Inspection on 29/09/06 for Chervil Cottage

This inspection was carried out on 29th September 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

Chervil Cottage 27/08/08

Chervil Cottage 12/09/07

Chervil Cottage 23/02/06

Chervil Cottage 04/08/05

Chervil Cottage 24/01/05

Chervil Cottage 27/08/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Chervil Cottage Brighthampton Standlake Oxfordshire OX29 7QW Lead Inspector Annette Miller Unannounced Inspection 29th September 2006 10:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chervil Cottage DS0000013070.V313130.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. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chervil Cottage Address Brighthampton Standlake Oxfordshire OX29 7QW 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) 01865 300820 01865 300420 wendy.drewett@virgin.net Mrs Wendy Drewett Mr Mark Drewett Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Admission of one named resident who is under the age of 65. Date of last inspection 23rd February 2006 Brief Description of the Service: Chervil Cottage is a care home for up to 17 older people and is in the village of Brighthampton, about six miles from Witney. There are public transport links to Oxford and Witney. Communal areas include a lounge, a separate dining area and a conservatory. Bedroom accommodation is on the ground floor and is in single rooms, except for one double room that is available for couples who choose to share. There is an attractive garden that is well maintained. Mrs Drewett (joint owner) manages the home. Fees range from £580.00 - £650.00 per week. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Since the 1st April 2006 the Commission for Social Care Inspection (CSCI) has developed the way it undertakes its inspection of care services. This inspection was an unannounced ‘Key Inspection’. A key inspection looks at those National Minimum Standards for the service considered most important by the Commission, and any others that the inspector considers to be necessary. The inspector arrived at the home at 10.15 am and left at 5.30 pm. It was a thorough look at how well the service is doing and took into account detailed information provided by the manager, and any information that CSCI has received about the home since the last inspection. The inspector looked at how well the home was meeting the standards set by the government and has in this report made judgements about the standard of the service provided. The inspector asked the views of the people in the home and other people seen during the inspection, or who responded to questionnaires that CSCI had sent out. Two health care professionals returned comment cards directly to the commission and they both said they thought the home was good. Six residents returned ‘Have your Say’ questionnaires to CSCI and good comments were made, although all six had been completed by the manager who wrote down what residents said. The manager should in future arrange for an impartial representative to assist residents. What the service does well: A GP returned a comment card and commented: “I think this is an excellent care home. The management and staff are excellent”. The residents spoken to during the inspection said they were very happy in the home and thought their care was very good. They liked the food and the choices that were available. Activities are provided and residents can choose whether or not to join in. There are good links with the local community and activities include people visiting the home to talk to residents. The standard of accommodation and cleanliness is extremely good. The manager and her staff are committed to providing a good standard of care to the residents. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 6 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. Chervil Cottage DS0000013070.V313130.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 Chervil Cottage DS0000013070.V313130.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 4. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home’s written information provides useful information about the home, but it does not have the complete range of information that is required. Therefore, residents cannot be assured they have all the information they need to make a decision about admission to the home. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. Intermediate care is not provided. EVIDENCE: Prospective residents are given the home’s Statement of Purpose, a copy of the home’s contract and also information about how to make a complaint. This provides people with a good range of information about the home before they move in, but does not include all the information that is required. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 9 The manager must prepare a Service Users’ Guide, a copy of which must be given to each resident. The manager said she thought the information that was needed had been included in the home’s Statement of Purpose, but when the inspector looked at this document, found this was not the situation. The inspector discussed with the manager what was missing from the Statement of Purpose, and also discussed what was needed in a Service Users’ Guide. The inspector pointed out that the Statement of Purpose needs to be a freestanding document, or set of documents, which must be available on request for inspection by every resident and any representative of a resident. The manager visits all prospective residents to carry out a needs assessment to determine whether or not the home can provide the care that is required. The assessment of a recently admitted resident was examined and the inspector saw that all aspects of assessment had been covered and that there was also a good record of the assessment findings. The manager has a good understanding of staff training needs and recent training has included: understanding Parkinson’s disease, visual impairment, first aid, infection control, nutritional assessment and care planning. Members of staff spoke enthusiastically about the training they had attended and it was clear they appreciated the training opportunities provided by the manager. From the evidence seen by the inspector and comments received, the inspector considers that this home would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Chervil Cottage DS0000013070.V313130.