Care Home: Linden House

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well All people that wish to use service benefit from a pre-admission assessment and the care plans are then generated from this initial assessment. The preadmission assessment is kept in the person`s individual care plan folder. Care plans and risk assessments contained enough information about the people using the service that allowed staff to care for them appropriately. The registered manager recognised that the plans were a little repetitive and has decided to review the format that is used and to change the documentation. The staff spoken to on the day were knowledgeable about the care needs of the people using the service. They were observed to be interacting and speaking appropriately to the people using the service in a calm manner. Regular training takes place and this includes the NVQ (National Vocational Qualification) which all staff have access to. What has improved since the last inspection? This is the first key inspection since registration in November 2008. What the care home could do better: Two requirements were made a result of this key inspection and can be viewed at the end of this report. The statement of purpose and service user guide to be reviewed and updated to ensure that prospective people wishing to use the service have all the information they require. A copy of the Regulation 26 report by the responsible individual must be made available at the home. CARE HOMES FOR OLDER PEOPLE Linden House 9 College Road Epsom Surrey KT17 4HF Lead Inspector Lesley Garrett Unannounced Inspection 6th April 2009 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 Linden House DS0000072988.V374756.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. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Linden House Address 9 College Road Epsom Surrey KT17 4HF 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) 01372 721 447 Stargate Partnership Ltd Miss Lynne Jones Care Home 32 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 2. Dementia (DE). The maximum number of service users to be accommodated is 32. New Service Date of last inspection Brief Description of the Service: Linden House is registered with The Commission for Social Care Inspection to provide personal care for up to thirty-two older people some of whom have dementia. The property is a former hotel, which has been adapted and extended over the years. Linden House is situated in a quiet residential road on the outskirts of Epsom town. Accommodation is provided in single en-suite rooms. There are also three lounges, two dining rooms, and a garden. There are bathrooms and toilets on both floors, which can be accessed by a chair lift and stairs. The home has ample car parking space to the front of the building. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of the care home was an unannounced Key Inspection. Mrs Lesley Garrett, Regulation Inspector, carried out the inspection and the registered manager represented the service. This was the first inspection since the home was re-registered in November 2008. We arrived at the service at 10:00 and were in the home for four hours. It was a thorough look at how well the home is doing. It took into account information provided by the home and any information that CSCI has received about the service. The registered manager for the service supplied CSCI with an AQAA (Annual Quality Assurance Assessment) and this document was used to assist with the inspection. The inspector also spent time talking with some of the people using the service and staff members. We looked at how well the service was meeting the key national minimum standards and complying with the regulations and have in this report made judgements about the standard of the service. Documents sampled during the inspection included the home’s care plans, daily records and risk assessments, staff files, training records, and the home’s safeguarding and complaints policies and procedures. From the evidence seen by the inspector and comments received, the inspector considers that the home would be able to provide a service to meet the needs of individuals who have diverse religious, racial or cultural needs. What the service does well: All people that wish to use service benefit from a pre-admission assessment and the care plans are then generated from this initial assessment. The preadmission assessment is kept in the person’s individual care plan folder. Care plans and risk assessments contained enough information about the people using the service that allowed staff to care for them appropriately. The registered manager recognised that the plans were a little repetitive and has decided to review the format that is used and to change the documentation. The staff spoken to on the day were knowledgeable about the care needs of the people using the service. They were observed to be interacting and speaking appropriately to the people using the service in a calm manner. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 6 Regular training takes place and this includes the NVQ (National Vocational Qualification) which all staff have access to. 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. Linden House DS0000072988.V374756.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 Linden House DS0000072988.V374756.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): 12345&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who wish to use the service benefit from a pre-admission assessment from a suitably trained person from the home to ensure that the home can meet their needs. Shortfalls were found in the service user guide and statement of purpose and these documents need to be reviewed. EVIDENCE: We looked at the service user guide and statement of purpose. They did not contain all the information that that would allow people to make an informed choice about the home. The manager said the providers supplied these documents as they have other registered care homes. The manager will speak to the responsible individual for the home to ensure they are adjusted so that they contain all of the required information. A requirement will be made and can be viewed at the end of the report. