Inspection on 14/09/06 for The Red House

This inspection was carried out on 14th September 2006.

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 Red House 23/08/07

The Red House 20/02/06

The Red House 24/05/05

The Red House 07/12/04

The Red House 20/07/04

The Red House 19/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The Red House The Red House Clonway Yelverton Devon PL20 6EF Lead Inspector Helen Tworkowski Unannounced Inspection 14th September 2006 12:00 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 Red House DS0000046280.V303182.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 Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Red House Address The Red House Clonway Yelverton Devon PL20 6EF 01822 854376 01822 853331 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) Crocus Care Limited Ms Marlene Treloar Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 28 people 65 or over can be accommodated at one time. 23 May 06 Date of last inspection Brief Description of the Service: The Red House is owned by Crocus Care Limited. Ms Clare Hunter is the Responsible Individual for the company, however at the time of the inspection there was no Registered Manager, but there was a manager in post. The Red House is registered to provide accommodation and care for a maximum of twenty-eight people in the registration category of Old Age. The Red House is a large detached house with a landscaped garden. It is situated on the outskirts of the village of Yelverton, which has a number of shops, churches and public houses and a frequent bus service to and from Plymouth and Tavistock. Most of the bedrooms are single rooms with en-suite toilet facilities. The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection used information gathered from a Pre-Inspection Questionnaire and two site visits (12.00- 5.00 14/9/06, 10.00-5.00- 20/9/06). During these visits the Inspector toured the building, interviewed staff and Service Users, looked at records relating to staff, service users, medication, and in relation to safety. The Inspector ate lunch with a group of Service Users and met with the Registered Manager. Ten Service User surveys were given out, eight were returned. Ten staff surveys were given out, six were returned. Surveys were also sent to visiting healthcare professionals and a Social Services Care Manager. What the service does well: What has improved since the last inspection? The Medication system has been improved, so that there is closer auditing of medication. Medication is now stored in a more organised manner. Thermostatic water valves are now being fitted throughout the building, improving the safety of service users. The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 6 Improvements have been made in relation to recording complaints. Staff have received training in relation to the Protection of Vulnerable Adults. 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 Red House DS0000046280.V303182.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 Red House DS0000046280.V303182.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service Users can be confident that their needs will to some extent be known however this may not be to any great depth, and these needs may be not fully recorded. This means that Service Users cannot be confident that their needs will be consistently met, when they first move to the Red House. EVIDENCE: The files of two people who had recently moved to the home were looked at during this inspection. Before a move to a home an assessment of needs must be carried out. This information should be used to complete a Service User Plan. The information recorded on file consisted of a checklist on one side of A4 paper, establishing the level of need, with some additional information on the reverse. The information recorded was insufficient to provide an adequate understanding of individual need. In discussions with Marlene Treloar it was clear that she had gather much more information than was recorded and that she had a better understanding of the needs of the people than was evidenced. Even so further assessment information should have been sought particularly The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 9 in relation to specific conditions. It is important that as much information as possible should be sought prior to a move so that the individual can feel confident that their needs can be met, and where necessary staff receive additional training. The recording of information is important, so that the care of vulnerable Service Users is not reliant on the memory of individual staff. The Red House DS0000046280.V303182.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Documents that should help ensure that Service Users needs are consistently met lack detail, and means that Service Users, particularly with more complex needs, cannot be assured that they will be. Medication is well managed and properly administered. Service Users are treated with respect and feel valued by staff at the Red House. EVIDENCE: Four Service User Plans were looked at as part of this inspection. These documents identify how the needs identified in the assessment are to be met. They should explain in detail the actions staff are to take to meet needs. These documents should help ensure that no needs are missed and that staff are consistent and thorough in their approach, and that individual preferences are taken into account. The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 11 The four Service User Plans looked at were brief and did not contain sufficient detail and did not reflect individual needs and preferences. For example it was identified that one person had particular problems with their vision, however their was no guidance to staff on how this might impact on the person’s needs in terms of their mobility, ability to eat independently, or follow hobbies or interests. Where health care needs were identified- for example in relation to diabetes, their needs were not fully identified. Some of Service User Plans identified that assistance was needed in particular areas of care, however the plans did not specify how that assistance was to be given. The Inspector spoke with two care staff about the needs of Service Users. They demonstrated that they had a reasonable understanding of needs, however this was not as thorough as it might have been. Staff confirmed that they got their information from the Service User Plans. Feedback from one visiting Healthcare professional noted that advice given was not always incorporated into the service user plan, and that the staff are sometimes slow to instigate changes, such as inserting a pressure mattress. Feedback from other Healthcare professionals included the views that the home worked well in partnership, followed advice and that staff had a clear understanding of the needs’ of service users. Each file had risk assessments- or reviews of risk assessments. These risk assessments related to falls, moving and handling, and pressure areas. Information as to how a particular risk might be managed did not appear in the Service User Plan. On some of the working files only the sheet showing that a review of the risk assessment had taken place. The actual