Inspection on 27/10/06 for Bradbury House

This inspection was carried out on 27th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Bradbury House 09/08/07

Bradbury House 21/02/06

Bradbury House 31/08/05

Bradbury House 18/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Bradbury House Windsor End Beaconsfield Bucks HP9 2JW Lead Inspector Gill Gentles Unannounced Inspection 27th October 2006 09:30 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 Bradbury House DS0000019182.V304026.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. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradbury House Address Windsor End Beaconsfield Bucks HP9 2JW 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) 01494 671780 01494 672533 wendystallwood@btconnect.com The Abbeyfield Society Limited Mrs Wendy Stallwood Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Frail Elderly Date of last inspection 21st February 2006 Brief Description of the Service: Bradbury House is a purpose built residential home registered to provide care for up to forty-one elderly people. It is situated in a pleasant residential area of the old town of Beaconsfield, close to local shops, market place and the Church. There are transport links to the local towns such as High Wycombe. The home provides comfortable accommodation for service users in single bedrooms and spacious social areas. There are accessible attractive and wellmaintained gardens. Car parking is available to the front of the home. The local Abbeyfield Beaconsfield Society is responsible for the Management of the home and provides a House Committee. Service users are registered with local GP Practices and have access to local NHS Services through GP referral. The current fees payable for this service ranges from £568 to £653 per week. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the summary of the unannounced Key inspection visit carried out by Mrs. Gill Gentles (inspector) on 27th October 2006. The inspection took place over a period of 12 hours, this included the pre-inspection planning and analysing information received by the Commission. The inspection consisted of the case tracking of five service users currently living in the home, service user and staff discussions, observations, a tour of the building, viewing of documents and meeting with the manager and deputy manager. An assessment was also carried out of any information received by the Commission since the previous inspection visit. The Commission received feedback from 14 service users, 14 relatives / representatives and 3 from heath care professional prior to the inspection visit. Overall the comments received from everybody were very encouraging and supportive of the home. However, there were a number of issues raised through the comment cards that have been addressed through the report and with the manager on the day of the inspection. An assessment was made against all key standards. From the evidence seen and comments received it is considered that this service meets the individual cultural, religious and diverse needs of all service users. What the service does well: The needs of service users are assessed appropriately to ensure that he home can meet individual’s wishes. A complaints policy is in place and service users are empowered in airing their Concerns and complaints. Robust policies and procedures are in place to ensure that service users are protected from abuse. The home has an activity programme in place to ensure that service users’ social and recreational interest and needs are catered for. Service users are supported to exercise choice and control over their lives. Visitors are welcome to visit at any time this ensures that service users maintain contact with their families and friends. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 6 The home is suited to its stated purpose. Service users are able to live in a warm, comfortable, safe and hygienic environment free from offensive odours. Service users are treated with dignity and their right to privacy is upheld. There are arrangements in place to support service users and their family/friends during the bereavement process. The home is well managed and run in the best interests of the service users. Service users are protected from financial abuse by the homes policies and procedures in place. Health and safety systems are in place ensuring risks to service users health and well-being are minimised. Care staff receive appropriate training in order to ensure the safety of service users. Staffing allocation is adequate to continue to fully meet the needs of the service users. The home operates a robust recruitment procedure; protecting service users from harm. What has improved since the last inspection? What they could do better: In general the meals in the home appear to offer a balanced nutritious diet, however a number of service users reported being dissatisfied with the meals served up, therefore the home is not meeting some individual needs / preferences. Service users have an appropriate plan of care; however there are a number of shortfalls identified that need correcting to ensure that their care and health needs are met. Safe systems are in place for the safe handling and storage of medication however there are errors in the administration of medicines failing to ensure the safety of service users at all times. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 7 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. Bradbury House DS0000019182.V304026.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 Bradbury House DS0000019182.V304026.