Inspection on 12/08/08 for Avis House

This inspection was carried out on 12th August 2008.

CSCI found this care home to be providing an Adequate service.

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

Other inspections for this house

Avis House 17/08/06

Avis House 09/01/06

Avis House 28/06/05

Avis House 19/10/04

Avis House 24/06/04

Avis House 13/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Avis House 12 Old Fallings Lane Fallings Park Wolverhampton West Midlands WV10 8BH Lead Inspector Rebecca Harrison Unannounced Inspection 12th August 2008 10:30 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 Avis House DS0000017179.V370004.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. Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Avis House Address 12 Old Fallings Lane Fallings Park Wolverhampton West Midlands WV10 8BH 01902 866036 F/P 01902 866036 Telephone number Fax number Email address Provider Web address Name of provider(s)/company (if applicable) Name of manager Type of registration No. of places registered (if applicable) Not known Alphonsus Homes Miss Helen Jones Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning Disability who may also have Physical Disability and under 65 years on admission The Manager must provide details of any conditions to be made or varied. 13th August 2008 Date of last inspection Brief Description of the Service: Avis House is a home providing accommodation, personal and nursing care to six people with a learning disability who may also have a physical disability. All but one person is over the age of 65. The home is purpose built and is situated in the Low Hill area of Wolverhampton and offers access to local amenities and public transport. The accommodation is based on one floor providing single bedrooms, a domestic style kitchen, a dining room, sensory room and a lounge. Car parking is provided to the front of the building and people have access to a large enclosed garden. Prospective service users and their representatives are able to gain information about this service from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI are available in the home for people to read. These are also available on our website at www.csci.org.uk Information about the fees are included in the Service User Guide which states that the provider has a block contract with the local authority and is not directly responsible for the fees payable due to a block contract agreement. Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. One inspector carried out the inspection over six hours. The manager was on leave at the time of our inspection however we spoke with her the day after. A range of evidence was used to make judgements about the service to include discussions with three people who use the service, staff on duty and the assistant manager. We did a tour of the home, reviewed the homes quality assurance processes and observed the care experienced by people using the service. We received completed surveys from all of the people who use the service and ten surveys from staff employed at the home. A number of records were reviewed to include care records held on behalf of two people, complaints and protection, staff training, recruitment and health and safety records. Two people who live in the home were ‘case tracked this involves establishing individuals experience of living in the care home by meeting them, discussing their care with staff, looking at care files and focusing on outcomes. Tracking people’s care helps us understand the experiences of people who use the service. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was sent to the manager for completion. The AQAA is a selfassessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale. The inspection reviewed all twenty two of the key standards for care homes for Older People and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. A quality rating based on each outcome area for service users has been identified. These ratings are described as excellent/good/adequate or poor based on findings of the inspection activity. Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The things we asked the manager to do following our last inspection have been done. A fully equipped sensory room has been installed and some furniture and furnishings have been replaced in communal areas and bedrooms. The placing authority has reviewed people using the service. The home achieved an overall score of 95 in an infection prevention and control audit carried out by Wolverhampton City NHS Primary Care Trust in July 2008. Avis House DS0000017179.V370004.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Avis House DS0000017179.V370004.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 Avis House DS0000017179.V370004.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): 1,3 and 5 Quality in this outcome area is good People looking for a care home can be confident that Avis house can support them. This is because information about the service is made available to help them make an informed choice about whether the home is able to meet their individual needs. A complete assessment of a prospective service users needs is undertaken with them and others close to them, and people are given the opportunity to visit the home and “test drive” it to ensure the service is right for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information about the service is readily available in the Statement of Purpose and Service User Guide. Both documents have been recently been updated and provide people with information to help them understand the services that Avis House provides. Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 10 There have been no new admissions to the service since our last inspection and there are no vacancies currently available, however the home has a detailed admissions procedure which indicates that a needs assessment would be obtained for any prospective service user and trial visits offered to ensure the home is suitable for meeting the person’s individual needs. Intermediate care is not provided therefore it was not possible to assess Key Standard 6. Avis House DS0000017179.V370004.