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 9 We sampled one care plan for a recently admitted person to the home. It was observed that this individual had a contract in place. The manager said that all people using the service have contracts that have been signed and agreed. All people who wish to use the service benefit from a pre-admission assessment. This assessment is carried out by the registered manager is thorough and takes into account the activities of daily living. There was evidence in the care plan of a recently admitted person to the home. The preadmission assessment had been kept in her folder and care plans then generated from this assessment. The manager stated that she intends to change the format of the pre-admission assessment so that she gains more information prior to admission and plans to write some of the care plans at the assessment stage. The manager stated that she welcomes people into the home prior to admission. She told us that people wishing to use the service can have an over night stay if they wish and can also stay for a meal to see if they like the home. The manager said that prior to the re-registration the home had on one occasion taken an individual that was not suitable for the home. The manager said she now ensures that the home can meet the needs of anyone wanting to use the service and that the home has the staff with the appropriate competencies to meet their needs. The home does not offer intermediate care. Linden House DS0000072988.V374756.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. The health and personal care that people using the service receive is based upon their individual needs, which is documented in their care plans. The people using the service also have support from healthcare professionals when it is required. EVIDENCE: Three care plans were sampled and all contained information about the person using the service. Risk assessments were also in place and these included skin integrity, moving and handling and nutrition. The plans were observed to be repetitive with some information being repeated later in the individual folder. The manager said that she was not completely satisfied with the current format for care plans. She stated that now the home was part of a larger organisation she would look at the other homes’ care plans and adapt them for her service. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 11 It was documented that reviews had taken place and that the care plans had been agreed either by the people using the service or their representative. If care plans need to be changed at review the whole plan is rewritten instead of the changes being documented. This does not allow the reader to see the improvements or deterioration in a particular person. The manager was aware of this problem and that is why she wants to review the whole system. Aids and equipment are provided to encourage maximum independence for people using the service and these are reviewed and replaced to accommodate peoples’ changing needs. The manager said the service has a local GP that the people using the service are registered with. The GP will visit the home regularly but the people using the service can visit the surgery with the support of a member of staff if they prefer. District nurses also visit the home and the manager said they provide good support. The manger said that they are visiting daily to administer insulin to one particular person using the service. The district nurses keep their own records which staff at the home have access to. These records are checked regularly to ensure that changes in the dose of insulin have not taken place. The home also has a visiting dentist, optician and chiropodist. The community psychiatric nurse is also a support to the home and will visit when required. All visits by healthcare professionals are documented in the care plans and changes made when required. The home has its medications delivered every month by a large chain chemist. This is dispensed in blister packs and all staff that deliver dispense the medicines have had recent training. The AQAA told us that during the induction period of new staff they are all instructed about the importance of privacy and dignity for the people who use the service. Further training is also given to all staff on a regular basis. Staff were observed to knock on doors prior to entering and were using the preferred names of the people using the service as documented in their care plans. It was also stated in the AQAA that all consultations would take place in their bedroom or a private part of the care home. End of life care plans were observed in each persons individual folder. Their wishes were documented about their preferences and wishes at death. The manager said this information had often been obtained from the person’s family member, as the people using the service did not always want to talk about this area of their life. It was also explained to us that some people using the service are unable to communicate their needs clearly due to their diagnosis on admission. Family members are then also consulted for this information. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 12 Linden House DS0000072988.V374756.