Inspection on 11/12/07 for Elgin Rest Home

This inspection was carried out on 11th December 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 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

Elgin Rest Home 15/01/07

Elgin Rest Home 03/01/06

Elgin Rest Home 05/07/05

Elgin Rest Home 16/03/05

Elgin Rest Home 21/12/04

Elgin Rest Home 21/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Elgin Rest Home 12-14 Manor Road Westcliff On Sea Essex SS0 7SS Lead Inspector Vicky Dutton Unannounced Inspection 11th December 2007 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Elgin Rest Home DS0000015432.V354313.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. Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elgin Rest Home Address 12-14 Manor Road Westcliff On Sea Essex SS0 7SS 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) 01702 340172 Mr John Finlay Dickson Mrs Yasmin Zalina Dickson Mrs Yasmin Zalina Dickson Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th January 2007 Brief Description of the Service: Elgin Rest Home is a small family run home, owned and managed by Mr and Mrs Dickson. The home is a detached property situated within close proximity of local amenities, public transport and the sea front. The home is decorated, furnished and maintained to a good standard through out. The home has three shared rooms and eleven single bedrooms. The home has a passenger shaft lift and electric stair lift and all bedrooms have a call alarm facility. There is a garden to the rear of the property and limited car parking is available to the front. A service Users Guide and Statement of Purpose are available. The most recent inspection report is displayed in the entrance hall. In December 2007 the range of fees was from £379.47 to £442.83 per week. Residents pay additionally for hairdressing, chiropody, newspapers and toiletries. If the need arises they may also have to pay for additional continence aids. Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced ‘key’ site visit. At this visit we considered how well the home meets the needs of residents, how staff and management work to provide good outcomes for people, and how residents are facilitated to have a lifestyle that is acceptable to them. The level of compliance with requirements made at the previous inspection was assessed. At the site visit a tour of the premises took place, care records, staff records, medication records and other documentation were selected and various elements of these assessed. Time was spent talking to, observing and interacting with residents at the home, and talking to staff and a visitor. Prior to the site visit the manager had completed and sent in to CSCI their Annual Quality Assurance Assessment (AQAA). This outlined how the home feel they are performing against the National Minimum Standards, and how they can evidence this. Before the site visit a selection of surveys with addressed return envelopes had been sent to the home for distribution to residents, relatives involved professionals and staff. At the site visit a notice was displayed advising people that an inspection was taking place, and with an open invitation to speak with the inspector at any time. The views expressed at the site visit and in survey responses have been incorporated into this report. The inspector was assisted at the site visit by the manager and other members of the staff team. Feedback on findings was provided throughout the inspection. The opportunity for discussion or clarification was given. The inspector would like to thank the manager, staff team, residents, relatives and visiting professionals for their help throughout the inspection process. What the service does well: Elgin Rest Home provides residents with a homely and caring place to live. The home is kept well maintained and clean. People’s needs are assessed, and staff are given good guidance through care planning about how to care for residents ways that they prefer. Staff are offered a good level of training so that their care of residents is based on good knowledge and up to date practice. Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 6 Residents felt that home is warm and welcoming to visitors who can come at any time. People are able to express their views about the service and any concerns expressed are dealt with openly. 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. Elgin Rest Home DS0000015432.V354313.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 Elgin Rest Home DS0000015432.V354313.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. People have sufficient information about the home to assist them in making informed choices. People know that they will have their needs assessed before moving into the home. EVIDENCE: There was a Statement of Purpose and Service Users Guide available. These documents were not viewed in detail as part of this inspection. The manager said that they had been updated since the previous inspection. A ‘Welcome to The Elgin Rest Home’ pack is given to new residents, and was seen in the room of a resident who had recently moved into the home. Two residents who had more recently moved into the home were spoken with. They both felt that they had been given sufficient information about the home, and had been able to visit the home. This had helped them to make an informed decision about moving into the home for a trail period. Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 9 The home ensures that they are able to meet people’s needs. The file of a resident who had recently moved into the home showed that a format to help the home’s manager/senior complete a full assessment of the residents’ needs had been well completed. There was also assessment information available from Social Services. Intermediate care is not provided at Elgin Rest Home. Elgin Rest Home DS0000015432.V354313.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 good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive good care and medical support based on their individual needs. EVIDENCE: People spoken with and responses on surveys were generally very positive about the care offered at Elgin Rest Home. A relative said ‘I think the care and communicating with residents is second to none.’ All residents at Elgin Rest Home have a care plan in place so that staff know how people like to be cared for and what their needs are. As part of this inspection some care plans were viewed. Those viewed showed an individual and person centred approach to care planning, and generally provided a good basis for staff to assist people and meet their needs. Where possible care plans had been discussed with residents or their families. It was seen that care plans are kept under regular review, and updated according to residents’ changing needs. Some areas for improvement were noted. Risk assessments and care planning information was not always in place relating to some aspects of care, such as the use of wheelchairs without footplates. Although it Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 11 was stated that this was residents’ choice the practice could be hazardous to residents and needs to be properly assessed and identified for each individual. Another resident’s spiritual needs identified at assessment had not been carried forward into their care plan, although management at the home were working to address this need. Residents spoken with and responses on four resident surveys showed that people were happy with the level of healthcare support offered by the home. Documentation and discussion showed that resident’s access services such as doctors, chiropody, dental and optical services to met their needs. Residents’ continence needs are assessed by the local continence advisory service. However residents and staff at the home often feel that the allocation of continence aids is inadequate to meet people’s needs. This means that residents sometimes have to pay for their own additional aids. A district nurse currently visits the home on a daily basis to meet the needs of individual residents. The home’s AQAA stated that as far as possible residents are encouraged to retain their own doctors when they move into the home. A resident said that they had their own doctor and that the home always got the doctor for them when they needed it. Medication at the home is generally well managed and safe for residents. The file of one resident showed that if people wish to manage their own medication this is supported by the home. Some signature gaps were noted on the medication administration records. This was an oversight and was immediately addressed. The need to address some best practice issues were discussed such as double signing handwritten entries on the medication administration record, dating boxed/bottled medication and developing protocols for medicines that are prescribed to be used on a when required (PRN) basis. The storage of medication was discussed as the current arrangements are not considered adequate and need to be reviewed. Following the site visit advice was sought from a CSCI pharmacy inspector who agreed with this view. Staff receive training through the supplying pharmacist, and certificates seen showed that staff have also have undertaken training provided through the local authority. During the day staff were noted to treat residents respectfully, and ensure that their privacy was maintained. Care plans demonstrated that supporting residents in a way that supports their privacy and dignity is central to the philosophy of the home. Elgin Rest Home DS0000015432.V354313.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. Residents know that Elgin Rest Home will offer them some opportunities for activity and occupation. They will always be able to welcome their visitors. Food at the home will meet their needs and expectations. EVIDENCE: On four resident surveys returned the opinion of activities provided varied between ‘always’ and ‘usually.’ At the site visit those spoken with seemed happy with what was offered. One said ‘we have a man that often comes and plays the piano, we all enjoy that, and staff do other things like bingo.’ All residents were looking forward to the Christmas festivities and a planned party. A mobile library visits the home on a regular basis. A residents’ notice board contained useful information and included a list of daily activities. Activity records showed that a set activity happens on most days. Residents’ care plans showed that residents’ social needs are identified and planned for. Preferences relating to daily routines were also noted. During the site visit residents read newspapers and magazines and some enjoyed having their hair done during the morning. During the afternoon they were offered a game of bingo. Residents moved around the home as they wished with a number preferring to spend time in their rooms. Staff were observed to use daily Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 13 routines to interact with residents and provide stimulation. For example two residents were asked if they wished to help fold laundry, this led to a conversation between staff and residents about previous domestic occupations and lifestyles. The home runs a trolley shop for the benefit of residents so that they can purchase sweets and toiletries when they wish. Visiting is open and residents confirmed that are able to enjoy having visitors at any time. One resident said that their families had all been invited to the Christmas party. A visitor said that ‘relatives are always made welcome and given a cup of tea.’ Information on advocacy and other useful information such as the Disability Helpline was available. No residents are currently using an advocacy service. Residents’ bedrooms showed that they are able to bring in personal possessions and items of furniture. Residents spoken with said that they enjoyed the food provided and made positive comments such as ‘the food is wonderful,’ ‘we always have a choice’ and ‘Very good, could not wish for better food.’ Lunchtime on the day of the site visit was a pleasant unhurried social occasion for residents. Tables were nicely laid and the food looked appetising and was plentiful. As observed at the site visit, residents are offered choice and those who wish to eat separately or at different times are able to do so. Elgin Rest Home DS0000015432.V354313.