Inspection on 14/02/07 for Edgbaston Beaumont

This inspection was carried out on 14th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Edgbaston Beaumont 21/08/07

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Heathlands

Aston Court Nursing Home

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Ravenhurst

Bank House

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Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Edgbaston Beaumont 32 St James Road Edgbaston Birmingham West Midlands B15 2NX Lead Inspector Elizabeth Mackle Key Unannounced Inspection 14th February 2007 09:45 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 Edgbaston Beaumont DS0000069247.V332242.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. Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edgbaston Beaumont Address 32 St James Road Edgbaston Birmingham West Midlands B15 2NX 0121 440 0421 0121 446 3333 edgbaston@barchester.net 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) Barchester Healthcare Homes Ltd Ms Dianne Bland Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Old age, registration, with number not falling within any other category (28) of places Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That one named person, who is under the age of 65 years at the time of admission can be accommodated and cared for in this home. 24th January 2006 Date of last inspection Brief Description of the Service: The home is well established and situated within the boundaries of Birmingham city centre with easy access to community facilities. Edgbaston Beaumont provides nursing care for up to twenty-eight persons above the age of 65 years who may suffer from dementia. Accommodation is provided in single en-suite rooms situated on the ground and first floors. A shaft lift provides assisted access to each floor. Communal toilets and bathrooms are strategically located on each floor, which include assisted bathing facilities. There is a lounge situated on the first floor as well as a main lounge, restaurant, conservatory and a further lounge located on the ground floor. These rooms are of a high standard, well appointed, furnished and maintained. There is a pleasant enclosed garden, which residents frequent during clement weather. The home also has a gym for use by residents and separate close care accommodation within the grounds and the nursing home building. There is ample parking available at the front of the premises. The spacious reception area is staffed during office hours Monday to Friday, and beverages are freely available to visitors and residents. The scale of charges for the home is: £700 - £950. Items not included in the charges were: hairdressing, newspapers, chiropody and transport. Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report reflects the finding of an unannounced fieldwork visit conducted by one inspector over the course of one day. During the visit the inspector received assistance from the deputy manager, and the regional manager was also available for part of the visit. Both were very helpful and informative. Prior to the visit the manager had completed a pre-inspection questionnaire, which provided information about the home, residents and staff. A number of questionnaires were sent to the home prior to the fieldwork visit for circulation to residents, relatives and visiting professionals. Of the three of these returned by relatives/visitors, comments were generally favourably, although two did comment that in their opinion there were not always sufficient numbers of staff on duty. Information was also gathered on the day of the visit by speaking with four residents, six staff members including the deputy manager and regional manager; staff were also observed performing their duties. Communal areas in the home, and a number of bedrooms were viewed. A selection of residents care records were sampled, together with staff recruitment documentation, and a range of other care and health and safety documentation was viewed. On the day of the visit there were 27 residents in the home, and one resident in hospital. What the service does well: Residents were provided with a good standard of accommodation throughout the home, which was comfortable, homely and well furnished, and this helped enhance their quality of life. Prospective residents were able to visit the home in order to assess the facilities, in a way that suited their individual needs. Residents were very happy with the service they were receiving at the home. Comments included: “My needs are very well met; in fact I’m slightly spoiled”. “It’s the people who make it wonderful”. “The food is excellent”. Residents were very happy with the standard of catering provided in the home. The menus and observations made during the course of the visit evidenced that the menu was interesting and varied; choices were available, and the food was tastefully presented. Residents looked forward to mealtimes. Residents were treated with courtesy and respect and enjoyed good relationships with the staff. Systems had been developed which ensured that the views of residents were sought and acted upon, and this helped ensure Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 6 that residents felt able to effect changes within the home. Residents also benefited from access to an independent advocacy service, the cost of which was met by the company. There were no rigid rules or routines in the home, and residents were able to spend their time as they wished. A wide variety of social activities were on offer, together with opportunities for religious observance. 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. The summary of this inspection report can be made available in other formats on request. Edgbaston Beaumont DS0000069247.V332242.