Inspection on 08/10/07 for Chalfont

This inspection was carried out on 8th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Chalfont 07/10/08

Chalfont 14/09/06

Chalfont 30/12/05

Chalfont 11/07/05

Chalfont 06/01/05

Chalfont 02/08/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Chalfont 6 Southern Road Southbourne Bournemouth Dorset BH6 3SR Lead Inspector Carole Payne Key Unannounced Inspection 8th October 2007 08:30 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 Chalfont DS0000003925.V352080.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. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chalfont Address 6 Southern Road Southbourne Bournemouth Dorset BH6 3SR 01202 420957 SAME AS TEL: 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) Mr Michael Robert Adams Mr Terence Charles Aston Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user (as known to CSCI) under the age of 65 may be accommodated. 14th September 2006 Date of last inspection Brief Description of the Service: Chalfont is a detached property situated in a quiet residential area of Southbourne. It is situated between the seafront and a shopping centre and other local amenities that include a post office, cafes, restaurants, a library and places of worship. Public transport is available within easy walking distance and provides access to other areas of Bournemouth. The home is registered to provide care to up to 10 older people. The accommodation is arranged on two floors and there are 9 bedrooms, 8 are single and there is 1 double. There is a chair lift to assist with access to the first floor. There is a separate lounge and dining room. There is an enclosed garden to the rear of the property with seating. The front of the home has a forecourt, which is used for parking up to 3 cars. There are pets in the home belonging to residents and the registered providers. Current fee levels are £342 to £442. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on the 8th October 2007 and took a total of 6.5 hours, including time spent in planning the visit. The inspector was made to feel welcome in the home during the visit. This was a statutory inspection and was carried out to ensure that the six residents who are living at Chalfont are safe and properly cared for. Requirements and recommendations made as a result of the last inspection visit and key standards met at the last inspection on 14th September 2006 were also reviewed. The premises were inspected, records examined and the daily routine observed. Time was spent in discussion with four residents living in the home and one staff member on duty. Throughout the inspection the management and staff team have demonstrated a positive and proactive commitment to addressing any issues raised and continuously improving the quality of life for residents. Although there were areas of concern and requirements have been made as a result of this inspection, there is no doubt that from the perspective of people living at Chalfont, this home offers a very special environment, which they are pleased to call home. What the service does well: For the people living at Chalfont, the home provides an environment, which meets their needs. As one resident said living at the home is ‘heaven’. The service makes people feel welcome when they move in to the home, ensuring that people feel reassured that their needs are satisfactorily met. One resident said ‘we are so well looked after. Another resident said ‘I am very lucky; the people here are so kind. What more could you ask for.’ Care records are in places, which describe the sensitive and supportive manner in which residents’ health, personal and social care needs are to be met. People who live at Chalfont are supported to live their lives according to their choices and preferences; enjoying daily routines such as meals and mealtimes, made special by the standard of food provided. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 6 One resident said ‘the meals are lovely; always fresh vegetables.’ Another said ‘I have no complaints. I could not ask for more.’ People who live at Chalfont feel that they can raise any issues informally and that they will be responded to and feel that the home meets their expectations such that they have no complaints. Chalfont benefits from a clean, hygienic and well-maintained environment, which provides residents with homely surroundings. Staff members possess the experience that they need to meet residents’ needs. Two residents commented that there are always staff members around should they need any help or assistance. A resident said ‘I am very lucky; the people here are so kind. What more could you ask for.’ The experience of the providers enables the needs and choices of residents to actively be responded to. What has improved since the last inspection? What they could do better: A written pre-admission assessment by the home and a letter to prospective residents confirming that the home can meet their needs will ensure that no one moves into the service without their needs being formally assessed. Written risk assessments must be carried out regarding residents’ healthcare needs, and, according to the outcome, any preventative action required must be implemented to safeguard the well-being of residents. It must be ensured that residents are protected by safe record keeping practices in respect of all medicines in the care home, ensuring that they can be audited at any time from receipt to disposal / administration. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 7 Controlled drugs should be stored and recorded according to current safe practice guidelines. Risk assessments must be carried out for stand-alone heaters and bath water temperatures and, according to the outcome appropriate measures put in place to protect residents from the risk of scalding. A staff roster must be maintained, which shows that adequate members of staff work in the home to meet the needs of residents. According to a review of the training needs of staff members an induction programme, and mandatory training must take place, ensuring that all staff members update their skills in meeting the needs of people living at Chalfont. 