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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to take part in social, religious and recreational activities, which are discussed and planned every week by the people living at the home. EVIDENCE: The people who use the service benefit from an activity organiser who is employed to provide the activities for the home for two to four hours a day, Monday to Friday, depending on the activity. The manager said that since this person has been doing this role the people using the service have had very positive comments about the range of activities provided. We were told that every Friday the activity organiser would sit with the people using the service and discuss the things they would like to do the following week. Large group activities take place for example bingo, quizzes, skittles and discussions. For the people who prefer one to one activities this can also be arranged. We were told about one particular person using the service who prefers to go out once a month. The activity organiser has taken her to the cinema and into the local shopping centre. This arrangement so far has worked Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 14 well the manger told us. On the day of inspection most of the people using the service were enjoying a game of bingo. It was observed that people were chatting to one another and checking each other’s card to see that they had crossed the correct numbers off. Family and friends are welcome at the home at any time. Visiting is not restricted and people using the service can return to their bedrooms if they wish to see their visitors. The manager said that local schools have visited at Christmas to sing Carols but they are not frequent visitors. Every month there is a church service held at the home. Another person who uses the service is supported by staff to attend a church every week the manager said that this is usually a Wednesday. The manger said that for special occasions an outside entertainer is booked to come and play music. This was arranged at Christmas and again a party has been arranged for Easter. The AQAA advised us that all people who use the service are consulted, when visitors arrive at the home, to ensure that they would like to see them. Other choices are given to them on a daily basis for example food preferences and the clothes they would like to wear. The manager told us that the home now has four cooks. Two work the mornings and the other two cover the suppertime. They are all supported by a kitchen assistant. The manager said that this arrangement is working well and they all cover one another for their annual leave. The environmental health officer visited in November 2008 and the report stated as the kitchen was about to be refurbished no requirements would be made and they would visit again when the work was complete. Linden House DS0000072988.V374756.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 17 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be confidant that their complaints are listened to and that they are protected from abuse from a staff team that have received training in safeguarding adults. EVIDENCE: The manager said that during the last year they had received one complaint that had now been resolved. The complaints log was seen and the concern had been appropriately investigated with timescales met. Currently the manager logs all complaints in a book. A discussion took place about this practice as the book was not as clear as it could be as letters are stapled in there when a concern is received. The manager said that she would change this to a folder system. The home has a clear complaints policy and this is available to all people and is clearly displayed and this is also available in large print. The complaints procedure did not contain the address of the provider and it is recommended that this is also included. The manager said that most people who use the service have relatives that have power of attorney. There are no independent advocates but the manager has details available should anyone require this service. The manager also said that the people using the service can participate in the political process and most have a postal vote available to them. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 16 The home has not had a safeguarding referral during the last year. Training takes place regularly for all staff and they are knowledgeable about the procedure. Safeguarding training also takes place during induction for all new staff so that they are clear about these procedures before they start work with the home. The home’s safeguarding procedure, which was supplied by the providers, does not completely follow the local authority’s. The manger said that all staff receive training in the local authority’s procedures but will ensure that the provider’s policy is reviewed and updated. CSCI have not been made aware of any complaints about the home or any referrals under the safeguarding procedures. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 17 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 20 21 22 23 24 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home enables people who use the service to live in a safe environment while a refurbishment programme takes place. EVIDENCE: The home is currently in the process of a refurbishment. On the day of inspection the building works were observed to have started in the upstairs bedrooms. The manager stated that three residents, following consultation, were to move to the downstairs rooms while this work took place. We were told that the whole home would have the benefit of the refurbishment and this would include the kitchen and laundry. No requirements were made around the environment as the process of refurbishment is underway. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 18 It was observed that the chair lift, which enables access to the top floor, had a broken arm. The manager stated that this had been serviced the previous week and that will be repaired the week of the inspection. All the rooms were observed to be clean with no offensive odours detected. There are three main communal areas available for the people who use the service. The main dining room, which is off the main lounge, and a quite lounge in the extension. The dining room was ready for lunch and laid with tablecloths and napkins. The lounge is used for the activities and has a television available with armchairs around the room. On the day of inspection the lounge was being used after lunch for the people using the service to play bingo. There is another lounge, which the manager said is a quite area, where people can visit with their friends and families or sit and play board games. The people using the service have access to gardens and this area is used during the better weather. The entrance benefits from a veranda where people can sit at the front of the building if they wish. The laundry is very small with the clean clothes stored around the room next to the kitchen. This room used to be the staff room. The manager and staff said that the laundry is another area to be refurbished and that they are looking forward to that. Hand towels and liquid soap are available for the staff for hand washing. The manager said that infection control training has taken place for all staff. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 19 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. Training, induction and recruitment practices in the home are good which protects the people using the service. EVIDENCE: The numbers and skill mix of staff meet the needs of people who use the service. The staff rotas are displayed in the service and the manager said that the home has some empty beds at the moment. The manager told us that when she is on duty she is always supernumerary so could help the care staff if necessary during busy times. The manger stated that all staff has their NVQ level 2 qualification and some have this at level 3. The manager also said that this training is always ongoing so that all staff have the opportunity to study for the qualification following their induction period. We were shown the training plans for the home that demonstrated that all members of staff have access to regular training. Every year, the manager told us, staff have training in safeguarding adults, manual handling, fire awareness, infection control and food hygiene. Staff spoken to on the day confirmed that they received plenty of training which enabled them to carry out their work more effectively. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 20 Two employment folders for staff were sampled. These folders confirmed that the manager had in place all the necessary documentation to allow her to employ new members of staff safely. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 21 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 32 33 34 35 36 37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management arrangements at the home ensures the staff team is adequately supported and there are clear lines of managerial accountability. An effective quality assurance system has been developed. EVIDENCE: The home was re-registered in November 2008 when a new provider bought the home. The manager of the home transferred from the previous owner into the new organisation, which allowed continuity in care and knowledge for the people using the service. The manager was registered in October 2008 but had been the person in charge on a day-to-day basis during the previous ownership. The manager said that the staff all transferred into the new registration, which gave the people using the service a consistent staff team. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 22 The manager said that she has achieved her registered manger’s award and is planning to do her NVQ at level 4. The plan is for her to appoint a deputy manager and a receptionist so that some of her current duties can be shared. People who use the service know who the manager is and she has adopted an open door policy for all visitors to the home. She said that relatives could approach her at any time if they have concerns. The manager has developed a detailed quality assurance questionnaire that is distributed every year to people who use the service, their relatives or representatives and healthcare professionals. Following last year’s survey the manager developed an action plan to address any concerns that were highlighted. Meetings are held regularly for the people who use the service. The manger said that she has found they are often reluctant to speak to a large group but if she meets them on an individual basis they will speak more comfortably with her. The responsible individual for the home completes Regulation 26 visits every month. The records of these visits have not been left at the home and are not available for inspection, a requirement will be made and can be viewed at the end of the report. The manger said that she has received good support from her manager and that he often visits more often than monthly as the refurbishment programme is underway. The home has their insurance certificate displayed in the entrance hall and is valid for the current year. The business and financial plan for the home is kept at head office and not available for inspection. The manger said that people using the service could leave money at the home, which is locked up and kept safe for them. Then only person who has access to this money is the manager. She said that before any days off she speaks with the people to check if they need to withdraw any. All receipts are kept for any transactions and signed for by the manager in the presence of the person using the service who also countersigns. All staff at the home receive regular supervision and a yearly appraisal. The manger carries out all of these sessions herself but plans to share these when a deputy is appointed. Documentation confirmed that the supervision sessions take place. The AQAA confirmed that the home has completed risk assessments for the home to ensure that staff work in a safe environment and people who use the service are protected. All necessary certificates are in place including ones for gas, electrics and fire alarms and detection equipment. Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 23 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 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 2 2 2 2 2 2 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 3 3 3 3 3 3 3 Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 OP1 Regulation 4&5 Requirement The statement of purpose and service user guide to be reviewed and updated to ensure that they contain the necessary information. Documentation following a visit by the responsible individual for the service must be made available for inspection at the home. Timescale for action 06/06/09 2 OP33 26 06/05/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Linden House DS0000072988.V374756.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone 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 Linden House DS0000072988.V374756.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!