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 Edgbaston Beaumont DS0000069247.V332242.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): 1, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Service Users guide documents provided sufficient information to ensure that prospective residents were able to make an informed choice about whether the home would be able to meet their needs. Prospective residents and their families were encouraged to spend time in the home before making a decision to move there; this enabled them to have some knowledge of what life in the home was like. EVIDENCE: The home had a comprehensive Statement of Purpose that contained all information required by the regulations. This required minor updating in relation to current staffing. Both the statement of purpose and service user guide needed to be revised to ensure that it was clear that complaints may Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 9 referred to the Commission for Social Care Inspection at any time, and not just if the complainant remained dissatisfied. Neither the statement of purpose nor the service user guide had been produced in large print, audiotape, or other suitable formats for people with poor eyesight. It is important that potential residents with poor eyesight have equal access to information about the home and this needs to be readily available. Residents received a “Welcome Pack” that contained much useful information, and a copy of the last CSCI inspection report was also available. Residents received a contract of the terms and conditions of residency when they were admitted to the home, and there was evidence that these were comprehensive and had been signed as agreed by either the resident and or representative. A comprehensive pre admission assessment of individual care needs was undertaken. Prospective residents were encouraged to spend time in the home before deciding if they would wish to live there. Intermediate care was not provided at the home. Edgbaston Beaumont DS0000069247.V332242.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, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The delivery of general care and health care was good. Each person had a full assessment and an individual care plan that was regularly reviewed ensuring that needs were identified and met. The systems for the administration of medication were good; however arrangements for the custody of controlled drugs and for the disposal of unused medication needed to be more robust to ensure compliance with the regulations. Residents were cared for in a respectful manner ensuring that their dignity and self-esteem were maintained. EVIDENCE: The care records of four residents were sampled. The standard of care planning and care delivery was good. Each resident received a comprehensive assessment, and this included his or her physical, psychological and social well-being. There was a detailed care plan for each identified care need and it Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 11 was clear that residents and their relatives were involved in the planning of care. Appropriate risk assessments were carried out, including falls, nutrition, skin, use of bedrails and continence. Care plans were regularly reviewed. There were no residents with pressure ulcers at the time of the visit. Nursing staff regularly check residents’ blood pressure and urinalysis to ensure that any abnormalities are identified at an early stage, and monthly audits of nutrition, pressure areas and pain are carried out. Residents had good access to a range of other professionals as required, such as general practitioner, tissue viability nurses, physiotherapy and chiropody. Daily progress notes are maintained and indicated the general condition of the resident. One resident stated “my needs are very well met; in fact I’m slightly spoiled”. The systems for the management of medication were looked at and the medicine administration records (MAR) of two residents sampled. These were found to be in order. The home received pharmacy services from a local branch of Boots the chemist, and the pharmacy staff carried out quarterly audits. It was noted that a very a large amount of unused medication (excluding controlled drugs) had accumulated, stored in the clinic in an unlocked bin, and was awaiting collection by the company engaged by the home to provide this service. The records indicated that the last time a collection was made was in August 2006. Although a record was kept of items as they were placed in the bin, the system was unsatisfactory as it would be difficult to audit whether any items had been removed from the bin. All unused medicines must be securely stored, and arrangements in place to ensure that they are removed from the home at frequent intervals, and not allowed to build up. Separate arrangements were in place for the destruction of controlled drugs. However, it was concerning to note from the controlled drugs register that some analgesic patches, which had been prescribed for a resident and then discontinued, had been removed from the home by a doctor. The deputy manager undertook to provide an explanation for this irregularity at the earliest opportunity, and the matter was also passed to the Pharmacy inspector for further investigation. All nurses in the home needed to be reminded of their responsibilities in relation to custody of controlled drugs, and that failure to follow proper procedures may be a disciplinary matter. Staff were observed to be assisting and interacting with residents in a sensitive and respectful way, and to knock before entering residents’ rooms, and this helped ensure that their privacy and dignity were preserved. Edgbaston Beaumont DS0000069247.V332242.