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 People living at Avis House have a support plan in place however these require more detail so that staff have all the information they need to ensure people get the care they need in the way they prefer. The manager understands the need to comply with safe medication systems however staff practice does not always ensure that the home’s procedures are complied with and people receive the medication they are prescribed. The actions of staff and their approach to care ensures that service users are treated with respect and their right to privacy is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living at Avis House cannot be confident that they receive the care they need because their care plans and moving and handling assessments lack detail about how they prefer their care to be delivered and these are not reviewed at the required frequency. For example the exact level of ‘assistance’ Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 12 a person requires with personal care tasks should be identified to ensure people receive care in a consistent manner. Records seen evidence that daily routines are flexible in accordance with individual’s preferences such as rising and retiring to bed and detail all contact with significant others and outcomes recorded. Records held for the people we ‘case tracked’ evidence that their health needs are regularly monitored and kept under review and that the home arranges for health professionals to visit as required and appointments and outcomes are recorded. Arrangements for the administration of medication require immediate improvement as some people who are prescribed medication at lunchtime have not always been administered it. This is because the nurse in charge holds responsibility for administering drugs and if individuals go out into the community for the day with care staff, they may not receive their medication. It was reported that care staff are in the process of undertaking medication training. We also found gaps in a number of medication administration records. It was reported that medication had been administered but not signed for. There was no evidence that this had been picked up by the next nurse on duty. Following the inspection we spoke at length with the manager regarding this and provided some advice how this can be managed more effectively in the best interests of people using the service. She committed to reviewing procedures and to undertake assessments on staff to measure their ongoing competence in relation to handling and administering medication. Arrangements for respecting peoples privacy, dignity and rights is clearly documented in the homes Statement of Purpose. It states ‘Clients have a right to fulfil privacy, rights, dignity, choice and independence in all areas of service delivery’. Observations made and discussions held with people using the service and staff evidence this is upheld. Avis House DS0000017179.V370004.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 People are provided with opportunities to participate in varied activities of their own choice and according to their interests and capabilities and are enabled to keep in contact with family and friends. People who use the service receive a healthy, varied diet according to their assessed requirement and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Arrangements for social activities, hobbies and interests are documented in the Statement of Purpose. Peoples own preferences were seen on the two files sampled and the three people we spoke to told us about the things they do in the home and the community. During the inspection two people were supported to go personal shopping and have a pub lunch in Wolverhampton. The people remaining in the home enjoyed using the sensory room, reading and watching television. One person said ‘I like going to tea dances and shopping and reading magazines. We had a lovely garden party here and lots of people came.’ Records for another person we case tracked indicated that Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 14 they had been to Bilston market, Tettenhall pool, had aromatherapy and sessions in the new sensory room based in the home. We looked at the visitor’s book, which indicates that the home receives many visitors who are welcome to visit the home at any time. Friends and family are encouraged to attend social events arranged by the home and a recent garden party proved very successful as confirmed by three people who use the service. The Menu seen reflected the choice of food offered on the day of inspection and appeared balanced and nutritional. It was stated that none of the current people using the service have special dietary requirements although the home is able to cater for this if required. One person stated ‘The food is nice’. The meal served at lunchtime was well presented and staff were observed to make the mealtime a social and enjoyable experience. Individuals requiring assistance with lunch were offered this in a sensitive manner. Avis House DS0000017179.V370004.