Inspection on 08/01/07 for Beckfield

This inspection was carried out on 8th January 2007.

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

Beckfield 15/01/08

Beckfield 25/01/06

Beckfield 22/11/05

Beckfield 30/03/05

Beckfield 19/10/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Beckfield 70 Bolton Lane Bradford BD2 4BN Lead Inspector Lynda Jones Unannounced Inspection 8th January 2007 10:15 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 Beckfield DS0000033521.V326056.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. Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beckfield Address 70 Bolton Lane Bradford BD2 4BN 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) 01274 203001 01274 203002 City of Bradford Metropolitan District Council Department of Social Services Ms Christine Gibson Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: Beckfield provides care and support for people over sixty-five in a multi cultural setting. The home is owned and managed by Bradford Local Authority; it is in a residential area, close to local amenities and is about two miles from Bradford city centre. The home can be reached by bus and has car parking space within the grounds. The home is built on two levels and houses four wings and a day centre. The day centre is not currently subject to inspection. The four residential units provide for group living and include bedrooms, lounge, dining room and domestic style kitchen. There are 35 single bedrooms available. The home offers long and short stays, respite and day care. The home is equipped to meet the specialist needs of service users including those with mobility problems. There is level access into the building. A lift connects each floor and the home has assisted bathing facilities. Outside the home there is a there is a small garden/patio area, which is accessible by wheelchair. The fees are between £94.43 and £ 435.68 and cover all meals and snacks, care and support and laundry. Service users pay extra for hairdressing, personal newspapers and magazines and personal toiletries. Visitors are welcome at any time. Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk A pre-inspection questionnaire was sent to the home before the visit took place. The information provided, has been used as part of the inspection and used in the preparation of this report. The visit to the home took place over 6.45 hours. A tour of the building took place and discussion took place with service users and staff. A selection of records were looked at including; service users’ care plans, staff recruitment records, and staff training records. Comment cards were sent to six relatives asking for their views on the service provided; four replied and their opinions have been included in this report. Five service users completed surveys giving their views on various aspects of life at Beckfield. Their comments, along with views expressed during the visit, have been included in this report. What the service does well: Prospective service users are always assessed before any decision is made about moving in so that they can be sure their needs can be met at Beckfield. Service users confirmed that they were given enough information about the home to help them make a decision about whether they wanted to live there. The home is friendly and welcoming, service users and relatives said the staff were very caring and approachable. Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 6 Service users said they received the care and support they needed and they felt they received the medical support they required. They said that the staff listened to what they had to say and were usually available when needed. Relatives and service users said they were satisfied with the overall care provided. A range of regular activities take place, people don’t have to join in if they don’t wish to. Some people prefer more privacy than others and like to spend time in their rooms; the staff respect this. Service users and their guests can make drinks whenever they wish. People said the meals at the home are very good. Service users and their families know about the home’s complaints procedure. Complaints and concerns are taken seriously and acted upon. People feel confident about talking to staff if they have any concerns. Service users say the home is fresh and clean. Health and safety issues are given high priority. Staff recruitment procedures are good. Procedures are in place to ensure that all prospective staff are checked to make sure that they are suitable for this type of work. The staff have opportunities to take part in training to improve their skills and keep them up to date with good practices. Staff meetings take place regularly. The home is well managed and the manager has clear views about areas for development. Service users and visitors are consulted about the way the home is run and their views are welcomed and taken on board. What has improved since the last inspection? What they could do better: Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 7 Some variation was noted in the quality of the care plans. All of the plans must contain enough detail to inform staff about the way service users’ needs should be addressed. The daily records should reflect the care that is being provided to service users and should show that the assessment of needs is being followed. More care needs to be taken to make sure that all medication is signed for at the point at which it is given to service users. 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. Beckfield DS0000033521.V326056.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 Beckfield DS0000033521.V326056.