Inspection on 23/01/08 for Aden Lodge Nursing Home

This inspection was carried out on 23rd January 2008.

CSCI found this care home to be providing an Good service.

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

Aden Lodge Nursing Home 21/02/07

Aden Lodge Nursing Home 01/08/06

Aden Lodge Nursing Home 05/10/05

Aden Lodge Nursing Home 08/12/04

Aden Lodge Nursing Home 06/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Aden Lodge Nursing Home Long Lane Clayton West Huddersfield West Yorkshire HD8 9PR Lead Inspector Sally McSharry Key Unannounced Inspection 23rd January 2008 08:45 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 Aden Lodge Nursing Home DS0000001106.V358721.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. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aden Lodge Nursing Home Address Long Lane Clayton West Huddersfield West Yorkshire HD8 9PR 01484 866602 01484 863749 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) Aden House Ltd Joanne Clegg Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 40 21st February 2007 2. Date of last inspection Brief Description of the Service: Aden Lodge provides nursing care and accommodation for up to forty elderly people. It is a purpose built brick home adjacent to its larger sister home, Aden House. The home provides single room accommodation with en-suite facilities. It is situated on the corner of the main Wakefield Road in Clayton West. Aden Lodge is owned by Aden House Limited. Since the last inspection, Aden House Ltd, the company and all the care homes and services within the company, have been purchased by New Century Group. The home is centrally located for Barnsley, Huddersfield and Wakefield with the villages of Clayton West and Scissett providing all local amenities within a few minutes’ walk. There is a bus stop outside the home. There is a garden area for service users’ use. The provider informed the Commission for Social Care Inspection on 23 January 2008 that fees range from £358.80 to £545.00 per week. Additional charges include hairdressing, personal newspapers, private chiropody and a charge made to escort service users to out patient and non-emergency hospital appointments. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection included an unannounced visit carried out to the home by the inspector and an expert by experience on the 23 January 2008. An ‘expert by experience’ is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. The visit began at 08.45am and was completed by 3pm. During the visit the inspector and expert by experience spoke with some of the people who live at the home, nursing and care staff and visiting relatives. The inspector examined some people’s care records, audited a sample of medications, reviewed staff recruitment records, and looked around the home. The manager at the home also completed an annual quality assurance assessment that was requested by CSCI (Commission for Social Care Inspection), which includes information about people who live at the home, the staff that work there, the service provided and any incidents or accidents that have occurred. As part of this inspection surveys were sent out to obtain the views of people who live at the home, their relatives and doctors. Ten surveys were sent out to people living at the home, one was returned. Ten surveys were sent out to relatives, four were returned. Surveys were also sent to local doctors and one was returned. We would like to take this opportunity to thank everyone who participated in the inspection process. The manager of the home was on annual leave on the day of the visit, but very kindly called into the home for a couple of hours to assist. What the service does well: The CSCI invited relatives to comment on what they feel the home does well. People wrote, “ Empathy with residents, good communication with relatives, support for relatives at difficult times, good food, clean environment, pleasant welcoming atmosphere, well managed by matron.” Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 6 “Aden Lodge try very hard to meet the need’s of my mother. They are kind and caring people and do a great job of looking after my mother. The food is good and they also try very hard to keep my Mum’s mind stimulated. I am happy with her care”. “Keep residents clean and well fed”. “Everything”. Before people are admitted to the home they are welcome to visit Aden Lodge and spend time there. Someone from the home also carries out an assessment of the person’s care needs to ensure the home and its care staff are able to meet their needs properly. A caring staff team maintains people’s privacy and dignity. People can use a “do not disturb” sign to indicate to staff when they wish to have complete privacy. People are aware of the complaints procedure and are confident to raise concerns and issues with the manager. They are confident matters will be dealt with properly. Aden Lodge provides a homely, friendly environment where staff are caring and concerned about people living in the home and people living in the home are concerned for one another and have positive relationships with the staff. The home continues to be well managed and people living in the home are able to say how they want the service to change and develop in the future. What has improved since the last inspection? The standard of care planning has improved and care plans now give clear information to staff so they are able to meet individual’s care and welfare needs. The management and administration of medicines has improved and all medicines entering the home can be accounted for. The frequency and variety of activities has improved since the last visit. The home is building its own community, with a residents committee and meetings. It also continuing to maintain links with the local community with events, open visiting and some local trips out. Menus are varied and are now reviewed regularly by people living in the home. The standard of meals provided is good. Staff training has increased and the number of staff who have achieved National Vocational training (NVQ) level 2 has increased to 50 . Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 7 Recruitment checks remain good and people living in the home are now included in staff recruitment and selection processes. 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. Aden Lodge Nursing Home DS0000001106.V358721.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 Aden Lodge Nursing Home DS0000001106.V358721.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. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are properly assessed prior to moving into the home to ensure that their needs can be met. EVIDENCE: Up to date information about Aden Lodge is available in the home’s statement of purpose. The manager and visiting relatives said that people wishing to move into the home are invited to visit to help them reach a decision as to whether Aden Lodge is the right place for them. Four relatives who completed the CSCI’s survey feel that they receive enough information about the care home to help make decisions. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 10 Three people’s care records were examined and these included pre-admission documentation completed by the home and the funding authority, where applicable. People living in the home and relatives confirmed to the inspector during the visit that someone from the home had assessed people before admission. There was good evidence to show that people are properly assessed before they are offered a place at the home. This means that the home only admits people whose needs can be met. Aden Lodge Nursing Home DS0000001106.V358721.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, and 10. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s support needs are identified in individual care plans. Caring staff supports people’s rights to privacy and dignity. EVIDENCE: People said they were happy in the home and that staff looked after them well. The care records of three people were looked at in detail. Records are specific to the individual and included health and social care needs. There is evidence that people who live at the home and their relatives are included in developing care plans and care plan reviews. Generally care plans give staff the information they need to care for the individuals safely and take into account individual likes and preferences. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 12 Some information about wound care lacks detail. It is recommended that each time a wound is dressed a detailed record be made of the size and description of the wound, so that it is easy to see if it is improving or deteriorating. Risk assessments are in place and where someone has been identified as at risk, such as losing weight, action has been taken to monitor this, seek advice from the doctor and in some cases a referral has then been made to a dietician. People living at the home confirmed that if they are unwell the staff are prompt at calling the doctor. There was good evidence in the three care records looked at, that people have seen their doctor regularly and other visits made by the dentist, optician and chiropodist are also documented in people’s records. Relatives confirmed as part of the survey they completed for the CSCI, that they are kept informed of important issues affecting their relatives, for example, being admitted to hospital or following an accident, such as a fall. The medication system used at the home is supplied by the chemist in blister packs, which enables staff to easily check medication received. A sample of three people’s medication was checked during the visit. This showed there to be good systems in place for the recording, administration and disposal of medications. The room in which medicines are stored was very hot during the visit, over 30 degrees centigrade. It is recommended action be taken such as purchasing an air conditioning unit for the room, to make sure medicines are stored below 25 degrees centigrade as recommended for safe storage. Staff were observed attending to people’s needs in a respectful and dignified manner. At the time of our visit one person was particularly unwell and an ambulance was needed. Staff showed care and concern for that person’s privacy and dignity when being transferred from the building to the ambulance. Since the last inspection “ do not disturb” notices have been provided on each bedroom door, so that people can notify staff if they want privacy. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home are offered a range of activities and are able to make their own choices about how they spend their time. Meals provided are good and people are routinely offered a choice. EVIDENCE: The amount and variety of activities offered has improved since the last inspection. Activity staff advised that they are to attend training about providing activities in a care home setting. The expert by experience who visited the home felt that people were enthusiastic about the exercise class and quiz, which took place and gave people a large measure of stimulation. It was noted that more room between people in the exercise class would allow safer and freer movement. Some people are able to visit relatives regularly and links with the local churches are maintained. Christmas was a good opportunity for the home to join in community activities with carol singers and entertainers visiting. The Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 14 staff also put on a pantomime and photographs of events are displayed in the home. The expert by experience particularly noted the variety of pets in the home, birds, fish, a cat and a small dog that visits regularly, all very much enjoyed by the people living in the home and which add to the homely atmosphere. Since the last visit a small mobile shop has been introduced. This sells sweets and some toiletries. People in the home have requested items to be stocked in the shop, including Christmas and birthday cards so that they are able to send one another cards and this has been very positive in building a sense of community within the home. Introduction of residents meetings and a residents committee has also benefited the home. People have choices with in the home and are encouraged to make decisions for themselves such as choices at mealtimes, whether to join in activities and where they spend the day. Following comments made at the last inspection menus have been reviewed and changed by the people living in the home. Menus and mealtimes are regularly reviewed by people at resident meetings and by the residents committee. People in the home and relatives commented positively about the meals provided. The expert by experience who visited Aden Lodge enjoyed lunch at the home saying it was excellent and commenting, “ The vegetables were cooked to restaurant standard and the chicken and mushroom pie was delicious. I was pleased not to see “ sloppy” food being served to everyone. There was a choice of menu and also drinks”. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: All four relatives who completed the CSCI’s survey said they knew how to make a complaint. The complaints procedure is displayed in the front entrance of the home and in each person’s bedroom. It is also available in the home’s statement of purpose. The manager keeps a log of any complaints received and there was good evidence that peoples’ concerns have been taken seriously and that appropriate action had been taken to resolve matters wherever possible. There are policies and procedures in place to reduce the risk of abuse. All staff commencing employment have a CRB (Criminal Records Bureau) and a POVA (Protection of Vulnerable Adults) check before starting work in the home. This helps to protect people from unsuitable staff. All staff have received safeguarding (adult protection) training which provides information on how to protect people from abuse. Those staff that spoke with the inspector were clear about safeguarding issues and how and why they should report poor care practice. Aden Lodge Nursing Home DS0000001106.V358721.