Inspection on 12/10/06 for Camellia House

This inspection was carried out on 12th 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

Camellia House 09/07/08

Camellia House 01/02/06

Camellia House 24/03/05

Camellia House 19/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Camellia House 109 Main Street Calverton Notts NG14 6FG Lead Inspector Jayne Hilton Key Unannounced Inspection 12th October 2006 1:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Camellia House DS0000040018.V307204.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. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camellia House Address 109 Main Street Calverton Notts NG14 6FG 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) 0115 8458876 0115 8458876 Judith Lakin Judith Lakin Care Home 4 Category(ies) of Old age, not falling within any other category registration, with number (4) of places Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2006 Brief Description of the Service: Camellia House was first registered in March 2002 and became operational in September 02.The home is a small care home, which has registration for 4 older persons. The service users accommodation is integrated with the owner’s private house. The service users are provided with a separate lounge and kitchen / dinette. One bedroom situated on the ground floor and two bedrooms on the first floor. A chair lift is available for access. A bathroom is located on the ground floor and has an assisted hoist and shower facility. A remote alarm call bell is available for each service user. Professional health care arrangements are organised as required. A magnificent garden to the rear of the property offers a superb view and a relaxing environment. Fees charged are currently £420.00 a week. A copy of the previous inspection report is displayed in the hallway for service users and visitors to access. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection was carried out on 12th October 2006 between 1pm and 5.30pm. Two service users were in residence and were spoken with as part of the inspection. Two staff members and the owner /manager were also spoken with and one relative. A part tour of the building was facilitated and three service users care plans examined. A sample of other records required by regulation were also assessed. What the service does well: Service users who live at Camellia House enjoy the personal service provided by this small sized home. They said that they are treated with respect and their privacy and dignity is respected at all times and comment as follows: “Staff are very good, I am comfortable, the best thing is that they look after me and I can get out” One service user wrote the following verse on a service user survey and gave permission for this to be recorded within the report. “ You gave me all you had to give, Gifts both great and small, But most of all you gave me love, The Greatest Gift of all” 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 are helped to exercise choice and control over their lives and maintain contact with family friends/representatives and local community as they wish. Service users receive a wholesome appealing balanced diet in pleasing surroundings. The management and staff encourage service users to see the home as their own home. The premises provide a well maintained, safe, comfortable, attractive home which has the equipment and adaptations needed to meet individual needs. The fixtures and fittings are of a high quality, well maintained and adapted throughout. There is an extensive garden with adequate seating areas and which is accessible for service users who may have limited mobility. No service user moves to the home without having his/her needs assessed and been assured that these will be met. Each service user also has a written contract for residing in the home. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 6 Service users and their relatives are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. Service users, health and personal care needs are set out in a detailed plan of care and service users confirm their health and social care needs are fully met. Service users confirmed they are treated with respect and their right to privacy is upheld. Service users needs are met by the numbers and skill mix of staff that are trained appropriately to do their jobs. They are supported and protected by the homes recruitment policy and practices. Service users live in a home which is well organised and managed by a person fit to be in charge and the home is overall run in the best interests of service users which safeguards their financial interests. What has improved since the last inspection? 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. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No service user moves to the home without having his/her needs assessed and been assured that these will be met. Each service user also has a written contract for residing in the home. EVIDENCE: Copies of signed contracts were seen in all of the three care plans examined. This is set out in detail, what is included in the fee and informs service users of what they can expect. Admissions are not made to the home until a full assessment has been undertaken and there was evidence that the homes owner /manager had confirmed in writing that they can meet the needs of the individual through the service they deliver as detailed in the statement of purpose/service users guide. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 9 The assessment is carried out by, the manager using the Activities of Daily Living Model Tool. A relative confirmed that she had been involved in the assessment process. The assessment document takes into account any religious, cultural and social preferences. A life history section is also included which provides a holistic overview of the service users lifestyle routines, likes and dislikes. A service user confirmed answers to selected questions by the inspector in assessing the accuracy of the documentation and how staff was meeting the service user’s needs. There was evidence that the assessment documentation had been reviewed and updated as needed. Service users spoken with confirmed that the home met their needs fully and praised the staff team and the manager. A relative stated that the small size of the home [numbers of registered places] ensures a personalised service home from home. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users, health and personal care needs are set out in a detailed plan of care and service users confirm their health and social care needs are fully met. Medication management in the home is on the whole satisfactory, however good practice recommendations are made to further improve the systems currently in place. Service users confirmed they are treated with respect and their right to privacy is upheld. EVIDENCE: Each service user had a care plan in place, that evidenced their signature of involvement and includes all areas of the individual’s life including health, personal and social care needs. The plan also includes a risk assessment and promotes independence where appropriate. The size of the home ensures a personalised consistent approach from a long established small staff team. