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Inspection on 06/12/07 for Stratfield Lodge Residential Home

Also see our care home review for Stratfield Lodge Residential Home for more information

This is the latest available inspection report for this service, carried out on 6th December 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Prospective residents` needs are assessed before they are offered a place at the home and they also have an opportunity to `test drive` the service. Person centred care plans are developed with residents to ensure that their needs are met at the home. Residents are treated with respect and dignity.Staff at the home try and meet the individual recreational and leisure needs of residents. Staff are suitably trained and supervised with sufficient staff on duty to meet the needs of residents. The home is well managed.

What has improved since the last inspection?

Improvements are been made to the property with an extension for the provision of day care. A new floor surface has been laid in the communal areas as well as remedial redecoration. The home continues to provide training to the staff in line with the change to providing a service to people with a learning disability. Improvements have been made concerning medication administration, although further improvements could be made. The home ensures that all new staff have been checked against the register of adults deemed unsuitable to work with vulnerable adults before they start work at the home.

What the care home could do better:

Following the pre-admission assessment of need it was agreed that the formal offer of a place at the home should be made in writing. Further monitoring of medication administration records needs to take place to ensure that records are completed in full. Clarification should be obtained from a person`s doctor for instructions and doses for repeat prescriptions that state `as directed`. Although the home has a full complaints procedure, it would benefit residents by this being in a format more suitable to their needs.When recruiting new staff all the requirements of Schedule 2 of the Regulations should be satisfied before that person starts work at the home.

