CARE HOME ADULTS 18-65
April Court 186 Poole Lane Kinson Bournemouth Dorset BH11 9DS Lead Inspector
Heidi Banks Unannounced Inspection 17 February 2006 09:45
th April Court DS0000031997.V283452.R01.S.doc Version 5.1 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 April Court DS0000031997.V283452.R01.S.doc Version 5.1 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 Adults 18-65. 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. April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service April Court Address 186 Poole Lane Kinson Bournemouth Dorset BH11 9DS 01202 576110 01202 570093 lindsay.divall@bournemouth.gov.uk 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) Bournemouth Borough Council Lindsay Ann Divall Care Home 18 Category(ies) of Learning disability (18) registration, with number of places April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. The Manager must not directly line manage the day to day activities of the day centre located in the building. Service users to be admitted to the first floor must be ambulant and able to manage stairs. The home complies with the Schedule of Requirements dated 25 July 2003 by 31 January 2004. 20th October 2005 Date of last inspection Brief Description of the Service: April Court is a Local Authority retained residential home for 18 people with learning disabilities. The home is managed on behalf of Bournemouth Borough Council by Ms Lindsay Divall. April Court is a purpose built home located in the Kinson area of Bournemouth. It is situated a residential area with shops, churches and other amenities nearby. The main bus route between Poole and Bournemouth is easily accessible. Residents’ accommodation is provided in 12 single and 3 twin bedrooms on two floors. The communal areas consist of a lounge, smaller lounge and dining room, all of which can be used for various activities. There is a training kitchen that is available to residents with support from staff. There is a separate flat facility on the first floor which can be used for the assessment of service users’ independent living skills. There is a pleasant patio area at the rear of the building which is accessible to all service users. The Registered Manager is experienced and well qualified to NVQ Level 4 standard and the home is staffed by a team comprising a Deputy Manager, 3 Assistant (Duty) Managers, Care Assistants and Night Care Staff. There is a part-time cook and domestic and clerical support. April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the course of 7.5 hours on a weekday. The purpose of the inspection was to assess the home’s progress in meeting the four recommendations made at the last inspection and to assess outcomes for service users against some of the National Minimum Standards. The inspector was assisted by the Registered Manager, Lindsay Divall, throughout the visit. At the time of the inspection recruitment interviews were taking place at the home for care staff. There are fourteen residents living at April Court at the present time. The age range of the residents is currently between 28 and 62. At the time of the inspection the majority of residents were attending their day services but returned to the home during the afternoon. The number of residents with a medium to high level of need has increased which means that it has become more difficult to obtain verbal feedback from them during the inspection process. Therefore, during this inspection, information was obtained mainly from the Registered Manager, Deputy Manager and two Assistant Managers who were on duty. The inspector was able to meet three residents during the inspection and observe staff interactions with them. A sample of records were also inspected including staff files, residents’ records and some records relating to medication, health and safety and quality assurance. Fourteen standards out of the twenty-two key National Minimum Standards and one additional standard around staff support and supervision were assessed at this inspection. What the service does well:
April Court maintains good links with the Borough Council’s Social Work teams. This ensures that prospective residents are fully assessed prior to moving to the home which enables the home to meet the individual’s needs. Risk assessments are in place and residents are supported to take risks as part of an independent lifestyle with due consideration for their safety. All residents at April Court attend day services and good liaison between the home and day service means that changes in service users’ needs can be promptly communicated and reviewed. Residents access their local community on a regular basis and there was evidence to show that where service users had made requests to undertake particular activities this was being facilitated by the home. There appear to be good links between the home and residents’ families with many families visiting their relative on a regular basis and some residents being supported to visit their families by staff.