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 11 Care plans were reviewed but not always on a monthly basis, evidence was seen however, where the plan was changed in respect of the service users changing needs. Service users and staff spoken with confirmed that service users are regularly consulted with about their satisfaction of the plan and care delivered. Daily diary reports are used in conjunction to the care plan for daily monitoring of service users progress. These include personal care charts. Service users, their care plans and other documentation confirmed that regular health appointments and are able to access health care services, such as chiropody and district nurse services. Weight charts and nutritional screening tools were in place as was manual handling risk assessments. One service users confirmed that the aids and adaptations within the home were satisfactory to meet her mobility needs and that she owned a mobility scooter. One service user was still driving a car until recently. Service users confirmed they have a choice to shower or bath as they wish and that their privacy and dignity were maintained at all times. The home works to an efficient medication policy, which includes a policy for self medication, but there was no evidence of a risk assessment or consent declaration to use with this policy should service users wish to self medicate. There were no service users currently residing in the home that self medicate, but staff reported that this has been facilitated in the past. Each service users has a lockable facility within their bedroom for storage of their medication. Storage temperatures were not being monitored and as one medication cabinet was sited close to the heating pipes this is recommended. The manager and staff member spoken with confirmed that there had been no medication errors and that they were aware of reporting under Regulation 37 should this occur. Records examined appeared satisfactory and fully completed. Staff are trained in house by the manager to administer medication. Staff should be provided with accredited training and this is therefore recommended. It is recommended that the manager obtain a copy of the Royal Pharmaceutical Society’s Guidance on Administration of Medication in Care Homes and reviews the medication policies from this document. The home is not contracted in respect of pharmacy services. It is recommended that the manager discuss this with their community pharmacist about the potential benefits for accessing a contract and may wish to consider the feasibility/benefits of accessing pre packed monitored dosage systems. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12-15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. 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 are helped to exercise choice and control over their lives and maintain contact with family friends/representatives and local community as they wish. Service users receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: Service users and relatives spoken with highly praised the manager and staff team and the personalised service they provided. They said that although they preferred to spend their days doing what they specifically enjoyed such as embroidery or listening to the radio they also enjoyed the trips out, which were provided regularly. Recent trips out included Harry Ramsden’s fish restaurant, various country parks and garden centres, Portland College coffee shop and horticultural centre and Skegness. They also said they enjoyed spending time in the garden and various activities such as garden chess, boules and BBQ, S. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 13 The homes pet dog ‘Prince’ was said to be a very good friend to all who reside in the home. A relative said she was always made welcome and provided with a cup of tea on her visits and that privacy was respected. All of the staff, the manager and service users spoke of links to the local community and village life and one service users when well enough used her mobility scooter around the village. Service users said they felt they were in control of their lives and could choose when to get up, when to go to bed and what to do in respect of their daily routines. The menu was examined and found to be varied and offering good quality, nutritious wholesome food options. Service users praised the standard of food and the home cooking of fresh items and ‘home grown’ vegetables, fruit and salad items. Service users confirmed that they could have a cooked breakfast everyday should they choose to. A good selection of items such as fresh salmon, various meats and vegetarian options were available and a pantry store was well stocked. A relative informed the inspector that their family member had put on weight since moving to the home and was seen to have improved health and wellbeing. Service users said that drinks were supplied frequently and whenever they wanted. The dining area was pleasant and tables well set out. A small kitchenette provides service users with the opportunity to make drinks and snacks Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relatives are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: Service users confirmed that they felt able to complain should they need to but that staff, always speak in a respectful way. There are no recorded or reported complaints. The complaints procedure was seen in the service users guide. Policies for the protection of service users were examined, including abuse procedures, whistle blowing and missing persons policy. The manager informed the inspector that they had a copy of the Nottinghamshire Committee for the Protection of Vulnerable Adults Procedures Guidance manual. The abuse policy included reporting procedures but these were not fully consistent with the updated guidance, therefore the manager was advised to contact the adult protection unit for information in relation to this. It is recommended that the manager undertake training for reporting officers in adult protection. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 15 Evidence was seen that the care staff had undertaken training in adult protection. Service users said that they felt safe in the home. The manager reported that there had been no incidents other than reportable deaths at the home. Camellia House DS0000040018.V307204.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): Standard 19, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in a clean safe, well-maintained and hygienic environment. EVIDENCE: The management and staff encourage service users to see the home as their own home. The property provides a very well maintained, safe comfortable, attractive home which has the equipment and adaptations needed to meet individual needs. The fixtures and fittings are of a high quality, well maintained and adapted throughout. There is an extensive garden with adequate seating areas and which is accessible for service users who may have limited mobility. The gardens are well kept and include fruit trees a vegetable patch and greenhouse and which service users can be involved with if they so choose. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 17 A dovecote and ornamental bridge are added attractions, which service users pointed out. The manager informed the inspector that a new larger dovecote was on order and a pair of white doves. One bedroom was viewed at this visit it was spacious and personalised. The room was pleasantly furbished and appeared comfortable. The service user told the inspector that she was very comfortable and happy with everything. There is a selection of communal areas, including a kitchenette, dining room, a conservatory, small lounge and a lounge/dining room, which means service users have a choice of place to sit quietly, meet with family and friends or be actively engaged with other service users. The ground floor bathroom was viewed and this appeared comfortable and easy to use, with assisted bathing and shower option. Service users said that the temperature in the home can be changed to meet their personal choice and staff confirmed that the radiators are thermostatically controlled. Service users and relatives praised the standards of the cleanliness of the home, confirming the home is well lit, tidy and smells fresh. The manager and staff confirmed knowledge of infection control procedures and supplies of alcohol rub products, gloves and protective clothing were always available. The laundry facilities were not inspected at this visit, but service users confirmed they were happy with the laundry services provided. Camellia House DS0000040018.V307204.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): Standards 27-30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are met by the numbers and skill mix of staff that are trained appropriately to do their jobs. They are supported and protected by the homes recruitment policy and practices. EVIDENCE: The team of three care staff and the manager provide adequate support for the service users residing in the home. Service users reported that they have confidence in the staff that care for them and are always at hand when the need them. Staff receive relevant training by external providers and effective recruitment procedures ensure protection for service users. Three personal staff files were examined and found to be satisfactory. Staff spoken with confirmed they have undertaken NVQ level 2 but are awaiting their certification to be delivered. Certificates for other training were observed around the home and in the staff personal files, which included Fire training, Food Hygiene, Infection Control, Manual Handling, First Aid, Dementia Care, Adult Protection and Continence Management. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 19 Both the manager and staff spoken with confirmed that health and safety training is planned and that they are waiting dates to be confirmed. Staff confirmed they had an induction on commencement of their employment and evidence of this was seen. Staff also confirmed that they had received a copy of the General Social Care Code of Conduct booklet. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 20 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): Standards 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home which is well organised and managed by a person fit to be in charge and the home is overall run in the best interests of service users which safeguards their financial interests. The health and safety of service users and staff are generally promoted and protected but improved record keeping and advice from the Environmental Health Officer and fire Officer are needed to ensure the home is fully compliant with Regulation and Standards. EVIDENCE: The owner /manager is Registered with the Commission of Social Care and holds many qualifications including Registered General Nurse and a Masters Degree ,Teacher / Assessor for supervised practice and The Registered Managers Award. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 21 Service users and staff spoke highly of the manager, saying she was helpful and always tried her best for them. The manager should also update her skills and knowledge by attending the mandatory training updates on a regular basis. Service user surveys were seen and these are undertaken annually as part of the quality assurance systems in the home. The manager acknowledged that further development of quality monitoring systems was needed and that she was looking into which system would be best for their particular home. Staff had suggested extending the surveys to relatives and the inspector recommended that the District Nurse Teams and GP be included as professional views about the home. The owner manager does not hold any monies on behalf of service users. Service users or their relatives take responsibility for their finances. Service users have lockable facilities to store valuables in their bedrooms. Door keys are provided if service users wish to hold these. It is recommended that a section for key holding is included within the assessment and care plan documentation and reviewed accordingly. Health and Safety policies are in place, but staff have not yet been trained in Health and Safety. As the home is a Registered Care Home but it does not employ more than five staff, the home is expected as from 1st October 2006 to comply with the Regulation Fire Safety Order and has a responsibility to carry out a full fire safety risk assessment for the premises. The Registered Person is advised to access the fire and resilience link on the Internet and obtain fire safety law guidance for business, and view publications in respect of Residential Care and ensuring compliance with this. The inspection found that the manager had an appropriate fire risk assessment pack and was documenting fire drills. There was no evidence of a five year electrical circuit certificate for the premises and this is a recommended as good practice. The owner has purchased Portable appliance testing equipment, but there were no records in place that these had been carried out. Water outlet testing was seen to be taken and recorded. Where the temperature is found to exceed 43 degrees the records should be noted with what action is to be taken and evidence a retest recording. Staff were not aware if risk assessments had been undertaken for surface temperatures of radiators or window restrictors and as the manager stated that the home had not been visited by the EHO [Environmental Health Officer], it is recommended that advice is sought from the EHO in respect of these issues and also to ensure full compliance with food safety legislation. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 8 9 Refer to Standard OP7 OP9 OP9 OP9 OP9 OP9 OP18 OP33 OP35 Good Practice Recommendations Review Care plans and the assessed needs of service users at least monthly Include consent documentation and risk assessment for self-administration of medication within the policy for selfmedication. Monitor the storage temperatures of medication Staff should undertake accredited training in Safe Handling of Medicines. Obtain a copy of The Royal Pharmaceutical Society’s Guidance for administration of medication in care homes. E-mail ifearon@rpsgb.org.uk Seek advice from the community pharmacy about contracts of service. Seek advice from the adult protection unit in respect of up to date protocols and seek training provision in respect of reporting procedures for the manager to attend. Further develop Quality Monitoring systems as discussed Include documentation within the assessment and care plans in respect of service users holding keys to their bedroom door and lockable facilities. DS0000040018.V307204.R01.S.doc Version 5.2 Page 24 Camellia House 10 11 12 OP38 OP38 OP38 Ensure records of portable appliance testing are available for inspection. Ensure the training planned for staff in Health and Safety is not delayed further and seek provision from another source if this is the case Seek advice from the Environmental Health Officer and Fire Authority as specified within the report. Camellia House DS0000040018.V307204.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Camellia House DS0000040018.V307204.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. 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