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): 1,2,3,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with information about the home to help them make a decision about moving there. Everyone is assessed before they move in to make sure that the home can meet their needs. EVIDENCE: Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 10 There is a good, well-presented service user guide, which gives information about Beckfield to help people decide if the home is suitable for them. The guide is also available in Ukrainian and Polish. Copies are available on request from the home. Evidence indicates that all prospective service users are assessed before they move in; this is to make sure that their needs can be met at the home. Additional assessments that had been completed by health and social care professionals were also available. This practice is good because staff and management make sure they have sufficient information about each resident before they move into the home. Everyone is invited to visit the home to meet other residents and staff before making a decision about moving in. Relatives are very welcome to call at the home to view the facilities. In many cases, service users who take up residence at Beckfield are already familiar with the home, the staff and with other residents. Some service users have experience of using the day centre; others have had short stays at the home before deciding to take up permanent residence. Intermediate care is not provided at Beckfield. Beckfield DS0000033521.V326056.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): 7,8,9,10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff treat service users with respect and ensure their dignity and privacy is preserved. Overall the personal and health care needs of service users are met. The care plans need to contain specific details about the action staff must take to ensure that individual needs will be met. EVIDENCE: Every service user has a personal care plan and five of these were looked at during the visit. Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 12 Individual needs are clearly identified on the plans but there is not always sufficient instruction on the plans about what staff must do to make sure that each persons needs are met in a consistent way. The staff have a good understanding of individual needs and of preferred daily routines. They are good at passing this information on verbally within the staff team. However, if the permanent staff were unable to work at the home for any reason, it would be difficult to deliver care and support with consistency, based on the content of some of the plans. Very little information had been recorded in respect of one service user who had taken up residence in mid December 06. No plan was available for staff to follow; nothing was recorded about likes/dislikes, interests or food preferences. Staff need to take care to avoid lapsing into repetitive recording. Some monthly reviews mirror the previous months recording, stating that the service user is “fine this month, no concerns”. Daily records are also sometimes repetitive. Detailed records should help the manager to audit the care that is being provided to service users. These records provide the evidence on which to base the monthly review and show that the assessment of needs is being followed. Service users said they felt that they received the care and support that they needed, they said the staff listened to them and acted on what they had to say. Everyone felt that they had the medical support that they needed and confirmed that the staff were available when needed. Relatives said the staff kept them informed of important matters and they felt that they were consulted about care issues. All of the relatives who completed comment cards said they were satisfied with the overall care provided at Beckfield. The home uses a monitored dose system for the administration of medication. During the morning a group of staff were receiving training on the safe handling of medication from the supplying pharmacist. Plans are in place for the majority of staff to receive refresher training in this area. The records indicate that staff are not always signing the medication administration records (MAR) at the time that they administer medication to service users. Although there is a system in place in the home to pick up on any failures to sign the MAR sheets, staff must be more vigilant. Staff need to be reminded that medication must be administered straight from the blister pack that it was supplied in by the pharmacist. On one of the units, there was no evidence that the temperature of the medication fridge was being monitored regularly, this must be addressed. Beckfield DS0000033521.V326056.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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well cared for and there are plenty of stimulating activities on offer. The staff respect and support service users to follow daily routines of their choice. The meals are good and service users are happy with the food EVIDENCE: A tour of the building was undertaken and time was spent on two of the units, observing practice and talking to service users and staff. During this time there were many examples of good staff interaction with service users. Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 14 Service users were clearly very relaxed with staff, and obviously enjoyed their company. One person said, “You can have a laugh with the staff”. The staff were seen to spend time with service users and had a good knowledge of their needs, they were able to talk about what people like to do and about their preferred routines. Service users made the following comments on the surveys they returned. “Staff are very patient and very helpful” “ I’m looked after well enough” “I’m happy with everyone and everything”. A small group of people in one of the lounges said they were pleased with their personal accommodation, they said they felt warm and very comfortable in their surroundings. There was general agreement they were free to decide how they wanted to spend their time and they did not feel that they had to fit in with the running of the home. In the surveys, service users said there were plenty of activities on offer if they wanted to take part. Everyone can join in the sessions that take place in the day centre, which is within the home. Some people said they really enjoyed this, they said it was a lively place and it was good to have the chance to meet up with other people. One person said she used to go to the centre before taking up residence at Beckfield so she was pleased to be able to stay in touch with friends. Each unit has a small domestic style kitchen where drinks can be made throughout the day. Breakfasts are made by staff on the units when service users get up. Drinks and snack are available during the day, in addition service users and visitors can make a drink whenever they wish. Each area also has a pleasant dining room where meals are served. Service users were unanimous in their views about the food, everyone said the meals were very good and there was plenty of choice on the menu. If people do not like the main choice on the menu they can request an alternative. There is a choice of English or Eastern European cuisine and special dietary needs can be catered for. Beckfield DS0000033521.V326056.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): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are taken seriously and acted upon. Residents feel comfortable about talking to someone if they are unhappy with any aspect of their care. Staff receive training on adult protection issues and are aware of their responsibilities in this area. EVIDENCE: There is a procedure for relatives and service users to follow if they have any complaints about the home. Two out of three relatives who returned comment cards said they didn’t know about the procedure, suggesting that additional work needs to be carried out to publicise the procedure. The complaints record includes details of the issues raised, investigation of the complaint and outcome, and details of any action that was necessary. Three complaints have been made over the last twelve months. All of the complaints were dealt with within the 28-day timescale that is in the procedure. Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 16 During the visit, service users were asked what they would do if they were worried about anything. They said they would tell a member of staff and tell their relatives. Service users said the staff were approachable, they felt confident that they would be listened to and that their concerns would be taken seriously. All staff at the home receive adult protection training. The training is regularly repeated, providing staff with the opportunity to update their knowledge and reminding them of their responsibilities in this area. Beckfield DS0000033521.V326056.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): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is pleasant and well maintained throughout. Service users are comfortable in their surroundings. EVIDENCE: The home is divided into four separate units, Windermere, Rosemere, Grasmere and Buttermere providing a total of thirty-five places. At the moment Windermere is closed. Work is due to start there in the next week or so to create a new kitchen and improve the bathing facilities. When the unit reopens it will provide accommodation for nine service users of South Asian origin. Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 18 Rosemere unit can accommodate nine service users. At present, this area is mainly being used to accommodate people who are at the home for a short stay. Grasmere can accommodate eight service users. Buttermere is home to service users from Eastern Europe. Eight people can be accommodated at present, although this will increase to nine places when some minor alterations are completed. All of the bedrooms are single. Each one is furnished with a bed, wardrobe, chest of drawers with a lockable space, wash hand basin and comfortable chair. There are plenty of plug sockets in the bedrooms; many people have their own TV in their room. Each bedroom has an emergency call point, conveniently located so that service users can easily call for staff assistance if needed. Service users said the staff responded quickly when called for. Service users said they were very satisfied with the accommodation, they confirmed that they could bring items of furniture and personal possessions with them when they move in. At the invitation of the service users, two bedrooms were viewed. Both service users had a key to their rooms, which they used. They said their rooms were warm and comfortable, they had both arranged the layout to suit their needs and had personalised them with family photos, ornaments and pictures on the walls. There are three toilets and one bathroom on each unit that are well located to ensure easy access. Different types of baths with hoists and tracking are available to assist people who have mobility difficulties. Each unit has its own dining room and sitting area. Service users said they thought the shared areas of the home were pleasant places to sit, chat and watch TV. They said they could choose whether they wanted to see their guests in their own rooms or in the lounge. In their opinion the home was always clean, tidy and smelled fresh. The home appears to be well maintained throughout. According to staff, repairs are attended to promptly; they said the bedrooms were all refurbished about two years ago. Access into the building is by intercom and visitors to the home are asked to sign in. Service users said they felt safe at the home. Beckfield DS0000033521.V326056.