Inspection on 29/10/07 for Clare House

This inspection was carried out on 29th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Clare House 07/11/08

Clare House 13/12/06

Clare House 19/04/06

Clare House 27/09/05

Clare House 19/04/05

Clare House 30/11/04

Clare House 02/06/04

Clare House 01/03/04

Clare House 16/04/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Clare House Whittlebury Road Silverstone Northants NN12 8UD Lead Inspector Irene Miller Unannounced Inspection 29th October 2007 10:30 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 DS0000012744.V352458.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. DS0000012744.V352458.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clare House Address Whittlebury Road Silverstone Northants NN12 8UD 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) 01327 857202 01327 858976 apopat@btconnect.com Clarex Limited *** Vacant *** Care Home 25 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (25), of places Physical disability over 65 years of age (25) DS0000012744.V352458.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1 named person may be accommodated over the age of 62 years No one in the category of DE (E) may be admitted to the home if there are already 5 service users in this category accommodated within the home. To limit the number of service users in the categories DE (E) 19th February 2007 Date of last inspection Brief Description of the Service: Clare House is a detached property situated in the village of Silverstone to the south of Northampton and is set back from the road in pleasant gardens. The home is registered to provide personal care for up to 25 residents over the age of 65 years, including up to five people with a diagnosis of dementia. There is a communal lounge, two conservatories, library area and a large pleasant dining room that can accommodate all of the residents at meal times. Bedrooms are over three floors with a passenger lift for access to the first floor. All bedrooms are single rooms. The current fees range from £380.00 for a standard bedroom to £520.00 per week for a large bedroom with en-suite facilities. A chiropody service is included in the weekly fee, hairdressing is provided at an additional cost. The registered provider is Mr Atul Popat; the position of registered manager is vacant. DS0000012744.V352458.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit was unannounced and focused on ‘key standards’ under the National Minimum Standards (NMS) and the Care Standards Act (CSA) 2000 for homes providing care for older people. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for Service Users and their views of the service provided. The care needs of four people living at the home were looked at in depth this involved looking through written information available on their care, such as the care plans (a care plan sets out how the home aims to meet the individual service users personal, healthcare, social and spiritual needs). Discussions took place with the people living in the home, staff and the registered provider, in addition sample checks were carried out on the homes policies and procedures and records in relation to staff recruitment, complaints, and general maintenance and upkeep of the facility were viewed. Prior to this unannounced visit the Commission for Social Care Inspection (CSCI) had sent out to the home the Annual Quality Assurance Assessment (AQAA) for the registered provider to self assess how the home is meeting the National Minimum Standards (NMS) outcome groups. It is an expectation that information received from the AQAA and other information gathered during the unannounced visit form the basis for reaching judgements on how the home is meeting the National Minimum Care Standards and the Care Standards Act 2000 Regulations. Prior to the visit information about the facility such as the previous inspection report and the homes service history were reviewed (the service history details all contact with the home including notifications of events, telephone calls, letters, and details of any complaints and concerns received). The AQAA was not returned back to the Commission for Social Care Inspection by the due date and therefore sample checks were carried out on the homes policies and procedures, quality assurance systems, health and safety records and general observations on the environment and the general maintenance and upkeep of the facility were viewed. Also during the visit time was spent on sample checking staff recruitment records, and the homes medication systems. The homes statement of purpose, that provides information on the range of services available at the home was not available for residents or their representatives to view, it was brought to the attention of the registered DS0000012744.V352458.R01.S.doc Version 5.2 Page 6 provider that this information and a copy of the last inspection report should be available to ensure that residents and their representatives are fully informed about the service. The registered provider Mr Atul Popat was available at the home throughout the visit. What the service does well: What has improved since the last inspection? Improvements have been made in the medication storage and administration systems. DS0000012744.V352458.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000012744.V352458.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 DS0000012744.V352458.