Inspection on 06/11/07 for Chaldon Rise

This inspection was carried out on 6th November 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

Chaldon Rise 14/03/07

Chaldon Rise 20/06/06

Chaldon Rise 09/01/06

Chaldon Rise 13/09/05

Chaldon Rise 15/11/04

Chaldon Rise 15/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

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Dovedale Court

1 Marten Road

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

CARE HOMES FOR OLDER PEOPLE Chaldon Rise Rockshaw Road Merstham Surrey RH1 3DE Lead Inspector Marion Weller Key Unannounced Inspection 6th November 2007 10:00 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 Chaldon Rise DS0000013307.V352108.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. Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chaldon Rise Address Rockshaw Road Merstham Surrey RH1 3DE 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) 01737 645171 01737 644590 chaldon@careunlimited.co.uk Care Unlimited Mrs Carmelita Paat Shamtally Post Vacant Care Home 34 Category(ies) of Dementia - over 65 years of age (34), Learning registration, with number disability (10), Mental disorder, excluding of places learning disability or dementia (5) Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th March 2007 Brief Description of the Service: Chaldon Rise is one of the three homes owned by Care Unlimited and is a country house, which stands in its own five-acre grounds. The house is situated on the outskirts of Merstham village. The home is registered to offer nursing care for up to 34 older people with Dementia. The home can also care for up to 10 residents with a learning disability and 5 with a mental disorder. Accommodation is arranged over three floors accessible by a passenger lift. Bedrooms are mainly single with en-suite toilets and some have bathrooms. The home offers car-parking facilities for several vehicles to the front of the premises. Current fees range from £750 to £1000 per week according to assessed personal need. Please contact the manager for further information. Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was conducted by Marion Weller, Regulatory Inspector between 10:00 am and 3:40 pm. During that time the inspector spoke with the manager, providers, the quality assurance manager, the activities organiser and other members of the staff team. There was also an opportunity to speak at some length with a resident’s relative. Some judgements about the quality of life within the home were taken from observations and conversation. Some records and documents were looked at and the home’s Annual Quality Assurance Assessment (AQAA) was also used as a source of information. In addition, a tour of the building was undertaken. Due to the nature of the service provided it is difficult to reliably incorporate accurate reflections of residents’ views of the service in the report due to their mental health needs. Responses from relatives and care professionals involved with the home indicated they were generally very satisfied with the standard of care the home provided. Statements made included: “I have no complaints my relative is well looked after” “Staff are caring, friendly and always make themselves available for a chat – there is a good atmosphere in the home” “Excellent and caring staff. ” The manager and staff gave their full co-operation throughout the visit. What the service does well: Services that provide social and nursing care must be sensitive to people of different cultures, age, gender, faith, disability and sexuality. Throughout the service, there was evidence of a good awareness and understanding of equality and diversity issues, which translated into positive outcomes for residents. There was a full activities programme organised to which residents of all levels of capacity had equal access. The home had the use of a specially adapted Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 6 mini bus, which ensured people could also access leisure and recreational activities available in the wider community. Training for staff was taken seriously. The providers clearly invest in the development and performance management of staff to ensure residents are in safe hands at all times. Friends and relatives were welcome to visit and could do so at any reasonable time. Regular meetings for residents, relatives or their representsivess take place to enable everyone to express their views and offer suggestions for improvement in relation to the services provided. There is a choice of meals and some special dietary needs can be catered for. What has improved since the last inspection? What they could do better: Individual care plan folders were seen to be overly large. They contained some historical documentation that could easily be maintained separately from the main plan. It is important that care plans provide easily accessible information to identify individuals’ care needs and be directive to ensure staff know how needs are to be met. A recommendation will be made to archive files regularly to ensure they remain up to date, current and user friendly. Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 7 Residents are largely well protected by the home’s policies and procedures regarding the handling of medication. The current minor shortfalls evidenced in this area need to be resolved in light of good practice advice to secure residents’ safety and protection. No requirements have been made concerning the environment as the proprietor explained to the commission that plans are with the council to build an extension to the property and therefore the three attic rooms will no longer be used. 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. Chaldon Rise DS0000013307.V352108.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 Chaldon Rise DS0000013307.V352108.