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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The training opportunities for staff are very good. Staff in the home are trained, skilled and deployed in sufficient numbers to meet the changing needs of residents. The recruitment process is good and procedures are in place to make sure that all staff are appropriately checked before they start work at the home. EVIDENCE: During the day there is one member of staff on duty on each unit. Two additional members of staff on duty are referred to as “floaters”, this means that they can be called upon to assist on the units and can be used flexibly where they are most needed. A full time member of staff is responsible for laundry duties and there is domestic cover for each of the units. Additional domestic cover is available for the day centre and to cover for staff on annual Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 20 leave. Two cooks and a kitchen assistant oversee all of the catering arrangements. In the opinion of the three relatives who returned comment cards, there are not always enough staff on duty. One person said the staff in general are very good but there is “no continuity of carers, too many changes”. This view needs to be explored with relatives. The management structure is currently in the process of changing. The roles of deputy manager and assistant managers are to be introduced along with new responsibilities for senior staff. Staff on duty said there was a good skill mix on the staff team, many people have lots of experience of working in a care setting. The training record provided shows that all staff undertake a range of mandatory training including moving and handling techniques, health and safety, fire training, food hygiene, infection control, first aid and adult protection awareness. According to the pre-inspection questionnaire, 68 of staff are qualified to level 2 NVQ or above, which exceeds the minimum standard of 50 . Staff recruitment procedures are good. A sample of personnel files examined showed that thorough checks are being carried out on staff before they start work at the home; this is to make sure they are suitable to work with older people. Beckfield DS0000033521.V326056.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): 31,33,35,36,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home. The management of the home is based on openness and respect. The health and safety of residents, staff and visitors is given high priority. EVIDENCE: Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 22 The registered manager has been absent due to illness, for over a year. The manager of another Local Authority home has covered the post since April 2006; she spends the majority of her time at Beckfield. The temporary manager is well qualified, skilled and experienced in managing a service for older people. The staff on duty spoke highly of the manager, they said they were pleased she was covering the post and had a lot of respect for the positive practices she had introduced since moving to the home. Staff said the manager was fair and approachable, staff felt confident about taking issues up with her, they felt they were listened to and their opinions were valued. In their opinion the interests of service users is central to the way the home was managed. Staff meeting are taking place on a regular basis and judging from the minutes of meetings, the attendance is good. Meetings of ancillary staff are also taking place regularly. Three staff files were looked at to see how often formal supervision was taking place. There was evidence of regular supervision on only one of the files examined. Care staff said that they receive supervision but senior staff on duty could not locate the records in question. Money is held for safekeeping on behalf of some service users. All transactions are recorded and personal money can be accessed at any time. The temporary manager was unable to confirm that all of the fire safety work had been completed. Written confirmation must be provided showing that the work outlined in the Fire Schedule dated May 2005 has been completed. Beckfield DS0000033521.V326056.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 3 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 3 3 3 3 3 3 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 3 X 3 2 X 2 Beckfield DS0000033521.V326056.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 2 3 Standard OP7 OP9 OP9 Regulation 15 13 13 Requirement Care plans must clearly indicate the action that staff need to take to meet residents needs. All medication records must be accurately maintained and signed contemporaneously Medication must be administered straight from the blister pack that it was supplied in by the pharmacist. The temperature of the medication fridges must be monitored and regularly recorded. An action plan/written confirmation must be forwarded to CSCI showing how and when requirements in the fire report dated May 2005 have been addressed.(Previous timescale of 1/4/06 not met) Timescale for action 02/05/07 16/02/07 16/02/07 4 OP9 13 16/02/07 5 OP38 23 28/02/07 Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 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 2 Refer to Standard OP7 OP36 Good Practice Recommendations The daily records should provide evidence of the care and support that staff provide. All staff should receive regular supervision. Beckfield DS0000033521.V326056.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Beckfield DS0000033521.V326056.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. 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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