Inspection on 13/06/06 for Ashbrook Court Care Home

This inspection was carried out on 13th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Ashbrook Court Care Home 17/11/09

Ashbrook Court Care Home 25/06/09

Ashbrook Court Care Home 14/07/08

Ashbrook Court Care Home 18/06/07

Similar services:

165 Putnoe Lane

Claremont House

Sun Court Nursing Home

Bramley Avenue (73)

15 Bramble Close

Dolphin Court

Fen Road

Wakes Hall

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

CARE HOMES FOR OLDER PEOPLE Ashbrook Court Care Home Ashbrook Court Care Home Sewardstone Road Waltham Abbey Essex E4 7RG Lead Inspector Lysette Butler Unannounced Inspection 09:00 13th June 2006 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 Ashbrook Court Care Home DS0000066272.V299597.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. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashbrook Court Care Home Address Ashbrook Court Care Home Sewardstone Road Waltham Abbey Essex E4 7RG 0208 524 5530 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) www.ashbrookcourtcarehome.co.uk Carebase (Sewardstone) Limited No permanent manager at time of this report Care Home with nursing 70 Category(ies) of Dementia (56), Dementia - over 65 years of age registration, with number (56), Physical disability (34), Physical disability of places over 65 years of age (34) Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Persons of either sex, aged 60 years and over, who require nursing care by reason of a physical disability (not to exceed 34 persons) Persons of either sex, aged 60 years and over, who require nursing care by reason of dementia (not to exceed 36 persons) Persons of either sex, aged 60 years and over, who require residential care only by reason of dementia (not to exceed 20 persons) One named person, under the age of 60 years, who requires care by reason of dementia The total number of service users accommodated in the home must not exceed 70 persons The layout of the home will ensure that service users with dementia who have nursing needs will not have their bedrooms in the same areas of the home as those residents with dementia needs who do not require nursing. NA – Newly registered on 5/1/06 Date of last inspection Brief Description of the Service: This home was a new registration in January 2006. It is a purpose built 70 bedded home situated on the outskirts of the Essex town of Waltham Abbey, in close proximity to the M25 London orbital motorway. It is registered for a total of 70 residents who need personal and nursing care. The beds are multi registered to allow for flexibility of admission to the home. The home accepts residents over the age of 60 years of both genders who require nursing care by reason of physical disability; nursing care by reason of dementia; and residential care by reason of dementia. All accommodation is in single occupancy, ensuite rooms on two floors. The decoration and equipment used throughout the home is of a very high standard. It is homely in decorative style and many occupied rooms are personalised to the residents taste. There are a number of communal areas throughout the home, including a dining room on each floor. Fees at time at the time of the site visit: – Nursing (Physical disability) - £700 to £800 - Nursing (Dementia) - £750 to £850 - Residential (Dementia) - £650 to £750 Social Services contract beds are charged at the current agreed price for each authority. Ashbrook Court Care Home DS0000066272.V299597.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 key inspection for this service, started on 1st April 2006. The inspection process included: a site visit on 6th June 2006, which lasted 10 hours; review of evidence supplied by the proprietor, residents, visitors to the service or the staff; resident, visitor, healthcare professionals and staff surveys; discussions with the acting manager, registered nurses, senior carers, care staff, ancillary staff, residents and relatives. This inspection covered all twenty-one key standards and three of the remaining standards. During the site visit the premises were inspected throughout, including inspection of the grounds. Samples of records and residents care plans were also reviewed. The home was clean, malodour free and well maintained. The overall care and well being of the residents was the focus of the inspection. Staff, residents and visitors were welcoming and happy to speak to the inspector at the site visit. The acting manager and the staff of the home approached the inspection in a positive and cooperative manner that was focused on achieving best practice to meet the needs of the residents. This home had gone through a number of problems and changes in management since registration. The inspector had received various notifications and concerns about the home since registration and the registered manager had resigned from his post two weeks before this site visit. The transition period had been very unsettling for all the residents and staff, but staff and residents felt that the current management arrangements were improving the ethos of the home. General care procedures were good at the time of the site visit. This report has taken the changes into consideration and there are a number of references to the current situation as against the previous situation. Overall the inspector thought that there was a commitment by the staff, current management and proprietors to rectify the problems raised and improve the home. What the service does well: What has improved since the last inspection? Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 6 This was the first inspection so this section is not applicable. 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. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): (1, 2, 3 & 6 ) Quality in this outcome area is currently good; this judgement has been made from evidence gathered both during and before the visit to this service. In the first six months of this home there had been some poor admission decisions made, but this had improved dramatically in the 2-3 weeks leading up to the site visit, ensuring the needs of the residents were able to be met by the staff in post. EVIDENCE: There had been no changes made to the statement of purpose or the service users guide, since the home had opened in January 2006. These documents were going to be fully reviewed once a new manager was in post. Copies of the revised documents were to be sent to the local office of the Commission for Social Care Inspection, when completed. Assessment forms in use during the site visit were reviewed and demonstrated enough detail to ensure the home could meet the needs of prospective Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 9 residents. The acting manager and inspector discussed the need to see all prospective residents before admission. She had a good understanding of the needs of assessment and described the type of documentation that she would accept. There were a number enquires made regarding prospective admissions during the site visit. The acting manager demonstrated a very open, understanding and helpful manner with all enquirers. She was very clear that the prospective resident and their relatives had to be happy with the choice of home, as it was a big decision to enter full time care. She therefore advised all callers to visit the home. The acting manager was in the process of developing a walk round’ programme for all staff to follow, so that staff could carry them out even if the manager is not present. Intermediate care is not currently offered at this home and there are no plans to offer it in the future. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. The health and personal care of the residents in this home is improving and documentation demonstrates a commitment to offer good care by the staff. However the medication procedures need to be improved to ensure the residents’ safety. EVIDENCE: Three care plans were reviewed during this inspection process. The Standex care system is used for care planning. It contains a wide range of risk assessment tools and care recording instruments; however not all had been appropriately used for individual residents and none were signed by the resident or their relatives. All plans reviewed had been regularly reviewed and changes made as required. The health care needs of the residents were generally well looked after. The local GPs were happy to attend the home as requested and one was called Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 11 during the site visit. There was one pressure sore at the home, which had been acquired in the hospital before admission. Pressure relieving equipment was in use throughout the home. Hoists used throughout the home were new at the time the home opened and were due for servicing the week after this site visit. Various other hoists are to be purchased as the resident numbers increase. All medication administration records were checked and were fully completed. The medications rooms were small, contained inappropriate stock (eg:food supplements) and were untidy. There were no outside windows, but they did contain air conditioners; however the ground floor room temperature was not being regularly taken or documented. (All medications need to be stored at 25oC or less.) The medication fridge had an in-built thermometer that was registering 9oC at the time of the site visit and the set temperature range was between 2o-29oC. (Fridge medications need to be stored between 2o-8oC.) The medication trolley was overstocked and untidy, which had the potential to cause a drug error to occur. Although a controlled drugs register was in use it was the wrong type for a care home. The manager was made aware at the time of the site visit and would be arranging for a new one to be supplied. There was inappropriate use of Nomad medication system equipment for residents who are newly admitted or for respite care. The manager was informed but stated that this should not be happening, as there was an arrangement with the local dispensing pharmacist who would arrange for appropriate medications to be supplied to the home when new residents were admitted. She stated that she would talk to the staff involved following the site visit. Observation of care procedures throughout the home demonstrated that the residents’ privacy & dignity were maintained at all times. Residents and their visitors were happy with how they were treated and felt that staff were very kind. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): (12, 13, 14 & 15 ) Quality in this outcome area is adequate; this judgement has been made from evidence gathered both during and before the visit to this service. The home is going through a period of change and improvement, which will be helped with the employment of a new activities coordinator, and chef to ensure that residents have choice in their day to day lives. EVIDENCE: There was no activities coordinator employed at the home and the hairdresser had left the week previous to the site visit. Prospective new activities coordinators were being interviewed the week following the site visit. Organised group activities were not being carried out, but the acting manager had organised the purchase of a number of items, that could be used on a one to one basis with the residents. There were also a number of outside entertainers employed on a regular basis. Visitors and community groups were always welcome at the home; those that were visiting on the day of the site visit were welcomed and offered tea, coffee or snacks as appropriate. There was evidence that the residents did not always have choice in their every day life at the home. The acting manager was in the Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 13 process of improving care practices throughout the home ensuring that resident choice is the most important factor of care offered by all staff. On arrival at the home the inspector was told that the agency chef had rung in sick so the administrator was cooking and organising the kitchen for breakfast and lunch. The original permanent chef had left the home the previous week. On the day of the site visit the residents did not get a choice of main meal at lunch time, but those residents spoken to were not unhappy about this and said that the food had been much better the last few days, so if dont get a choice its OK. The acting manager said that it had only been that day that there wasnt a choice because of the sickness of the agency chef. She was much happier with the range and quality of food offered and the way it was being served. The agency chef was sorting out the overstocking of the kitchens and ensuring that the residents were offered at least one fresh vegetable each day, as well as a varied healthy diet. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): (16 & 18) Quality in this outcome area is adequate; this judgement has been made from evidence gathered both during and before the visit to this service.it Complaints and PoVA issues are now handled well by the acting manager, following accepted company policies and procedures to protect the residents. EVIDENCE: Complaints had been badly handled by the original manager as evidenced by the information being forwarded to the local office of the Commission for Social Care Inspection by relatives of residents in the home. The new acting manager has a very different attitude to complaint handling and believes that complaints help to improve the service offered to the residents. The acting manager was observed dealing, very well, with a minor complaint during the site visit. There had been no PoVA incidents raised since the home was opened; however due to the number of complaints to one of the local social services that placed at the home, had blocked admissions for one week whilst care issues were settled. During this period the change in management of the home took place and staff changes were made. At the end of a week the social service department were reassured that the changes made would ensure the residents placed there were well cared for and lifted the block, readmitting as appropriate. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): (19 & 26) Quality in this outcome area is adequate; this judgement has been made from evidence gathered both during and before the visit to this service The home was in good decorative repair, but was in need of some safety issues being resolved to ensure the safety of the residents throughout the home. EVIDENCE: A tour of the whole home was undertaken during the site visit by the inspector with the acting manager. The home was clean, tidy and odour free. The home was in a good state of repair and good decorative order. There had been no change to the fabric of the building since registration. In one lounge a care assistant was writing daily progress notes whilst chatting and interacting with the residents. The residents appeared to enjoy having the company of the care assistant. However two safety items had not been completed although the previous manager had written to the commission stating that the work had been completed. These were the boxing in of the pipes under the ensuite sinks and the rounding off of the corners of the fireplaces in the lounges. (Two days Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 16 after the visit the managing director informed the inspector that this was being rectified the week after the visit. This will be confirmed on the next visit of the inspector to the home.) There was also evidence of CoSHH substances being left in bedrooms and unlocked cupboards. During the tour the inspector spoke with the laundry person. The laundry was clean, tidy and well appointed. The laundry staff had a good routine for the handling of the laundry ensuring that clean laundry did not mix with dirty laundry when it came into the area. On speaking with the laundry person it was obvious that she was in need of some extra equipment to ensure safe working practices. The acting manager was going to speak with her separately following the visit. The laundry person also said that she had been away for ten days and on her return had noticed the difference in atmosphere in the home and how much more staff were enjoying working at the home. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): (27, 28, 29 & 30) Quality in this outcome area is adequate; this judgement has been made from evidence gathered both during and before the visit to this service. Care staffing levels were good and recruitment policies and procedures were very good, protecting the residents from abuse. However the ancillary staff numbers need to be improved to give the residents choice in their everyday life. EVIDENCE: At the time of the site visit there were twenty-two residents at the home. There was one registered nurse and four to five care assistants on each day shift, with plans to increase the staff numbers as resident numbers increased. However staffing issues in other departments, such as the kitchen and activities, needed to be considered to balance the everyday life of the residents between care and social choice. Staff spoken to were much happier with the overall feeling of the home and said that they could talk to the acting manager. However they were concerned what was going to happen once the new permanent manager arrived. At the time of the site visit all care assistants employed by the home had National Vocational Qualification’s in care, or were enrolled on courses to obtain them. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 18 Three personnel files were reviewed, all were well laid out and contained all elements required. The files were tidy and easy to follow. Staff training was up to date and further statutory training was booked for the week following the visit. Staff spoken to were pleased with the level of training and the detail provided during induction. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): (31, 33, 35, 37 & 38) . Quality in this outcome area is adequate; this judgement has been made from evidence gathered both during and before the visit to this service Overall management of this home has gone through a number of changes since registration, which has been unsettling for the staff and residents. At the time of the site visit residents, were protected and cared for by the management procedures in the home. EVIDENCE: During this inspection process the original manager had left and there was an interim manager in place until the middle of July when she would be moving back to her own home, which was currently being built. Another interim manager was due to take over at that time. (Both interim managers were registered nurses with backgrounds in the care industry in varying roles over a number of years.) The inspector was also able to speak to the homes regional Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 20 manager, during the site visit and was assured that the providers were doing everything possible to stabilise and support the management of this home. Staff spoken to were generally happy with the management arrangements and said that the home was a more relaxed place since the change in manager. However they were understandably worried about the next change and what the new permanent manager would be like when s/he started. One resident also said that they saw this manager everyday, that she was approachable and that they felt generally better cared for. The current acting manager had made a number of changes to care procedures in line with decisions/ recommendations made during discussions regarding the issues mentioned above, (see section-complaints & protection,) and as she felt was needed to increase resident care standards, raise staff moral and increase the number of residents in the home. On the day of the site visit there were a number of enquiries by telephone, or in person, throughout the day. The acting manager also undertook an assessment outside the home during the day. There had been an internal home audit in March, which raised a number of issues. The inspector was supplied with a copy of the audit and the resulting action plan some of which had been completed, but was mainly being worked through by the current acting manager. There were no health & safety risk assessments available throughout the home. The acting manager was aware of this and would be looking at this as part of the aforementioned action plan and as a result of the inspectors’ findings at the site visit. A further internal audit and quality assurance review were already planned for later in the year. Resident money is not kept on the premises. All outgoings for individual residents are invoiced to the nominated person/relative on a monthly basis. The home or its employees are not appointees for any of the residents. Policies & procedures used throughout the home are part of the Cared4 system used in all homes owned by this proprietor. All resident and staff information was held securely. Records reviewed during the site visit indicated that equipment and utilities that needed it had been serviced in accordance with requirements, since registration in January 2006. Evidence of fire drills was not inspected on this occasion. Records also showed the regular internal checking of relevant areas, including fire alarms and fire doors, and hot tap water temperatures. The maintenance person was off sick at the time of the site visit, but his records were reviewed in his absence. During the site visit a telephone engineer was in the home fixing problems with the telephone and computer systems. The staff Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 21 were using mobile telephones to communicate outside the home. The problem did not affect the call bell system and was generally dealt with well. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X 3 2 Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP1 Regulation 4, 5 & Schedule 1 13(2), Requirement The registered person must ensure that the statement of purpose and service users guide is kept up to date at all times. The registered person must ensure there is no overstocking of medication throughout the home. The registered person must ensure that the medication fridge temperatures are kept within accepted limits The registered person must ensure that all medications are administered within Royal Pharmaceutical guidelines and the homes own policies & procedures. The registered person must ensure that the residents are offered choice in their every day life at the home. The registered person must ensure that all safety requirements are fulfilled throughout the home. The registered person must ensure that enough ancillary staff are employed to give the residents choice in their day-toDS0000066272.V299597.R01.S.doc Timescale for action 31/08/06 2 OP9 31/07/06 3 OP9 13(2) 31/08/06 4 OP14 12(2)(3) 31/08/06 5 OP19 13(4a) 31/07/06 6 OP27 18(1a) 30/09/06 Ashbrook Court Care Home Version 5.2 Page 24 7 8 OP38 13(3)(4) (6) 12(1a), 13(3-4), OP38 day lives. The registered person must ensure that all CoSHH items are stored as legally required. The registered person must ensure that health & safety risk assessment have been carried out throughout the home. 31/07/06 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP9 OP9 OP9 OP9 OP31 Good Practice Recommendations The registered person should ensure that medication rooms/trolleys are kept tidy and do not contain inappropriate items. The registered person should ensure that there is no overstocking of medications. The registered person should ensure that medication room/fridge temperatures are regularly measured, documented and kept within accepted limits. The registered person should ensure that the correct controlled drugs register is in use in the home. The registered person should ensure that the local office of the Commission for Social Care Inspection is kept informed of the management arrangements for the home. Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Ashbrook Court Care Home DS0000066272.V299597.R01.S.doc Version 5.2 Page 26 - 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. 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