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Staff practice regarding the delivery of care is good and this means that residents can be sure that their health and personal care needs will be fully met. Improvements are needed in some areas of medication to ensure there are safe systems in place to protect residents from potential harm. EVIDENCE: A social worker responded to the CSCI survey saying she was satisfied with the care that was provided. She also said she thought staff communicated clearly and worked in partnership with her. GPs and district nurses visit the home regularly and a record of the care that is provided is kept. A GP responded to the CSCI survey saying: “I think this is an excellent care home. The management and staff are excellent”. The inspector looked at three residents’ care plans and found they contained comprehensive information about each person’s care needs. The action that staff needed to take was listed so that carers could be clear about what they had to do to assist residents. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 11 The inspector spoke individually to one resident in her room and the person expressed complete satisfaction with her care. A conversation was also held with a group of five residents who spoke positively about their care and life in the home. The medication cupboard is securely fixed to a wall, but does not provide separate lockable space to store controlled drugs. Controlled drugs must also be recorded in a controlled drug register (a bound book with numbered pages) to show when this medication is received, administered and disposed of. Following the inspection the manager wrote to the inspector to say a controlled drug cupboard and register had been ordered. The inspector found that one tablet from a supply of controlled drugs (classified as a Schedule 2 controlled drug) was missing. It is important, particularly when controlled drugs are involved, that any discrepancy is investigated and the outcome recorded. The manager explained the reason for the shortfall, but had not kept a record of what had occurred. This should have been done. The inspector noted that some residents were taking a sedative (classified as a Schedule 3 controlled drug). The requirement for this medication is that it is stored in a controlled drug cupboard, but Schedule 3 controlled drugs do not have to be recorded in a controlled drug register, although it is good practice to do so. Although the opportunity exists for a home to purchase a wide range of nonprescription medicines (medication that can be bought over a chemist’s counter) for use within the care home, this must be subject to careful control. If this is deemed appropriate, an agreed list should be compiled in conjunction with the resident’s GP, the pharmacist and the home. A non-prescription medicine had been obtained for one resident, but this had not been discussed with the resident’s doctor. The inspector found that the medication cupboard key was kept loose on top of the medication cupboard, which is extremely unsafe because unauthorised people could have gained access to the cupboard. The person in charge must hold keys to medication storage cupboards and this was implemented during the inspection. Key security is integral to security of the medicines therefore access should be restricted to authorised members of staff only. The inspector observed a carer dispense medication from original containers into pots and to insert a note showing who the medication was for. The carer then signed the MAR charts showing the medication had been given, even though it had not yet been administered. The proprietor should ensure that MAR charts are not completed until a medication is given. Also, medication should be given to a resident from the original container and the proprietor Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 12 needs to review how this can be done, as the home does not have a mobile medicine trolley. The inspector was informed that two members of staff had attended medication training during 2006. The manager should arrange for training updates for all staff responsible for administering medication to ensure good practice is followed at all times. It is recommended that a copy of ‘The Administration and control of Medicines in Care Homes and Children’s Services’, published by the Royal Pharmaceutical Society of Great Britain, is obtained for staff to refer to. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are able to choose how to lead their lives within the home. The meals in the home are good offering both choice and variety and cater for individual likes and dislikes. EVIDENCE: The residents spoken with felt they had opportunities that suited them to take part in activities and social events. Also, that the home was friendly and had a relaxed atmosphere, which they liked. During the afternoon a group of residents said they were looking forward to the ‘keep fit’ class that was due to start at 4 pm. This is a weekly activity provided by an occupational therapist. Other activities include: crafts, games and reminiscence. A mobile library visits the home and there is also a supply of books within the home. Two musical events are arranged each month and there is also a visit by the Cultural Loans Service, which involves a person bringing historical artefacts to the home so that their history can be discussed with the residents. There are also occasional visits to local schools when pupils put on entertainment. An activity programme is displayed in the home. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 14 Residents are actively encouraged to maintain contact with their families and friends. Open visiting hours operate. The inspector observed lunch and saw it was nicely presented and looked appetising. A resident said her meal was “lovely”. Most residents choose to have their meals in the dining room, although some resident prefer to eat in their room and this does not present a problem for staff. Food is freshly prepared each day using seasonal food. Members of staff who are involved in preparing and serving food have attended appropriate food hygiene training. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents feel safe and listened to and are helped to live as independently as possible. EVIDENCE: The home’s complaints procedure sets out clearly the stages and timescale for dealing with complaints. A copy of the procedure is given to prospective residents, and a copy is also available in the home. The manager has not received any complaints since the last inspection, and no complainant has contacted the commission with information concerning a complaint. All staff have attended training on protecting vulnerable adults from abuse during the past year. Chervil Cottage DS0000013070.V313130.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The standard of the environment within this home is good providing residents with an attractive and homely place to live. EVIDENCE: A tour of the building showed that it was clean, well maintained and attractively decorated. The furniture and fittings are tasteful and home-like. The inspector visited two bedrooms and saw they were clean, comfortable and contained residents’ personal possessions, which residents are encouraged to bring in. The home has extremely pleasant grounds that are well maintained. A parttime gardener is employed to tend the garden and to carry out minor maintenance tasks around the home. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 17 Oxfordshire Fire Service last inspected the home on 22nd March 2004 and the report stated: “Good fire precautions being maintained”. An environmental health inspection was last carried out on 13th August 2004. The manager confirmed the requirements and recommendations that were made have been dealt with. Since the last inspection, thermostatic mixing valves to limit the temperature of hot water to approximately 43ºC have been fitted to washbasins used by residents. The inspector found that this type of valve had not been fitted to the home’s bath and the hot water coming from the tap was 50ºC. This potentially places residents at risk. The manager said that carers always run the bath water for residents, using a thermometer to test the water temperature. However, the manager cannot be certain that a resident would not decide to run his/her own bath and a thermostatic mixing valve needs to be fitted. Following the inspection the manager wrote to the inspector confirming this had been done. It is important that thermostatic mixing valves are maintained to the standard recommended by the manufacturer, as there have been fatal accidents where homes have not maintained valves adequately (reference: Health and Safety in Care Homes published by the Health and Safety Executive). There should also be regular monitoring of hot water temperature at outlets accessible to residents. Records of these checks should be kept. The home’s laundry was inspected and was found to be clean and tidy. As a result of recommendations made at the last CSCI inspection, the walls have been repainted with washable paint, disinfectant gel is provided for staff and a pedal bin has been supplied. The infection control policy has been reviewed and updated and a copy given to all members of staff. Infection control training has also been provided. Chervil Cottage DS0000013070.V313130.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 at least once during a 12 month period. 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 the service. Staff morale is high resulting in an enthusiastic workforce that works positively with residents to improve their quality of life. EVIDENCE: The residents spoken to thought staffing levels were good and staff considered they had enough time to give care to residents without rushing. On the day of inspection there were three carers on duty during the morning, two during the afternoon and evening, and one overnight. There is also a member of staff on call within the home to assist at night if needed. The manager was in the home throughout the inspection dealing with management duties. The home has not yet reached the required level of 50 trained members of care staff (NVQ level 2 or equivalent). At present two out of the ten carers employed have obtained this qualification. The manager said that carers are encouraged to do the training and the support that is needed is available. The manager needs to consider how this level of training can be achieved so that carers continue to develop their skills and knowledge, thereby ensuring residents have good care at all times. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 19 Induction training is based on the Skills for Care induction programme. The manager said that staff keep a record of what they have learnt in the induction workbook, which on completion is verified by an external trainer. The inspector spoke to a new member of staff who said she was very happy in the home and thought her induction had been well planned. Recruitment procedures for two members of staff appointed since the last inspection were checked. Most of the information required had been obtained, except that a full employment history had not been provided. To ensure the safety of residents the proprietor must obtain from candidates a full employment history in order for gaps in employment to be identified and checked. Proof of identify was seen in only one of the files. The manager confirmed she had seen proof of identity for the other person when sending off their Criminal Records Bureau check, but had not kept a copy of a relevant document. This needs to be obtained. Chervil Cottage DS0000013070.V313130.