Inspection on 23/07/08 for Bankfield House Care Home

This is the latest available inspection report for this service, carried out on 23rd July 2008.

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

The inspector 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

Bankfield House Care Home 21/07/06

Bankfield House Care Home 12/01/06

Bankfield House Care Home 01/06/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Bankfield House Care Home Bankfield Road Woodley Stockport Cheshire SK6 1RQ Lead Inspector John Oliver Unannounced Inspection 23rd July 2008 09:30a 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 Bankfield House Care Home DS0000062991.V365862.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. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bankfield House Care Home Address Bankfield Road Woodley Stockport Cheshire SK6 1RQ 0161 406 6468 0161 406 6467 admin@bankfieldcare.co.uk 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) Freshfield Care Ltd Mrs Susan Pyatt Care Home 24 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (24), of places Physical disability (4) Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 24 service users to include: *up to 4 service users in the category of DE(E) (Dementia over 65 years of age). *up to 4 service users in the category of PD (Physical disability). *up to 24 service users in the category of OP (Old age not falling within any other category). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 22nd August 2007 2. Date of last inspection Brief Description of the Service: Bankfield House is a large, detached property standing in its own grounds in the Woodley area of Hyde. Its placement is secluded and private, offering residents peaceful surroundings. The home currently provides accommodation for 24 residents over the age of 65 years. However building work is nearing completion on an extension to the home. This extension will mean that an application will be made to increase the registration for the home from 24 beds to 30 beds. The new bedrooms have been completed and furnished to an extremely high standard and also provide en-suite facilities. A further lounge and dining room have been provided to meet the needs of the proposed increase in number of residents. The home is now a ‘no smoking’ home and external facilities have been provided for those who do wish to smoke. The large rear garden has been fully landscaped and provides a relaxing area for residents’ and visitors to use during fine weather. The manager stated that current fees are £421:00 per week. However, costs of accommodation in new rooms had not yet been decided. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. The inspection was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Commission for Social Care Inspection) in relation to the home prior to the site visit. This visit, which the home did not know was going to happen, took place over the course of 7 hours on Wednesday 23 July 2008. During the course of the site visit we spent time talking to the residents, the registered manager (owner) and staff on duty to find out their view of the home. Before the site visit we sent the manager of the home an Annual Quality Assurance Assessment (AQAA) document for them to complete and return to us with information about the service they provide. This was returned before the visit took place and contained some information that helped us to assess the service being offered by the home. We also spent time examining various files and written information and spent some time looking around the building. What the service does well: The atmosphere in the home was warm, welcoming and friendly. People living in the home said that they enjoyed living there and that they were well looked after and staff are very good. One resident told us “Staff here are excellent – nothing is too much trouble”. In one of the survey questionnaires we received back from a relative they told us “Excellent care home, with friendly staff, good food and kept clean. I am glad ….is happy here”. The manager ensures that all prospective residents receive a full assessment of their needs to ensure that the home is suitable for them and can adequately meet those needs. Meal times and meals are seen as an important part of the day and great efforts are made by the chefs and staff to ensure each resident receives meals that they like and can enjoy. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 6 Opportunities are created for residents, relatives and staff to have their views and opinions listened to and taken seriously. 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. Bankfield House Care Home DS0000062991.V365862.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 Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents receive a full assessment of their needs before moving into the home. EVIDENCE: At the time of our visit the service user guide and statement of purpose were in the process of being updated. These documents provide relevant information about the home and the service that is offered and provided by Bankfield House. Discussion with the manager confirmed that all prospective residents receive a comprehensive pre-admission assessment. The registered manager carries out this assessment and on the day of our visit a prospective resident was visiting the home from hospital. It was confirmed that the manager had already been Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 9 to the hospital to carry out the assessment. The manager told us that occasionally, a resident may be admitted via the Rapid Response Team – this is usually someone who needs urgent care support. Where this is the case, all relevant information is faxed to the home before admission takes place. A selection of resident files was looked at. Evidence was available to show that their needs had been fully assessed by someone competent to do so before they moved into Bankfield House. During our visit a relative of a prospective resident came in to speak with the manager following a recent pre-admission assessment she had carried out. The feedback from this visitor was very positive and arrangements were being made for admission to take place. People who responded to the service user questionnaire confirmed that they received enough information about the home before they moved in so they could decide if Bankfield House was the right place for them. They also confirmed that they had received a contract. It was confirmed that Bankfield House does not offer intermediate care. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information was in place that detailed the needs of the individual resident. EVIDENCE: Since the last inspection visit in August 2007 and recommendations that were made, the service has purchased a professionally developed care planning system. This system has been in operation since February 2008 and involves completing a Long Term Assessment of Need document on which is recorded any needs identified during the assessment process. Wherever a need is identified, this should then be transferred to an individual care plan to aid carers to support the resident in the most appropriate way. On the files we examined we saw that care plans had not been generated from the assessment of need and when spoken to, staff with the responsibility for developing the care plans were unsure of how the care plans should be generated from the Long Term Assessment of Need document. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 11 It is important that each resident has care plans in place that clearly identify their needs and how those needs should be managed. If not, the resident could be placed at risk of inappropriate care being delivered. However, discussion with residents during our visit confirmed that they were satisfied their needs were being met. Relatives told us about the service in the questionnaires they returned to us before the inspection took place. Comments included My… is always dressed well, fed well, and involved in what goes on at the care home. It has also the personal touch”, “When phoning Bankfield House there is always somebody I can talk to about…. It is well run, a good example compared to some stories you hear of other care homes” and “Excellent service. Staff (are) always pleasant and helpful. Many activities and outings”. Although improvements are needed in the way in which care plans are developed, staff who were asked during our visit expressed confidence that information shared by the management team, the verbal information given during shift handover and the staff communication book all provided them with enough information on the current needs of the individual residents. Records were in place to show that residents have access to the full range of medical and paramedical services available in the community. Both residents and staff who were asked expressed confidence that appropriate medical support was obtained when necessary. On the day of our visit we saw that arrangements had been made to take one resident to the dentist for a tooth extraction and he was being supported by one of the owners of the home to do this. Watching staff interacting with residents gave a clear indication that positive relationships had been developed and residents told us “Staff are very good” and “Staff here are excellent – nothing is too much trouble”. Bankfield House uses a pre-dispensed monitored dosage system to administer residents’ medication. Staff with the responsibility for administering medication had received relevant training and told us that the manager carries out an audit of medication and medication practice on a monthly basis. We looked at a random selection of medication administration records and these were found to be appropriately maintained. Although a photograph of the resident is placed on the front sheet of the record it is also recommended that any known allergies be recorded and the name of the GP. We checked a random selection of medication that had been prescribed to be given ‘one or two tablets as and when required’ and balances of this medication were found to be correct. A number of records had been handwritten and where this is the case it is recommended that such entries should be double-checked and counter signed to minimise the risk of errors occurring in recording. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 12 Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, were encouraged to maintain contact with the community and are provided with a wholesome and well balanced diet. EVIDENCE: The residents benefited from the support of an activities coordinator who works in the home each Monday and Wednesday. We saw evidence of craftwork which had been made by residents and the manager confirmed that a canal boat trip had been arranged for the day after this inspection visit. Staff are also involved in arranging and delivering activities and we saw staff playing cards with one resident and others were sat talking and discussing topical issues. We spoke to a number of residents who told us that activities do take place and they can participate in them if they wished. Minutes of regular meetings held with staff, residents and relatives were available and these demonstrated that relevant issues relating to the running of the home were being discussed and acted upon. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 14 The rear garden had recently been fully landscaped to a high standard and residents spoken to confirmed that they regularly used this facility in good weather. A number of residents spoken to said that they were free to get up and go to bed when they chose, could access their room or any of the communal areas whenever they wanted and generally demonstrated that they participated in the running of the home. One resident said “It’s home from home”. Menus confirming the day’s meals and choices were clearly printed and was available on each table in the dining room as well as the notice board in the hallway. Discussion with the chef indicated that there was ample provision of food and any equipment needed was supplied. During our visit we observed a main meal being served. This consisted of roast chicken, roast potatoes, stuffing, gravy and chefs choice of seasonal vegetables. This meal was followed by banana whirl, ice cream, yogurt or fresh fruit. The qualified chef ensured that the meal was served whilst hot and was of adequate sized portions with the choice to have more if requested. The home currently holds the Heartbeat Award for healthy food preparation and menu planning. Bankfield House places no restrictions on visitors and residents and staff spoken to confirmed that visitors are welcomed at any reasonable time. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff training measures were in place for staff to support residents to raise any issues of concern and to protect residents from neglect and abuse. EVIDENCE: Bankfield House has a robust complaints procedure that is available in the resident information pack. The manager confirmed that no complaints had been received by the home since the last key inspection visit in August 2007. A separate log into which complaints could be recorded was not kept although there was written evidence that previous complaints had been responded to appropriately. Residents spoken to said that they were quite confident that any concerns or complaints they may wish to raise would be listened to and responded to appropriately. Discussion with staff also demonstrated their confidence in the management of the home and should they raise any concerns on behalf of a resident these would be dealt with efficiently. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 16 There was evidence around the home of information being available to residents, or their relatives, of at least two independent advocacy services who could support people should they have any concerns or worries. Staff spoken to during this visit felt confident that residents were safe and were satisfied that the manager would deal appropriately with any allegation of abuse. Staff were also aware of the whistle blowing policy and told us that if needed they would report any protection issues to an appropriate external authority such as Social Services if necessary. We saw evidence on staff training files that some staff had received training in issues relating to protection of vulnerable adults and arrangements had been made for others to attend such training. Bankfield House Care Home DS0000062991.V365862.