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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move into the home. People are therefore assured that their needs will be met. EVIDENCE: The manager stated that all admissions to the home have a pre-admission assessment undertaken by qualified staff to identify prospective residents needs. Assessments are usually undertaken either by the manager or the provider. Additional information is also sought from other health and social care professionals involved with the individuals care to further inform the assessment process. All information is gathered and considered before a decision to admit a new resident is taken. Evidence of pre admission assessments was seen in residents’ folders. The pre- admission assessment forms the basis for the individual’s plan of care once admitted to the home. Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 10 The home does not offer intermediate care services. Chaldon Rise DS0000013307.V352108.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 good. This judgement has been made using available evidence including a visit to this service. Resident’s health and personal care needs are being met with evidence of good multi-disciplinary working taking place on a regular basis. Residents are protected by the home’s policies and procedures regarding medication. They can be confident that where shortfalls exist the home will review its arrangements and facilities in light of good practice advice to secure their safety and protection. Residents’ privacy and dignity are considered important and their independence is promoted. EVIDENCE: Each resident had a plan of care based on their pre admission assessment. Three were looked at in detail. Care plans clearly illustrate the action that needs to be taken by staff to ensure that all aspects of the health and personal care needs of the residents are met. They also establish residents’ individual Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 12 capacity for self-care. Risk assessments are in place. Records confirm that care plans are reviewed regularly and the main plan changed if necessary. Residents or their representatives, as good practice demands, now sign care plan review sheets. A recommendation was made at the last inspection that care plans contain only one identified need per page, making the document easier to read. This has largely been achieved. Residents care plan folders were seen to be overly large. They contained some historical documentation that could easily be maintained separately from the main plan. It is important that care plans provide easily accessible information to identify individuals’ care needs and be directive to ensure staff know how needs are to be met. A recommendation will be made to archive files regularly to ensure they remain up to date, current and user friendly. The standard of daily record keeping is generally very informative but does not always reflect the demands of the individual’s plan of care. Daily records are maintained separately from care plan files for all residents. This is not best practice. They need to be accessible to the person to whom they relate and need to be in a form that enables this. Documentation for each individual resident should not be unnecessarily fragmented. The provider and manager are aware of minor shortfalls in care planning and have plans to further develop the system in the home. The provider discussed his intention to install a computer-based system designed specifically to allow for easier access to information and meet all good practice demands. The manager stated that the home’s G.P’s would visit promptly whenever called and the surgery remains a vital support to the home. Other health care professionals such as opticians, chiropodists, dieticians and the local dispensing pharmacist also visit the home regularly to ensure the health care needs of the people who live there are fully met. It was noted that the home has access to a palliative care team should any resident require this support. Medication administration processes and medication administration records were inspected. Only trained nurses administer medication in the home. All such staff have received one day medication training, some have completed or are in the process of undertaking, more comprehensive training. Nurses have access to a lockable medicines trolley and a dedicated medication store. They use a monitored dosage system (MDS) provided by a local pharmacy. The manager stated that the pharmacist audits practice in the home regularly. The home has a dedicated lockable medicines fridge. Records of storage temperatures for medicines are being regularly maintained. Medication records showed no obvious gaps in administration. Hand written transcriptions however were not all signed by a second person to confirm accuracy of transcription and some individual protocols in place for medication that is Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 13 required occasionally, could be further developed. After bringing this to the attention of the manager the inspector was confident that minor practice issues would be reviewed and resolved without delay. A recommendation has been made to that effect. The privacy and dignity of residents are being maintained. Interactions between staff and residents were observed as friendly and relaxed, but respectful. Windows in each resident’s bedroom door remain covered therefore, personal care can be offered in private. Residents’ bedroom doors all have locks and those on the ground floor remain locked when rooms are not occupied. As mentioned in the last report, due to the needs of the residents accommodated, it was not possible to seek their views as to this practice. The manager explained it was done to both prevent residents wandering into each other’s bedrooms and causing a disturbance and to ensure security. Such actions are documented in residents care plans. Chaldon Rise DS0000013307.V352108.