April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 6 The home has a comprehensive complaints procedure which enables residents or their families to raise concerns and know that they will be dealt with through a formal process and within a given timescale. There have been no complaints since the last inspection. An abuse policy is in place and all staff receive training in abuse awareness as part of their induction training to ensure that residents are protected. The home presents in good repair and there is evidence of refurbishment of the premises on a regular basis to ensure that the home provides a safe and pleasant environment for residents. The home also appears clean and hygienic with infection control procedures in place to minimise risks of infection for residents. Staff are appointed to work at April Court only when appropriate checks have been carried out to ensure that residents are protected. On appointment staff receive comprehensive induction training and there is ongoing training available to staff which enables them to do their work well and meet the needs of residents. The quality of support and supervision offered to staff, evidenced in records and through discussion with the Registered Manager, deserves particular commendation. There was ample evidence of the home regularly seeking feedback from residents, families, day services and health and social care professionals about the service provided as part of their quality assurance strategy. This ensures that the service provided continues to meet the needs of residents and their views contribute to the development of the home. What has improved since the last inspection?
The Registered Manager has acted promptly to ensure that work is underway to meet all four recommendations made at the last inspection. The Registered Manager has introduced a system by which she can ensure that individual plans for residents are being reviewed and updated on a regular basis and that evidence is provided of residents’ and others’ involvement. This has involved reorganisation of residents’ records so that relevant information is kept together with a front sheet of contents audited on a regular basis to ensure information is up to date. A review of each resident’s progress towards meeting their goals is now taking place on a monthly basis with clear documentation available to support this. A protocol has been drawn up regarding the use of an electronic monitor at night for one resident who has epilepsy. This has been signed by the resident concerned and communicated to all staff to ensure that the monitor is used in a consistent way while maintaining her privacy and dignity. The Registered Manager reported that the protocol will be circulated to the multi-disciplinary team for their agreement.
April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Residents’ needs are assessed by the Local Authority prior to their admission and this ensures that suitable arrangements can be put in place at the home to meet individuals’ needs. EVIDENCE: The Registered Manager talked through the admissions procedure to April Court and how referrals are made through the Social Services Learning Disability Team. Full assessments are carried out by the Local Authority and evidence of assessment documentation was seen on residents’ records. Prospective residents are supported to visit April Court as many times as they wish before making a decision about moving there. This gives them an opportunity to meet other residents and provides an opportunity for staff to talk to them about their needs and aspirations. April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 Risk assessments are in place to promote residents’ independence in their home and community. EVIDENCE: A sample of risk assessments for two residents was examined. Risk assessments identify the hazard, the severity rating of the hazard, the probability of the hazard occurring, precautions that should be taken and other control measures. Risk assessments appeared sufficiently detailed so that staff would know what action to take to keep residents safe. Although, at inspection, it appeared that the last review date for many of the risk assessments was November 2004, the Registered Manager later confirmed that this was a typing error on the risk assessment documentation and they had been reviewed in November 2005. There was evidence that the home works closely with the health care multi-disciplinary team and Borough’s Health and Safety Officer as appropriate in the formulation of risk assessments. The Registered Manager confirmed that all senior staff within the home have undertaken risk assessment training..
April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 11 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 Residents are supported to take part in activities that interest them and which promote their independence and sense of belonging. Residents are encouraged to access local resources and lead ordinary lives in their community. Residents are supported to maintain contact with their families and develop friendships with people so that they have a network of support outside of the home. EVIDENCE: All residents at April Court access day services on a regular basis. There was evidence that through their day service they are encouraged to access a range of activities suitable for their needs including gardening, music, communication skills, snack cookery, pottery, environmental studies and arts and crafts. These activities take place at various venues including a local Adult Education Centre and community and resource centres. The Registered Manager stated
April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 12 that liaison with day services is good and systems are in place to facilitate good communication between them. Daily records showed that residents have opportunities to access their local community on a regular basis, for example, walks to the local shops, cinema, theatre, bowling and pub trips, to the local sports centre for swimming sessions and for appointments at the chiropodist and hairdressers. A few residents choose to go to Church on a regular basis. One resident commented that she wanted to go to the local shops over the weekend to buy some stamps and this was responded to positively with the member of staff informing her who was on duty and when this might happen. Minutes of residents’ meetings showed that they are involved in making choices about their preferred activities including holidays and planned day trips for the summer period when they are not attending day services. The home has two vehicles for use by residents in the evenings and at weekends. As the home is on two main bus routes to Bournemouth and Poole town centres residents are also supported to use public transport. Discussion with the Registered Manager indicated that residents are encouraged to maintain contact with their families with some families regularly visiting the home and other residents making trips home for the day or weekend. Some residents have friends from the past with whom they maintain contact. One resident commented that she visits her mother regularly and staff support her with this. There is a residents’ payphone at April Court which enables them to make telephone calls as they wish to friends and family. There is a part-time volunteer at the home who has been visiting residents for several years and offers a befriending role to them. April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Procedures are in place to promote safe systems for administering medication but some recommendations have been made in order for service users to be more fully protected. EVIDENCE: Medication is stored in a locked metal cabinet. There are five senior staff who are able to administer medication as part of their role, all of whom have undertaken in-house training. The home uses the monitored dosage system supplied by a local pharmacy and staff have also undertaken a short training session on using the system organised by the pharmacy. There is currently no other external training on administering medication available to staff. Medication is delivered monthly by the pharmacy and an Assistant Manager has responsibility for checking it in. The Registered Manager confirmed that medication is reviewed on a regular basis by residents’ GPs. A policy is in place which covers self-administration of medication, storage of medication, residents’ medication needs while they attend activities, drug errors, disposal of unwanted medication and training arrangements.