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 People living at Avis House have access to a complaints procedure, which is accessible to them and their representatives if they need to make a complaint. Staff have an understanding in adult protection to ensure people who use the service are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure in place and this is available in the Statement of Purpose, Service User Guide and displayed in the reception area of the home. The home or CSCI have not received any concerns or complaints since the last inspection. Feedback received from surveys completed by people using the service and staff indicate they are familiar with the process. The home has a copy of the local multi-agency safeguarding adult policy and procedure. No referrals under safeguarding adult procedures have been triggered since the last key inspection. Some staff have received training in adult protection and staff spoken with indicated they had an understanding of whistle blowing and safeguarding adult procedures. The manager reported that she is to deliver training in adult protection shortly to ensure all staff are familiar with the process. We advised the manager that unless medication procedures improve a referral under safeguarding may be made. Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good People are provided with a homely, clean and comfortable place to live where they feel safe and secure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People we spoke with during the inspection indicated that they enjoy living at the home and that their rooms are comfortable. Rooms seen during a tour of the home were personalised and the rooms of the two people we ‘case tracked’ were furnished appropriately to their needs. The home provides a relaxed and homely atmosphere and is accessible to all, including people who use a wheelchair. People are provided with a large fully enclosed garden to the rear of the property and enjoy using this facility. Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 17 A number of improvements have been made since our last inspection to include a fully equipped sensory room, the replacement of some furniture in the lounge, dining room and bedrooms and new curtains in communal areas. It has been identified that one person would benefit from the bath in one of the bathrooms being replaced with a level access shower facility to attend to her personal care needs more effectively as she has difficulty using the hoist. This has been identified on the maintenance plan and programme of renewal and approved some months ago, yet remains outstanding therefore should be given priority in the best interests of the person concerned. People are provided with a clean home which is free from any odours. The home does not employ domestic staff therefore it is the responsibility of care and nursing staff to help maintain a clean and safe environment for people living at the home. Carpets in communal areas were heavily soiled; this has also been identified in recent monthly reports undertaken by a senior manager. Products hazardous to health are appropriately stored and data assessments have been obtained for all substances used and made accessible to staff. Laundry facilities were found satisfactory. We have agreed that a sluicing disinfector is not required given the needs of the people currently accommodated however this must be kept under review. The training plan indicated that thirteen staff have undertaken training on infection control procedures and the home achieved an overall score of 95 in an infection prevention and control audit carried out by Wolverhampton City NHS Primary Care Trust in July 2008. Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 18 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 adequate Staff work positively with the people they support and are provided with opportunities for training to ensure they are equipped to meet the individual needs of the people living at Avis House. People living at Avis House can have confidence in that they are in safe hands because checks have been done to make sure that staff employed are suitable to care for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the inspection staff were accessible, good listeners and communicated well with the people using the service. They appeared motivated and committed to their work. Discussions with three people who use the service and surveys we received indicate that positive working relationships have been developed. One service user said ‘I like the staff, they are nice and help me’. Staff spoke positively about the service and of their roles and responsibilities and demonstrated a good understanding of the individual needs of the people in their care. The home employs twenty-two staff comprising of qualified nurses, residential care officers, day care officers and bank staff. It was reported all but two of Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 19 the care staff employed hold a recognised care award known as a National Vocational Qualification at level 2 and above. The staff rota was examined and accurately reflected the staff on duty. People living at Avis House are usually supported by a minimum of three staff throughout the day to include a qualified nurse. Surveys received indicate that staffing levels are usually sufficient to meet the individual needs of people living at the home but at times can prove difficult. We received the following comments: ‘Most of the time there is enough staff to meet the individual needs of our clients. However sometimes it might be a bit difficult when some members of staff go on leave. Bank staff are usually utilised to cover for staff on leave, mainly depending on their availablity’ ‘There are times when the staff are ill or on leave but we all rally round and cover’ The self assessment completed by the manager states ‘The home operates a very thorough recruitment process in line with current legislation’. Six people have been recruited in the last twleve months, we were unable to examine staff files due to the manager being on annual leave at the time of the inspection. However people living at the home can be confident that they are safeguarded by the homes recruitment procedures because of the comments that we received from ten staff surveyed who confirmed that their employer carried out the necessary checks, such as a CRB and requested references, before they started work. Staff spoken with during the inspection also