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, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The range of social activities provided in the home helped to enhance the quality of life for the residents. The dietary needs of residents were well catered for with a balanced and varied selection of food available that met their needs and tastes, and preserved their dignity. EVIDENCE: The home had a part-time activities organiser who had been in post for several years and this provided good continuity. The activities organiser was able to work in a flexible way and this ensured that activities were widely available throughout the week. An Activities programme, in large print, was prominently displayed and reviewed weekly. A copy of the Activity Programme was delivered to each resident weekly. Activities on offer included Art, Quiz’s, Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 13 Keep fit, Scrabble, News and chat sessions, pre-lunch sherry, garden walks, flower arranging, cark making and crafts. Residents were also able to attend activities of their choice outside the home, and these included trips to garden centres, pub lunches, and shopping. The religious needs of residents were well catered for with ministers of religion attending the home, and a hymn service held on a regularly basis. In addition those residents who wished to attend their place of worship in the community were encouraged to do so. There was an open visiting policy and visitors were made to feel welcome. There were no rigid rules or routines at the home and residents were able to go outside of the Home with their friends and families as they chose which was important to maintain their independence and individuality. The arrangements for catering were looked at, and discussions held with the chef who displayed a good knowledge of the individual needs of residents, including those with allergies and special diets. The company was very supportive of training for catering staff, and the chef had attended a number of interesting training courses, which ensured that his knowledge was regularly updated and enabled him to offer a better service to residents. Weekly menus identified a variety of wholesome and nutritious meals and alternatives to these were also available. Most of the cooking was done on the premises and supplies appeared to be varied and plentiful. Special diets could be prepared for reasons or health, taste or religious/cultural preferences. One resident said, “The food is excellent”. Since the last fieldwork visit fly screens had been fitted to the kitchen windows. Edgbaston Beaumont DS0000069247.V332242.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, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a robust system for handling complaints, and this helped ensure that residents were protected and felt that their views were listened to and acted upon. EVIDENCE: Two complaints had been made directly to the Home since the last field work visit. One of these was an issue relating to food, and the other was an ongoing matter, which included a dispute about payment of fees. The complaints register contained a summary of each complaint and demonstrated that the management team had investigated these in a timely and appropriate manner. Evidence of the investigation carried out, together with the outcome and copies of correspondence were available. No complaints had been received by CSCI since the last fieldwork visit. The company had a comprehensive Protection of Vulnerable Adults policy. At the time of the last fieldwork visit it had been noted that amendments to the policy were required in order to ensure that it fully complied with the standard. Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 15 This matter has still not been addressed. However, it was clear from discussions with senior staff that they are clear about how to proceed in the event of any allegation of abuse. Nevertheless, it is necessary that the policy clearly state that any suspicion of abuse will be referred as an “Adult Protection” matter to Social Care and Health. Edgbaston Beaumont DS0000069247.V332242.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provided residents with a pleasant, well maintained, and homely environment, which helped, ensure that residents were comfortable, secure and safe. EVIDENCE: The internal environment of the home was bright, pleasant and generally well maintained. The reception area of the Home was spacious, inviting and comfortably furnished. A receptionist was employed and this ensured that visitors to the home received any assistance required. A supply of beverages was freely available for visitors and residents. Throughout the home the Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 17 standard of floor coverings, furnishings and fabrics was good. The standard of cleanliness throughout the home was and residents enjoyed a comfortable and homely environment. The ground floor lounge was very pleasant, homely in style and tastefully furnished with ornaments, pictures, piano, television, radio and compact disc player. This helped ensure that residents had opportunities to socialize and engage in activities of their choice. There was a pleasant garden for residents to enjoy in warmer weather; this was well maintained, easily accessed and was suitable for wheelchair users. The lounge on the first floor was homely and comfortable with a balcony with seating provided for residents who wished to use it. Bathrooms were domestic in style with good use of homely touches such as pictures, tiling and shelving. Bedrooms were spacious and had been personalised to reflect the interests, and tastes of individual residents so that they were comfortable in their surroundings. A small library was provided in a ground floor hallway, and residents made good use of this facility. The walls were scuffed in this area and some redecoration was required to ensure that it was up the standard of the general environment. The temperature within the Home was comfortable on the day of the visit. There were suitable sluicing facilities available and an efficient system for the cleaning of residents’ personal clothing and bed linen was in place Edgbaston Beaumont DS0000069247.V332242.