site visit inspection focused on all key standards and any requirements and recommendation from the last key inspection. The inspection took 8 hours to complete. The manager was present throughout the inspection. Prior to this inspection CSCI (Commission for Social Care Inspection) sent out surveys to all interested parties. A number of relatives, residents and staff were spoken with during the site inspection and a tour of the building was undertaken. Additionally the manager was sent an (AQAA) Annual Quality Assurance Assessment form by CSCI that asked how well they are meeting the needs of the people who live at The Lawns Nursing Care Home. We also looked at what else we already know about the home and compare it with what the manager had said in the information provided on the AQAA. Information collated from the AQAA, surveys, documentation looked at and discussions during the site inspection are reflected within this report. What the service does well: The manager and staff are welcoming and friendly. The home is odour free and clean. Resident rooms are personalised and well maintained. The manager undertakes a good standard of getting into place, preassessments and care plans within a timely manner of a new resident being admitted. There are good working partnerships with other professionals and good policy and procedures around the protection of the residents’ health, safety and welfare are in place. There is a full staff team and turn over is low. All staff that lead on shift are experienced and RGN qualified. Overall the staff team are dedicated, experienced, caring and 8 members of the care staff have completed the NVQ training. Additionally through discussions with individual residents they had commented that they were happy with the care they received and felt that the staff had respect for them and that their privacy was protected. The Lawns Residential and Nursing Home DS0000015351.V358840.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 Lawns Residential and Nursing Home DS0000015351.V358840.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 Lawns Residential and Nursing Home DS0000015351.V358840.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager offers prospective residents a good consistent approach by preassessments and consultation prior to any admission. EVIDENCE: A statement of purpose and service users guide is available before visiting the home. These documents enable potential residents’ to look at what facilities the home provides, information about the staff team, qualifications, experience and other useful information they need to know to be able to make a judgement. During the site inspection, a visiting social worker was carrying out a regular review with a resident, who had recently been admitted. Discussion with this social worker informed and evidenced to us, that a good standard of assessment is in place and good procedures are carried out under emergency situations. The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 9 The manager states on the AQAA that, ‘All prospective residents undergo a pre-admission assessment to ensure the home can meet any identified need and the placement will be appropriate.We provide comprehensive written information for prospective clients. we have ensured that all enquirers receive brochure and information pack/introduced a new brochure for specialist care.’ The majority of relatives and residents expressed an opinion that they had received enough information from the home prior to being offered a placement. Information evidenced that all pre-assessments, initial assessment by the home and Com 5(information from the referring social worker), were present and reflective of each other. No intermediate care is provided. The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards of care provision at the home are good although gaps in care plan records could potentially provide an inconsistent approach to residents care needs. EVIDENCE: The manager states on the AQAA that, ‘All residents have comprehensive personal care plans individual to their identified needs.’ Case tracking took place in respect of ten residents, we looked at care plans, related risk assessments, daily notes and other personal care records. Within the Care files all assessed health needs for each individual, had been well identified. While there were some good practices around the recording of resident’s care, for some there were areas of information that was poorly recorded. Shortfalls in evidencing interactions and carrying out management strategies, originally identified in the care plans, were not recorded sufficiently. The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 11 Equally however, and within a good proportion of documentation looked at, there were plenty of examples of how staff are addressing specific areas of need. This style of recording gave a good picture of how staff interacted and supported the individual well. This information was also reflected in the reviewed care plans. Good recording and monitoring consisted of how staff gave practical support and how they were following protocols set by management. If things were changed within care plans or assessments, then this was clear to understand and able to be tracked throughout other related documentation. Speaking to staff and the manager about the shortfalls found in some of the files, did demonstrate that it is an issue, purely around consistency of recording styles and not the actual care being provided by the team. All care for individuals was evidenced as being to a good standard. Through discussions with individual residents and relatives on the site inspection, all had commented that they were happy with the care they received and felt that the staff had respect for them and that their privacy was protected. Again in the majority of surveys returned, they expressed an opinion that people felt that they had received good care and were consulted with, comments included, ‘Our family have always been impressed by the high level of care and support provided to my relative.’ ‘ It is the little extra things that staff do that makes all the difference.’ The majority of staff expressed that they feel they give, ‘a high quality of care to all residents.’ For a small proportion of the residents, prior to moving in, they had come in with some pressure sore related issues. Looking through health care notes and speaking with staff, it was evident that the pressure sores are well maintained and that the staff have a good working partnerships with district nurses and GP’s. Additionally, nutritional records, monitoring of weight, fluids in- take, turning procedures and equipment provided to maintain the health around these areas, is to a good standard. The manager states on the AQAA that, ‘Any pressure ulcers are recorded. The information is collated within BUPA Care Homes and the information is used to identify trends and inform the purchase of appropriate equipment.’ ‘All residents have a nutritional screen using the MUST nutritional screening tool.’ There is a good medication system in place with lockable storage provided. Appropriate labelling, dates and signatures are in place. Medication profiles are present with photographs of individuals attached. A list of competent staff and sample of signature is in place. No omissions were present on MAR sheets and medication was kept in accordance with required legislation. Staff who administer medication have received training. Staff discussion around The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 12 medication showed that they knew individual need well and were competent around the medication policy and procedures. The manager states on the AQAA that,’Every resident is registered with a General Practitioner of their choice (within the constraints of access to G.P.s).The recently updated Medication policy meets the criteria of the National Minimum Standards and the guidance from the Nursing & Midwifery Council and the Royal Pharmaceutical Society.’ The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides opportunities for residents to participate in activities, which are suited to their needs and wishes. EVIDENCE: There are two activity coordinators employed. This allows a good standard of group activity and quality 1-1 time to go ahead with all residents’. This is good practice in terms of implementing diversity and equality, and ensuring that individuals regardless of their abilities have meaningful interaction. Additionally this frees up other staff to carry out the many busy tasks they have and general routines of the home. However, the team regardless of their role within the home, all appear to be proactive in improving the quality of care for individuals and are creative in their approaches to achieve this. This was evident by observation of staff during the site inspection and their interaction with individual residents’. The majority of residents commented that they were very happy with the activities supplied and one resident commented that, ‘staff are very good with the activities provided and that they are very attentive.’ The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 14 The manager states on the AQAA that, ‘We have a structured activities programme tailored to the individual needs and preferences of our residents.’ There are a number of rooms within The Lawns that are available for visitors to use in private with their relatives. Evident throughout surveys returned and the many compliments received by the home, relatives commented that they feel there is good care being provided, that they are regularly informed about important issues, there are no restrictions on visiting times and that they are very welcomed by the staff. On the site inspection a relative was present in the dining room during the lunch time period and they informed me that they did this every day. The meals offered to residents are appealing, home cooked, of high quality, nutritional, reflect individuals tastes, dietary needs and were praised by all residents spoken with. The two dinning rooms are set out and presented nicely. The majority of residents and relatives commented that they were very happy with the food supplied, one resident commented that, ‘the food is very good, they are willing to make you anything you want and there is also a good choice offered on the menu.’ The manager states on the AQAA that, ‘A full and varied menu is available in the home. The BUPA Menu Master helps us to ensure the menu meets the nutritional needs of the residents.’ Additionally, the home provides residents with a ‘Night Bite Menu’ this is available to all of the residentson a 24 hour basis. It provides hot and cold snacks and a variety of refreshments. Discussion with individuals evidenced that the were having these snacks and drinks when requested. The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager deals with complaints and concerns in an appropriate manner and residents are protected. EVIDENCE: There have been no complaints or safe guarding issues received since the last inspection. Documentation looked at around complaints evidenced they are dealt with appropriately and within timescales expected. The majority of residents and relatives commented that they knew who to make a complaint to if need be and felt that if they did it would be taken on board and dealt with appropriately. Staff spoken with had adequate understanding and knowledge of Protection Of Vulnerable Adults reporting procedures. All staff have attended Safe guarding training The manager states on the AQAA that, ‘We have a clearly defined company complaints policy with agreed timescales for managing complaints. The information that accompanies the policy is prominently displayed in the home. The policy includes a three tier framework including the home, the regional management team and the national Quality and Compliance department.’ ‘BUPA Care Homes has robust policies for dealing with allegations of abuse or neglect. Staff can not only raise concern within the home they have access to senior staff outside the home.There are well documented procedures for reporting under PoVA should the need arise.’ The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Lawns is a safe and clean and well-maintained environment for the residents. EVIDENCE: The home is well looked after and maintained. There are no odours throughout the home and it is cosy, homely and comfortable. Numbers of toilets and bathrooms are sufficient. The outside environment is pleasant, attractive and provides appropriate and practical usage for the residents of home. The manager states on the AQAA that, ‘We use a specialist microfibre cleaning system that combined with effective cleaning regimes keeps the home clean and odour free. Our comprehensive policies and procedures include control of infetcion and handling clinical waste.’ The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 17 The majority of residents and relatives commented that they were very happy with the cleanliness of the home, one resident commented that, ‘staff make a great effort to keep the home clean, fresh and are always willing to help.’ The home environment presents no health and safety issues. The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides staff with sufficient training and support. The manager implements a good standard of recruitment procedures, which protects the residents. EVIDENCE: The home has an experienced well-dedicated staff team in place. At the time of inspection, the home was fully staffed. The majority of residents and relatives commented that they felt there were sufficient numbers of regular staff on duty and one comment stated that, ‘The home seems to have a very low turn over of staff and I think this is good.’ The skill mix of the staff group was being used positively in meeting the various needs of residents. The level of staff provided on each shift is good. Staff receive good support through induction, handover’s, staff meetings, supervision and training. Staff spoken with confirmed that regular supervision and staff meetings go ahead. Induction for staff is to a good standard. The manager maintains robust recruitment checks and it was positive to note that the staff files sampled, all evidenced that they had the required information available. The manager states on the AQAA that, ‘We perform appropriate CRB, POVA and NMC PIN checks for all staff. There are comprehensive Human Resource The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 19 policies to aid effective recruitment and staff management.We maintain the correct numbers of staff agreed with the inspectorate and taking account of the individual needs of the residents.’ In general staff training is to a good standard and the manager is very proactive in holding regular training sessions as well as accredited core training. All staff that lead on every shift, every day of the week are RGN qualified and 8 care staff have achieved the NVQ 2. The manager states on the AQAA that, ‘There is a training matrix specific to the home that identifes the training requirements of the staff.’ The majority of residents and relatives commented that they felt the staff were knowledgeable, well trained and overall knew individual residents’ needs well. On occasions when people felt that staff had lacked knowledge, then the manager had stepped in and had rectified this. One relative commented, ‘The manager informed me that a monthly meeting with the key worker should be going ahead to discuss any issues, I did not know about this and have never been invited.’ They later go on to state after the manager’s involvement, ‘ we are now beginning to sort out my relatives care.’ The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager protects and promotes the health, safety and welfare of the residents at the Lawns. EVIDENCE: Residents’ are benefiting from an experienced manager who is well qualified and who leads the team into good practices and philosophy of care. Through discussion with the manager she evidenced that she has good management skills, strategies and creates a good ethos throughout the home. The manager has made good progress to ensure that good practices amongst the team are implemented and that awareness around person centred approaches are raised. The day-to-day running of the home is efficiently organised. The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 21 The manager states on the AQAA that, ‘Regular Health & Safety meetings with a standardised agenda giving staff the opportunity to communicate on Health and Safety issues. The minutes from these meetings go to the Regional Manager.There are regional and national experts available within the company for advice and guidance if required. There are dedicated Health & Safety staff within the Quality and Compliance directorate.’ The health, safety and welfare of residents’ and staff have been made a priority. All health and safety checks that were inspected are up to date. Within the fire records looked at, there are two different folders in use. Information that was provided is not kept consistently in one folder or the other. Additionally there are blank duplications of the same paperwork in both. This makes it appear that there are some gaps in practice, when actually this is not the case. Some of this documentation needs to be either archived or to be clearly cross-referenced with each other. It was evidenced through documentation looked at that Residents’ finances are well maintained and accounted for. The organisation has been proactive in having a good quality assurance process is in place, however apart from the corporate view of quality assurance, the manager needs to further develop this, by gaining views from residents, relatives and others who come into contact with the service and making this available to CSCI and all other interested parties. The manager states on the AQAA that, ‘Residents may handle their own finances should they wish to do so.’ ‘BUPA Care Homes has an annual customer satisfaction survey.’ The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 22 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 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP8 Good Practice Recommendations Staff to consistently record, on a regular basis, the quality of care provided and evidence that care plans are being adhered to. Quality assurance needs to be collated and include views of the residents and their representatives. This is to be made available to CSCI and all other interested parties. Fire records need to evidence clearly that they are maintained, up-to-date, accurate and concise. OP33 OP37 The Lawns Residential and Nursing Home DS0000015351.V358840.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge CB21 5XE 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 Lawns Residential and Nursing Home DS0000015351.V358840.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. 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