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of service users are assessed appropriately to ensure that he home can meet individual’s wishes EVIDENCE: Pre-admission assessments were viewed for four out of five service users admitted to the home during the past twelve months. One service user did not have a copy of the assessment in place. A member of the management team had carried out all the assessments. Documentation is maintained in a separate file from the service users Care Plans. The “pre-admission functional tests” (assessments) were found to be clear, concise and detailed. The service users and / or a representative had been involved in the assessment process. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 10 During the course of the inspection, telephone calls were received from prospective service users families enquiring about vacancies. The deputy manager was able to clearly explain the process of admission and that they do not have a waiting list as such. New service users are admitted into the home as and when the home can meet individual’s needs at the time of a vacancies arising. The home does not provide intermediate care. This outcome group was assessed through discussions with the deputy manger, viewing documentation and evidence of service users involvement in the admission process. Bradbury House DS0000019182.V304026.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have an appropriate plan of care; however there are a number of shortfalls identified that need correcting to ensure that their care and health needs are met. Safe systems are in place for the safe handling and storage of medication however there are errors in the administration of medicines failing to ensure the safety of service users at all times. Service users are treated with dignity and their right to privacy is upheld. There are arrangements in place to support service users and their family/friends during the bereavement process. EVIDENCE: Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 12 The care of five service users was tracked during the course of this inspection. All five care plans were viewed and found to be clear, concise and easy to follow. There were specific needs recorded for all five service users under the headings of : • Communication • Eating and drinking • Emotional needs • Hygiene • Incontinence • Medication • Mobility • Night care • Family information Each plan set out detailed action to be undertaken by the care staff to meet individual’s needs, wishes and preferences and staff spoken with confirmed that the care plans and records are used every shift. Staff were also observed reading and writing in the plans throughout the inspection. Although information relating to care needs was in place there were a number of shortfalls identified in relation to no photographs, no likes and dislikes, some were missing GP information, medical histories, next of kin information, healthcare professionals involved. A number of the Care Plans viewed had not been signed by the service user or their representative. Records of the Care Plans being reviewed are in place however this is not always taking place monthly. One file had not been reviewed between June and the end of September 06. Entries onto the daily reports fail to evidence that service users needs are being met, some were found to be poor in content and not reflective of the Care Plan e.g. care plan states “to be offered menu choices each day” and “ to try and sort out some physio for _____ regarding a trapped nerve in her neck”, there was no evidence to support that these needs had or were being met. Daily records included statements like “appears fine, self caring”, “self caring, went downstairs, she had lunch downstairs” and “up and about before 08:00 daughter and child visited before lunch. Came down for lunch” were regular entries to describe a service users whole day. There was no mention of how the individual was or what activity if any had taken place. A number of service users are self-caring with little input from the carers to get washed and dressed. Others require more personal care and these needs are clearly described in the care plans. One service user spoken to confirmed that although she is able to care for herself the carers have “unfailing kindness and niceness”. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 13 A history of service users healthcare was incorporated in all bar one care plan of the service users case tracked. The home maintains a medical intervention form recording all visits to and from the health care professionals such as the GP, Dentist, and Chiropodist etc. The manager ensures that each service user has screenings/risk assessments completed for nutrition, pressure sores and slips and falls. These highlight the need for intervention by the GP or for specialist equipment to be purchased. There was evidence in the files and through conversations with the deputy manager to confirm that the appropriate equipment is in place for service users who are assessed as needing additional comfort aids. Medication in two of the four groups was assessed in particular for the fiveservice users case tracked. All medication is stored in a locked trolley shackled to the wall. The assistant manager is responsible for overseeing all medication, the ordering and disposing and the training of staff in the home. Upon inspection with the deputy manager it was noted that there were no photographs of service users to confirm identity, there were signatures missing from the Medication Administration Records that had clearly been administered and there were drugs not administered and no explanations as to why? The home stores excess medication in locked wall cabinets in the staff office, only the senior staff has the keys to them. Staff were observed requesting medication from the deputy for service users throughout the day, the controlled drugs cabinet is double locked in a cabinet and recorded