Inspection on 02/04/08 for Anglebury Court

This inspection was carried out on 2nd April 2008.

CSCI found this care home to be providing an Adequate 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

Anglebury Court 30/07/09

Anglebury Court 06/04/09

Anglebury Court 19/07/06

Anglebury Court 18/10/05

Anglebury Court 09/06/05

Anglebury Court 10/01/05

Anglebury Court 29/06/04

Anglebury Court 19/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Anglebury Court 21 Bonnets Lane Wareham Dorset BH20 4HB Lead Inspector Gloria Ashwell Unannounced Inspection 10:00 2nd April 2008 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 Anglebury Court DS0000031937.V361706.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. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anglebury Court Address 21 Bonnets Lane Wareham Dorset BH20 4HB 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) 01929 552585 01929 551984 c.fairlie@dorsetcc.gov.uk www.dorsetforyou.com Dorset County Council Carole Anne Fairlie Care Home 36 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (21) of places Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. 36 in the category OP (Old Age) including up to 15 in the category (DE(E). One person under the age of 65 years may be accommodated to receive care. 19th July 2006 Date of last inspection Brief Description of the Service: Anglebury Court is a purpose built facility situated within level walking distance of the centre of the small town of Wareham which has shops, a cinema, library, churches etc. Anglebury Court is located next to the local Social Services Offices and a day centre. The home benefits from some of the day centre facilities, particularly transport for social outings. The home accommodates up to 36 older persons including 15 specialist dementia places, 31 in permanent beds and 5 short term care places. All accommodation is on ground floor level; there are 28 single bedrooms and 4 double bedrooms. All bedrooms have en-suite shower rooms with toilet and washbasin. The home is arranged on a unit basis incorporating 4 ‘bungalows’ with a central service corridor known as ‘The Street’. Each bungalow has 7 single and one double bedroom, one bathroom and a lounge/dining room with kitchenette. There are 2 laundry rooms, each shared by 2 bungalows. The fee range quoted in the service user guide at the time of inspection was between £118 and £462 per person per week for permanent accommodation and between £77 & £118 per person per week for short term ‘respite care’. Additional amounts are charged for chiropody services, hairdressing, daily papers /magazines. Up to date fee information may be obtained from the service. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 5 Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained from the web link: www.oft.gov.uk A report entitled Care Homes in the UK - A Market Study is available on web link http:/www.oft.gov.uk/NR/rdonlyres/5362CA9D-764D-4636-A4B1A65A7AFD347B/0/oft780.pdf Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was a statutory inspection required in accordance with the Care Standards Act 2000. The first visit of this inspection was unannounced; the inspector arrived at 13.00 on 2 April 2008, toured the premises and spoke to residents, visitors and staff and with the Senior Care Officer who was in charge of the home at that time examined a sample of documents. By arrangement with the registered manager the inspector revisited the home at 10.00 on 8 April 2008 and with the manager discussed and examined further documents regarding care provision and management of the home. The duration of the inspection (both visits combined) was 5 hours. The inspector spoke to the manager, care and household staff and most of the residents accommodated at the time both individually and in small groups in the communal areas, and observed staff interaction with residents and the carrying out of routine tasks. During the inspection, particular residents were ‘case tracked’; for example, for evidence regarding Standards 3, 7 and 8, records relating to the same resident were examined and the resident spoken with. The care records of five people who live at the home were examined in detail; records of other residents were looked at with regard to particular aspects of need. Information was also obtained from documents completed in advance of the inspection and sent to the Commission; the Annual Quality Assurance Assessment completed by the registered manager and the ‘Have Your Say’ questionnaires also completed by 10 residents/representatives of residents. During this inspection compliance with all key standards of the National Minimum Standards was assessed. What the service does well: Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 7 People considering moving into Anglebury Court receive a full assessment and are provided with the opportunity to visit and spend time at the home to make sure that it is able to meet their needs. Discussion with residents indicated they are satisfied with the home; comments made during the inspection indicated that they were pleased with their decision to move to Anglebury Court, and were happy with the care they received from staff and with the activities and food. Comments made via questionnaire, in advance of the inspection included “Anglebury Court provides excellent care, high standards. Staff show a sensitive caring manner in meeting the needs of X. I can’t praise them highly enough” and summed the home up by stating it provides “care, patience and a very cheerful atmosphere”. On the day of inspection the home was clean, comfortably warm and adequately staffed. It is well equipped, comfortable and maintained in good order. Each resident is properly cared for and has a documented plan of care. Food is well-presented, varied and nutritious. Staff are enthusiastic and kind, and receive training. What has improved since the last inspection? What they could do better: Systematic processes of comprehensive quality assurance including keeping records of audit should be implemented to ensure that all essential information about residents is available to staff, that identified risks are managed and minimised, and that all medicines can be properly accounted for. Reliable in-house processes would have identified the related issues before this inspection took place. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 8 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. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 9 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 Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 10 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 (The home does not provide intermediate care so Standard 6 does not apply) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. EVIDENCE: The records of two recently admitted residents included details of preadmission assessments carried out by Senior Care Officers. In advance of making the decision to enter the home the closest relative/ representative of each prospective resident visited Anglebury Court to view the premises and meet residents and staff. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 11 Following pre-admission assessment of each prospective residents needs and circumstances the home writes to them confirming the agreement and ability to provide accommodation and care. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents receive the care they need but for some aspects of possible risk there has been insufficient assessment to ensure that all residents are protected from risks of harm and injury. Residents receive the medicines they have been prescribed but aspects of medicine handling and associated record keeping must be improved to ensure the protection of residents from the harm and ill health that incorrect administration might cause. EVIDENCE: Care records of 5 residents were examined and found to be of generally good standard, having been evaluated on a monthly basis and agreed by residents or their representatives. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 13 A number of residents use bedrails to protect them from risks of falling from bed; for some of these people there were no risk assessments for the bedrails, and for others the records were unclear and inconclusive as to the means of overcoming identified risks. Accordingly there was little if any evidence of the reason/s for use of the bedrails and of management of possible risks associated with their use although bed rails seen in use at the time of the inspection were properly positioned. It is recommended that in accordance with good practice guidance, regular checks be recorded for all rails to ensure their safe use. The National Minimum Standards state that for all residents there should be regular recorded assessment of risks of pressure damage to skin, and of nutritional needs. At present only residents who have wounds or are believed to be at risk of pressure sores developing are assessed for skin condition, and none are assessed for nutritional needs. For a resident with diabetes, the care records gave no information on the likely signs/symptoms of an associated deterioration in condition, and no guidance to staff of action to be taken in such event. This report contains a requirement for the improvement of care planning processes to ensure that the needs and circumstances of each resident are reliably assessed, and that staff have sufficient information to enable them to properly meets the needs of each resident. The home uses a monitored dosage system for the administration of prescribed medicines, which is carried out by senior care staff. The dispensing pharmacy provides pre-printed medication administration records (MARs). Medicines were found to be securely stored and in general, records provided evidence that medicines have been administered as prescribed but for one person prescribed to receive a Controlled Drug at lunchtime no record had been made in the Controlled Drugs register to confirm that the drug had been administered in accordance with the required procedure, which involves two staff members checked the accuracy of the prepared dose, witnessing its administration and confirming the amount of drug remaining in stock. Examination of the Controlled Drug Register, the Controlled Drug storage facility and discussion with staff including the registered manager indicated that for 17 occasions dating back to January 2005 the Register recorded that various Controlled Drugs remained in the safe keeping of Anglebury Court, although they were not available at the time of the first visit of this inspection and could not be accounted for by the time the second visit took place. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 14 The registered manager was unable to provide any evidence indicating that the Controlled Drugs had been properly removed or disposed of and there was no evidence of medicine audits periodically taking place, in accordance with established good practice. The manager said that the staff work in accordance with a documented policy/procedure for handling medicines which was implemented by the provider organisation, in draft form during December 2006. The document makes some reference to the necessary record keeping win relation to disposal of unused medications but does not fully describe the procedure to be followed when the medicine is a Controlled Drug. The manager said that a more up to date policy/procedure is available on the Intranet of the provider organisation but neither she nor on duty senior staff were familiar with the document and did not know if it makes full provision for the handling of Controlled Drugs. The manager was unable to supply the inspector with a copy of the document during the inspection. An Immediate Requirement regarding the handling and recording of Controlled Drugs was issued during the inspection and a related requirement is contained in this report. In the presence of staff residents appeared relaxed, confident and at ease; staff interactions with residents were of a friendly and considerate manner and the atmosphere throughout the home was calm and unhurried. Residents are treated with respect and their privacy and dignity is promoted and maintained. Residents and their relatives believe they are properly cared for; comments received by questionnaire in advance of the inspection included “I am more than pleased with the care that X receives. It doesn’t matter what time of day – X is always clean and comfortable” and “They look after the needs of X very well. Cannot fault them. Staff are always friendly and caring to the residents needs”. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents receive opportunities to engage in social and recreational activities and to pass the time according to individual preference. A choice of menu is provided and meals are nutritional and appetising. EVIDENCE: Most residents were spoken with during this inspection; all expressed satisfaction with the home, including the range of activities, meal provision, staff and premises. The home employs an Activities Organiser to arrange social and recreational activities; since the last inspection the hours for which this person is employed have been increased from 18 to 24 per week. The recreational and social programme includes occasional excursions, visiting entertainers, group and one-to-one activities; records are kept of resident Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 16 participation providing evidence that the range and frequency enables those who wish to, to become involved. Residents are given a choice of foods at all mealtimes; most eat the main meals in the dining rooms, but meals are served to the bedrooms of those whose condition or preference is to remain in privacy. Staff assist residents who require help at mealtimes; the relative of a resident stated in a ‘Have Your Say’ questionnaire “On days when X is unable to feed himself one of the carers helps him; no question of ‘do it your self or go without’ “ Comments made by other people included “the food is excellent” and “X always enjoys her food”. Visitors are welcome at any time and those present at the time of the inspection said they are always made to feel welcome and placed at ease by the staff. One relative wrote in the questionnaire “the staff make visitors welcome and always with a smile and a cheerful voice”. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and are confident their complaints are listened to. Service users are safeguarded against risks of abuse in its various forms. EVIDENCE: To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home displayed at the entrance with a copy provided to each residents’ relative/representative. Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home keeps records of all complaints received and investigated. Since the last inspection no complaints against the home have been received. The provider organisation has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 18 Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is properly equipped, comfortable, clean and suited to the needs of s/us. EVIDENCE: This purpose built home is entirely on the ground floor. Aids and adaptations are available throughout the home e.g. grab rails, raised toilet seats, personal alarm system (to contact staff). Residents with particular needs have their own personal equipment to assist with their independence. Residents are encouraged to personalise their rooms with furniture and general belongings as they wish and in agreement with the home. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 20 On the days of this inspection the home was clean and there were no unpleasant odours. The laundry was clean and tidy and properly equipped; all laundry is carried out at the home. There was a very high standard of cleanliness throughout the home and there was evidence to demonstrate that basic training in infection control procedures is included within the home’s initial induction programme and ongoing training plan for staff. Sluice rooms are available for staff to dispose of and clean equipment and these areas are kept clean with suitable ventilation. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Recruitment practices ensure the protection of residents from potentially unsuitable staff. The home promotes the achievement of nationally recognised care qualifications. EVIDENCE: At all times the home is in the overall charge of an experienced person. Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. Staff are enthusiastic about their work and feel they provide a good standard of care to residents and are properly supported by the management and training provision. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 22 The records of 2 recently employed staff members were examined and found to contain all essential information including an interview assessment, health details, two written references, evidence of identity and ‘Criminal Records Bureau check’ and induction training. At present approximately 90 of the care staff currently employed by the home hold a National Vocational Qualification in care so the home meets the associated standard. The provider organisation arranges staff training; there is an annual programme of training in relevant subjects to ensure that all staff have sufficient knowledge and understanding to properly care for the residents. Care staff spoken with during the inspection said they think the standard of training available to them is very good and they are encouraged to undertake training in subjects that interest them. During recent months the registered manager has been assessing the training needs of staff and collating information on subjects they have received training in. For care staff this has been recorded on a chart enabling ‘at a glance’ identification of outstanding needs, to ensure each person has received training in essential subjects and attends periodic updates, as necessary. For senior care staff, the charting of training is yet to be carried out, and at present reliance is placed upon the provider organisation keeping the necessary records and periodically booking particular staff onto training sessions and courses. Accordingly, the registered manager was unable to supply evidence of specific training during this inspection; in particular the records of staff training in medicine handling were not available. It is therefore recommended that a review of all training records be carried out to ensure the information is available within the home and that there is evidence that all staff have received training in essential subjects. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is properly managed but more must be done to ensure it operates in the best interests of service users and protects them from risks of harm. EVIDENCE: The Registered Manager is Mrs Carole Fairlie. Mrs Fairlie is supported by a team of senior care staff, officially entitled Senior Care: Community Services Officers – SCCSOs. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 24 The home has processes for quality assurance; Residents Meetings take place quarterly and satisfaction surveys are periodically issued. The home has developed and implemented aspects of internal audit but is recommended to extend the system to ensure there is an annual development plan for the home, based on a systematic cycle of planning – action - review, reflecting aims and outcomes for service users. This should include periodic review of the policy and procedure documents, and implementation of audit processes for care processes and records, and medicine handling and record keeping, to ensure that guidance and information is available to staff as necessary and that all medicines can be properly accounted for. Records are kept of all accidents and for most there is evidence of subsequent investigation; to improve the usefulness of these records it is recommended that there be periodic audit to identify any trends e.g. time, place, person, activity. The home manages the finances of residents with regard to the safekeeping of monies for personal expenditure; a sample of documents were examined and found to clearly show income and expenditure. Staff trained in First Aid and health care are on duty in the home at all times. Records of equipment servicing and maintenance are kept; the inspector examined a sample including for the mobile hoists, gas installation and checks for water safety. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? 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 OP8 Regulation 13 (4) Timescale for action The registered person shall make 01/06/08 arrangements to ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. This means that there must be evidence of the assessment and care planning of each residents needs and circumstances, to ensure staff have sufficient information in order to meet each residents care needs. 2. OP9 13 (2) The registered person shall make 04/04/08 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received in the care home. This means that all transactions of medicines including Controlled Drugs must be accurately recorded to enable all medicines to be properly accounted for, to ensure the protection of residents from unsafe or undesirable practises. Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 27 Requirement 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. Refer to Standard OP9 OP9 OP30 Good Practice Recommendations Regular audit of all medicines should be carried out, with records kept. All medicine handling should be in accordance with a comprehensive written policy and procedure. A review of all training records should be carried out to ensure the information is available within the home and that there is evidence that all staff have received training in essential subjects. In accordance with good practice guidance, regular checks should be recorded for all bed rails to ensure their safe use. Comprehensive processes for internal audit should be developed and implemented, and records kept to provide evidence of standards and to promptly identify any areas of concern. 4. 5. OP38 OP38 Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Anglebury Court DS0000031937.V361706.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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