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. Chalfont DS0000003925.V352080.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 Chalfont DS0000003925.V352080.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although there is no current written system for assessing people’s needs prior to moving in, informal systems ensure that no one moves into the home without being assured that their needs can be met by the service. EVIDENCE: Records were viewed for two people who had spent time living at the service since the last inspection. One of the residents had come into the home for a respite stay. There were thorough details on file from external health and social care professionals, which gave the home information regarding whether it was able to meet the prospective residents’ needs. The providers confirmed that they always try to go and meet people before they move in and they are welcome to come and look around the service. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 10 At the time of the inspection the home did not have a format for recording pre-admission assessments and a letter confirming that, according to the assessment, the home is able to meet people’s needs. One resident said ‘I couldn’t have made a better move.’ Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care records are in place, which describes the sensitive and supportive manner in which residents’ health, personal and social care needs are to be met. At present there are no healthcare risk assessments, which will support the home’s commitment to keep residents safe. Meticulous and careful handling of medicines is not currently supported by a transparent audit trail. EVIDENCE: Care records comprise assessments / care plans. Three care records were viewed. All were personalised and contained information regarding the person’s likes and dislikes as well as care needs and requirements. One care plan needed updating to reflect a resident’s changing needs and this was underway during the visit and in place shortly after the inspection visit. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 12 Daily records are completed, which include details regarding health as well as personal and social care needs. One resident said ‘We are so well looked after.’ Daily records demonstrate that when a resident is unwell prompt action is taken to refer to the General Practitioner. Health and social care professionals visit the home, as appropriate, supporting the service to care and enable its residents to enjoy a good quality of life. The home has pressure-relieving equipment for the prevention of pressure sores. There were no risk assessments in place regarding healthcare needs such as manual handling, nutrition and pressure sores. However care plans and daily records reflected that risks are being assessed informally and considered in planning and delivering care in the home. One resident had developed an infection and there was referral to signs and symptoms in the care records, prompt referral to the General Practitioner and antibiotics administered as prescribed. People living at Chalfont are supported to take exercise, if able. One resident said that they enjoy walking to the sea front. It was recommended in the last report that the home ensures that it has full details regarding residents’ medication when they move in for a respite stay. This information was present on the file seen. The member of staff responsible for the safe administration of medicines takes great care to ensure that medicines are safely kept and administered. The administration of medicines is recorded on the Medication Administration Record (MAR) charts. Medicines are recorded when they are received into the home. Any advice given was promptly responded to, reflecting the commitment of the service to care and protect its residents in all aspects of practice. At the moment it is not possible to audit any boxed medication from opening to the point of disposal. For example one resident was taking warfarin, which was supplied in a box and was a variable dose. The member of staff responsible for the administration of medicines said that she would ensure that these medicines are dated on opening and that when medicine is prescribed according to a variable dose, the actual amount given is recorded. Medicines in the dosette boxes checked corresponded with the MAR chart recordings of medication given. The home does not have a controlled drugs cupboard, but made arrangements at the time of the inspection, to ensure that a controlled drug was stored Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 13 within a locked container, in a locked cupboard. According to current good practice guidelines the home should consider obtaining a controlled drugs cupboard. The home does not currently have a controlled drugs register, so medicine is not signed when the two people check the medication to be given and the amounts are not monitored as doses are administered. They are, however, meticulously recorded on the MAR chart. The staff member responsible for the safe administration of medicines was advised to ensure that a record is maintained of creams applied and that any handwritten entries that are made on the MAR charts are checked and signed by two members of staff. One resident said that living at Chalfont is ‘heaven’. The staff member who showed the inspector around the home took care to knock on residents’ doors and was met by a very warm greeting from residents. Another resident said that ‘I am very lucky; the people here are so kind. What more could you ask for.’ Support provided to residents during the visit was sensitive and enabling. Chalfont DS0000003925.V352080.