appropriately, however, one shortfall noted was that staff do not check and sign medication that is held but not being administered at the time. One of the controlled drugs being stored had not been counted since 26/09/06. Policies and procedures are in place for the storage/administration and disposal of medications to protect service users from harm. Service users commented that staff knocking on the bedroom doors etc respects their privacy and dignity. One lady reported that she felt she was “in a hotel”. Visitors are welcomed into the home and service users reported they generally see them in their own rooms and there are tea and coffee making facilities on each wing. There are small lounges in each wing for service users and visitors to meet. Of the service users whose needs were case tracked two had identified their own funeral arrangements, which is incorporated within the Care Plans. The home will support service users and their families to ensure service users remain in the home as long as they wish or until they need increased medical interventions that cannot necessarily be provided by the care team. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an activity programme in place to ensure that service users’ social and recreational interest and needs are catered for. Service users are supported to exercise choice and control over their lives. Visitors are welcome to visit at any time this ensures that service users maintain contact with their families and friends. In general the meals in the home appear to offer a balanced nutritious diet, however a number of service users reported being dissatisfied with the meals served up, therefore the home is not meeting some individual needs / preferences. EVIDENCE: The home currently has an activities co-ordinator who is employed for 18 hours per week, which is spread over 3 days. The activity co-ordinator issues a ‘weekly calendar’ to all service users and prominently displays them on notice boards around the home. This informs service users of all that is happening in and around the home such as visits from the local churches. Indoor activities for the week of the inspection included music and movement, scrabble and draughts, knitting and Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 15 needlework and on the day of the inspection Christmas cards were being made, and lovely they looked too. It was confirmed through discussions with service users that they are actively encouraged to maintain links with family, friends and the local community. Service users and the activity co-ordinator reported that they are encouraged to access the community by going to the cinema, ballet, mystery tours in the bus and the local shops. A number of service users do not need any support to go out. Several service users continue to be independent by having their own vehicles. From discussions, observations and through documentation it was apparent that service users are actively encouraged to exercise control over their lives. The cook spends time with service users regarding their likes and dislikes and the planning of the menu. Through discussion and via a number of service users and relative comment cards it was evident that there are a small number of service users who are unhappy with the food they are receiving. This was discussed with the manager and deputy during the inspection and it was evident that they are working towards resolving the issues. Breakfast is taken at leisure from 7am onwards. Service users generally eat their breakfast in their rooms. The lunch time and evening meals are taken in either service users rooms or in the main dining room, from observations the dining room seems to be one for social time with staff being available to offer assistance in eating where necessary with sensitivity and respect. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints policy is in place and service users are empowered in airing their Concerns and complaints. Robust policies and procedures are in place to ensure that service users are protected from abuse. EVIDENCE: The home has not received any complaints since the last inspection visit. A copy of the complaints procedure was in place. The policy and procedure was not viewed during this inspection visit, as it has not been reviewed since October 04. The review date identified is October 07. It is recommended that Commission for Social Care Inspection contact information be amended to incorporate the new address and telephone number. Service users spoken with confirmed that they felt able to make formal and informal complaints to the management team. There has been no information concerning complaints received directly from service users, or their representatives by the Commission for Social Care Inspection regarding this service Adult protection polices and procedures are in place along with a whistle blowing policy. The home has not had any issues regarding the protection of vulnerable adults since the last inspection visit. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 17 It was confirmed by the manager and in records maintained that only 19 staff out of 48 have received up date training in this area. The manager was also able to confirm that a further 14 staff have been booked on a half day course on the 13th November 2006 Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is suited to its stated purpose. Service users are able to live in a warm, comfortable, safe and hygienic environment free from offensive odours. EVIDENCE: All areas of the home viewed were well presented and had a homely, comfortable and warm feel. Permission was given from a number of service users to view bedroom areas, these were reflective of the individual personalities of the service users, they were well-furnished and kept in good repair. Service users spoken with confirmed that their individual rooms were laid out as they liked them. One lady said that staff had “gone out of their way to ensure I have everything I want”. “Its like living in a hotel, with room service”. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 19 All areas of the home were found to be spotlessly clean and free from offensive odours. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care staff receive appropriate training in order to ensure the safety of service users. Staffing allocation is adequate to continue to fully meet the needs of the service users. The home operates a robust recruitment procedure; protecting service users from harm. EVIDENCE: From observations and discussions made during the inspection and from documentary evidence viewed it would appear that there are an appropriate number of staff on duty at any one time to ensure that the needs of service users are being met. The manager with administration support maintains staff training records, certificates are held on individual’s files as evidence. Training is supported and encouraged by the management team and rotas are covered to ensure staff attendance. From the documentation there was a shortfall in training noted for the manager and deputy. A recommendation is issued in relation to the management team keeping their skills training and knowledge base up to date. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 21 20 staff have completed their NVQ level 2 in care, one has completed NVQ level and 2 of the senior team have completed the registered managers award. The home has robust recruitment procedures in place to ensure the safety of service users. Six staff files were viewed and found to contain all the information required to confirm that the pre-employment checks had been carried out. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the service users. Service users are protected from financial abuse by the homes policies and procedures in place. Health and safety systems are in place ensuring risks to service users health and well-being are minimised. EVIDENCE: The registered manager of the home is Wendy Stallwood, and has been the manager for some time. Mrs Stallwood is well supported by her deputy Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 23 manager, a senior team and a enthusiastic group of care and ancillary staff. Mrs Stallwood has many years of experience in the care field and is a registered nurse. It was confirmed through discussions that the manager and the assistant manager have completed their NVQ level 4 in management and care along with the Assessors award. There seemed to be an open, positive and inclusive atmosphere with care staff being encouraged to ask questions if unsure. The manager’s/senior teams office is off the main entrance hall by the front door and is easily accessible. From observations the running of the home is one based on being open and transparent. Care staff spoken with appeared to be aware of how the home is managed and up to date with service users current changing needs. Quality Audits are carried out annually and the results are analysed and held in the home. The management team develop an action plan to meet any issues raised. Monthly visits are carried out by the organisation and records were seen during the inspection visit. The home is responsible for the safe keeping of some service users monies. Two of the five service users whose care was tracked have money held by the home for safekeeping. Records were checked and found to be correct with the money stored, however there were no receipts for the recent payments made on the service users behalf. Previous expenditure had the appropriate receipts in place. The manager needs to ensure receipts are obtained for all transactions to avoid any allegations occurring. Documentation viewed and the staff spoken with confirmed that regular supervision and annual appraisals take place. The management team divide the responsibility of supervision session to ensure all care staff are supported. Health and safety of service users is protected and maintained by the manager and senior team in ensuring the appropriate health and safety checks are completed annually or more frequently if required. All certificates and records of checks are maintained for fire, gas, water, hoists and lifts and electrical equipment. Accident and incidents are recorded appropriately and audited on a monthly and quarterly basis. Generic Risk Assessment are in place and were up dated in May 06, ensuring risks to service users health and well being are reduced. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 24 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 X X 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 3 X 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 X X 3 Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement The manager must ensure that all care plans incorporate the information missing identified in the main body of the reports. The manager must ensure that staff are administering medication adequately and reporting all errors through the appropriate channels and adequate investigating of errors takes place. That the manager ensures service users issues about meals are listened to and resolved. Timescale for action 31/12/06 2 OP9 13(2) 15/12/06 3 OP15 16(2)(j) 15/12/06 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 Refer to Standard OP30 Good Practice Recommendations A recommendation is issued in relation to the management team keeping their skills training and knowledge base up to date. Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Bradbury House DS0000019182.V304026.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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