Inspection on 12/09/07 for Allendale

This inspection was carried out on 12th September 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Allendale 03/05/06

Allendale 15/02/06

Allendale 11/05/05

Allendale 07/12/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Allendale 53 Polefield Road Blackley Manchester M9 7EN Lead Inspector Sue Jennings Unannounced Inspection 09:15 12 & 13 September 2007 th th 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 Allendale DS0000043949.V339990.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. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Allendale Address 53 Polefield Road Blackley Manchester M9 7EN 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) 0161 795 8051 Allendale Rest Home Limited Karen Elizabeth Warwick Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All service users will fall within the category of old age. The maximum number of service users accommodated for personal care only shall be 24. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission 28th November 2006 Date of last inspection Brief Description of the Service: Allendale is a privately owned home that provides accommodation for up to 24 residents requiring personal care only. The home is located in the Blackley area of Manchester close to Booth Hall Childrens Hospital and North Manchester General Hospital. Local facilities and public transport links are within easy walking distance. There is limited parking to the front of the property. The building is a large extended and converted detached house set in its own grounds. Access to the front of the property is at ground level. There is a ramp access at the rear of the property. Accommodation is provided on three floors, served by 2 passenger lifts and the home is accessible to residents who use a wheelchair. Grab rails are provided throughout the home. Bedroom accommodation is on the ground, first and second floors. There are 16 single and 4 double rooms. All rooms provide a wash hand basin. En-suite facilities are provided in 11 of the single rooms and all 4 of the double rooms. There are 2 lounges, one of which provides a small dining area and 1 dining room. Both lounges have patio doors leading out to a well-maintained and enclosed patio area, which enables residents to sit outside in warm weather. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Commission for Social Care Inspection in relation to this home prior to the site visit. The visit was unannounced and took place over the course of 5 hours on 12th September 2007. As the manager was not on duty on the 12th September the staff files and residents finances were examined on the 13th September 2007, this visit lasted 3 hours. During the course of the site visit time was spent talking to the manager, 4 of the residents, 3 members of staff and 3 visitors to find out their views of the home. A number of the Commission for Social Care Inspection’s survey forms were sent to residents and relatives. The survey forms received from residents gave positive feedback about the home, meals and level of care provided. Time was spent examining records, documents, the residents and staff files. A tour of the building was also conducted. Accommodation fees at the home range from £358.00 to £384.00. What the service does well: What has improved since the last inspection? Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 6 The service user guide and statement of purpose had been reviewed and updated since the last key inspection. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information about the home is made available for prospective residents. Assessments are generally completed before people move in to make sure that their individual needs can be met. EVIDENCE: The relative of a resident recently admitted to the home told us that they were shown a statement of purpose and a service user guide which contains information about the service provided. They were not sure if their relative had received a contract. Residents spoken to said that either they or their relative had chosen the home. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 9 None of the files examined contained a Service User Guide or individual contract or terms and conditions with the home. We did see a copy of the Statement of Purpose and Function and this did give sufficient information. We saw that there is an admissions procedure and that assessments are usually completed prior to anybody moving in. We looked at assessments completed for three people and saw that some good information had been recorded. Copies of the social worker’s statement of needs were seen on some residents’ files. The home does not provide intermediate care. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans could be more person-centred and better address the health, personal and social care needs of individuals. Arrangements for the handling, storage and administration of medication needs to be improved. EVIDENCE: Of the five resident files examined two did not have a care plan. Some care plans did not contain a photograph of the resident and there was little evidence that residents had been involved in the care planning process. It is strongly recommended that residents and or their representatives be involved in the planning of their care and that each care plan contain a photograph. They told us that the two residents who did not have care plans had initially been admitted for respite care and then decided to stay. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 11 Basic information was seen in a separate ‘communal’ file where a number of residents’ information was stored together. These documents had not been updated or any daily records kept on them for at least seven days. Lack of such information could mean that the residents’ needs are not met and could place the resident at risk. A requirement is made that each resident admitted to the home must have a care plan that identifies their care needs and provides guidance to staff on how to meet the assessed needs. We looked at the care plans for three people and the information provided covered areas such as mobility, oral hygiene, diet and personal care. It is recommended that details around maintaining oral hygiene are improved. Care plans should be person-centred and include details about social and community interests. It is recommended that residents living in the home are consulted about their social interests, and arrangements should be made to enable them to engage in local social and community activities should they wish to do so. Daily records did not reflect the actual care provided by the staff and the method of recording should be looked at. We saw that some daily records contained very repetitive and general statements such as ‘all meals sent upstairs’ and ‘meals sent to her room’. Medication is dispensed in a blister pack monitored dosage system and none of the residents administer their own medication. It was concerning to note that both medication trolleys were left unlocked. When this was pointed out to staff they told us that they never lock them because the office door is usually closed. During the second day this was raised with the manager who told us that the lock on one of the trolleys was broken. The manager contacted the pharmacist immediately to arrange for a new trolley. In the interim period the office door will be kept locked to reduce the risks to residents and keep the medication secure. They told us that they did not have a separate cupboard to store controlled medication and that none of the residents were prescribed controlled medication. However, it is strongly recommended that a separate controlled drug cupboard be fitted in the event that any resident at any time could be prescribed a controlled drug e.g. following a hospital admission. Staff were observed taking medication in a small medication pot to a resident. They told us that the MAR sheet would be signed later. This has the potential Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 12 to place residents at risk. A requirement is made that MAR sheets must be signed at the time the medication is administered to residents and these must not be completed collectively after the medication round. They also told us that they had received training in the safe administration of medication and that refresher training was underway. It is recommended that the medication policy be readily available for staff to reference. It was confirmed that no resident was suffering with pressure sores although appropriate equipment was available in the home to be used (after assessment) for those residents who may be prone to developing pressure areas to ensure their comfort and wellbeing. Residents told us that staff were always friendly and polite. This is noticeable when watching how staff interact with residents. The healthcare of residents living there is well managed. One relative or friend of an individual said that “the home provides a good level of care, and all the staff have been here a long time in some homes they are always changing” another said “it must be one of the best homes in the area”. Allendale DS0000043949.V339990.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home provided a balanced diet for residents and there were some social activities provided. EVIDENCE: The home demonstrated a good understanding of equality and diversity by explaining how they would address various religious and cultural needs. The meal served on the day of the site visit was roast chicken, mashed and roast potatoes, broccoli and cauliflower. The meals were plated by staff and brought to the table. Residents were told what the meal was and asked if they wanted everything putting onto their plate before it was brought to the table. The presentation of the meal was good. Residents spoken to said the meals were always good. Fruit juice and water was served with the meal and residents could have a hot drink if they preferred. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 14 Residents spoken to said “I have no grumbles about the food I find it very nice”, another said “it varies sometimes it’s not as nice”, “the lunch is definitely better” “we have sandwiches for tea – I am sure there are much worse places to be”. Residents were asked if there was much going on to keep them occupied. One said “we have sing-a-longs, drawing and bingo” another said “ we go out for meals”. The staff told us that a trip to Blackpool was planned to see the illuminations. One resident said “there’s enough going on” and another person said “I’m not interested I prefer to sit quietly in my room” but did confirm that they were still regularly asked to join in. Another person said “I would like to get out and about more” but their mobility would not allow it. It is recommended that residents living in the home are consulted about their social interests, and arrangements should be made to enable them to engage in local, social and community activities should they wish to do so. As stated previously we saw that care plans could be improved to include more information about social and emotional needs. This could be used to tailor and further improve the activities on offer at the home. This is especially important for the residents who spend a lot of time in their bedrooms. Allendale DS0000043949.V339990.