April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 14 A sample of medication administration records were inspected. All indicated that medication had been given as prescribed. Service users’ allergies had not been printed on the record sheets although a member of staff reported that they had been printed appropriately on previous weeks. As required medications had been added to the medication administration records by one member of staff. April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Systems are in place to enable residents and their families to communicate concerns and ensure that their views are listened to and responded to effectively. Residents are safeguarded from harm and abuse by the Registered Manager’s knowledge of adult protection, staff training and the home’s robust policies and procedures. EVIDENCE: April Court, as part of Social Services, has a comprehensive complaints procedure which enables residents or their relatives / advocates to air their views and know that these will be responded to formally and within a given timescale. The complaints procedure is available in symbols format. Information is given on how to contact the Commission for Social Care Inspection so that the complainant is aware of the options available to him or her when raising concerns about the service. The Registered Manager confirmed that there have been no complaints received about the home since the last inspection. Residents’ meetings are held bi-monthly and minutes of meetings demonstrated how staff encourage residents to be involved in discussions about the home and express their views. The home follows the Borough’s Adult Protection procedure. The home also has a whistleblowing policy. The Registered Manager reported that there have been no incidents at the home in relation to adult protection since the last inspection. All staff attend compulsory abuse awareness training as part of their induction programme and there is a Vulnerable Adults Phase 2 course for staff who wish to develop their knowledge further.
April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 16 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 A refurbishment plan is in place at the home to ensure that the premises are maintained to a good standard and provide a comfortable and pleasant environment for residents. Systems are in place to ensure that residents live in a home which is clean and hygienic. EVIDENCE: The Registered Manager reported that she works closely with the Facilities Department of the Borough Council to ensure that the home is maintained in good repair and decoration. The home has an infection control policy and gloves and aprons are provided to care workers for the personal care of residents. The Registered Manager reported that every member of staff has been issued with a pocket-sized handcleaning gel dispenser which enables them to maintain good hygiene when working with residents. There are two part-time cleaners employed at the home who are responsible for ensuring that the cleaning regime is implemented effectively. At the time of inspection, pipe work was being undertaken to improve the water supply to the home. Work is also planned to replace the existing laundry facilities with two large washing machines, two
April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 17 tumble driers and a sluicing facility designed to meet the current needs of residents. Records from a recent visit by Environmental Health were available for inspection. April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 18 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 35 and 36 The home’s recruitment procedures are robust and support the protection of residents. The home’s management team are committed to ensuring that staff receive adequate training to be able to meet the needs of residents. Systems are in place to provide good levels of support and supervision and appraisal for staff which, in turn, enables them to meet the needs of residents effectively. EVIDENCE: Three staff files were examined. There was evidence that appropriate checks had been carried out prior to the appointment of staff and that practice has been changed to ensure that all essential documentation is on file at the home and not held centrally at the Council’s Personnel Department. One of the Assistant Managers has been designated with responsibility for maintaining training records in a central file. Inspection of this file showed that records had been kept of when training had taken place and the staff who had attended on these dates. Although the standard is met, it was difficult to ascertain from the records which staff may be due for specific refresher training and therefore it is suggested that each member of staff has an individual training record so that gaps in training may be more easily