risk assessment was stored in an archive file. It is recommended that this reviewed so that current risk assessments are readily available to staff. The medication system has been revamped, following a visit by the Commission’s Pharmacy Inspector. Requirements and recommendations have been met, and advice taken. The medication is now well managed and there are good records of stock, and medication administration. Over the two days the Inspector observed that service users were addressed with respect and that doors were knocked. All of the eight service users who responded to the survey thought that staff listen and act up on what they say. One comment made consistently by Service Users was that not only were the staff responsive to their needs but did so with good humour and a smile. The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service Users are offered well-cooked and well presented meals in pleasant surroundings. Service Users are offered a wide range of activities both in the home and in the community, and are provided with facilities and support to maintain contact with relatives. EVIDENCE: As the inspector arrived for the first day of the site visits, five service users were leaving with two care staff on a trip out for a pub lunch. Other Service Users were involved in playing a word quiz. The Inspector was given a copy of the Red House’s “What’s on Guide September 2006”. This 3 page document, is given to each service user, and gives a list of the events on offer on a daily, weekly basis and those specific to that month. It also provides information about Tavistock Age Concern events. The Manager also gave the Inspector a copy of a regular news letter that gives general news, information about the things that have happened at the Red House as well as things on offer. Some of the walls are decorated with photographs of recent events. During the site visit, there were many visitors to the Red House. The registered manager, Marlene Treloar, said that they welcomed visitors. One of The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 13 the lounges has a table set, and visitors are very welcome to stay and have meals. One Service User told the Inspector that she had eaten with a relative the previous day, and had enjoyed being able to use this private dining room. The menu provides Service Users with a choice of meals, and these are cooked using fresh ingredients each day. Service users are offered sherry before lunch and the evening meal. The Inspector ate with Service Users on the second day of the inspection and agreed with the view generally held by Service Users that the food was excellent. Service Users told the inspector that if there was anything that they did not like then an alternative was offered, the chief spent time with Service users finding out about what they liked or disliked. Where individuals had particular needs in relation to diets this was catered for. Food is well served, and care has been taken to maximise choice and independence by providing dishes of vegetables and potatoes so that individuals can serve themselves. The Inspector was told by the manager that after supper, staff were encouraged to sit down with Service Users and have coffee and to talk, rather that clearing up. This was seen as an important part of the work of staff. Service Users tended to stay up later, not going to bed straight after supper. Service Users confirmed to the Inspector that there were no “rules” they were able to get up and go to bed when they pleased. Service Users are encouraged to maintain their independence: Service Users are supported to manage their own medication if they are able to do this, and if they are not able to manage all their medication they can manage what they can. This is risk assessed to ensure that Service Users get the appropriate support. The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service Users and their relatives can feel confident that they will be listened to and acted on. Service Users cannot be confident that all necessary measures have been taken to protect them from abuse, due to the poor recruitment practices. EVIDENCE: No complaints have been received by the Commission or by Crocus Care Ltd, regarding the Red House, since the last inspection. There is a complaints procedure and the Registered Manager said that she had a system for recording all complaints. The Inspector discussed with the Registered Manager ways the concerns that are not formal complaints might be managed. Seven of the eight Service Users responding to the survey said that always knew who to speak to if they were not happy and knew how to make a complaint. The eighth person usually knew how to do this. In discussions with service users it was clear that all of the Service Users saw Marlene Treloar on an almost daily basis and felt that their care was important to her. One person commented, “The landlady always listens to what you say- she’s most helpful”. A number of staff had received training in relation to the Protection of Vulnerable Adults on 12/9/06, and there was guidance produced by Devon County Council available in the office. The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 15 One of the ways Service Users are protected from abuse is by completing appropriate checks during the recruitment process, to ensure the fitness of staff. Not all necessary checks were carried out and this could potentially place service users at risk. See the section of this report related to staff recruitment. The Red House DS0000046280.V303182.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Red House is clean, comfortable and well maintained. EVIDENCE: The Inspector toured all of the building during this visit. All of the bedrooms were clean and comfortable. Many of the Service Users had chosen to bring in items of their own furniture, as well as pictures and ornaments. Many of the bedrooms have views across to Dartmoor and the surrounding area and this was something that Service Users valued, particularly as many came from the area. The home employs a handyman, and the Manager confirmed that he is attending to some of the outstanding minor repairs. The house is in good repair, and the handy person is able to carry out small improvements for Service Users such as putting up a shelf. The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 17 The lounge and dining areas are comfortably furnished. There is a piano, that is sometimes played, and lots of videos recording of films and programmes that might interest Service Users. The bathrooms were all clean, and there was an ample supply of disposable towels, disposable gloves, and aprons. There is a “Parker bath” which is used by people who are unable to use a standard bath. The Registered Manager explained that they were looking at how some of the en-suite shower rooms could be improved. She also confirmed that thermostatic devices have been fitted to all baths and showers to ensure that no service user is at risk of being scalded, and there is a programme of fitting these to wash hand basins, based on assessed risk. The hot water in a shower and in a bath were tested to see if they were regulated, in both instances the water was of a temperature that could not have scalded. Seven of the eight Service Users who returned surveys thought that the home was always fresh and clean, and the eighth person thought that it was usually so. The Red House DS0000046280.V303182.