Inspection on 20/03/07 for Three Gables

This inspection was carried out on 20th March 2007.

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

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

Other inspections for this house

Three Gables 04/01/06

Three Gables 25/07/05

Three Gables 14/02/05

Three Gables 26/08/04

Similar services:

1 Marten Road

Daubeney House

Aldwick House

49 Glendale

The Springs Community

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

CARE HOMES FOR OLDER PEOPLE Three Gables Brand Road Eastbourne East Sussex BN22 9PX Lead Inspector Lucy Green Key Unannounced Inspection 20th March 2007 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 Three Gables DS0000021271.V323330.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. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Three Gables Address Brand Road Eastbourne East Sussex BN22 9PX 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) 01323 501883 F/P 01323 501883 Mrs Jennifer Shirley Miss Caroline Shirley Miss Caroline Shirley Care Home 19 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (19) of places Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is nineteen (19). Service users should be sixty-five (65) years or over on admission. Service users diagnosed with a mental disorder only to be accommodated. One named service user under the age of sixty-five (65) years may be accommodated. 4th January 2006 Date of last inspection Brief Description of the Service: Three Gables is a large, detached, three storey property situated in a quiet residential area of Hampden Park. The location of the home is within walking distance of local shops, health services and public transport links. Resident accommodation is provided in single bedrooms, many of which have en-suite facilities. Bathroom and toilets provide assisted facilities. The home has a range of communal areas, including a dining room and two lounges, one of which has an extended sunroom. The external grounds offer attractive front and rear gardens. A passenger lift provides level access to the first floor of the home. One bedroom is located on the second floor and the resident who occupies this room, must be able to manage the stairs from the first floor independently. Information provided by the Provider details that the current range of fees at Three Gables is between £322.04 & £450 per week. Additional charges are payable for personal items including; toiletries, hair dressing, chiropody and newspapers. More detailed information about the services provided at Three Gables can be found in the home’s Statement of Purpose and Service User Guide – copies of these documents, along with the latest CSCI inspection reports are available in the reception area of the home or on request directly from the Provider. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Three Gables are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, feedback from representatives and an unannounced site visit which lasted eight hours on Tuesday 20 March 2007 between the hours of 10am and 6pm. The site visit included a tour of the premises and an examination of medication, care and staffing records. The Inspector observed the lunchtime and evening meals being prepared and served. Throughout the inspection process, the Inspector spoke with eight of the eighteen residents currently living in the home individually and observed the way other residents spent time in communal areas. In addition resident surveys were received from eight residents. Written feedback was also received on behalf of two entertainment services who visit the home on a regular basis. Following the inspection, the Inspector attempted to contact some of the professionals who have residents placed at Three Gables, but at the time of this report comments were not available. The Inspector spoke with both of the Registered Providers, the home’s Independent Advisor and five care staff during the inspection process. What the service does well: Three Gables provides a high quality service to the people it accommodates. The home has a relaxed and friendly environment where people are supported to live their lives as they choose. Feedback from relatives and visitors describe the quality of service as “first class” and “Three Gables remains outstanding”. The Registered Providers are skilled and experienced practitioners who are entirely dedicated to ensuring residents receive a high standard of care. The home has an experienced team of staff who are committed to their work and have a good understanding of the needs of the people living at the home. Residents spoke highly of the support received by staff and positive relationships between staff and residents were observed. Feedback from relatives and visitors echoed the compliments about staff and the home. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 6 Residents have the opportunity to participate in a range of activities and social events. An activities agency visits the home three afternoons each week to provide structured activities, in addition to a raft of activities and entertainers organised by the home. Meals are also of a high quality with choice available at each mealtime. The food prepared and served on the day of inspection was well presented and nutritionally balanced. 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. Three Gables DS0000021271.V323330.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 Three Gables DS0000021271.V323330.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 & 4 (Standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents benefit from an assessment process that ensures their needs are identified and confirmed they can be met before moving into the home. Three Gables does not provide intermediate care. EVIDENCE: The Inspector viewed the pre-admission assessments for the two residents who have moved to Three Gables in the last twelve months. For both residents, there was evidence that the home had conducted a thorough assessment of the individual prior to the resident moving into the home. Information from other relevant parties had also been obtained, including where appropriate the latest Care Programme Approach documentation. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 9 A review of the subsequent care plans in place for these two individuals provided evidence that the information gathered that the assessment stage is then subsequently used to develop a plan of care. Discussion with management and staff, along with information in the care plans provided evidence that residents and/or their representatives visit the home prior to placement and those residents spoken with as part of the inspection process also confirmed that they had had the opportunity to visit before they moved in. The Providers confirmed that Three Gables still does not provide intermediate care. Three Gables DS0000021271.V323330.