April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 19 identified. A range of training opportunities is available for staff at April Court and there was evidence that all staff undertake a comprehensive six day induction programme at the start of their employment which includes moving and handling training, sensory loss and communication, basic first aid, abuse awareness, basic food hygiene, health and safety and infection control. The Assistant Manager with responsibility for training reported that refresher courses for health and safety and moving and handling training are organised for staff every three years. Specialist training is available for staff reflecting the needs of individual residents, for example, understanding dementia, managing challenging behaviour and sensory impairment. Staff receive individual supervision from a senior member of staff at least once every two months. Samples of staff supervision records were seen and showed a comprehensive structure which covers issues such as personal conduct, training, the National Minimum Standards, health and safety, risk assessments, the link working role and work with service users and team issues. The supervision process also links with objectives set in the individual’s Personal Achievement Development Review. Some records seen were particularly thorough and deserve commendation. The Registered Manager confirmed that when supervision records are completed the supervisor ensures that she is given a copy which allows her to track the development of individual members of staff and be made aware of any team issues that may require her support or intervention. Annual Personal Development and Achievement Reviews take place and records showed that these too had a comprehensive structure, linking with the Bournemouth Borough Council’s Business plan but also taking into account the needs of the individual, how the job could be improved, their contribution to team working and to meeting service objectives, their training needs for the coming year and their long-term career aspirations. The Registered Manager talked through the process by which individual members of staff have been supported to improve their performance demonstrating a genuine commitment to ensuring that they have the support they need to do their work well with residents. April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 The views of residents and their relatives and friends are sought on a regular basis and contribute towards the review and development of the home. Systems and procedures are in place to ensure that the health and safety of residents is protected. However, there was not enough evidence to show that all staff had attended an adequate number of training sessions in order to ensure their effective response in the event of a fire. EVIDENCE: The Quality Assurance strategy in place at the home is comprehensive. The Registered Manager reported that she has recently sent out questionnaires to purchasers of the service, GPs, Social Workers and Community Nurses to obtain their views of the service. Questionnaires are also being sent out to residents, carers and families, and day centres. This process takes place on an annual basis and information gathered links with the home’s annual plan and the business plan of Bournemouth Borough Council. Areas covered include April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 21 responsiveness to calls, communication and partnership working, complaints and compliments, the home environment and facilities and staffing. Regular audits take place with regards to residents’ records and reviews, supervision and appraisal processes, staff hours, NVQ training, staff sickness and service user consultation. Once information is obtained from questionnaires and audit processes the Registered Manager is responsible for drawing up an action plan and liaising with the Service Manager with regards to its implementation. Senior staff at the home are involved in the strategy and supported to produce data in relation to audits. Feedback on service quality is given to staff on training days and information is circulated to residents and their families and representatives. The home’s fire safety records were reviewed during the inspection. An inspection of the premises was carried out by Dorset Fire and Rescue Service in November 2005 and was found to be satisfactory. Records of weekly and monthly checks on systems and equipment and servicing records were also seen to be up to date. Fire training records indicated that the fire officer attends the home twice a year to facilitate staff training. Two further sessions are held in-house and comprise a questionnaire to test staff on their knowledge of procedures. Examination of the records indicated that one member of night staff had not attended enough training sessions to meet the standard. Discussion with the Registered Manager indicated that although she advertises the training as mandatory for all staff, night staff have not always attended if they have been working their shift pattern at the time of the training. A specific procedure for the evacuation of four individual residents from the home in the event of fire was seen to be in place. April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X X X 3 X X 2 X April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 23 No 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. Standard Regulation Requirement The Registered Manager must ensure that all staff, including night staff, attend the appropriate number of formal fire training sessions each year. Timescale for action 30/04/06 1. YA42 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Guidance from the Royal Pharmaceutical Society should be followed with regards to the receipt, recording, storage, handling, administration and disposal of medicines. When details of medication are added to the medication administration record by a member of staff, a second competent person should sign to confirm that all the details of prescribed medicines are correct. Accredited training should be made available to all staff who administer medication. Residents’ allergies should be added to the medication administration records. 1. YA20 April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 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 April Court DS0000031997.V283452.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