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. People who live at Chalfont are supported to live their lives according to their independent choices and preferences; enjoying daily routines such as meals and mealtimes, made special by the standard of food provided. EVIDENCE: There were details on individual files seen of residents’ interests. During the visit some residents spent time in the lounge watching the television. One resident said that they like to go out for a walk sometimes. Two residents said that they prefer to stay in their own rooms. They both said how much they enjoy chatting with staff members. Residents said that they very much do what they like to do, when they want to. One person living in the home has a dog, which the home supports the resident to care for. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 15 One resident had a lot of photographs, which they said they enjoy looking at and showing to people who visit them. One of the providers confirmed that visitors are made welcome in the home. There were no relatives or friends visiting at the time of the inspection. However, there is a family atmosphere. One resident said that they like being in a small home, where they feel part of what is going on. The meal on the day of the visit was well presented. Some residents ate in the dining room; others preferred to eat in their own rooms. Individual wishes are respected. The member of staff responsible for cooking lunch took great care to present a pureed diet for a resident, to look both appetising and palatable. Residents said: ‘The meals are lovely; always fresh vegetables.’ ‘The food is always good. I enjoy it. Chalfont DS0000003925.V352080.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 adequate. This judgement has been made using available evidence including a visit to this service. People who live at Chalfont feel that they can raise any issues informally and that they will be responded to and feel that the home meets their expectations such that they have no complaints. Adult protection training will support the home’s commitment to protect residents from harm. EVIDENCE: The home has a complaint’s procedure, which is part of the service user’s guide, which is made available in individual rooms. The provider confirmed that the home has not received any complaints since the last inspection. One resident said ‘I have no complaints. I could not ask for more.’ The two files seen for staff members working at the home did not contain details of any adult protection training undertaken. There are only two staff members in addition to the providers and the staff member on duty did have a working knowledge of what they must do should there be an allegation of abuse. As referred to in the last report the Skills for Care website was discussed in relation to staff training. This includes a knowledge set in relation to protection of vulnerable adults. This can be accessed at: www.skillsforcare.co.uk . Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 17 The home has an adult protection policy, which was amended, by hand, at the time of the visit, to refer to local No Secrets guidance regarding referral procedures relating to the protection of vulnerable adults. The policy had already been amended to include reference to suspension of a staff member should there be an allegation of abuse, as recommended in the last report. Chalfont DS0000003925.V352080.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): 19, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Chalfont benefits from a clean, hygienic and well-maintained environment, which provides residents with homely surroundings. Some aspects of health and safety require attention to protect residents from the risk of harm. EVIDENCE: Chalfont has a very warm and welcoming environment, which is well decorated and maintained to a satisfactory standard. Residents spoken with said that they are pleased with their individual rooms, which are personalised. There is a pleasant dining room and sitting room. There is an area to the rear of the home where residents can sit out in warmer weather, although the provider said some residents prefer to sit outside the front of the home, so that they can watch the comings and goings during the day. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 19 There was a stand-alone heater in a resident’s room and in the hallway. The bath water temperature was above fifty degrees centigrade. The providers stated that current residents do not move around the home unassisted or bath unaided. However, the use of the heaters and the bath water temperature must be risk assessed, and, according, to the outcome appropriate measures taken to protect residents from the risk of scalding. The bath water must be delivered at a safe temperature. This risk must be considered when new residents move into the home. All areas of the home visited were clean and hygienic. Staff members were observed using good infection control procedures, including hand washing and wearing protective gloves, as appropriate. There was no evidence that staff members had received updated training in infection control (See Staffing.) Chalfont DS0000003925.V352080.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): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lack of a staff roster makes it difficult to determine that staffing levels are adequate at all times. Staff members possess the experience that they need to meet residents’ needs, but must update their mandatory training to ensure that they are aware of current good practice and guidance, in caring for residents. EVIDENCE: The home currently employs two members of staff. There was no staff roster in place. At the time of the inspection there were six residents, but the providers/managers were about to go and assess two prospective residents who were considering moving into the home. One of the providers does not engage in hands on care. The providers will need to reassess staffing levels according to the needs and numbers of residents accommodated and a weekly roster must be produced. Two residents commented that there are always staff members around should they need any help or assistance. During the visit staff members had time to care and support for people living in the home. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 21 At present no members of staff possess National Vocational Qualifications in Care. However, the home benefits from a long-standing staff team. During the visit, both the providers and the member of staff on duty demonstrated a knowledgeable and caring awareness of the needs of people living in the home. Records also demonstrated that there is responsiveness to the changing medical needs of people living in the home. No new staff members have started work since the last inspection. Records seen for staff members who had been working at the home for some time included Criminal Records Bureau checks. Records of staff training seen showed that staff members need updating in mandatory areas of practice. One member of staff had a manual handling certificate, which expired in 2005 and the other member of staff had a certificate on file, which was completed in 2004. A complete audit of staff members’ training needs is required to establish training needs, so that staff are continuously updated in maintaining skills in caring for people living at Chalfont. Chalfont DS0000003925.V352080.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): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The experience of the providers enables the needs and choices of residents to be responded to proactively. Training in health and safety and the completion of risk assessments will support the management and staff members’ commitment to protect people living in the home from harm. EVIDENCE: The provider / managers of Chalfont bring a long history of experience to their roles. Their day-to-day involvement in the running of the home enables them to develop a very special and thorough knowledge of the needs and wishes of people living in the home, and a service, which reflects this. One resident said Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 23 that the providers ‘are always there when I need them, there couldn’t be a more caring place to live. Neither of the providers has undertaken National Vocational Qualifications and feel that given the stage they are currently at in their careers, they wish to focus on continuing to provide and care for their residents. This will be reviewed at the next inspection. At the time of the visit the home had not introduced a formal quality assurance system. It was, however, evident that informal systems of feedback and communication exist in the home, which means that resident needs and wishes are listened to and staff members work with the providers jointly to provide care. Daily records are extremely thorough and provide a documented record of how each resident’s needs are responded to. Given the size of the home and other priorities highlighted in this report a written quality assurance system should be considered in the future. The providers confirmed that no residents’ monies are held on behalf of service users and neither act as appointee for any resident. The home maintains regular records of fire checks in the service and of maintenance of other equipment and services. Sample of records were seen. Training in areas of health and safety need to be updated (See Staffing). The completion of risk assessments in relation to health and safety in the home is also referred to in this report. Chalfont DS0000003925.V352080.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 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X 2 2 STAFFING Standard No Score 27 2 28 2 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 Requirement The home must introduce a formal written process for assessing prospective residents’ needs and write to people confirming that, according to the assessment, the home is able to meet their needs. Written risk assessments must be carried out regarding residents’ healthcare needs, and, according to the outcome, any preventative action required must be implemented, promoting the well-being of residents. The registered person must make arrangements for the safe recording of controlled drugs, according to guidelines set out in The Control and Administration of Medicines in Care Homes. The registered person must ensure that residents are protected by safe record keeping practices in respect of all medicines in the care home, ensuring that they can be audited at any time from receipt to disposal / administration. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 26 Timescale for action 30/11/07 2. OP8 13 31/12/07 3 OP9 13 30/11/07 4. OP25 13 5. OP27 18 6. OP30 18 Risk assessments must be carried out for stand-alone heaters and bath water temperatures and, according to the outcome appropriate measures put in place to protect residents from the risk of scalding. A staff roster must be maintained, which shows that adequate members of staff work in the home to meet the needs of residents. According to a review of the training needs of staff members an induction programme, and mandatory training must take place, ensuring that all staff members update their skills in meeting the needs of people living at Chalfont. 30/11/07 10/10/07 31/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 3. Refer to Standard OP9 OP33 Good Practice Recommendations It is recommended that the home record controlled drugs and store them according to current safe practice guidelines. It is recommended that the registered persons put in place a statement of intent to indicate the measures they will take to ensure the quality of services is improved or good standards maintained. This recommendation is not met from the report of the visit to the home on 14th September 2006. Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Chalfont DS0000003925.V352080.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!