CARE HOMES FOR OLDER PEOPLE Stratfield Lodge Residential Home 63 Wellington Road Bournemouth Dorset BH8 8JL Lead Inspector Martin Bayne Key Unannounced Inspection 6th December 2007 9:30 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 Stratfield Lodge Residential Home DS0000061000.V356422.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. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stratfield Lodge Residential Home Address 63 Wellington Road Bournemouth Dorset BH8 8JL 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) 01202 553596 ernestpickering@aol.com Stratfield Lodge Ltd Mr Ernest Lister Pickering Care Home 14 Category(ies) of Learning disability (14), Learning disability over registration, with number 65 years of age (14), Old age, not falling within of places any other category (14) Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only service users in the category of LD who are at least 40 years of age and service users in the category of LD(E) may be admitted to the care home for the purpose of receiving long-term care. Service users in the category of OP may be admitted to receive respite care for periods not exceeding 8 weeks. 26th September 2006 Date of last inspection Brief Description of the Service: Stratfield Lodge is registered to provide personal care and accommodation for up to 14 people. The home is situated close to shops and amenities of Charminster and Bournemouth town centre. The home provides single bedrooms, which are situated on the ground and first floor. The first floor of the home is accessed by means of stairs or a passenger lift. Residents of the home share communal areas of a dining room and a lounge that lead to well maintained gardens. To the front of the home there is an area for parking. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We (the Commission) carried out a key inspection of Stratfield Lodge between 9:30 am and 2:30 pm. The aim of the inspection was to evaluate the home against the key National Minimum Standards for older people. At the time of the inspection there were five people accommodated in the older person category, two people in the category of learning disability over the age of 65 and seven people with a learning disability, the youngest of these being 45 years of age. We assessed the home against the older person standards as the people with learning disability accommodated in the home, have needs more akin to those of older people than younger adults. The long-term aim of the home is to become a specialist service catering to the needs of people with a learning disability with premature ageing. The last key inspection was carried out on the 26th of September 2006 and a random inspection was carried out on the 14th of June 2007. We were assisted throughout the inspection by the deputy manager who was able to provide records and paperwork that the home maintains as evidence of the care provided to the residents of the home. We also spoke with nine of the residents about their experience of living in the home as well as three members of staff. A tour of the premises was made. A selection of comment cards was left at the home to be given out to relatives, care managers and health professionals who have dealings with the home. The returned comment cards were used to help form the judgements contained within this report. The fees for the home range from £500 to £700 depending upon the assessed needs of the individual. Full details regarding fees are detailed within the terms and conditions of residence. What the service does well: Prospective residents’ needs are assessed before they are offered a place at the home and they also have an opportunity to ‘test drive’ the service. Person centred care plans are developed with residents to ensure that their needs are met at the home. Residents are treated with respect and dignity. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 6 Staff at the home try and meet the individual recreational and leisure needs of residents. Staff are suitably trained and supervised with sufficient staff on duty to meet the needs of residents. The home is well managed. What has improved since the last inspection? What they could do better: Following the pre-admission assessment of need it was agreed that the formal offer of a place at the home should be made in writing. Further monitoring of medication administration records needs to take place to ensure that records are completed in full. Clarification should be obtained from a person’s doctor for instructions and doses for repeat prescriptions that state ‘as directed’. Although the home has a full complaints procedure, it would benefit residents by this being in a format more suitable to their needs. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 7 When recruiting new staff all the requirements of Schedule 2 of the Regulations should be satisfied before that person starts work at the home. 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. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 8 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 Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their needs being assessed before moving into the home, thus ensuring that needs can be met; however, residents would be better protected with this confirmed in writing. EVIDENCE: The deputy manager informed that the transition from being a care home for older people to a service specialising in meeting the needs of people with a learning disability was progressing well. Since the last key inspection admissions to the home have been for people with a learning disability. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 10 We tracked the paperwork and records of three people who had been admitted to the home since the time of the last key inspection. The three residents had been admitted to the home from residential care owing to their needs increasing as a result of ageing and a learning disability. All three were funded through care management arrangements. One person had been admitted as an emergency and the other two were planned admissions. In the case of all three residents, we found that copies of care management assessments and care plans had been obtained prior to people being admitted to Stratfield Lodge. In the case of the two non-emergency admissions, arrangements had been made for them to visit the home to ‘test drive’ the service. It was also found that senior staff of Stratfield Lodge had been to carry out a preadmission assessment of the needs of these two people, to ensure that their needs could be met at the home. Once the decision had been made to offer a place to the residents, this was discussed and agreed with care managers. It was agreed that in order to satisfy regulations, in future letters would be sent to prospective residents to inform that their needs can be met at the home and that they are formally offered a place. The home does not provide an intermediate care service. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from being involved in developing care plans, which provide clear direction for the staff on how medical and social need are to be met. Medication administration systems have improved but more monitoring needs to be put in place to ensure that medicines are given out as prescribed. EVIDENCE: At the last inspection we were informed that the home was to develop person centred care plans. We looked at care plans that had been developed from the assessment processes for the three residents tracked through the inspection. Person centred plans had been written providing details for the staff on how to meet both health and social care needs of the residents. Shorter summary care plans had also been written that provided a concise overview of a person’s Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 12 needs, these being particularly useful for new staff or should a resident need to go into hospital. Care plans were being regularly reviewed and we were informed that staff tried to make residents aware of what was written into their care plan and that they were involved in their development. We also found that risk assessments had also been carried out and written up in order to reduce the risk of harm to residents. We spoke with two of the residents tracked through the inspection and found that their needs were in line with those detailed within their care plans and risk assessments. Concerning health needs, we found that care plans informed of how dental, chiropody, hearing and eye care needs were to be met and each resident was registered with a GP. We also saw examples of where the home had sought advice from physiotherapists and the community mental health team in order to meet assessed needs of the residents. We were informed that all of the residents within the home had their medication administered by the staff, as none were able to manage their medication safely. The home provides each resident with a lockable, metal, purpose-built medication cabinet that is fixed to the wall within their bedroom or bathroom; medicines and records of medication administered being kept within the cabinets. We looked at the medication administration records and within the medication cabinets for each of the residents tracked through the inspection. Since the last inspection, the home has changed medication systems and now or uses a unit dosage system supplied by a local pharmacist. We were informed that only the senior members of staff who have received training in safe administration of medicines, give out medicines to residents. We found a small number of errors on the medication administration records where staff had not made an entry where one should have been made. At the random inspection carried out in June 2007 a requirement was made that information on medication administration records must be updated if medicines are no longer in use, that there should be an audit trail that is easy to follow and evidence of regular monitoring to ensure that medicines were given as prescribed. We found that the new medication system provided an easily auditable trail and that the medication administration records were up to date as to what each resident had been prescribed; however better monitoring needs to be put in place to ensure that medicines are given out as prescribed. At the random inspection a recommendation was made that the doctor should be asked to include the current dose on repeat prescriptions for medicines labelled, ‘as directed’. We found in the case of one person prescribed two different creams for a skin condition that the medication administration record and also the labels on the creams stated, ‘as directed’, but no instructions as to when and which cream should be applied. It was again recommended that clarification be obtained from the GP. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 13 The residents spoken with who were able to give an account of life at the home informed that the staff were very respectful and supportive. One resident said that the staff were, the ‘crème de la crème’. We were also able to observe the staff interacting with residents and there appeared to be good relations between the two. The returned comment cards also informed that the staff were very supportive of residents. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 14 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. Residents benefit from being supported in maintaining their lifestyle choices, in maintaining contact with friends and families and through being provided with an appealing and balanced diet. EVIDENCE: We saw within care plans that recreational, religious and social needs had been assessed and recorded. We also saw residents engaged in activities with one resident doing artwork, another involved with knitting and another person doing tapestry. The home keeps a log of daily activities carried out with residents, which we also saw. We were told by one resident with whom we spoke that they were supported to go to the church of their choice each week and that they attended a day service on three days a week. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 15 We saw within the records of the residents tracked through the inspection the contact details for their relatives. The residents we spoke with informed that they could have visitors whenever they chose and that they were able to keep in touch with friends and family members. We saw that within care plans, people’s likes and dislikes concerning food were noted. Care plans also recorded if people needed assistance with feeding or to have their food cut up. We saw that one person was provided with a celiac diet and another resident had a diabetic controlled diet. The residents spoken with who were able to give an account of their experience of the home said that the food was of a good standard. We saw the records of food provided and these reflected a nutritious and balanced diet. On the day of inspection we were invited to join staff and residents for a roast meal. The deputy manager informed that all staff who cook, have a basic food hygiene qualification. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 16 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. The home has full complaints procedures that are well publicised; however residents would benefit from the complaints procedure being in a format more suitable to their needs. EVIDENCE: The complaints procedure for the home is displayed on the notice board and detailed within the Terms and Conditions of Residence and also the Statement of Purpose. The home also maintains a complaint’s log. Since the time of the last inspection one concern was brought to our attention and this was investigated as part of the random inspection carried out earlier in the year. The concerns were found to be unsubstantiated. As the home is aiming to become a specialist service to people with learning disabilities it was recommended that the home develop a complaints procedure using Makaton so that it is more accessible to residents. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 17 The home has relevant copies of policies and procedures for the protection of vulnerable adults that link to ‘No secrets’ arrangements. The deputy manager informed us that staff were given training on the protection of vulnerable adults, either through the NVQ training or through cascade training from senior members of staff. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 18 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 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well maintained and clean environment that is suitable to their needs. Infection control policies and procedures are in place to maintain a hygienic environment. EVIDENCE: The home is currently extending and building work was being carried out at the time of the inspection. Residents informed that this had not caused too much inconvenience. We found that the home was clean and in good decorative order throughout. We reported at the last inspection that it had been agreed that radiators would be covered, so as to protect residents from hot surfaces. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 19 At this inspection we found that all the radiators are now covered and residents are therefore protected from being burnt. Hot water outlets of baths have been fitted with thermostatic mixer valves to protect residents from scalding risks. Since the random inspection in June earlier in the year, a new floor has been laid on the ground floor throughout the communal areas. We also saw that improved ramps have been fitted throughout the building so as to make the home more conducive for wheelchair users. We spoke with a group of residents in the lounge and also individuals within their rooms and it was evident that people were able to bring their own possessions to personalise their rooms. Concerning infection control, the staff that we spoke with told us that they were supplied with protective clothing such as gloves and aprons. We were also told that staff had had training in infection control. We saw the laundry area for the home, which is equipped with washing machines capable of a disinfection cycle. The laundry has capacity to meet the needs of the home and complies with the Standards. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 20 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from staffing levels that meet assessed needs and through the staff being trained appropriately. To ensure safety of residents, recruitment practices could be strengthened by making sure all requirements of Schedule 2 of the Regulations being satisfied before staff start working at the home. EVIDENCE: At the time of the last inspection there were two members of staff on duty during the daytime period. We were informed through the home’s annual quality assurance assessment that a recruitment drive aimed to appoint new staff to provide three members of staff on duty during the daytime between 8am to 5pm, with two staff on duty from 5pm to 10pm. During the night time period there is one awake member of staff and one person who carries out a sleep-in duty. Residents we spoke with and the returned comment cards informed that the staffing levels met the needs of the residents of the home. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 21 We were informed that the level of staff trained to NVQ level 2 had dropped slightly below 50 , the level attained at the time of the last inspection. Plans were in place for training more staff to achieve a 50 level. Since the last inspection there have been three new members of staff recruited to the staff team. We viewed the recruitment records for these staff and found that all the requirements and records detailed within Schedule 2 of the Regulations had been complied with, with the exception of one member of staff for whom there was only one written reference. It was explained to us that this person was known to the manager prior to their working at the home. It is required that all the requirements of Schedule 2 be fulfilled before a person starts working in the home. At the last inspection a requirement was made that before starting work with residents a returned check must be received that the person to be recruited is not on the list of people deemed unsuitable to work with vulnerable adults. This had been met for the three new members of staff whose records were seen. We were informed that the staff training has continued with reference to the transition to becoming a home catering to the needs of people with a learning disability. The trainee manager is completing training in a learning disability qualification to level 3 and the care manager/administrator has done an induction and foundation course in LDAF (learning disability award framework). All the staff are undergoing training in person centred care planning. In addition all staff are expected to complete core training such as first aid, moving and handling, fire safety, basic food hygiene, infection control and health and safety. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 22 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 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a home that is well managed and run in the interests of the residents. EVIDENCE: As reported at the last inspection the Registered Manager and the deputy manager have obtained NVQ level 4 in management and care and the Registered Manager’s Award. We also found that the home continues to be well managed and run in the interests of the residents with positive comments Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 23 being made about the service from all the comment cards returned. The management has systems for reviewing practice and seeking feedback from residents. We were informed that the home does not look after or take responsibility for any resident’s money. The returned annual quality assurance assessment document provided dates and information that demonstrated that the fire safety system and other equipment was being serviced and tested to the required timescales. There were no hazards identified during the inspection. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 13 (2) Requirement You are required to ensure that complete records are maintained of medication administered to residents. You are required to ensure that two written references are obtained in respect of a new member of staff prior to their starting working at the home. Timescale for action 07/01/08 2. OP27 Schedule 2 07/01/08 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. Refer to Standard OP9 Good Practice Recommendations The doctor should be asked to include current dose and instructions for medicines labelled ‘as directed’. Stratfield Lodge Residential Home DS0000061000.V356422.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Stratfield Lodge Residential Home DS0000061000.V356422.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. Re-publishing this information is in breach of the terms of use of that website. 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