Inspection on 07/12/06 for Abelard Care Centre

This inspection was carried out on 7th December 2006.

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

Abelard Care Centre 25/02/09

Abelard Care Centre 12/01/06

Abelard Care Centre 07/09/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Abelard Care Centre 116-120 Musters Road West Bridgford Nottingham NG2 7PW Lead Inspector Mary O`Loughlin Unannounced Inspection 7th December 2006 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 Abelard Care Centre DS0000063344.V323130.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. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abelard Care Centre Address 116-120 Musters Road West Bridgford Nottingham NG2 7PW 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) 0115 9816069 0115 9866487 Kalbro Care Uk Limited Mrs Diane Lesley Bruce Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (5) of places Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users shall be within category OP 36 OP (old age not falling into any other category) including 5 PD aged 55 and over 12th January 2006 Date of last inspection Brief Description of the Service: Abelard is an adapted property situated in West Bridgford providing personal and nursing care for up to 36 older people. The accommodation is over three floors, in 30 single and three double bedrooms. All except two bedrooms are en suite. A passenger lift gives access to all floors. There is a secure, peaceful and well-maintained garden to the rear, with access via patio doors from the lounge cum dining room, where service users can sit comfortably in good weather. At the front of the property is limited car parking space for staff and visitors cars. The home is close to the centre of West Bridgford (around a 15 minute walk for someone with good mobility) and there residents can access a number of shops, cafes, banks, churches and public houses. The range of fees are: £319.00 to £400.00 per week Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted unannounced over 5.5hours. Prior to completing this visit the inspector assessed the homes previous inspection reports, the service history including complaints and adult protection referrals, and a Pre-inspection questionnaire completed by the registered manager. Five completed residents satisfaction questionnaires were also received prior to this inspection. The main method of inspection used was case tracking, this is to randomly select three residents and read their care files, examine their private and communal accommodation along with any specialist equipment they require. Their care is tracked to ensure that their needs are being met and that staff have the skills to deliver the care they need. Various records were looked at including the medication policies, duty records, employment files and training files. Five residents, 4 staff and a visiting Nurse Assessor were spoken with. The people selected for case tracking had limited ability to understand and communicate. Therefore many judgements in this report are from observation, discussion with staff and reading residents’ records and documents. The residents themselves were not able to help much in this process. This inspection also included a thematic inquiry as part of a national pilot scheme. This consisted of asking a number of standardised questions to a sample of residents. What the service does well: Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 6 The home is meeting most of the National Minimum Standards and the outcome of the care delivered is considered to be good. Comments received by service users are positive and include; that there is always a nurse to speak to, that they get the medical support they need and staff are always available. The manager makes sure that residents are fully assessed before they come to the home so she is sure that the staff can meet their needs. The care planning system is thorough and well organised and staff have good guidance about how to meet the residents’ needs. Their health needs are properly assessed and well provided for and the system for giving medication is safe. There are a variety of activities provided at the home and the residents are well occupied. The food provided is of a good quality and varied, residents have choices. Complaints are properly recorded, investigated and concerns raise are acted upon. The staffing levels are good and reflect the dependency needs of the residents. The manager also ensures that recruitment procedures are robust and protect residents from abuse. What has improved since the last inspection? The manager is continually developing the care plans to ensure up to date practice is in place for meeting residents needs. New carpets and dining furniture have been obtained. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 7 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. Abelard Care Centre DS0000063344.V323130.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 Abelard Care Centre DS0000063344.V323130.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): 1-2-3-6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is made available to prospective residents and their relatives to enable them to make an informed choice about coming into the home. Not all residents have been provided with a statement of their terms and conditions of residency. Residents are fully assessed before being admitted to the home so that the manager is sure that staff can meet their needs. Intermediate care is not provided. EVIDENCE: Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 10 Standard 3 was last assessed in September 2005 and found to meet the National Minimum Standards. The home has a sustained track record of ensuring that people receive an appropriate assessment before they are admitted. On this occasion three records were examined including the last person to be admitted to the home , to check that the there had been an assessment of the persons needs before admission. There was clear evidence of a pre admission assessment and this covered all of the areas recommended in the National Minimum Standards. This has since been updated and developed into a full care plan to ensure that staff are clear about how the resident’s needs should be met. The manager also obtained a social services assessment document where the local authority had been involved in the admission. Intermediate care is not provided at the home and this standard is not applicable. In response to thematic enquiry questions-: Three residents spoken with did not know if they had received or seen a copy of the service user guide and were unable to tell me if they had received any information about the cost of their care. Four of the five responses received from the commissions survey said they had been given enough information about the home before they moved in to enable them to decide if it was the right place for them. One resident said they had not received any information as the admission through local authority arrangements had been an emergency as the hospital bed was required. There was a copy of the guide displayed at the reception of the home. The manager stated that prospective residents are not provided with an individual copy unless requested but are advised to read the available guide when visiting the home to look around prior to admission. The records of one resident had a signed contract of the terms and conditions of their residency and a copy of the revised rates in 2006. Two residents had been admitted through local authority arrangements and had signed copies of the local authority financial agreement only. Four of the five responses received from the commissions survey stated they had received a contract of the terms and conditions of residency. One person said that they had not. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 11 One of three residents was able to confirm that someone had seen her prior to her admission to the home. All three resident records indicated that they had received a pre-admission assessment by staff at the home. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 12 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. Care plans are clear, detailed and offer good guidance to staff about how to meet the residents’ needs. The residents’ health needs are properly assessed and provided for. Medication arrangements are safe and ensure that residents receive their medication as prescribed by their GP. Residents are treated with respect and their dignity upheld. EVIDENCE: Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 13 The care plans for the residents who were “case tracked” were inspected to make sure they were clear, appropriate and kept under review. The care plans are well organised, detailed and clear, giving staff clear directions about how to meet residents’ needs and covering issues of privacy and dignity. There was evidence on the plans of residents or their representatives being involved. The plans are based on a nursing model, a recognised system that is suitable in the care of older people. There was good evidence that the health needs of the residents are assessed, regularly reviewed and appropriately met by the staff team. The home is currently part of a pilot scheme with the local Community Health Services, which allows the home to refer any resident to the community Occupational Therapist should the home assess someone as at risk of falling. There were clear records of how staff were to manage the risks to ensure the safety of the resident. Care plans included detailed and thorough assessment of resident’s nutritional needs to ensure staff promoted a suitable balanced diet and good hydration. The community dietician was also visiting a resident at the home after staff had referred a resident who they were concerned about. The residents spoken with could not give a thorough account of how their needs were being met but were observed to be happy, relaxed and well nourished. Where care plans identified risks such as pressure sores the resident was seen to have suitable pressure relieving equipment in place to maintain healthy skin and minimise any damage. The medication arrangements were checked and found to be suitably well managed. One medication administration record did show that staff had not signed a hand written prescription, which is required, to minimise any mistake being made. The medication policies required some review, as not all of the information held was up to date and could not provide clear guidance to staff. The staff take time to record within the care plans how they can give residents opportunities to express their views and have control over their lives. The residents said they were happy at the home and demonstrated that they knew the staff well and were able to talk openly. One resident had complained that the music in the lounge was too loud and staff immediately turned down the volume. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 14 Residents were well dressed and clearly cared for properly, staff were seen to approach people sensitively. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 15 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. The residents engage in appropriate and meaningful activities in the home and the local community and they are encouraged to maintain their relationships with family members and friends. The diet offered to residents is healthy, balanced and varied and choices are available at every meal. EVIDENCE: The last inspection found that the home were providing meaningful activities for the residents and supporting residents to maintain relationships with their relatives and friends. This inspection found no slippage in meeting the Minimum Standards. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 16 There is an activities worker employed at the home for 4 days each week and provides a programme of activities for the residents. Two responses to the Commissions survey were received from relatives and both felt there were usually activities available in the home. Three residents responses received confirm that activities are always available. During the inspection the residents were being occupied and one person said they had been assisting to make christmas cards which they had enjoyed. Residents nutritional needs are clearly important and staff ensure that everyone is properly assessed including having their weight recorded and referring people for specialist nutritional advice from Community Health Services as required. Care plans record the residents diet and the cook receives a written diet sheet for each resident. The cook asks residents each day what they would prefer to eat and suitable options are made available. The and The and residents were seated comfortably within the main dining room for lunch staff ensured the meals were served hot. meal was traditional home cooked english dinner and appeared nutritious appetising. Three residents case tracked said they enjoyed the food provided. Five out of six people responding to the Commissions survey were satisfied with the meals, one person said they never liked the meals. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 17 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. Complaints and concerns are properly recorded, responded to and action taken to address issues raised. Residents are protected from abuse and the manager takes appropriate action in the event of allegations being made. EVIDENCE: The last inspection found that the management of complaints and protection of vulnerable adults met the Minimum Standards. This inspection looked at the records of complaints and there was clearly no slippage by the manager in the complaints management. Clear records are held and show that the manager takes concerns and complaints seriously. The Commission has not received any complaints about the service during 2006. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 18 The manager has recently implemented the National Skills for Care induction standards for all staff which includes training in the protection of vulnerable adults. Training records confirmed that a good percentage of staff have also undertaken training in adult protection in 2006. The service has referred 2 people under the Adult Protection Procedures during 2006 and social services have dealt with these appropriately, they were not substantiated. In response to the thematic enquiry question; One resident said they had seen a complaint procedure and felt that if they had any concerns they could raise them. Two residents could not confirm that they had seen or understood the complaints procedure. Four resident survey responses said they always knew how to make a complaint and one response said they usually knew. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 19 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. The home is suitable for the service users is clean and well maintained with good controls in place that protect residents from infection. EVIDENCE: The communal and private rooms of those residents that were case tracked were seen and found to be suitably maintained and providing appropriate equipment. The manager confirmed that continous improvement to the environment takes place, recently new carpets and dining room furniture have been provided. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 20 The last inspection had required the provision of a restricted window opening in the first floor bathroom as the window was low level and a safety risk. The bathroom was looked at and the restrictor had been fitted to the window as required. The last inspection had also highlighted that the bath seat within this bathroom needed to be properly cleaned and made safe for use. The manager had put up a notice to all staff reminding them to clean the bath and seat after each use. However the present non slip matting that has been glued to the seat surface is coming lose and shows unsightly brown solid glue beneath. The surface appears to be difficult to clean and may pose a risk to people that are vulnerable from infection. The laundry area was briefly looked at and provides suitable machines to wash infected linen appropriately. The manager ensures that staff receive training in infection control, they assess each resident for their infection control risk and through the allocation of a nurse who attends the community health services link nurse scheme in infection control, ensures the homes practices are up to date and safeguard residents. The manager also demonstrated that they ensure practices are in line with the department of health guidance on the surveillance of residents with Diarrohea for Clostridium Difficile, ensures that residents are suitably screened and protected from infection. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 21 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. The staffing levels and training provision are appropriate to meet the dependency needs of the residents. The checks on staff are thorough and the systems robust offering good levels of protection from abuse for the residents. EVIDENCE: The records of three staff were examined and identified that the manager ensures a thorough recruitment process of all staff including volunteers is undertaken. The manager ensures that information is obtained prior to commencement of emplyment regarding the suitability of the candidates criminal record and determines if the person is subject to the Protection of Vulnerbale adults register thus precluding them from working at the care home. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 22 Staff spoken with confirmed that they received an induction training plan which provided them with a basic knowledge of how to undertake their role. Records seen show that the new national induction standards have been impemented at the home and this includes training in the principles of care, safe working practices, the organisation and the workers role. Training records identified that staff undertake training in all mandatory areas such as moving and handling, first aid and fire prevention,and specific training that reflects any special needs of the residents in the home such as falls prevention and Dementia. Duty records indicate that a trained nurse is allocated extra hours to undertake the organisation of staff training. The staffing levels are reflective of the numbers and needs of the residents at the home. The manager ensures that suitable numbers of trained and care staff are on duty and this was identified from duty record sheets. Sufficient domestic, catering and laundry staff maintain the home to a good standard. 5 responses received through the Commissions survey confirm that staff listen to residents and are available when needed ensuring residents receive the support they need. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 23 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. The home is run and managed by a qualified and competent manager who ensures residents are encouraged to express their views about the home. Residents’ finances are well recorded and managed and their interests are well protected. The management of health and safety ensures that residents are safe. EVIDENCE: Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 24 The home benefits from a registered manager who has the skills and competency to undertake her role. The manager demonstrated verbally her understanding of the needs of the residents and clearly recognises her responsibilities in maintaining accurate records and review of the quality of the services provided. The manager audits the care plans every three months and this was validated from records seen. Quality assurance systems include the quality questionnaires that the service undertakes to obtain the views of the residents and relatives each year. The manager said information from the quality audits is used to inform the practice of the home. Regular residents meetings are held and records of these meetings retained. The manager is not the appointee for any of the residents’ benefits and only small amounts of cash are held at the home on behalf of residents. The records are maintained by the administrator and these were inspected to make sure the residents’ interests are properly protected. There are well maintained records of income and expenditure and the records tally with the amounts held in individual packets. The records of residents’ finances are well maintained and clearly show their interests are protected. The home employs a handyman who undertakes the health and safety monitoring of hot water storage and distribution. The handyman confirmed that water is stored and distributed at suitable temperatures to control legionella growth and cold water systems are chlorinated annually from an outside contractor. Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 25 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 3 2 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 26 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 OP2 Regulation 5 Requirement The registered person shall provide to each person who becomes a service user on or after 1st September 2006, by not later than the day on which he becomes a service user, a statement specifying— (a) the fees payable by or in respect of the service user for the provision to the service user of any of the following services— (i) accommodation, including the provision of food; (ii) nursing; and (iii) personal care, and, except where a single fee is payable for those services, the services to which each fee relates; (b) the method of payment of the fees and the person or persons by whom the fees are Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 27 Timescale for action 31/12/06 payable. Where a local authority has made arrangements for the provision of accommodation, nursing or personal care to the service user at the care home, the registered person shall supply to the service user a copy of the agreement specifying the arrangements made. 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 OP1 OP9 Good Practice Recommendations It is recommended that the registered person explore ways of ensuring that all prospective residents receive an individual copy of the homes Service Users Guide. It is recommended that you review your medicine policies in line with guidance provided by the Royal Pharmaceutical Society, this includes ensuring that hand written medicines are signed and witnessed to minimise any mistakes. It is recommended that each resident be issued with a complaints procedure. It is recommended that evidence be obtained regarding the suitability of the adhered bath mat on the bath seat in regard to being able to safely disinfect and control the spread of infection to vulnerable people. 3 4 OP16 OP19 Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Abelard Care Centre DS0000063344.V323130.R01.S.doc Version 5.2 Page 29 - 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!