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): 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. Social activities in the community and opportunities for mental stimulation and diversion in the home are well managed and provide daily variation and interest for the people who live there. Wherever possible residents are given opportunities to make choices in daily life, allowing for an important level of control over their lives. EVIDENCE: The home has a full time dedicated activities organiser who encourages and supports residents to participate in a variety of activities both inside and outside the home. A full and diverse activities programme was seen which included cultural and religious activities. On the day of the site visit, one resident was being taken by the home’s own transport to visit a local riding school. The activities organiser was busy arranging a full programme of activities for residents to enjoy at Christmas. This covered a period of two weeks and included, amongst other events, a Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 15 party to which residents family and friends were invited, Holy Communion and Carols by Candlelight service and visits out to a local pantomime. The activities organiser said some residents choose not to attend planned events or prefer one to one sessions. Personal preferences were well known and accommodated. This was supported by comments made by relatives. Visitors are always welcomed at the home and there are no restrictions on visiting times. It was observed that choice is limited for some residents due to their frailty but relatives confirmed that they were regularly consulted about care plans and likes and dislikes. Those residents that were able to communicate made choices about their food and where they liked to sit in the lounge and dining room. The home has a dedicated small smoking room for residents, although they currently do not accommodate anyone who smokes. Staff were seen to sensitively assist residents at meal times, where this was necessary. Chaldon Rise DS0000013307.V352108.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): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and have access to a clear complaints procedure which they or their representatives understand and know how to use. EVIDENCE: The CSCI has not received any complaints regarding the service at Chaldon Rise. The home has a clear and comprehensive complaints procedure which they ensure people have ready access to. A copy is displayed in reception and also included in the service user guide. The manager maintains a complaints log and all concerns are noted. Complaints are taken seriously and where necessary, the provider’s quality assurance manager is also involved with complaint resolution. The home has received three minor complaints since the last site visit, all of which have been resolved satisfactorily and within timescale. The safeguarding adults policy was seen, this is in line with local authorities procedures. The home has had two referrals under these procedures since the last site visit. Both have been investigated and appropriately resolved. Records evidence that all levels of staff in the home have received training in safeguarding adult’s procedures. Chaldon Rise DS0000013307.V352108.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 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was clean throughout with no offensive odours. Refurbishment and re-decoration plans are in place to improve both the presentation of the home’s environment and the bedroom accommodation offered to some service users. EVIDENCE: A tour of the building took place. There was also an opportunity to discuss the environment with the providers and the home’s manager. As mentioned in the previous report some bedrooms and communal areas need to be refurbished and the lighting improved. The provider explained that plans are with the local authority to build an extension to the home and this work will include some necessary refurbishments. Plans submitted have had to be twice revised at the request Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 18 of the local authority and therefore the promised work has been delayed. Plans are however expected to be approved shortly and include the eliminatation of the three small attic bedrooms currently used to accommodate residents on the third floor. The inspector was advised however that residents using this accommodatinion do not require the use of a hoist and are able to use bathroom facilities on the floor below. A passenger lift serves all three floors for those with poor mobility. The home has a full time maintenance person and since the last visit, some bedrooms had been decorated as they fell vacant. On the ground floor, bedroom doors are locked when the occupants leave the room. The manager stated this was to ensure that residents did not wander into each other’s rooms. This matter, although not ideal, is documented on individual care plans and agreed with residents or their representatives. The manager said some residents are provided with their own key to retain. There are two laundry assistants who work in the home’s laundry every day and other domestic staff are employed. Infection control training is available to all staff including ancillary staff. The home was clean and pleasant throughout with no apparent odour. Relatives and residents spoken with had no problems with the home’s environment and expressed their full satisfaction. Chaldon Rise DS0000013307.V352108.