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, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are fully met in a respectful and private way. Residents are further protected by the way medication is managed. EVIDENCE: Staff practices observed throughout the inspection demonstrated a good understanding of the residents and their needs. The interaction between staff and residents was positive and the atmosphere at Three Gables was found to be calm, relaxed and friendly. Discussion with the Providers again highlighted the excellent knowledge and experience they have in managing the care of the people they support. It was clear from observation, talking to residents and staff and from the written material in place, that care and support is provided in a sensitive, dignified and respectful way. All residents spoken with said that staff support Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 11 them with their personal routines in an appropriate way. During the inspection, staff were observed to be knocking on bedroom doors and talking in a kind and professional manner to residents. A sample of four care plans were viewed and there was evidence that each resident has a plan of care that provides detailed information about their health and welfare needs. Care plans are well maintained and easy to use, with a clear system of including the guidelines and risk assessments developed by external healthcare professionals. Where relevant, copies of the Care Plan Approach reviews were found to be included. Since the last inspection, the home has also developed a quick reference guide to each resident which provides staff with an overview of the daily support each resident requires. All parts of the care plans are reviewed by the Registered Manager on a monthly basis and any changes made are recorded. It was evident from the review notes that any events or incidents during the month are reflected in the appropriate section of the care plan. It is however recommended that the home review the way accident records are stored to consider including this information in care plans. Care plans contain risk assessments for each of the areas identified in the plans of care and it is possible to track the level of risk and the controls in place to minimise any risk. Residents are fully supported with their health care needs and care plans are compiled with a multi-disciplinary approach. A record of any visits or contact with professionals external to the home is maintained. There was evidence of involvement from General Practitioners, Community Psychiatric Nurses, District Nurses, Dentists and Chiropodist. Records demonstrated that residents are regularly weighed and specialist dietary monitoring is put in place where necessary. Since the last inspection the home has introduced nutritional screening assessments which were in place for a number of the residents case tracked. In line with a requirement from the previous inspection, the home has improved its system in place for managing medication within the home. Records were found to be clear and it was possible to track any changes in medication. The Independent Advisor now audits all medication and associated records on a weekly basis. Both staff and management confirmed that only staff who have received appropriate training handle medication. Three Gables DS0000021271.V323330.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 12, 14, 15 & 16 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported and encouraged to lead sociable, healthy and fulfilling lives. Residents benefit from a range of nutritious and well-balanced meals. EVIDENCE: The daily running of the home was observed to allow residents the freedom of choice about when they get up and where and how to spend their time. Conversations with residents highlighted that they have each developed their own individual routines and wherever possible, staff facilitate this. The home arranges a number of in-house activities, including; art and craft sessions, Music in Care Homes who visit monthly, a music for health workshop, reminiscence sessions, musical bingo and visits from magicians, singers and people who sell clothes. In addition to these activities co-ordinated by the home, an Activities Agency is also employed by the home three afternoons each week. Feedback from this agency confirmed that “most of the residents take part and enjoy the activities which include all types of games, sing alongs….plus chair exercises etc”. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 13 One resident is able to go out independently and when speaking with the Inspector, this individual confirmed that Three Gables allows her to maintain her independence and keep in contact with friends. Three Gables has strong links with local religious leaders and residents are able to attend Communion and other services within the home. Residents are encouraged to exercise choice and control over their lives. As examples of choice, residents can receive a daily newspaper of their choice, they can choose how to spend their time, and bedrooms are individually furnished and decorated. It was noted in care plans that any restrictions on choice and freedom are discussed with relevant parties and guidelines agreed and recorded. Residents are encouraged and supported to maintain contact with their family and friends. The home operates an open door policy and residents are able to spend time with their guests in their rooms or in one of the lounges. Feedback received from relatives through the home’s own quality assurance systems evidenced positive views of the home. One relative’s questionnaire stated “I am so relieved and happy that my mother is in Three Gables’ care. I could not have wished for a better home”. Another relative also commented “we have nothing but praise for the level of care, atmosphere and standards at Three Gables”. The provision of meals continues to be of a high quality. Meals are prepared according to a rotating menu, with all parties confirming that an alternative and choice is always available. Whilst lunch and dinner times are set, those spoken with said this was a good thing and all stated that they liked to know what time to expect their meals. The Inspector observed the preparation and serving of the lunchtime and evening meals on the day of inspection. Both mealtimes offered choice and residents were seen to be enjoying their food. The main meal provided a choice of either cooked gammon and vegetables of fish and vegetables. The food was well presented and nutritionally balanced. The lunchtime meal was followed by a rice pudding dessert which residents spoke highly of in the afternoon. One resident told the Inspector “I loved the rice pudding today” and another resident commented, “nobody could criticise the food, you couldn’t get any better”. The resident surveys included a range of comments about the food and on the day of inspection all of the eight residents spoken with were complimentary about the meals provided at Three Gables. Three Gables DS0000021271.V323330.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their visitors benefit from an open culture where they are able to express their views and feel valued and protected from harm. EVIDENCE: Three Gables has a complaints policy which is accessible to both residents and visitors to the home. The home has received one complaint in the last twelve months which was dealt with in an efficient and professional manner to the satisfaction of all parties. It is pleasing to report that the home have evidenced a positive approach to complaints and demonstrated a willingness to use feedback as an opportunity to review and improve services. The CSCI has not received any complaints about the provision of service at Three Gables since the last inspection. The residents spoken with all confirmed that they knew how to complain and stated that if they had any concerns they would speak to one of the Providers. The staff spoken with were knowledgeable about the vulnerability of residents and the systems in place to protect them. Staff have received training in the protection of vulnerable adults and prevention of abuse. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 23 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents continue to benefit from a clean, comfortable and homely environment, that has systems in place for ongoing re-decoration and improvement. EVIDENCE: Three Gables is an attractive three storey property situated in a quiet residential area of Hampden Park. A passenger lift provides level access to the first floor of the home. One bedroom is located on the second floor and the resident who occupies this room, must be able to manage the stairs from the first floor independently. Resident accommodation is provided in single bedrooms, many of which have ensuite facilities. Bedrooms were found to have been personalised to the Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 16 individual occupying them and many residents had brought in their own furniture. Bathroom and toliets provide assisted facilities. Since the last inspection, a new adapted bath has been installed and a previously underused bathroom has been converted into a walk-in shower. The home has a range of communal areas, including a dining room and two lounges, one of which has an extended sun room. The second lounge has been extended since the Inspector last visted the home, which now provides residents with more living and dining space and also includes the provision of a large, disabled toilet on the ground floor. The external grounds continue to offer attractive front and rear gardens. The home have introduced a new odour control system which all parties confirm is working well. The home was found to be clean, tidy and free from offensive odours on the day of the inspection. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being supported by an experienced and committed team of staff and are protected by the robust recruitment systems in place. EVIDENCE: On the day of inspection, there were sufficient staff to support the needs of residents as detailed in the care plans. Rotas indicated that staffing levels have increased since the last inspection to provide four care staff in the morning and two care staff in the afternoon. In addition, one of the Providers is available in a supernumerary capacity. At night, the home is staffed by one waking carer and one person asleep. The home also employs adequate numbers of cooking and domestic staff. All of the feedback received during the inspection process indicated that staffing levels are sufficient for the current range of needs at Three Gables. Both staff and management confirmed that the extra carer on duty in the morning allows support to be more resident focused than task led. All of the residents spoken with commented on how nice staff were. One resident expressed: “the girls are brilliant” and another told the Inspector “the Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 18 staff are very good, can’t complain”. Feedback from the external activities organiser provided “the home enjoys a relaxed atmosphere with always smiley and conscientious carers which makes working with both staff and residents most pleasurable”. Formal systems for staff development and training have really improved since the last inspection, with a clear training matrix now in place. Staff undergo a raft of mandatory and specialist training. Six of the ten care staff have also now completed National Vocational Qualifications (NVQ) to at least level 2 and another is currently working towards this qualification. The Independent Advisor was able to provide evidence to demonstrate that that all new staff complete an induction programme that is in line with Skills for Care. Staff meetings and formal supervision sessions are now taking place on a monthly basis. The recruitment files for two new care staff were inspected and the required information was in place for each individual, including satisfactory checks with the Criminal Records Bureau, two written references, completed application form and full employment history. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a safe and well run home that has effective systems in place to self-audit and improve. EVIDENCE: Three Gables is a family owned and run home and the management team provides two highly skilled and qualified practitioners. The Registered Manager, (who is also one of the Owners) is a Registered General Nurse (RGN), who holds the Registered Managers Award, Advanced Management for Care and a Diploma in Gerontology. The other Proprietor is a Registered Mental Nurse (RMN). Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 20 Both Owners work in the home on a full-time basis. During the week, their hours are supernumerary to the rota and at they each work alternate weekends in a ‘hands-on’ capacity. Staff, visitors and residents again all spoke very highly of both Owners, with one visitor commenting: “[Providers names] operate tightly hands on and have evolved a home from home for their residents”. Since the last inspection, the Independent Advisor has taken on lead responsibility for quality control within the home. This individual showed the Inspector the quality assurance programme that has been developed to audit the home. Areas that are regularly audited include: recruitment, care plans, nutrition, complaints, medication and environment. There was evidence of a robust system of self-audit which is leading to improved outcomes for the people living at Three Gables. In addition to internal audit, the home also now has a formal process for gathering feedback from other stakeholders, with an annual satisfaction survey being sent to residents and relatives. The majority of residents at Three Gables either manage their financial affairs independently or with support from their representatives. For those residents that are supported by the home in this area, a record of incomings and outgoings is maintained and entries backed up with receipts. The documentation of this was found to be satisfactory. In information submitted to the CSCI by the Registered Manager on 20 December 2006, it was evident that Three Gables has various systems in place to ensure the Health and Safety of the home are maintained. The Independent Advisor showed the Inspector the range of updated risk assessments for the home in respect of the Fire and Health and Safety. Other records in respect of health and safety were therefore not inspected on this occasion. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 4 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 4 X X 3 4 X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 4 X 3 Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 22 NO 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. 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. Refer to Standard OP7 Good Practice Recommendations The Registered Person to consider storing accident sheets in individual care plans so that they can be easily incorporated into the monthly review of care. Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Three Gables DS0000021271.V323330.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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