CARE HOMES FOR OLDER PEOPLE
Adelphi Rest Home 33/35 Queens Road Chorley Lancashire PR7 1LA Lead Inspector
Marie Dickinson Key Unannounced Inspection 20th July 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 Adelphi Rest Home DS0000005922.V304027.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. Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Adelphi Rest Home Address 33/35 Queens Road Chorley Lancashire PR7 1LA 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) 01257 271361 01257 271361 Mr Barry Brown Mrs Jacqueline Taylor Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 2nd February 2006 Brief Description of the Service: The Adelphi Residential Care Home is situated in a quiet residential area within walking distance of both Chorley town centre and Astley Park. The home is well served by public transport and the M62 and M6 motorways are both easily accessible nearby. The Home is a large converted property with an extension and accommodates twenty seven residents in single and four shared bedrooms. Some bedrooms have en suite and all have vanity units fitted. There are three lounges one of which is a conservatory type lounge and the dining room also extends into a conservatory. All the residents’ rooms and the communal areas was tastefully decorated and residents are encouraged to personalise their rooms with items brought from home. There is a small courtyard type garden to the rear of the home, which is furnished with sets of garden furniture through the summer months. The garden is accessed via the dining room through patio doors, where a ramp is fitted to ease access to and from the garden. Information about the service is available from the home for potential residents in a Statement of purpose and Service User Guide. Weekly charges for personal care and accommodation range between £313 to £352 and 372: 50 for a bedroom with en suite facilities. Optional extras are hairdressing and personal items. Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place on the 20th July 2006. The inspection involved getting information from staff records, care records and policies and procedures. It also involved talking to residents, staff on duty, the registered manager, and visitors, and included a tour of the premises. Responses were returned to the Commission. These included five from residents to ‘have their say’, five comments from relatives, one comment from a social worker and one comment from a health centre, who all gave their personal view of the services provided. Areas that needed to improve from the previous inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Older People. What the service does well:
Before people are admitted to the Adelphi sufficient information about the home is available for people to read to help them decide if they would like to stay at the home. Before they actually live at the home they have an assessment of what help they will need. Important information needed to support them in every day living is recorded and used to plan the care required. People can stay at the home for a trial period. This is to make sure the home has the right facilities and staff to care properly for people. Contracts given to residents outlined the terms and conditions of residence. Resident’s healthcare needs were monitored. The home worked with visiting medical professionals who in their opinion worked for the benefit of residents, Advice was sought where needed, such as pressure care and diets. Residents considered staff as being respectful and described them as ‘very good’ and ‘do a good job’. Residents who completed ‘Have your say about the Adelphi’ considered they received the care and support they need, staff listen and act on what they said and were available when they needed them. Relatives who posted comments as part of the inspection process praised staff for the care they gave and one comment described staff as ‘exceptional’. Activities were enjoyable and provided according to resident’s wishes. They did what they wanted and outings arranged by the home were popular. Entertainment was also provided and special occasions such as Christmas and birthdays were celebrated. Visiting arrangements were good. The daily routines were flexible and designed to meet the wishes of the residents. Meals and Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 6 mealtimes were enjoyable and met with resident’s satisfaction. They were offered choices and had a say in menu planning. Residents were able to follow a complaints procedure should they need to. Staff were guided to follow Adult Protection Policies and procedures to protect residents. Responses sent to the Commission showed residents thought the home was clean and fresh. Residents living at the home expressed general satisfaction about their accommodation and facilities provided. All the residents spoken to said they liked their bedrooms. They were comfortable and were personalised to their own tastes and preferences. The level of achievement in relevant training provided for staff such National Vocational Qualification in Care is commendable, in addition to essential training such as moving and handling and health and safety provided. Good financial procedures regarding payment of fees and financial management of temporary savings held for residents was followed. Teamwork was evident amongst the staff. This helped them to work towards providing a quality service to the residents. Residents, relatives/visitors, and visiting professionals considered staff to understand resident’s needs and provide a good service. One relative summed up the general feeling commenting, ‘their values morals, and loyalty are towards the residents, I am very grateful.’ What has improved since the last inspection?