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. Residents benefit from being cared for by a staff team who are well supported and supervised and the home continues to effectively train and develop staff to their full potential to ensure residents’ needs are met at all times. Residents are protected from any potential abuse by the home’s robust recruitment procedures. EVIDENCE: There were sufficient staff on duty on the day of the site visit to meet residents needs. The home offers accommodation to older and younger residents whose diverse needs can change and often vary from day to day. This requires staffing levels to be flexible. Staff rosters inspected evidenced that numbers of staff on duty varied depending on activity and levels of dependency in the home. The manager stated that staff levels were flexible; however, they never dropped below a minimum number, which was eight staff during the day and four people on duty at night. Both genders of staff are employed and care plans illustrate that residents may voice their preference for personal care to be given by one or both genders. As mentioned earlier there is a good understanding of equality and diversity in the service that translates to better outcomes for residents. Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 20 Staff records and files checked were correct for content and met all the requirements of regulation. The home follows robust recruitment procedures, designed to protect residents. It was noted that a significant number of staff were from overseas whose first language may not be English. As there is a predominantly English speaking resident group at Chaldon Rise, the manager stated that she ensures any language and communication difficulties are picked up quickly and staff are offered ‘improving English’ courses locally to ensure residents needs are consistently met. A comprehensive induction programme is in place for new staff, which meets ‘Skills for Care’ requirements. Mandatory and update training were also seen to have been regularly arranged for new and established staff and a staff training matrix was available. There is an ongoing NVQ training programme, which has resulted in more staff gaining qualifications. Residents and relatives spoke highly of staff and said they were caring, friendly and always made themselves available to speak to them. One relative said there was a good atmosphere in the home, which benefited everyone. Chaldon Rise DS0000013307.V352108.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. The new management arrangements are meeting the needs of the service, people benefit from living in a home where their financial interests are safeguarded and their health, and safety are promoted and protected. EVIDENCE: A new home manager took up post in July 2007. She is a suitably qualified Registered Mental Nurse with relevant residential experience and proven abilities. An application has been received by the CSCI to register the manager and she is currently going through the ‘fit person’ process. Both the manager and her deputy have enrolled for the Registered Managers Award. Throughout the inspection, the Manager clearly had the resident’s welfare at heart and demonstrated openness and honesty. Staff spoke highly of her and Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 22 one said, “there’s a real sense of team now” and another, “the new manager is very hands on, and that’s good. ” The home manager additionally has the benefit and support of a quality assurance manager, a human resource manager and an office administrator to ensure the smooth running of the home. The quality assurance manager is responsible for the quality assurance systems in the home and issues regular customer satisfaction questionnaires and undertakes formal visits in accordance with Regulation. The results of formal quality assurance exercises are used to inform forward planning for the service and the quality assurance manager speaks regularly with resident’s representatives as to the service offered to them. The activities coordinator and other senior staff arrange residents/relatives meetings in the home. The minutes of meetings were available to view and had been shared with all interested parties. The providers stated that no service user manages their own finances. The Annual Quality Assurance Assessment completed by the home indicates that all records of maintenance and safety checks are up to date. All of the home’s policies and procedures were comprehensive and had been reviewed regularly in line with good practice advice and current legislation. There was discussion on the day of the inspection about improving some minor areas of medication administration. The manager stated her intention to address the issues raised as quickly as possible. The manager evidenced a high level of commitment to staff training and development. Since taking up post, she has also refocused staff supervision and annual appraisal processes. Records of staff supervision were seen on staff files inspected. Chaldon Rise DS0000013307.V352108.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 X X 3 X X N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Chaldon Rise DS0000013307.V352108.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. 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. Refer to Standard OP7 Good Practice Recommendations It is recommended that resident’s individual folders be reduced and historical information is stored appropriately. This is to ensure resident’s files remain up to date, current and more user friendly. It is recommended that the manager fulfil the stated intention of reviewing minor shortfalls in current medication administration practices to secure residents safety and protection. 2. OP9 Chaldon Rise DS0000013307.V352108.R01.S.doc Version 5.2 Page 25 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 Chaldon Rise DS0000013307.V352108.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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