Inspection on 25/10/06 for Ashbourne Court Residential Care Home

This inspection was carried out on 25th October 2006.

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

Ashbourne Court Residential Care... 07/08/07

Ashbourne Court Residential Care... 17/10/05

Ashbourne Court Residential Care... 21/04/05

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

CARE HOMES FOR OLDER PEOPLE Ashbourne Court Residential Care Home Ashbourne Court Ashbourne Close Ash Hampshire GU12 6AG Lead Inspector Cathy Clarke Unannounced Inspection 25th October 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashbourne Court Residential Care Home DS0000061309.V317025.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. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashbourne Court Residential Care Home Address Ashbourne Court Ashbourne Close Ash Hampshire GU12 6AG 01252 326769 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) Ashbourne Court Residential Care Home Ltd Mrs Anusha Doorga Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/ age range of service users to be accommodates will be: OVER 65 YEARS 17th October 2005 Date of last inspection Brief Description of the Service: Ashbourne Court is a privately owned care home. Personal care and accommodation is offered for up to 10 older people ion the category of old age only. Located in a quiet residential area of Ash, the home is in close proximity to shops and all other community amenities. Ashbourne Court is a large detached property with parking facilities to the front and an attractive enclosed garden and furnished terrace to the side. Accommodation is arranged over two floors with all communal facilities located on the ground floor. Service users have their own single rooms with en-suite facilities. The home benefits from a stable suitably qualified and experienced staff team and is managed by the owner. Currently undergoing a major refurbishment. Weekly Cost £480.00 Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced key inspection of the Commission for Social Care Inspection (CSCI) year April 2006 to 2007 using the new ‘Inspecting for Better Lives’ (IBL) process. The Manager, Mrs Anusha Doorga representing the establishment, assisted Regulation Inspector Damian Griffiths throughout the inspection. The IBL process involves a pre-inspection assessment of service information from a variety of sources initially helping to prioritise the order of inspections and identify areas that require more attention during the inspection process. A new Inspection record is compiled from details received from a preinspection questionnaire from the home and notifications of significant events known as Regulation 37. Comments and complaints received and previous inspection reports are all considered for inclusion prior to the inspection visit. For more details of ‘IBL’ please visit the Commission for Social Care Website details can be found on the last page this Inspection report. The inspector was with staff and residents at Ashbourne Court for a period of 7hrs. This time was spent sampling resident’s care need assessments, care plans, contracts, and activities and talking to residents and staff. Staff files were inspected for evidence of good practice in the following areas: recruitment, allocation of staff skills, daily rotas and training. A tour of the premises was completed to ensure there was a reasonable balance of care, the active promotion of health and safety and the provision of a homely environment for the service users. The home was in a state of organised disruption due to major refurbishment work taking place to provide a further six rooms to the home. Residents, relatives and social and health care practitioners were sent CSCI surveys for completion before the inspection: residents and staff were also consulted during the inspection. The inspector would like to extend thanks to the residents staff and management at Ashbourne Court for their assistance and hospitality. What the service does well: The Statement of Purpose had been re-written and new residents to the home found the information contained in the Service Users Guide helpful and informative. The new residents had received an assessment of their social and health care needs prior to moving into the home. Care planning included a comprehensive record of the resident’s social and health care need. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 6 Residents were satisfied with the activities and there level of independence available at the home. Residents stated that meals were good despite disruption caused by the refurbishment and the need for the storage of new carpets in the dining room. A well-trained and dedicated staff team were familiar with the residents care needs. The manager was supported well by senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. The home complaints procedures were familiar to residents and relatives alike and there had been no incidents requiring the implementation of the Surrey Safeguarding of vulnerable adults reported. The home environment was disrupted daily by the extension of the building to provide additional rooms but relations between the residents’ and the owners remained good. The refurbishments were due for completion within a few weeks of the inspection. What has improved since the last inspection? What they could do better: In the interest of good practise it was recommended that the residents care plan and carers information sheet be amalgamated into one care plan folder containing all the relevant information that would ensure that residents daily care needs are met. Medication administration was in urgent need of review: as four out of the six recommendations made were about improvements to the current practice. The recommendations included: up-to-date Royal Pharmaceutical Society information in relation administration of medication in care homes be obtained, that the Pharmacist stamp the drug returns book. It was also recommended that that the home purchases a metal medication trolley that would be kept on the upper floor and could be secured to a solid wall when not in use, also, that a new list of signatures and initials of staff trained to administer medicines be listed with the Medication Administration Records. In the interest of good practice it was recommended that the home ensure that staff attends regular Safeguarding Vulnerable Adults Training. A requirement was made: that the home implement their next Quality Assurance exercise in 3 months time and to include social and health care practitioners relatives and friends of the home. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 7 There were some areas of health and safety concern due to inadequate risk assessment and the following requirement was made: The home must ensure that all reasonable means are used for health and safety to be constant and provide risk assessments for all known eventualities including the risk of scalding. The home must provide valid certification that gas and electricity appliances were safe to use, therefore, copies of these requirements must be sent to CSCI within the agreed timescale agreed. 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. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A new Statement of Purpose had been written and new residents to the home found the information contained in the Service Users Guide helpful and informative. The new residents had received an assessment of their social and health care needs prior to moving into the home. Intermediate Care was not available at this home. EVIDENCE: There were two new residents staying at the home. One resident was waiting for a vacancy to occur at another home that would bring her nearer to her family. The other resident to the home confirmed that she had been able to discuss her expectations and concerns with her family prior to moving into the home and with their help had found the information provided in the homes Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 10 service users guide helpful and this formed the basis of her introduction to the home. The new residents care assessments were sampled: one of the residents had received very basic assessment reflecting the homes expectation that the resident would be moving on to another home. Assessment of the residents short term care needs included: a contractual agreement, health care particulars, and personal care details such as: ‘drinks from a straw’ however this was now being reviewed and arrangements were being made to meet with her GP to review her care needs The other resident’s file contained a full assessment of needs covering health and social care. Risk assessments were in place to reflect individual needs such as sight impairment and the risk of falls. The residents were satisfied with the care received at the home. Seven Resident’s relatives and friends completing the CSCI survey and residents consulted confirmed that: the staff always welcomed them when visiting the home at any time. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning included records of the resident’s social and health care needs, were comprehensive and were contained in a selection of folders that would of benefited from being combined into one specific document. Medication administration was in need of review and a number of improvements were recommended. EVIDENCE: Care plans contained adequate information regarding the individual need of residents and risk assessments had been completed but were kept in a separate folder. Diluted versions of the residents’ daily care needs, known as ‘carer’s information sheets’ and considered as the most readily available document for care staff were kept separately from the main care plan. A residents relative completing the CSCI survey and consulted by the inspector stated that; better details could be included: such as frequency of toileting the provision of drinks. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 12 It was recommended and agreed by the manager that all care plan information will be amalgamated for ease of use, access to all relevant information and in preparation for the addition of new residents.. Resident’s health care needs were in place and the appropriate health professionals were involved. An Occupational Therapist visiting two residents was impressed with the individual attention to the care needs of the residents. The safe administration of medication was observed and record inspected: The home had reviewed their practice in line with the Royal Pharmaceutical Society Guidelines. Medication Administration Records (MAR) of all residents were checked against their prescribed medication and were found to be in order. The drug returns book was in order all refused and unused medication was taken out of blister packs and stored in the ‘Controlled Drugs’ metal cabinet secured to the wall. Staff dispensed blister packed medication into plastic cups and served each individual resident. The three staff qualified to administer medication included the manager and her husband. Recommendations were made to support good practice with regard to the safe administration of medicines: Due to the difficulty posed by not having a lift, that the home purchases a metal medication trolley that would be kept on the upper floor and could be secured to a solid wall when not in use. That Pharmacist stamps the drug returns book and that a new list of signatures and initials of staff trained to administer medicines be listed with the Medication Administration Records. The inspector observed staff address residents with respect and attention was given to the way they were asked questions about their daily care needs. Staff addressed the residents by the names they preferred; it was noted of that sometimes this differed from their given name. Please refer to the recommendations and requirements section of this report. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were satisfied with the activities and there level of independence available at the home. Residents stated that meals were good despite the disruption caused by the refurbishment and the need for additional storage in the dining room. EVIDENCE: Residents were able to select a variety of activities and expressed positive views in the CSCI surveys completed. Activities organisers were available twice a week and staff had been able to access activities training material that promoted full participation of residents and in particular residents with special needs such as, visual impairments. More activity ideas contained in DVD format had been ordered from stockists. Relatives consulted stated that they did not think there was enough activities available in the afternoon, however, residents completing the CSCI survey and consulted by the inspector confirmed that: the home provided suitable activities, church services were regularly available and the lunch club was enjoyable. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 14 Meals were taken either in the resident’s own room or the dining room situated on the ground floor. A part of the dining room had been claimed for the storage of new rolls of carpet waiting to be used and the area was clean and free of dust. There was one main cook during the week with other staff members taking turns cooking during the weekend and staff had received training to promote food hygiene. There were no complaints received from the residents about the quality of food. Eight residents completing the CSCI survey and consulted by the inspector confirmed that: they liked the food. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home complaints procedures were familiar to residents and relatives alike and there had been no incidents requiring the implementation of the Surrey Safeguarding of vulnerable adults. EVIDENCE: There were no complaints recorded or reported to the inspector during the inspection. The homes complaints and comments book was situated in full view at the entrance and easily available to residents and visitors. Residents and relatives completing the CSCI survey and consulted by the inspector confirmed that: relatives understood the complaints policy, they liked living there and they knew who to complain to if necessary. There had been no cause for the Surrey Multi-Agency Procedures to be implemented as required in the event adult protection issues, however, there was no evidence of staff receiving regular training in this area of resident need. Residents and relatives completing the CSCI survey and consulted by the inspector confirmed that: they felt safe, privacy was respected staff treated them well. It is recommended that the home ensure that staff attend regular Safeguarding Vulnerable Adults Training in the interests of good practice. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 16 Please refer to the recommendations section of this report. Ashbourne Court Residential Care Home DS0000061309.V317025.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): 19, 23, 24 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home environment was disrupted daily by the extension of the building to provide additional rooms but relations between the residents and the owners remained good. EVIDENCE: The home was in some disarray due to major building works to the ground floor that had raised some anxiety in the residents consulted however the manager was very helpful and aware of the residents difficulties and was prepared to accommodate any improvements that could be suggested to alleviate the situation. The home was clean and tidy despite the ongoing building work. Care had been taken to ensure that the kitchen was dust free. Residents were realistic about the disruption and felt able to talk to the proprietors about their concerns. The work was scheduled to be completed within the next two weeks. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 18 The grounds were in good order, but with building materials in situ this area could not be properly assessed. Residents room reflected their own individual taste and contained personal belongs and ornamentations that were respected by the staff. The rooms had been cleaned regularly and residents confirmed that staff took care of them. Ashbourne Court Residential Care Home DS0000061309.V317025.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): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were supported by a well-trained and dedicated staff team who were familiar with their care needs. EVIDENCE: The home endeavored to provide, consistent staffing to preserve quality of resident-care on a daily basis. Staff cover was available to ensure that any gaps caused by sickness and holidays were filled by existing staff and not care agencies. Staff consulted confirmed that they were not under any pressure to comply with this. Staff consulted stated that they had enough time to complete their allocated tasks. Staff had received training in most areas of care including: administering of medication, food hygiene, infection control, first aid, epilepsy awareness, health & safety and safe handling. Staff consulted informed the inspector that they received mentoring from an experienced staff member during their induction. Staff files contained certificates of training and the walls of the office contained training awards of the manager and staff. Over 50 of staff had attained level 2 of the National Vocational Awards and three were registered nurses. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 20 Ashbourne Court Residential Care Home DS0000061309.V317025.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): 31, 33, 35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is supported well by senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. There were some areas of health and safety concern due to inadequate risk assessment. EVIDENCE: Staff and residents felt that the owners were very open and honest, ‘couldn’t do enough for you’ and relatives consulted felt that the home had definitely improved. Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 22 Staff consulted felt they wee treated as ‘one of the family’ The last Quality Assurance (QA) exercise was conducted in January 2005. The CSCI survey contained mainly positive comments however it is recommended that the home plan their next QA in three months time and to include social and health care practitioners relatives and friends of the home. Residents made their own arrangements for money management with support from their family. Risk assessments had been compiled, however, the hot water was not set at the required temperature and there was a minor risk of scalding to residents. Warning labels were observed throughout the home situated next to each hot water tap. Temperatures had been recorded incorrectly at 50°C on a daily basis. The correct hot-tap water temperature must not exceed 44°C, as stated in the ‘Health and Safety in Care Homes’ (HSE 2001) publication. Due to the refurbishment the water is turned off regularly, but residents consulted did not complain about this and did not report any accidents or undue hardships. Electrical and gas checks were due to be completed the following week. In general the proprietors were endeavouring to maintain safety standards but this was proving to be difficult during the refurbishment programme this however meant that safety standards were at risk. Please refer to the recommendation and requirement section of this report. Ashbourne Court Residential Care Home DS0000061309.V317025.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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X 3 3 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 Ashbourne Court Residential Care Home DS0000061309.V317025.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 OP19 Regulation 23 Requirement Timescale for action 26/12/06 2. OP33 24 3. OP38 13(4)(a) The registered person must ensure that the home is fit for purpose due to the refurbishment programme currently in place and provide proof of confirmation to CSCI within the agreed timescale. The registered manager must 26/02/07 ensure that residents, social and health care practitioners, relatives and friends of the home be consulted about the quality of care and the refurbishment programme and submit its findings to CSCI within the timescale agreed. The registered person must 07/12/06 ensure that all reasonable means are used for health and safety to be constant and provide risk assessments for known eventualities including: risk of scalding, electrocution and safe gas appliances therefore confirmation that these checks have been completed and certification, must be sent to CSCI within the agreed timescale agreed. DS0000061309.V317025.R01.S.doc Version 5.2 Ashbourne Court Residential Care Home 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. Refer to Standard OP7 Good Practice Recommendations It was recommended that the residents care plan and carers information sheet be amalgamated into one care plan containing all relevant information to ensure the residents individual care needs are met daily. It is recommended that up to date Royal Pharmaceutical Society information in relation administration of medication in care homes be obtained. It is recommended that that the home purchases a metal medication trolley that would be kept on the upper floor and could be secured to a solid wall when not in use. It is recommended that That Pharmacist stamp the drug returns book. It is recommended that a new list of signatures and initials of staff trained to administer medicines be listed with the Medication Administration Records. It is recommended that staff attend regular Safeguarding Vulnerable Adults Training. 2. 3. 4. 5. 6. OP9 OP9 OP9 OP9 OP18 Ashbourne Court Residential Care Home DS0000061309.V317025.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Ashbourne Court Residential Care Home DS0000061309.V317025.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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