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): Standard 1 & 3 (standard 6 is not applicable to this service) Quality in this outcome area is adequate. Pre assessments are carried out however shortfalls in having information on the range of services that the home offers readily available, limits the opportunity for prospective residents to exercise choice and to choose a home that they know will meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Pre admission assessments are carried out and the assessments viewed outlined the prospective residents personal care, health and social needs, prospective residents are given the opportunity to visit the home prior to moving in. The home has a statement of purpose and a service users guide, however in discussion with a relative who was visiting at the time of the inspection it was confirmed that they had not been given the opportunity to see the homes DS0000012744.V352458.R01.S.doc Version 5.2 Page 10 statement of purpose and service user guide and had not seen a copy of the latest inspection report, prior to their mother moving into the home. The statement of purpose had recently been reviewed and the registered provider stated that he would ensure that information was displayed within the front entrance on how to obtain copies of the homes statement of purpose, service user guide and the most recent inspection report. DS0000012744.V352458.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): Standards 7,8,9 & 10 Quality in this outcome area is good. The general the care provided by the home appears to be good and the majority of the care plans viewed were reflective of residents needs. However delays in transferring pre-assessment information into a formal care plan could place new residents at risk of not receiving the individualised care they require. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One resident who had recently moved into the home did not have a formal care plan in place, although there was information on the residents care needs available within the daily notes. The registered provider stated that it was the practice to transfer the information from the pre assessment into a formal care plan subsequent to a review-taking place at the end of the three-week trial period. Care plans are important documents in providing information to care staff about the actions that they need to take to meet the individual assessed needs DS0000012744.V352458.R01.S.doc Version 5.2 Page 12 of the resident. This helps to ensure that people in their care get the health and personal care support that they need. Within the care plans viewed there was records of residents health and personal care needs and moving and handling, nutrition and dependency level assessments had been carried out and kept under review. On speaking with residents they all expressed satisfaction of living at the home saying they were pleased with the care that they receive, all residents appeared smartly dressed and well cared for. The medication storage and administration systems were sample checked and the registered provider had acted upon the requirements made from the last inspection. Only designated staff that have received accredited medication training administer medications to residents and staff spoken with who hold this responsibility demonstrated a sound knowledge of the safe handling of medication. There was no medication trolley and medication was kept in the clinic room. The procedure for administration said that medication was dispensed into individual pots and taken to one service user at a time for administration. This procedure is time consuming because staff have to keep returning to the clinic ensuring that the door is locked in between. Care needs to be taken to ensure that the policy is adhered to and that medication is not prepared into pots for more than one service user at a time for convenience because this practice increases the risk of medication errors due to medication being given or recorded incorrectly. There were records of visits by the residents General Practitioner in response to the changing healthcare conditions of residents and to review residents prescribed medications. Observations of staff and resident interactions during the visit indicated that the staff cared for residents with sensitivity and respect, and residents spoken with were very praising of the staff. DS0000012744.V352458.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15 Quality in this outcome area is Good. People living at the home have the opportunities to pursue their social, cultural, religious and recreational needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the entrance into the conservatory area there was a notice board that had some information available on activities on offer within the home, on the day of the visit an outside therapist was planned to provide music and motivation with residents, however the therapist was on holiday and therefore the activity did not take place. Some of the residents knew that the therapist was on holiday and said that they looked forward to her return, saying that they enjoyed this activity. The staff were observed to spend time sitting and chatting with residents within the lounge and the conservatory area leading from the lounge. One resident spent time in the new conservatory chatting with a friend who was visiting, on speaking with the visitor they said that they came to the home DS0000012744.V352458.R01.S.doc Version 5.2 Page 14 approximately three days a week and that the staff always make them feel welcomed. Within the care plans viewed there was information available on the individuals personal likes and dislikes, and their social and cultural hobbies and interests, this formed the basis for staff to provide person centred activities for residents. Within the care plans viewed there was records of residents participating in their chosen activities, such as going out for lunch with family, reading books, watching TV, and listening to music. During a tour of the building several residents were spending time within their bedrooms, enjoying the piece and quiet, reading the daily newspaper or watching TV, when asked if this was how they chose to spend their time, all confirmed that they liked spending time in their own rooms, and that they have the opportunity to mix with others living at the home at meal times when they come down to the dining room for their meals. When asked about the provision of activities within the home, residents said that they were generally satisfied with what was available, one resident said that they would like to go out more often, although they also confirmed that they did get the opportunity to go out for lunch with their daughter. The dining room was clean, pleasant and welcoming, residents said that they were pleased with the food available, the meal on the day of inspection was Cottage Pie and mixed vegetables. There were records available to demonstrate that the home seeks to accommodate resident’s food preferences and there were records available of resident’s that had food allergies. DS0000012744.V352458.