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has policies and procedures in place to safeguard residents from abuse and there people are confident that their complaints will be acted upon. EVIDENCE: There are suitable procedures in place for dealing with complaints. The complaints policy and procedure is part of the guide for the people living there. They told us that there had been no complaints since the last inspection. The complaints policy and procedure is displayed in the home and is part of the guide for the people living there. One relative or friend of a person living at the service said that if they made a complaint about an issue they “felt confident it would be dealt with”. One resident told us “I have nothing to complain about they treat us very well”. The service has internal policies and procedures for the Protection of Vulnerable Adults (POVA) and a copy of the local procedures was also seen to be available. There have been no recent allegations of abuse. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 16 There is an ongoing staff training programme. We asked staff what they would do if they witnessed an abusive situation and they told us that they would immediately report it to the manager. They told us that the manager then phoned social services. Two members of staff did not have a CRB disclosure and this is further addressed in Standard 29. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The premises are generally safe and the home’s environment, including the standard of hygiene, was well maintained both internally and externally. EVIDENCE: A tour of the building was carried out. We saw that the bedrooms were clean and tidy and there were no unpleasant odours detected. New bedroom furniture had been purchased for some bedrooms and there was a programme of re-decoration and refurbishment. The temperature of hot water emission is checked on a weekly basis and a record kept ensuring that any hot water accessible and used by residents remains at a consistent and safe temperature. Carpets are regularly cleaned and no unpleasant odours were detectable throughout the building during the course of the site visit. Residents told us Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 18 the home was always kept clean; one resident said “they work hard to keep it clean”. The communal areas provide a comfortable and well-maintained living environment for residents. Bedrooms are individualised to residents’ preferences. Residents are able to bring personal items, including furniture, with them on admission and are able to have a private telephone line should they wish. It was of concern that the designated smoking area for residents was in the front entrance hallway. This area had access doors to all other areas on the ground floor that were held open with automatic closure systems. Cigarette smoke was evident in all communal areas on the ground floor. This is not in line with the new no smoking legislation. They told us that there are plans to errect a conservatory that will be the designated smoking area. It is strongly recommended that they contact the Environmental Health officer for advice. People spoken to were generally happy with the environment. Comments from individuals included “I like my room”, “I spend most of my time here in my room and I am quite happy” and “it’s ok”. There were sufficient toilets situated around the home. They were clearly marked and close to the communal areas and bedrooms. There were bars of soap for hand washing and terry towels in use for drying hands after using the toilet, posing a risk of cross infection. They told us that previous attempts to use paper towels resulted in toilets being blocked where the towels had been flushed down the toilet. It is strongly recommended that the infection control nurses be asked to visit and provide advice. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff were deployed in sufficient numbers to meet the needs of the residents and appropriate training is available to all staff. EVIDENCE: Feedback about the way the staff carried out their duties was generally positive. Comments included “very good”, “the girls are very good”, “nice staff” and “very good”. One relative or friend said “the girls are very caring and understanding” another said “there are a lot of the girls who have been here since before mum arrived – there is not a high staff turnover, they are really good to her” and “if mum is ill they phone me once it was 1 am and she was being sent to hospital, they went with her but it meant that we could be there to meet her so she was not on her own”. They told us that it is customary to arrange for additional staff to be on duty if a resident has to go to the hospital. They told us that they “don’t think it is right for a resident to be alone when they have to go to casualty”. This is good practice. We saw that staff were caring and spoke to individuals in a polite and respectful manner. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 20 They told us that new staff received induction training . This includes adult protection, First Aid, Health and Safety, Food Hygiene, Moving and Handling and Control of Substances Hazardous to Health (COSHH). We looked at the recruitment records for five members of staff. These were generally well maintained and most contained all the necessary checks including POVA 1st (Protection of Vulnerable Adults) and Criminal Records Bureau (CRB) checks. However it was concerning to note that two newer members of staff did not have an enhanced CRB check. They told us that this was due to a problem with the homes registration with the CRB. Because they did not request more than ten disclosures a year they had been removed from the list. They were advised to approach an alternative umbrella organisation (this is an organisation that is registered with the CRB to apply for CRB disclosures on behalf of smaller providers). It is acknowledged that they responded immediately and that an umbrella body has been approached to obtain future CRB checks. One of the staff involved has moved on and the other has not been in work and is awaiting their disclosure. Staff are offered a good level of training in a number of topics such as manual handling, Fire Safety and Protection of Vulnerable Adults. The Mental Capacity Act came into force in April 2007 and it is strongly recommended that they obtain a copy of the Codes Of Practice for the Mental Capacity Act to keep in the office for staff to reference. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are generally good arrangements in place to make sure that the health and welfare of people using the service is protected. EVIDENCE: The manager and deputy were on leave on the first day of the site visit. On arrival it was not clear who was in charge or who would be responsible in the event of an emergency. It is strongly recommended that in the absence of the management team a senior member of staff be designated person in charge. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 22 A second visit had to be carried out to complete the key inspection process. On day 2 staff files and financial arrangements for residents were seen. The manager has knowledge and experience of running a care service for older people. Areas for future improvement for the manager to look at include improving recruitment and medication procedures and care planning. The manager demonstrated a good knowledge of person-centred care but this needs to be incorporated into care plans and put into actual practice. A system for individual staff supervision is in place but needs development to make sure that all full time staff receive this at least six times per year. Health and Safety checks take place to make sure people are kept safe and good records are kept of these. They told us that have developed a system to survey residents and relatives about the quality of the service and how this could be improved. They told us that residents and their relatives or representatives would be sent questionnaires as part of the quality assurance process. These had not been sent out yet. It is recommended that the quality assurance and quality monitoring questionnaires be distributed to all interested parties to measure the success in meeting the aims, objectives and Statement of Purpose of the home. They told us that they deal with the personal allowances for the majority of residents living in the home. The balances of a number of people were checked during this inspection and found to be in order. Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 N/A 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 2 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) Requirement Each person admitted into the home must have a care plan detailing their needs and how their needs are to be met. There must be arrangements in place for the safe storage of medication. MAR sheets must be signed at the time the medication is administered to residents these must not be completed collectively after the medication round. An enhanced CRB disclosure must be obtained for all staff employed to work in the home. There must be a dedicated smoking area that meets the requirements of Regulation 2 of the Smoke-free (Premises and Enforcement) Regulations 2006. Timescale for action 12/11/07 2. OP9 13 (2) 12/11/07 3. 4. OP29 OP38 13 (2) 13 (2) 12/11/07 12/11/07 Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 25 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. 1. 2. 3. Refer to Standard OP7 OP7 OP7 OP9 Good Practice Recommendations It is strongly recommended that residents and or their representatives be involved in the planning of care. It is strongly recommended that a photograph of residents is placed on care plans. It is recommended that care plans should detail residents’ preferences regarding their preferences relating to oral health. It is recommended that the policies and procedures relating to medication are made available to staff at all times, regularly reviewed and dated to indicate when the review had taken place. It is strongly recommended that a separate controlled drug cupboard be fitted in the event that any resident at any time could be prescribed a controlled drug e.g. following a hospital admission. It is recommended that residents living in the home are consulted about their social interests, and arrangements should be made to enable them to engage in local, social and community activities should they wish to do so. It is strongly recommended that they take advice from the Infection Control nurses with regard to the use of bar soaps and terry towels in toilets. It is recommended that the quality assurance and quality monitoring questionnaires be distributed to all interested parties to measure the success in meeting the aims, objectives and Statement of Purpose of the home. It is strongly recommended that in the absence of the management team a senior member of staff be designated person in charge. It is recommended that all policies and procedures should be regularly reviewed and updated. 4. OP12 5. 6. OP26 OP33 7. OP38 10. OP38 Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Allendale DS0000043949.V339990.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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