Residents were happy with the level of activities provided, as this was individual to them. Information regarding links with advocacy service was available and one resident benefited from having an advocate. Although no complaints had been received, how any complaint would be recorded has improved following requirements of the Data Protection Act. Arrangements have been made for staff to train in caring for people with an infection commonly called MRSA, after which guidelines for practice will be written. The lounge referred to as the ‘golden lounge’ has had a new carpet fitted. In addition to this one bedroom had a new carpet. The manager had one day working as extra to the rota to carry out essential management duties.
Adelphi Rest Home DS0000005922.V304027.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. Adelphi Rest Home DS0000005922.V304027.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 Adelphi Rest Home DS0000005922.V304027.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The admission process ensured people were properly assessed and their needs and wishes known and planned for. Trial periods of stay were offered and people were given individual contracts/terms of conditions of residence. EVIDENCE: Residents confirmed they had been given enough information about the home before they came to stay. The service user guide available provided helpful, well-presented information in a format, which was easy to read. Copies of contracts given to residents were available to look at. The contracts covered the terms and conditions of residence in respect to the trial period and the services provided. This meant residents had clear information about the amount of fees to cover their accommodation and personal care needs. Additional costs were made clear and included extras such as hairdressing. Comments sent to the Commission from residents and relatives confirmed that
Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 10 they were issued with contracts that outlined the cost of staying at the home and terms and conditions of residency. Details of admissions showed assessments were completed to a satisfactory standard. Residents had the option of a short stay. Adelphi Rest Home DS0000005922.V304027.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 at least once during a 12 month period. 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 the service. Residents’ health and personal care was monitored and promoted. Medication was administered safely. Residents considered staff respected their privacy. EVIDENCE: It was apparent from the case tracking process each resident had a plan of care based on an assessment of needs. The care plans provided details about preferred daily living routines and the assistance each resident required with personal care. These were supported by daily records of personal care, which provided information on changing needs and any recurring difficulties, for example ‘keep under observation as will try to transfer self without assistance’, and hourly checks at night recorded. The care plans were reviewed on a monthly basis and had been signed by the resident/representive. Risk assessents had been incorporated into the care plan documentation, which included risk management strategies to manage, reduce or eliminate an identified hazard, for example ‘bath hoist to be used.’ Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 12 One comment card received from a social worker indicated staff understood residents needs needs and worked to a care plan that was reviewed regularly. The residents’ healthcare needs were detailed in the care plan. For example diabetics who required insulin had their care monitored by a district nurse. One comment received from a Health Centre gave positive comments about the care of residents. The staff worked in partnership with them and understood residents care needs. Continence care was managed and residents had access to other medical professionals such as their own doctor and chiropody services. The residents spoken to felt the staff respected their right to privacy and all made complimentary remarks about the staff, for instance one resident said the staff “are a treat’, and they ‘put me to bed and see I’m comfortable, as for the night staff I have only to ring and they are there’. One comment card received at the Commission from a relative who regularly visited the home, stated she was was very satisfied with the standard of care for her mother. ‘My mother has received exceptional care at the Adelphi. The staff are exceptional(All staff). Their values, morals, and loyalty are towards the residents, I am very grateful they took my mother into their home and give her 110 . The home operated a monitored dosage system for the administration of medication, which was dispensed into blister packs by a local pharmacist. An appropriate recording system was in place to record the receipt, administration and disposal of medication. Medication given as when necessary requires more detail as to when this would be given. Staff were trained in safe administeration of medication. One comment from a Health Centre indicates the home ‘manages residents medication properly’. Adelphi Rest Home DS0000005922.V304027.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 at least once during a 12 month period. 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 the service. Resident’s lifestyle was to their expectations with choice and control over their lives. They kept in good contact with their family and friends. Meals provided were nutritionaly balanced and varied. EVIDENCE: The residents’ preferences in respect of social activities was recorded as part of their assessment. Participation in any social activities within the home was supported by an activities organiser employed for this purpose. The staff on duty said residents were consulted on a one to one basis about activities and recognised this was an individual thing for everyone. Two ‘have your say about the home’ returned to the Commision show how this is viewed as one person thought there was always activities arranged by the home they could join in and one comment said sometimes. However, it was evident that those residents wishing to spend time resting or pursuing their own interests such as reading were given the opportunity. Staff explained that the residents particularly enjoyed themselves with various events such as birthday and festive celebrations. Staff and residents were observed as enjoying good relationships with each other. Residents said they
Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 14 enjoyed going out, transport was provided and most said they were ‘content’ with their lifestyle. Residents were supported to continue with their chosen religion. Representatives from local churches visited the home on a regular basis for prayers and communion. One resident said she liked to stay in her room and read her bible. Staff respected this. The residents were able to receive visitors at any time and were able to entertain their guests in private. Comments from all sources confirm this. Including evidence seen in the care records. Relatives visiting during inspection said they were always made to feel welcome and the staff are very nice and ask us how we are. When touring the premises, it was evident residents were able to bring in personal belongings and arrange their rooms how they wished. This was recorded on an inventory of possessions. One resident benefited the services of an advocate to support their right to autonomy and have independent advice. The routines in the home were flexible and all residents had a lie in each morning if they wanted. Breakfast ranged from 8.30am to 10am. The residents could choose where to eat their meals as tables were available in the dining room and conservatory. Some residents chose to eat at their lounge chairs. The residents made varied comments about the food one resident said “the food is good and no complaints, I would recommend it. The main meal was a set menu. The meal served at lunch was steak and onions, cabbage, carrots boiled and roast potatoes, followed by fruit crumble and custard. Diabetics shared in this meal and enjoyed the same pudding prepared specially for them. The cook said if someone didnt like what was on the menu, they would be offered something else. Breakfast was also varied and residents were given the option of a cooked breakfast if they wanted. Meals were unhurried and staff spent time with residents who needed support to eat. One person who had a short stay at the home visited after dinner and brought her birthday cake to share with her friends and staff. Records were kept of actual meals served which had been kept up to date since the last inspection. Adelphi Rest Home DS0000005922.V304027.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 inspected at least once during a 12 month period. 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 the service. Residents had access to a clear up to date complaints procedure and were protected from abuse. EVIDENCE: A copy of the complaints procedure was displayed and was included in the information given to current and prospective residents. The procedure gave clear directions on whom to make a complaint to and the timescales for the process. The home had a recording system in place, although no complaints were recorded. Comment cards from all sources indicate never had to make a complaint and all were aware of the procedure. The home had an appropriate internal procedure for staff to follow should they suspect or witness an incident of abuse. Staff spoken to confirmed that they had received training in respect to the adult protection procedures as part of National Vocational Qualification in care training. It was clear the training given to staff was sufficient. Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The residents were provided with a warm, comfortable, clean environment that suited their needs, however attention was required in some areas to keep satisfactory standards. The home was hygienic. EVIDENCE: Since the last inspection as required the carpet in the ‘golden lounge’ had been replaced. The handyman was busy with decorating and said he a maintenance programme to follow. The home was comfortably furnished throughout, including the conservatories. There were a range of seating areas provided for resident use that included lounge and dining rooms. The conservatory gave an additional option where to sit and aarrangements were in place for smoking areas that everyone agreed
Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 17 on. Outdoor facilities was limited, although some residents said they liked to sit out during warm weather. Improvement was required to bring some areas of the home up to an acceptable minimum standard. Following a tour of the premises these observations were made:• • The top floor bathroom required better lighting to help residents with failing sight. The practice of wedging bedroom doors open is unsafe and must cease. Arrangements must be made to provide residents with a safe option regarding their wish for doors to be left open such as automatic door releases for fire. Bedroom doors also require to be fitted with appropriate locks that allow staff access in the event of an emergency. This would ensure residents privacy is respected and their safety considered at all times. All residents must be provided with a lockable facility in their room as a means to keep personal possessions safe. The disclaimer residents sign regarding this does gives the impression this is not what the home wants as the homes insurance does not cover valuables. However lockable facilities has many uses such as for example storage of medication or personal letters or anything a resident wishes to keep private. Bedrooms had been personalised and residents were happy with them. The kitchen would benefit having a dishwasher installed. This would ensure hygiene standards are maintained and release care staff to give that extra time to residents. • • The home was very clean and laundry managed correctly. Comments received at the Commission showed this is maintained. Water outlets tested were within the guidelines for safe temperatures for bathing. This was regularly tested. Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. 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 the service. Sufficient staff were on duty. Training provided exceeded basic standards. Recruitment practices were good and protected residents. Residents had confidence in the staff working at the home. EVIDENCE: At the time of inspection twenty five staff were employed to work in the home. The manager had maintained a written staff rota, showing how staffing levels were maintained to a satisfactory level. Comments received at the Commission show most people felt there was enough staff on duty, ‘even when extremely busy they always find time for everyone’, and ‘no better care can be given’ and ‘ friendly, caring and understanding about all the needs of the residents and family alike’. Residents liked the staff they knew. One resident said ‘staff are a treat’. A number of staff files showed recruitment procedures to be satisfactory. Three new care staff records showed checks required for protection of residents had been carried out prior to employment. All new staff were given induction training that included essential training such as moving and handling, health and safety and fire procedures. Although staff did not get a contract of employment until they had worked a probationary period, residents were protected by a form of agreement written into their job
Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 19 description. This included an agreement to ‘work according to the terms of the contract of employment and in accordance with the Adelphis Care Homes Code of Conduct and practice and manual procedures.’ The percentage of staff having completed level 2 National Vocational Qualification in care was near 100 . This is commendable. All staff were trained in essential mandatory training such as moving and handling. Staff were also trained in medication administration. Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. 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 the service. Administration in the home was generally well managed. Health and safety of residents and staff was considered. EVIDENCE: The manager has many years experience working in a care home. She works with the care staff and has Wednesday allocated as management hours where she works supernumerary to deal with essential paperwork. Senior carers support the manager. Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 21 To show the home is committed to maintaining quality in care and facilities, quality assurance audits must be carried out. The results of these must be published and made available for all interested parties. The home does not manage residents finances. However a small amount of money for some residents may be held at the home. Upon request residents would be provided with a lockable facility. Supervision was being given to staff regularly. This included reading policies and their understanding and work performance. Senior staff had some responsibilities in this area. Staff confirmed they were supervised, and during these sessions covered work issues and considered the principle of supervision very useful. Staff also benefited from having regular meetings. Formal six month induction would be given, although the majority of staff were trained in National Vocational Qualification in care. Arrangements had been made for some mandatory training to be renewed. Fire safety procedures were evidenced as being given to staff and regular fire drills carried out. The practice of wedging doors open is unsafe. Information contained in the pre – inspection questionnaire indicated that the electrical safety certificate was valid and gas installations had been approved by an engineer, policies and procedures were available. Safety certificates were up to date. Water temperatures at source, and in bedrooms, were satisfactory. These checks were monitored by the handyman who kept logs of recordings. The storage of cleaning products was also satisfactory. Management kept the Commission informed of any significant incident. Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 22 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 3 3 X X N/A 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 2 3 3 3 3 2 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP24 Regulation 23(2)(e) 13(4)(c) Requirement Bedroom doors must be fitted with locks to ensure residents privacy and safety from unwanted visitors. They must be of a suitable type that enables staff to access the room in an emergency. The registered person must not wedge fire doors open. Automatic door releases must be fitted and comply with fire regulations. Previous timescale of 07/09/05 not met. Timescale for action 31/10/06 2. OP38 23(4)(a) 30/09/06 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 OP9 OP9 Good Practice Recommendations It is recommended medication prescribed to be administered when necessary be detailed as to the circumstances it would be given. The registered person should arrange to see prescriptions before going to the Pharmacist.
DS0000005922.V304027.R01.S.doc Version 5.2 Page 24 Adelphi Rest Home 3. 4 5 6 7 OP19 OP24 OP26 OP26 OP33 It is recommended decorating and source of lighting improve in the upstairs bathroom. It is recommended risk assessments are completed regarding residents needs to have bedroom doors open. It is recommended that the provider produce evidence that the premises comply with the Water Supply (Water Fittings) Regulations 1999. It is recommended a dishwasher be installed in the kitchen to reduce the risk of cross infection. The registered person should ensure that quality assessment questionnaires are dated and results published. Adelphi Rest Home DS0000005922.V304027.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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