considered procedures to be robust. Reports of monthly visits undertaken by a senior manager also evidence that staff recruitment is examined as part of the audit undertaken. Surveys completed by staff and discussions held indicate that staff are provided with opportunities for training. Since the last inspection the manager has developed a training matrix, which indicates that most staff have received training in safe working practices although some require refresher training and two staff require training in first aid and moving and handling, which was fully acknowledged by the manager when we spoke with her following the inspection. Staff receive training in learning disability although may benefit from training in other areas such as nutrition and dementia as people using the service are becoming older. The need to identify further training needs is acknowledged in the self-assessment completed by the manager. Comments received from staff about training include: ‘Staff development is considered an important aspect of my job. My employer ensures that I am constantly kept abreast with current trends in caring for Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 20 clients and other parts of my job. A training schedule is available to enable me to attend training as required. Experts in different areas provide training on relevant topics’ ‘I had a very comprehensive induction, which covered each and every aspect of my job. As I started my duties I had a clear picture of what I was entailed to do. After having my induction I felt more confident to do my job without hesitation’ ‘I have attended several conferences and workshops about new ways of working’ Avis House DS0000017179.V370004.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): 31,33,35,36 and 38 Quality in this outcome area is good People living at the home benefit from a service that is generally managed in their best interests. The premises are maintained in a manner, which ensures the safety of people using the service and the staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Avis House is managed by Ms Helen Jones who is a qualified nurse in learning disability, holds NVQ 4 in Care and the Registered Managers Award and has attended additional training courses appropriate to her role. The people who use the service and feedback from staff evidence that the manager is open, Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 22 approachable and easy to talk to. The manager was on annual leave at the time of the inspection however we discussed the findings of our inspection with her when she returned to work. Discussions indicate that the manager appears committed to improving the service in the best interests of the people living and working at the home. Staff confirmed they are in receipt of supervision with a line manager. One person told us ‘Support and supervision is regularly offered. During these sessions I also reflect on my practice and share with my manager any concerns. Discussions are usually centred on client care, relationships with other members of the team and whether there are any identified needs for training’. Reports of monthly visits to the home undertaken by a senior manager are readily available, detailed and outline actions required for improvement and assist with monitoring how the home is managed. When we spoke with the manager she informed us that satisfaction surveys are due to be distributed shortly and that an external quality audit is to be undertaken very shortly which will help inform future planning and outcomes for people living at the home. The home has a policy in place for the management of service users finances and arrangements was discussed with the assistant manager and staff on duty that considered procedures to be robust. Two signatures are now obtained for all financial transactions as recommended at the last inspection. Records of monies held on behalf of people are maintained and are regularly audited as part of monthly visits undertaken by the provider. Health, safety and maintenance checks are undertaken in the home but the manager must ensure these are undertaken at the required frequency to ensure people are kept safe. Service certificates were readily available in addition to risk assessments for safe working practices. The manager confirmed that there are no outstanding requirements made by the Fire or Environmental Health Departments. As previously stated the manager is aware that some staff require refresher training and two staff need training in first aid and moving and handling. People using the service indicated that they feel safe living at the home. Avis House DS0000017179.V370004.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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Avis House DS0000017179.V370004.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 OP9 Regulation 13(2) Requirement The home must ensure people using the service received their medication as prescribed by their general practitioner, to promote their health and wellbeing. Timescale for action 13/08/08 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 Refer to Standard OP7 OP9 Good Practice Recommendations Care plans regarding people’s personal care needs would benefit from further detail so that staff know the exact support that people need. A protocol should be developed for the management of people’s medication when they are on social leave and the medication administration record must be accurate and robust to demonstrate that people have received their medication as prescribed. Health and safety checks should be undertaken at the required frequency to ensure the safety of service users and staff. 3 OP38 Avis House DS0000017179.V370004.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Avis House DS0000017179.V370004.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. 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!