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures were robust, helping to ensure that residents were protected. Staff had good access to training, helping to ensure that they were able to meet the individual needs of residents in a competent manner. EVIDENCE: There were no staff vacancies at the time of the field work visit and duty rosters demonstrated adequate numbers and skill mix of staff at all times. The deputy manager reported that staff turnover was low and that agency staff were rarely required. Staff appeared to be relaxed and to be enjoying their work. One member of staff said, “This is a very good place to work”. The home had robust arrangements to ensure that there was a manager “on call” to support staff out of hours. Staff recruitment files sampled contained all information required by regulations. All staff working at the home had had the necessary checks carried out before commencing employment and this helped ensure that Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 19 residents were protected. New staff were issued with a contract of terms and staff as confirmation that they agreed to the content signed conditions of employment and these. There was a good commitment to training including e learning packages, and during the previous twelve months staff had undertaken a variety of training relevant to their job roles, including: Accident prevention, moving and handling, equipment safety, hazardous substances, fire, first aid, record keeping and customer care. Edgbaston Beaumont DS0000069247.V332242.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well run home. Systems were in place for obtaining the views and opinions of residents, and for monitoring the quality of the service offered; these helped ensure that residents felt they had a voice, and that there was a culture of continuous improvement, which enhanced the lives of residents. EVIDENCE: The Commission for Social Care Inspection had recently approved the registration of the home’s manager, who had a great deal of relevant experience. The registered manager was not on duty on the day of the inspection, and the deputy manager assisted ably with the inspection, and Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 21 displayed a thorough knowledge of the residents in her care. Feedback from residents about the care they received was very positive. Relationships within the home appeared to be good, and residents felt confident that if they had any concerns these would be addressed promptly and appropriately. Mechanisms were in place for consultation with residents. Regular customer satisfaction surveys were carried out, involving residents, relatives and regular visitors. Information from the survey was collated, analysed and an action plan produced, in order to inform residents/relatives, and to assist the management team in planning service changes. Meetings were held with residents and relatives, with minutes available. Staff meetings were held every three months, with detailed minutes produced. Records of visits by the responsible provider were available, together with notes of action taken following the visits. A system was in place to ensure that staff received formal supervision at least six times a year. The company had conducted a comprehensive Health and Safety Audit in January 2007, and this had indicated a number of areas, which had since been addressed. Other audits conducted annually included aspects such as pressure sores, medication, infection control, and customer service. Residents had access to confidential advisers through an independent advocacy service, the cost of which was met by the company. Staff did not manage any personal allowances for residents, and all expenditure on behalf of residents was itemised and invoiced as appropriate. Edgbaston Beaumont DS0000069247.V332242.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 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 X X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 23 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 Requirement The registered manager must ensure that the statement of purpose is updated in relation to current staffing and to clearly state that complaints may be referred to CSCI at any time. The registered manager must ensure that the service user guide is made available in a format suitable for intended residents. The registered person must ensure that a record of all medication that is to be disposed of is maintained, that the medication is kept securely in a locked cupboard, and is collected at regular intervals. The registered person must ensure that medicines in the custody of the home are handled according to the requirements of the Medicines Act 1968, guidelines from the Royal Pharmaceutical Society, the requirements of the Misuse of Drugs Act 1971, and nursing staff abide by the NMC Standards for the administration DS0000069247.V332242.R01.S.doc Timescale for action 01/06/07 2 OP1 5 01/06/07 3 OP9 13(2) 01/05/07 4 OP9 13(2) 01/05/07 Edgbaston Beaumont Version 5.2 Page 24 5 OP18 13 (7,8) of medicines. The registered person must make the required amendments to the written policy regarding protection of vulnerable adults. 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Edgbaston Beaumont DS0000069247.V332242.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!