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is adequate. To ensure that residents and their representatives can be fully confident that their complaints will be listened to, taken seriously and acted upon, the registered provider needs to formalise how they respond to concerns or complaints. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes complaints procedure was available within the front entrance area that provided information on how to raise any concerns or complaints about the service the CSCI contact details were available, the registered provider also needs to ensure that the contact details of the Northamptonshire Care Management Team are also included on the procedure. Since the last inspection visit the registered provider said that he had not received any complaints about the service, however the Commission for Social Care Inspection (CSCI) had received one complaint about the service. The nature of the complaint was discussed with the registered provider during the visit, and it was established that the concerns that had been raised with CSCI had also been raised with the provider. There was no formal record kept of the concerns or complaints that had been brought to their attention. DS0000012744.V352458.R01.S.doc Version 5.2 Page 16 Safeguarding adults training had been provided for staff working at the home, however the registered provider had not attended training for managers in this area. To ensure that the Northamptonshire multi agency safeguarding procedure is followed and that the registered provider understands his responsibilities for the people in his care it is important that in the absence of having a registered manager in post that he attend this training. DS0000012744.V352458.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): Standards 19 & 26 Quality in this outcome area is excellent. People living at the home are provided with a clean and pleasant internal and external environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During a limited tour all of the building the bedrooms viewed were clean, pleasantly decorated and furnished to a good standard the rooms contained items of personal furniture, TV, ornaments, photographs and pictures etc. Furnishings throughout the home were pleasant and of a good standard and suitable to the needs of the residents living at the home. The building and refurbishment work has greatly enhanced the internal and external communal space available for residents and a second conservatory has provided an area for residents to receive visitors and an also provided an additional communal facility. Since the last inspection visit there was evidence DS0000012744.V352458.R01.S.doc Version 5.2 Page 18 to demonstrate that the registered provider had made further improvements to the environment, the wall and central lighting in the lounge had been improved and heaters with a cooling facility for summer use had been fitted within the two conservatories. The bathrooms and toilets were clean and decorated to a good standard, and personal protective equipment was available for staffs use. The second conservatory operates as the main entrance and exit of the home, and externally a ramp was available to assist residents and visitors with limited mobility and those who require the use of a wheelchair to access the building safely. A large patio area with tables and chairs provides a pleasant outdoors area for residents and visitors to access safely. DS0000012744.V352458.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): Standards 27,28,29 & 30 Quality in this outcome area is adequate. The staff team are skilled and appropriately trained to carry out their duties to the full. Records of staff recruitment and staff recruitment procedures need to be more robust. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing numbers on the day of the visit indicated that there was sufficient staff on duty to meet the dependency needs of the people living at the home. The registered provider confirmed that no new staff had taken up employment at the home since the last inspection visit. The training and recruitment file of one member of staff was sample checked. At first it was difficult to determine the actual date of when the staff had taken up employment, there was no copy of an offer of employment letter available within the file. There was a record of preliminary checks on the suitability of the staff member to work with vulnerable adults having been carried out, through the through the protection of vulnerable adults register (POVA) and clearances had been obtained from the Criminal records Bureau (CRB), however it was established that this staff member had taken up employment prior to the CRB clearances being received and there was no evidence on file to specify what measures had been put in place to safeguard residents in the interim period whilst awaiting the CRB DS0000012744.V352458.R01.S.doc Version 5.2 Page 20 clearance. The registered provider was reminded that it is only under extreme circumstances that staff commence employment prior to obtaining CRB clearance and under such circumstances the registered provider has a duty to put into place a risk assessment to ensure that the new staff member works under staff supervision at all times. Staff training records viewed demonstrated that all staff had received mandatory training, such as fire, heath and safety, first aid, moving and handling and food hygiene. Some of the training had been provided through the use of a DVD training package that included a multi choice questionnaire to embed knowledge. DS0000012744.V352458.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): Standards 31,33,35,36 & 38 Quality in this outcome area is adequate. The home is run in the best interests of the residents, however to ensure that residents are fully safeguarded the record keeping, policies and procedures need to be more robust. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered provider confirmed that they are taking steps to apply to be registered jointly as the provider/manager for the home. He currently holds a qualification in business management and is due to commence training to gain the Registered Managers Award. DS0000012744.V352458.R01.S.doc Version 5.2 Page 22 Staff spoken to in private confirmed that the registered provider puts the residents first and always has their best interests at heart, comments from residents confirmed that the registered provider ‘seemed a nice man’, whilst some service users were unaware of who the registered provider was. Observations made during the visit of the registered providers interactions with residents and visitors to the home indicated that there was a good rapport, one resident was enjoying a laugh and a joke with the registered provider and it was clear that relationships were good. Through observations of care practice and discussions with staff, visitors and residents it was clear that the staff and the registered provider know the residents individual needs very well, and that the health and personal care needs are being met. However there is a need for a more robust attitude to be taken towards record keeping, management and administration. In February 2007 a random unannounced inspection was carried out during which it was found that it was the practice to keep service users cash or valuables in a box within the medication cupboard, and no policy in place on the safekeeping of service users money and valuables, therefore a requirement was made that a policy was put into operation and followed. The registered manager confirmed verbally that following the inspection it was the policy that only small amount of cash belonging to residents was held at the home to pay for services such as hairdressing or chiropody. That any cash brought in by relatives out of office hours was to be put into a sealed envelope, signed and dated by the relative and the staff member receiving the cash and put into safe keeping, in a locked box within a locked cupboard. However when checking the medication storage and administration it was noted that money was loose within a box containing the residents medication, staff said that the money had been brought in the previous evening, however there was no record of who had brought in the money or which member of staff had received it in line with the new policy. On speaking with the registered provider it was confirmed that there is no formal one to one supervision system in place. In discussions with staff they said that they had not received any formal supervision and that staff meetings rarely take place. It appeared that the registered provider perceived that staff would feel under scrutiny and criticism if they were to receive one to one supervision, however when speaking with staff, some had been employed in other care settings and were aware of the concept of ‘supervision’ and viewed it as a positive tool to provide staff support and identify areas of strengths and identify further training to help them grow and develop within their roles. There needs to be more robust system in place to record concerns and complaints that are brought to the attention of the registered provider and records of the action taken by the registered provider to address the concerns or complaints. DS0000012744.V352458.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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 17 X 18 2 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 1 X 3 DS0000012744.V352458.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 (2) 5 (2) Requirement A copy of the homes statement of purpose and service users guide must be available for service users or their representatives upon request. Care plans must be in place for all residents based upon an assessment of their needs. Records must be kept of all complaints made and include the details of investigation and any action taken. In the absence of a registered manager being in post the registered provider must access training on the Northamptonshire multi agency safeguarding referral procedures. CRB checks must be carried out before staff start work at the home, and only under extreme circumstances should staff take up employment prior to a CRB clearance, in this event the registered provider needs to evidence how service users are to be protected in the interim period, this is to help safeguard residents. DS0000012744.V352458.R01.S.doc Timescale for action 30/11/07 2 3 OP7 OP16 15 (1) 22 30/11/07 30/11/07 4 OP18 13 (6) 28/02/08 5 OP29 19 (1) (i) Schedule 2 30/11/07 Version 5.2 Page 25 6 OP31 10 (3) 7 OP32 17 (2) Schedule 4(9) (a) (b) 8 OP35 16 (2) (L) Where the registered provider is 31/03/08 in day-to-day control of the home, he must meet all of the standards applying to the registered manager. (This requirement remains in force from the last two inspections) All money and valuables held on 30/11/07 behalf of service users must have a record stating the date the money or valuables were received or returned, and include a written acknowledgement of the return of the money or valuables. (This requirement is repeated from the last inspection) A secure storage facility must be 30/11/07 available for the storage of valuables held on behalf of the service users. (This requirement is repeated from the last inspection) All staff must be appropriately supervised and care staff receive formal supervision at least six times a year. 31/12/07 9 OP36 18 (2) 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 The registered provider should give serious consideration to providing a medication storage trolley to ensure that the medication policy is adhered to and that medication is not prepared into pots for more than one service user at a time for convenience. DS0000012744.V352458.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 DS0000012744.V352458.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!