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The proprietor is supported well by her staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: The manager does not yet have a qualification at level 4 NVQ in management and care (or equivalent) and this means that Standard 31 cannot be assessed as ‘fully met’ until these qualifications are obtained. However, the manager is skilled and experienced in running the care home and the staff spoken to said they liked working in the home and considered the manager supported them very well. Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 21 The inspector observed the manager to treat residents in a respectful way and to have a gentle manner when they approached her with a query, which happened on a number of occasions during the inspection. The manager obtains feedback from residents and their relatives on a regular basis to assist in the future development of the quality of the service for residents. This information is obtained informally during day-to-day conversations with residents, as well as from formal surveys sent out to people using the service. The last survey was carried out in July 2006 and 11 responses were received. All responses were good. Residents are encouraged to look after their own finances and personal affairs for as long as they can, but when no longer able to do so the responsibility for this is passed to a relative or advocate. The home does not look after any money belonging to residents. The manager and a senior carer provide fire training to other members of staff, but have not attended fire trainers’ training and this should be arranged. The manager said that the fire alarm system was tested weekly, but according to the home’s records the last time it was checked was on the 21st August 2006. The manager should ensure that weekly tests are carried out and recorded. The Health and Safety Executive recommends that the fixed electrical installation is inspected and tested at regular intervals; for care homes this would normally be at least every five years. The manager should check when this was last done and, if necessary, arrange for an inspection of the electrical installation to be done. The manager should also ensure there is a comprehensive risk based approach to the control of Legionella. Since the last inspection radiator covers have been fitted to protect residents from hot surfaces. Chervil Cottage DS0000013070.V313130.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 2 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X 3 3 2 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Chervil Cottage DS0000013070.V313130.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. 1 Standard OP1 Regulation 4&5 Requirement The registered person must ensure that the home’s Statement of Purpose and Service Users’ Guide contain the information that is required. A copy of these documents must be provided to the commission. The registered person must write to the inspector to confirm that a controlled drug cupboard has been provided to store controlled drugs. The registered person must write to the inspector to confirm that a controlled drug register has been obtained and is being used to record the receipt, administration and disposal of controlled drugs. The registered person must write to the inspector to confirm that only those staff with authorised access are holding keys to drug storage cupboards. The registered person must write to the inspector to confirm that a full employment history is being obtained for staff and that gaps in employment are checked. Also, that there is evidence of proof of identify in staff personnel files. DS0000013070.V313130.R01.S.doc Timescale for action 30/11/06 2 OP9 13 (2) 30/11/06 3 OP9 13(2) 30/11/06 4 OP9 13(2) 30/11/06 5 OP29 19(1) 30/11/06 Chervil Cottage Version 5.2 Page 24 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 OP9 Good Practice Recommendations Medication ●The balance of controlled drugs should be checked at each administration and also on a regular basis, for example monthly. ●Compile an agreed list of homely remedies in conjunction with a GP, the pharmacist and the home. ●Give medication from its original container. ●Sign a resident’s medication administration record chart after medication is given. ●All staff responsible for administering medication should attend regular medication training. ●Obtain a copy of ‘The Administration and control of medicines in care homes and children’s services’ published by the Royal Pharmaceutical Society. ●Write a policy for the storage and administration of controlled drugs. ●Maintain thermostatic mixing valves to the standard recommended by the manufacturer and keep records of the maintenance schedule implemented. ●Check at regular intervals the temperature of hot water from outlets accessible to residents and keep records. The percentage of carers with a NVQ in care (or equivalent) should increase. This recommendation remains from inspections of 04/08/05 and 23/02/06. Establish when the home’s fixed electrical wiring was last examined and if more than five years, it should be reassessed with a report produced of the findings. Ensure there is a comprehensive risk based approach to the control of Legionella. Ensure the home’s fire alarm system is checked weekly and the outcome recorded. Ensure that staff who provide fire training are appropriately trained. 2 OP26 3 OP28 4 5 6 7 OP38 OP38 OP38 OP38 Chervil Cottage DS0000013070.V313130.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South, Cowley Oxford OX4 2SU National Enquiry Line: 0845 015 0120 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. 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