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is appropriately maintained to provide a safe, clean and homely environment for residents. EVIDENCE: Since the last key inspection visit in August 2007 a new extension has been built providing additional single, en-suite bedrooms that have been furnished to an extremely high standard. It is the owner/managers intention to increase registration from 24 to 30 beds once the work is fully completed. Lots of other work has been carried out throughout the home including a new fire alarm system and a new staff call system and all this work will add to the comfort and well being of the people living and working in the home. A tour of the premises was undertaken which included communal areas and a number of resident bedrooms. Rooms had been personalised to varying Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 18 degrees reflecting the character of the person whose room it is. Many of the rooms were in need of redecoration and refurnishing and this was acknowledged by the manager who said that once the current building work has been completed a rolling programme of maintenance will be introduced in order to prioritise work throughout the rest of the home. A maintenance person is employed in the home to carry out any remedial maintenance that may be required. Communal areas were comfortable and appropriately furnished and the manager confirmed that in most areas refurbishment work would soon be taking place, including the laying of new carpets. At the time of our visit paintwork throughout the home was being repainted by a professional painter and decorator. Appropriate laundry facilities are in the basement area of the home and the manager confirmed that the majority of care staff had completed infection control training. People spoken to reported that the home was always clean and tidy and during our visit no unpleasant odours were detected in any parts of the home. Bankfield House Care Home DS0000062991.V365862.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are employed in the home, with staff training and development helping to ensure staff are competent to carry out their jobs. A recruitment and selection process helps to protect residents from unsuitable people working in the home. EVIDENCE: Copies of the current rotas were made available and these confirmed the manager’s intention to maintain an appropriate number of staff on duty at any one time. People who returned survey questionnaires to us reported that “staff are available when needed” and care staff skills are “very satisfactory”. Within the Annual Quality Assurance Assessment (AQAA) the manager reported that at least 80 of care staff have obtained a National Vocational Qualification (NVQ) at level 2 or above and that “comprehensive induction training is in situ”. Examination of a random selection of staff files confirmed that training is taking place and that enough staff are on duty at any one time to meet the current needs of people living in the home. We checked a number of staff files and found that all except one contained relevant information relating to pre-employment checks. References had not been returned for one particular person who commenced work in February Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 20 2008 although a POVA First and Criminal Record Bureau (CRB) enhanced disclosure were on file and had been applied for and received back before employment commenced. The manager confirmed that references would be immediately followed up. We spoke with one member of staff who has recently been employed to work as a carer in the home. She confirmed that a CRB enhanced disclosure was requested and received back before she started working in the home. She also confirmed that the manager applied for references from her previous employers and made sure that they had been received before she started working in the home. Bankfield House Care Home DS0000062991.V365862.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): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living in the home benefit from having the support of a manager with skills to provide a good quality service and procedures in place to promote their interests and well being. EVIDENCE: The manager has worked at the home for five years and has the qualifications and experience to effectively run a care home. Discussion with the manager confirmed that she regularly updates her skills and knowledge by participating in any training programmes that are available. Staff and residents spoken to were all very positive about how the home was managed and on the manager’s ability to maintain a good service. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 22 Minutes from meetings were made available and these confirmed that residents were regularly consulted on the running of the home and their views and opinions were sought on how improvements to the service could be made. The manager carries out a quality audit of the service every six months by way of a questionnaire survey. We looked at a sample of the returned questionnaires from June 2008 and the responses were very favourable. Since the last inspection visit the manager has employed the services of a second administrator to assist in business administration and accounts for the home and there are plans to create a new administration office and to update the administration systems used. Discussion with the administrator for the home confirmed that no money is held on behalf of the residents. If purchases are made on their behalf the resident or their representative will be invoiced for that amount and receipts will be provided. Discussion with the manager confirmed that although a number of deaths had occurred since the last inspection visit no Regulation 37 notifications had been sent to the Commission for Social Care Inspection. It is important that such information is shared with the Commission in order that accurate records about the home can be maintained. As part of the rolling programme of maintenance a new alarm call system and fire alarm system has been fitted throughout the home. Information supplied by the manager in the AQAA indicated that appropriate policies and procedures regarding health and safety issues were in place and that equipment used in the home is regularly maintained. A random selection of service records were examined to confirm this. During our tour of the premises we saw evidence of the availability of personal protective clothing such as disposable gloves and aprons, to minimise the risk of cross infection. Bankfield House Care Home DS0000062991.V365862.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP38 Regulation 37 Requirement Regulation 37 notifications must be sent to the Commission for Social Care Inspection when necessary. Timescale for action 23/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP9 Good Practice Recommendations Care plans should be generated, following assessment, for any identified care need(s) of an individual resident. a) The manager should ensure that any information about a residents’ known medical allergies and the name of their General Practitioner is included in the details of the medical administration record. b) Where handwritten entries are made on the medical administration record such entries should be double-checked and counter signed, to minimise the risk of errors occurring in recording. The way in which complaints are recorded should detail the processes used during investigating the complaint and also record the final outcome/conclusion. A system to audit the return of references as part of DS0000062991.V365862.R01.S.doc Version 5.2 Page 25 3. 4. OP16 OP29 Bankfield House Care Home recruitment monitoring should be developed to minimise the risk of staff starting work before all relevant preemployment paperwork has been received and satisfactorily checked. Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Bankfield House Care Home DS0000062991.V365862.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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