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home offers people a comfortable and clean environment. EVIDENCE: Aden Lodge is clean, tidy and well maintained. There were no unpleasant smells noticed during this visit. The home provides a welcoming, homely atmosphere and people living at the home are able to personalise their rooms; examples of this were seen during this visit. Some new carpeting has been provided on corridors and in bedrooms. The hairdressing room has been re arranged and efforts made to make it like a proper salon, where beauty therapies take place as well as hairdressing. The small lounge in the home has been developed into an activities room where people can spend time, play board games and paint. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 17 The expert by experience felt there was easy access to the home and that there was a homely warm atmosphere and that the environment of the home helps to create a valued community with in the building. Aden Lodge Nursing Home DS0000001106.V358721.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s needs are met by trained staff that have undergone a thorough recruitment process before they are allowed to work in the home. EVIDENCE: Relatives’ surveys asked if the care staff have the right skills and experience to look after people properly. One responded ‘always’, three relatives said ‘usually’. The duty rota confirmed there to be one nurse, one care co-ordinator and five care staff on duty during the morning shift; two nurses, one care co-ordinator and four care staff during the afternoon shift; one nurse and four care staff in the evening and one nurse and two care staff work during the night. Domestic, laundry and kitchen staff support the care staff. There is 50 of the care staff that have achieved an NVQ (National Vocational Qualification) Level 2 qualification in Care. A further ten staff are working towards NVQ level 2 and hope to achieve the award by the end of January 2008. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 19 The recruitment files of three members of staff were audited in detail and found to contain the required information and recruitment checks. These checks are necessary to help protect people from potentially unsuitable staff. The home has introduced a new element to the recruitment process. People living in the home talk to potential employees about the home, the job and what is expected. People are now actively involved in the selection of new staff. Training records show induction and mandatory training. All new staff work to complete the Common Induction Standards set by the “Skills for Care” which is the National Training Organisation for care staff. Those staff who spoke with the inspector said there are good training opportunities at the home. Seventeen staff are to undertaken dementia care training and palliative care training is also to be provided. The training record provided by the manager indicates that the majority of staff have undertaken moving and handling training, food hygiene, health and safety, infection control, fire risk awareness and safeguarding training. Aden Lodge Nursing Home DS0000001106.V358721.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a well managed home, where people finances are handled safely and the health and safety of people and staff is maintained. EVIDENCE: Ms Joanne Clegg is the registered manager at Aden Lodge. She is a qualified nurse and is well regarded and respected by staff relatives and people living in the home. Ms Clegg is working toward completing the Registered Manager’s Award. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 21 Quality assurance systems are in place at the home. Regular staff meetings are held and a residents committee has been introduced. The committee meet regularly and minutes of meetings show that the committee is involved in how the home runs and makes suggestion about how the service might change and improve in the future. Ms Clegg reported that customer satisfaction surveys have been sent out to relatives and other professionals in order to seek their views on how the home is run. A company representative is responsible for carrying out regular visits to the home to form an opinion of the standard of care provided; a report is then produced. The inspector read the latest of these reports during this visit. It was informative and showed evidence that the visiting manager had spent some time talking with people who live at the home and the some of the staff and their views about the home had been recorded. Some people have small amounts of personal money that is held safely at the home by staff. Records are available to show when money is deposited on behalf of people. The records show the individual cash balance for each person and how their money is used on their behalf, including receipts for goods and items purchased. Three peoples’ finances were checked during the visit and were found to be correct. The home’s quality assurance assessment indicates that routine maintenance and servicing of equipment takes place. The home carries out weekly fire safety checks and these are recorded and staff are involved in fire drills periodically to ensure they know what to do in the event of a fire. Safety checks on bedrails used in the home are informal. It is recommended that formal routine safety checks be commenced as a precautionary measure. Bedrails and bumper sets should be labelled and kept together as individual sets. They should be checked weekly to ensure they are clean, safe, in full working order, that there are no risks of people becoming trapped in them and that they remain appropriate for the person using them. A detailed written record should be maintained of these weekly checks. Accident reports are completed. Although some staff have received first aid training, this does not include the trained nurses. It is common practice in the home for the trained nurse to assess people following falls and accidents. Therefore it is recommended that all trained nurses receive up to date first aid training to help them deal with accidents and emergencies properly. Aden Lodge Nursing Home DS0000001106.V358721.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 X 3 X X N/A 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 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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. 3. 4. Refer to Standard OP7 OP9 OP38 OP38 Good Practice Recommendations Staff should measure and record the exact size of any wound every time they redress the area so that everyone can clearly see if the lesion is getting bigger or smaller. The temperature of the medications room must be below 25 degrees centigrade to make sure medications are stored at a safely. All nurses who take charge in the home should have up to date first aid training so that they are able to deal with emergency situations. Bedrails and bumper sets should be labelled and kept together as individual sets. They should be checked weekly to ensure they are clean, safe, in full working order, that there are no risks of people becoming entrapped and that they remain appropriate for the person using them. A detailed written record should be maintained of these weekly checks. Aden Lodge Nursing Home DS0000001106.V358721.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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. 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