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are sufficient staff who are well supported to carry out their role. Recruitment procedures are not robust, and this could potentially place Service Users at risk. EVIDENCE: The roster shows that there are generally three care staff on duty between 8am and 8pm each day, in addition the Registered Manager is on duty during the week, and there are also cooks and cleaning staff. From observations made and from the comments made by Service Users this is sufficient to meet the needs of Service Users. Three sets of staff records for people who had recently been recruited to the care home were looked at. The most recent person had an application form, there was evidence that two references had been taken, and there was evidence of an induction to the home. The other two people had only one written reference, and for one person this had not been a recent employer. Obtaining references is one of the ways that an employer can check the fitness of staff and ensure that they were the right sort of person to work with vulnerable people. The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 19 One further way of checking that staff are suitable is checks to see if the prospective member of staff has a criminal record or has been reported to be included in a list of people who should not work with Vulnerable Adults. The Registered Manager had provided dates when she had forwarded CRB forms to the Registered Provider for completing and sending to the Bureau. The dates these were sent off were after the start date, indicating no check had been made in relation to the Vulnerable Adults list, by obtaining a “POVA First Check”. There was no copies of completed Criminal Records Checks on site, nor was there any record of checks made, that had been previously seen by the inspector. Many of the staff had started work at the Red House in the last 12 months. The Commission has not agreed with the Registered Provider that CRB checks could be kept on another site. Should this have been the case a record of the details of the checks still must be kept at the home. There was evidence that Care Staff had received a short basic induction to the Care Home. Registered Manager, Marlene Treloar, confirmed that this is then followed up by a longer induction that is about the care work that a member of staff carries out, and is to “TOPSS” standard. There was evidence of a range of training that had been conducted in the last month or two. This included Protection of Vulnerable Adults Training on 12/9/06, Fire Safety Training on 31/8/06, Moving and Handling Training on 15/9/06. Training was also planned in relation to Health and Safety on 22/9/06 and First Aid on 5/10/06. The Inspector discussed with Marlene Treloar the need for staff to have training in relation to the needs of the Service Users such as diabetes, skin care, and continence. Ms Treloar said that whilst there had been some training in these areas in the past that many of the existing staff had not had this training. Staff must have the skills and competences to meet the needs of the people who live in the care home. Ms Treloar was able to produce evidence that she supervised and appraised staff, and confirmed staff meetings are held every 2 months or when she or her staff feel they are needed. Staff Survey forms that were returned show that the six staff completing these forms all felt that they had enough support to do their job well, and met with the manager on a regular basis. Comments from staff included: “I find it happy and well run with a manager and senior care staff who are 100 behind the Service Users and staff members” , “It’s a home with a friendly atmosphere and residents and staff get on really well”, and “I think that our home really does take into account the individual needs and wishes of clients and staff alike, it is a very pleasant and friendly place for both staff and clients alike”. The Red House DS0000046280.V303182.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 at least once during a 12 month period. 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 home is well managed, with the needs and wants of the Service Users central to all activities. EVIDENCE: The Registered Manager confirmed that she is in the process of completing her Registered Managers Award. Evidence of Marlene Treloar’s competence can be seen in that where improvements have been required in the past these have been carried out- for example in relation to the medication system. Ms Treloar has also worked towards the goal of running a home where people feel at home and have a range of activities. Feedback from staff and service users was that they felt well supported, members of staff commented that she was a “good manager” The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 21 Mrs Treloar said that as part or the Quality Assurance process questionnaires had been sent out to Service Users and to relatives, this had been done 12 months ago and was about to be done again. Questionnaires had also been sent to visiting professionals to the Red House. The results are sent to the Crocuscare Ltd (Registered Provider), and the results are fed back to the Service Users at meetings. There are general risk assessments and a fire risk assessment. These had been reviewed. There had been regular checks on the fire system and regular staff training had taken place. The system for managing Service Users money was looked at during this inspection. There was a record of all transactions, which were all signed. The Red House DS0000046280.V303182.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 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 23 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 OP3 Regulation 14 Requirement Pre-admission assessments for Service Users must be comprehensive, recording all known needs. Service User Plan must be comprehensive and detailed; they must include actions staff are to take to meet needs. This must include reference to health care needs. A criminal records bureau check must be initiated before employment, and a named person must supervise any person working with out a completed check. All appropriate checks must be made as part of the recruitment process. This must include two relevant written references, and a POVA first check, before employment. Staff must be trained to meet the needs of service users accommodated, for example in relation to diabetes. Timescale for action 01/11/06 2. OP7 , OP8 15 01/01/07 3 OP18 , OP29 18,19 01/11/06 4. OP18 , OP29 18,19 01/11/06 5 OP30 19 01/01/07 The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 24 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. Refer to Standard OP7 Good Practice Recommendations The system for filing Risk Assessments should be reviewed, so these are readily accessible to those providing care. The Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Red House DS0000046280.V303182.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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