Inspection on 22/05/08 for Dean Wood Manor

This inspection was carried out on 22nd May 2008.

CSCI found this care home to be providing an Adequate service.

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

Dean Wood Manor 26/02/09

Dean Wood Manor 22/08/07

Dean Wood Manor 20/12/06

Dean Wood Manor 11/05/06

Dean Wood Manor 27/02/06

Dean Wood Manor 11/10/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Dean Wood Manor Spring Road Orrell Wigan Greater Manchester WN5 0JH Lead Inspector Mike Murphy Unannounced Inspection 22nd May 2008 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 Dean Wood Manor DS0000064122.V364822.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. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dean Wood Manor Address Spring Road Orrell Wigan Greater Manchester WN5 0JH 01942 223982 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) deanwoodmanor@mimosahealthcare.com www.mimosahealthcare.com Mimosa Healthcare Limited Manager post vacant Care Home 50 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Old age, not falling within any of places other category (43), Physical disability over 65 years of age (8) Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered for a maximum of 50 service users, to include: Up to 43 service users in the category of OP (over 65 years of age) Up to 8 service users in the category of PD(E) (over 65 years of age) Up to 7 service users in the category of MD (Mental Disorder under 65 years of age). The service should employ a suitably qualified and experienced Manager who is registered by the CSCI. The Home must be appropriately staffed at all times. The numbers and skills mix of the staff must meet the needs of service users. 22nd August 2007 2. 3. Date of last inspection Brief Description of the Service: Dean Wood Manor is located off the main Orrell to Standish road. The premises comprising Dean Wood Manor are based around an original Grade II listed building that has been extended to provide accommodation to a total of 50 people. The gardens surrounding the home are extensive and well presented. Car parking for visitors is good. The current registration categories (the groups of people who can be admitted) allow a maximum of 43 elderly people with nursing and/or personal care needs, as well as up to 8 elderly people with a physical disability, and up to 7 younger adults (under 65) with a mental disorder to be accommodated at the home. However these categories may be subject to change in the near future. Dean Wood Manor is part of the Mimosa group of homes. The Mimosa philosophy is Where people matter. The stated aim is to provide all residents with the kind of individual care they need, whilst maintaining their independence, dignity and freedom of choice. Fees take account of the size of room the person occupies, as well as the extent of personal and/or nursing care they require. Fees range from £401 to £502 per week. Additional charges are made for hairdressing and transport. Fees take account the extent of personal and/or nursing care they require. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection (conducted by a CSCI inspector and Regulation manager) which included a site visit that the home did not know was going to take place was carried out over a eight and a half hour period on the 22nd May 2008. The process of inspection included observing what went on in the home, talking to residents, relatives, staff, and the home manager, looking round the home, and examining some important records. Before the inspection, we also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home sees the service they provide the same way that we see the service. We felt this form was completed in well. What the service does well: What has improved since the last inspection? What they could do better: The provision of training, particularly in respect of safeguarding, needs to be organised better. Improvements could also be made in respect of how aspects of the care records are written. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 6 The home also needs to confirm to the CSCI that the periodic NIEIC (electrical safety) check has been conducted and that all areas of the home have been inspected in respect of gas safety, 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. Dean Wood Manor DS0000064122.V364822.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 Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are appropriately assessed prior to admission to ensure the home can meet their care and support needs. EVIDENCE: The pre-admission assessment records of 2 residents admitted to the home over the last 6 months were looked at. Before residents are admitted to the home an assessment of their needs is carried out in consultation with the resident (where possible), their relatives and relevant health and social care professionals such as doctors and social workers. The reason for such an assessment is to help the prospective resident (and their relatives) decide how appropriate a placement at the home would be and enable the nurse conducting the assessment to determine if the home will be able to meet the prospective resident’s needs appropriately. The initial assessment helps to Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 9 form the basis of the plan of care to be followed following admission to the home. The 2 residents care records inspected contained detailed pre and post admission assessments. Residents and relatives spoken to indicated that they were involved in the preadmission process and that their views were important in the process. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, and10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care provided for residents is suitable, well organised, and meets the expectations of residents and their relatives. However some medicine issues are in need of improvement. EVIDENCE: The new home manager and nursing staff have reviewed the care records of all residents at the home over recent months. The manager regularly audits care records to ensure quality in this important area is maintained. The care records of six residents were inspected. Care plans addressed the health and personal care needs of residents in a clear, organised way and were evaluated at least monthly. Risk assessments, that seek to protect resident’s health and welfare supplement the care plans in respect of residents skin integrity (assessing the risk of pressure sores), mobility/moving and handling, nutrition, (including regular weight monitoring) and other areas of potential Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 11 risk for individual residents were also assessed at least monthly (for example the need for bed rails to be used). Daily statements regarding resident’s progress are also recorded and these are dated, and signed by staff but some were not timed. However it was noted that some of the risk assessments, daily statements and care plan evaluations had been signed by staff using their first name. Such records need to be signed appropriately to clearly identify the person making the entry. Also it is recommended that when care plans are evaluated a more detailed comment other than ‘no change’ should be recorded. All residents are registered with a local GP and it was evident that all were enabled to access the services of dieticians, opticians, chiropodists, dentists, district nurses and other specialist services as individual residents needed. Discussion with resident’s relatives on the day of inspection indicated that they are kept informed of all changes in their relation’s health. The arrangements to manage resident’s medicines were inspected by a pharmacist inspector from the CSCI during a random inspection conducted on the 30th of April 2008. Whilst these arrangements were deemed to be adequate a number of issues were identified and requirements and recommendations were made. The requirements and recommendations in respect of medication are detailed in the relevant sections of this report. Discussion with residents and staff revealed that residents were treated with respect and that privacy was upheld and dignity respected. Comments made included; ‘the staff are kind and very caring’, ‘I am very well cared for and love it here, the food is marvellous’, ‘I would recommend here to anyone’. On the day of inspection staff were observed to interact positively with residents and show them respect, protect their dignity and assist them properly throughout the day. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and enabled to maintain family/community contacts and participate in social activities and are also encouraged to make personal choices in their daily life. There was a high level of satisfaction with food provision at the home. EVIDENCE: An activities organiser is employed at the home. A wide range of leisure and social activities are available for groups or individual residents. The home actively raises funds for residents through a variety of events – for example a recent plant sale and a summer fete is planned. Entertainers visit the home regularly and the current group of residents particularly like singers entertaining them. Residents say they can choose what to/not to participate in. A bar has been recently built in one of the smaller lounges and it is hoped this will be shortly in use. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 13 Residents say they are able to make as many choices as possible in their daily lives. For example when they get up, go to bed, what and where to eat, and when and where they receive their visitors. Residents and their relatives said that there continues to be no unreasonable restrictions to visiting at the home. The only time restrictions would be imposed is when requested by residents. Relatives spoken to during the inspection said they were always made welcome at the home and were able to see their relatives in the privacy of their own rooms. Residents wishing to maintain their religious links are enabled to do so. Meals are cooked on site in the home’s kitchen. Meals are varied, balanced and the seasonal menu provides choice – 3 meals a day plus supper are provided – also snack food and drink is available at all times. Meals are prepared in central kitchen on site. Menus were prominently displayed for all to view. There are appropriate and comfortable dining areas provided. Lunch was observed on the day of inspection – this was a hot substantial meal, providing choice, good portions and residents were appropriately/sensitively supported by staff. Staff wore disposable aprons and residents clothing was suitably protected. Residents can choose to eat in their own room if preferred. Medical/religious/vegetarian diets were being catered for. The consensus view from residents is that the food is very good and that an alternative to the menu can always be obtained if requested and that this is supplied willingly. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents and relatives knew how to make a complaint if they felt it necessary. However training arrangements need to be implemented to ensure that staff have current knowledge of safeguarding and protection arrangements. EVIDENCE: The complaints procedure was prominently displayed and is also available in the ‘Service users guide’ that is provided for resident’s and their relative’s information. A complaints log is maintained that details the nature of the complaint, how it has been investigated and the outcome. The home operates safeguarding and whistle-blowing policies that seek to protect residents. In addition, a copy of Wigan’s Inter agency protection procedure is held on site. Staff spoken to confirmed that they had safeguarding training in the past (but could not say when) and were aware of the ‘whistleblowing’ policy. Appropriate pre-employment checks are conducted on all staff to ensure suitable people look after the resident’s. Training records reflect that safeguarding training was provided in between March and August 2006. The importance of providing current safeguarding training was discussed with the manager on the day of this inspection. Discussion with residents reflected that they felt safe at the home. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 15 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, 20,21,22,24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was structurally well maintained throughout and provides a suitable and comfortable environment for the care of residents. EVIDENCE: A tour of the home was made during this inspection. All communal lounges and dining rooms were inspected and eight resident’s bedrooms. All areas were clean and warm and suitably ventilated. Discussion with the manager revealed that a number of environmental improvements have been made since the last inspection. These improvements include programmes of re-decoration, improvements to lighting and refurbishment in those parts of the home occupied by residents. An ongoing programme of work is planned for the future to improve the home environment. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 16 Lounge and dining areas were clean adequately decorated and suitably/comfortably furnished. Bedrooms inspected were clean, suitably furnished and equipped and in a number of cases very personalised. Aids and adaptations have been made generally to the environment to assist and enable residents and appropriate hoisting equipment is available. Specialist beds are provided for those residents whose nursing needs require such provision. The garden areas at the home are well maintained. The central courtyard style garden is accessible to all residents. The laundry area is separate from resident areas. The laundry was adequately equipped and staffed and the arrangements to provide residents with a laundry service were suitable and appropriate. Measures were in place to prevent the spread of infection such as suitable protective clothing for staff, cleaning programmes and hand washing arrangements. Malodour was being managed well specifically in areas of the home where it can be a challenge. All residents have their continence needs assessed and are provided with aids and support to appropriately deal with those needs. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment and provision of staff employed at the home are managed appropriately though some aspects of staff training need to be developed to ensure residents are cared for adequately and appropriately by staff able to deliver this support safely and competently. EVIDENCE: Staffing records showed that qualified nurses and care staff were on duty at all times and that, in addition to nursing and care staff, the home employs a manager, administrator, a cook, kitchen assistants, laundry staff, maintenance and housekeeping staff to ensure that residents needs can be met appropriately. Staffing provision for the 29 residents living at the home at the time of this inspection was in the view of the manager, staff, residents and relatives spoken to appropriate for the needs and dependency levels of residents. However the manager was mindful that increasing resident’s numbers and consideration to the layout of the home necessitates constant review of staffing levels. Over 50 of the care staff have achieved an NVQ 2 (or above) and many have worked at the home for a number of years. Whilst it was evident ongoing staff Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 18 training was being re-organised a clear record of training needs to be developed for each member of staff indicating the date of training provided, the type of training provided and when an update to that training will be due. This is important to demonstrate staff are trained to care and support residents appropriately. It is our view that accessing safeguarding training for all staff should be a priority in respect of staff training at the home. The manager informed us that plans were in place to also provide staff with dementia awareness training and training in respect of the Mental Capacity Act. 3 staff recruitment files were inspected on this occasion. They contained evidence of CRB checks (including POVA first checks), 2 written references, criminal convictions declarations, a recent photograph, proof of identity, and completed application forms – these included a detailed work history and a declaration relating to the prospective employees health status. Checks are made and recorded in respect of the status of registered nurses with their registered body. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 19 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was being effectively managed by the new home manager - a qualified registered nurse with wide experience in nursing and management and the care of older people. EVIDENCE: A new home manager has been appointed since the last inspection. The home manager is a very experienced qualified nurse and is also very experienced in managing services for older people. At the time of this inspection the manager was preparing to apply for registration with the CSCI and has already achieved the Registered Managers Award. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 20 Qualified nurses and an administrator support the manager in her role. A senior management team appointed by the company who own and operate the home also provides regular support. Discussion with residents, their relatives and staff indicate that the manager is accessible and operates an open door policy. Discussion with residents, their relatives, and staff revealed that the manager adopts an approach that enables issues to be easily discussed with her and that emphasis is placed on operating the home in the best interests of the residents. Management policies are effectively implemented and monitored. The manager operates procedures that seek to ensure the quality of the service provided is good – and where it is identified as not being up to standard takes appropriate action to rectify the situation. The manager and her team regularly conduct formal audits of various aspects of systems and procedures operated by the home. For example residents care records are periodically checked to ensure they properly reflect the care and support needed by residents and also demonstrate care and support is delivered. The manager’s area manager also visits the home regularly to support the manager. Measures were in place to ensure that residents’ financial interests are safeguarded. Residents are encouraged to control their own money. However where they are unable (or choose not to) personal allowances are managed by the home. The arrangements for this were secure, appropriately documented and are regularly audited. The inspectors were informed that a full inspection of the home’s electrical systems had been schedule for shortly after this inspection. Documentary evidence was seen of gas safety in respect of the kitchen – but not in relation to the rest of the building – the need for such evidence was discussed with the manager. The premises were secure at the time of this unannounced inspection. Hot water temperatures were being monitored regularly and the inspector was informed all immersion baths/showers are fitted with devices that are intended to prevent burns. The passenger lift is not required at present – but will need servicing before it is used again. Hoisting equipment used in the home is serviced regularly. Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 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 3 3 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 22 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 OP18 Regulation 13(6) Requirement That the CSCI is informed in writing what arrangements have been made for all staff at the home to receive safeguarding training That a record is maintained at the home that records details of the date training has been provided, the type of training provided and the date an update will be due for all staff employed at the home Confirm to the CSCI in writing that the periodic NIEIC electrical check has been conducted and that all areas of the home have been inspected in respect of gas safety Ensure that there are sufficient medicines, in good condition, for residents, to protect their health. (Issued following random inspection by CSCI pharmacist 30/04/08) Ensure that medicine records are clear and complete to show that residents have had their medicines properly. (Issued following random DS0000064122.V364822.R01.S.doc Timescale for action 30/06/08 2 OP30 18(1)c 30/06/08 3 OP38 13(4)(a) 30/06/08 4 OP9 13(2) 31/05/08 5 OP9 13(2) 31/05/08 Dean Wood Manor Version 5.2 Page 23 6 OP9 13(2) 7 OP9 13(2) 8 OP9 13(2) inspection by CSCI pharmacist 30/04/08) Ensure that all medicines are given and recorded at an appropriate time of day according to the directions provided on the pack and patient information leaflet and the residents’ individual needs. (Issued following random inspection by CSCI pharmacist 30/04/08) Ensure staffs are competent to manage medicines by regularly auditing the medicines and associated records and providing training when a need is identified. (Issued following random inspection by CSCI pharmacist 30/04/08) Ensure that there is a system to manage medication errors appropriately. (Issued following random inspection by CSCI pharmacist 30/04/08) 31/05/08 31/05/08 31/05/08 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 Refer to Standard OP7 Good Practice Recommendations That daily statements in care records should be timed That more detailed comments should be made when evaluating care plans/risk assessments in care records That staff should sign their name in full when making entries in care records to clearly identify who is making the entry That staffing levels are regularly reviewed to ensure they are appropriate to meet resident’s needs. 2 3 4 OP7 OP8 OP7 OP27 Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Dean Wood Manor DS0000064122.V364822.R01.S.doc Version 5.2 Page 25 - 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!