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. People can be sure that any concerns they raise will be listened to. Residents can also be confident that they will be cared for in a way that protects them from abuse, as most staff have been trained and understand this aspect of care. EVIDENCE: Elgin Rest Home has a clear complaints process in place that was available for residents and visitors. The manager was advised that this should be updated to include the contact details of the Local Authority so that people are aware that they can raise also any concerns through them. This was addressed during the site visit. Survey responses showed that people are aware of the home’s complaints process and would feel happy in raising any concerns. No concerns have been raised about Elgin Rest Home with CSCI. Complaints records showed that any concerns however minor are recorded and dealt with openly. Staff training certificates and discussions with staff showed that staff have undertaken training in safeguarding people from abuse. A flow chart is available to guide staff about appropriate actions to take in the event of any concerns. Elgin Rest Home DS0000015432.V354313.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, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Elgin Rest home provides a comfortable and clean place to live. EVIDENCE: Elgin Rest Home provides residents with a comfortable and homely pace to live. Residents spoken with were happy with their bedrooms. One resident said that the home was ‘always warm and nice.’ The owners of Elgin Rest Home ensure that the home is kept well maintained and safe for residents. Since the previous inspection new carpets have been laid throughout the ground floor and staircase. Redecoration has taken place both internally and externally. Although the fabric of the building is well maintained a tour of the premises showed that a number of commodes being used by residents require replacement as they were in poor condition. The manager said that this was in hand. Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 16 On the day of the site visit the home presented as fresh and clean with no unpleasant odours. A suitable laundry area is provided. Since the previous inspection this area has been provided with proper staff hand washing facilities so that good infection control practices are promoted in caring for residents. On surveys three residents said that the home was ‘always’ fresh and clean. Staff training records showed that most staff have undertaken training in infection control. Risk assessments were in place in relation the control to any outbreaks of disease. Elgin Rest Home DS0000015432.V354313.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, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for by well trained and motivated staff, who are generally available to meet their needs. EVIDENCE: On surveys and at the site visit there was very positive feedback about staff and management. One resident spoken with said ‘the staff are wonderful,’ another said ‘they are kind and friendly.’ A relative said of staff that ‘they are fantastic.’ Residents felt that there was ‘usually’ staff available to them when they were needed. Residents benefit from being looked after by a stable staff group, many of which have worked at Elgin Rest Home for a number of years. This provides consistency and familiarity for residents. There is a family feel to the home and staff work well as a team. In discussion with staff it was evident that they are positive about their role and the service they provide. Staffing levels are maintained at three during the day (one of whom is in charge.) At night there is one awake and one sleeping in member of staff. The manager’s and co-owners hours are supernumerary to this. No ancillary staff are provided, care staff undertake cooking and cleaning tasks, but this is undertaken as a separate/additional shift and not as part of their care shift. The home’s rotas confirmed that these levels are being maintained. The manager felt that the current staffing levels were sufficient to meet the needs Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 18 of current residents, but said that the system would be flexible according to needs. Some examples of this were given. Out of a staff group of ten it was confirmed that seven staff have undertaken and achieved a National Vocational Qualification (NVQ) at level two or above. The remaining three staff are working towards this. This shows a commitment to providing residents with a staff group who are well trained and able to meet their needs. It was stated that only one new member of staff had started work at the home since the previous inspection. On looking at this file to ensure that recruitment processes are robust and protect residents, some anomalies were identified. The application form in use only asks for three years employment history, this is not adequate. Two good references and a testimonial were in place but one reference was from a place worked at in the UK for two years, but not identified as part of the job history. The two jobs on the application form dated from 2001 and ran concurrently. (Outside the UK from 2001 to 2006) A work permit for the UK dated from April 2006. These issues had not been explored. A Criminal Records Bureau (CRB) check was in place from a previous employer. The home had obtained a new one, but this had been obtained following the start date. An application for a POVA first check was in place, but confirmation that the check had been completed could not be found. The manager said that the member of staff would not have started without this being in place. Since the previous inspection a new staff induction process has been put in place using a pack that follows the Skills for Care common induction standards. This should help ensure that staff have the knowledge and skills to care well for residents. A blank copy only of this was seen. The one member of staff currently working on this was not on duty, and had the book with them. The home has a good record of staff training. Individual training profiles and personal development plans are being completed to identify training undertaken and future training needs. Training records viewed identified a good range of training and skills across the staff team to help ensure that residents’ needs are understood and met. Elgin Rest Home DS0000015432.V354313.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, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure that they live in a home that is well managed and where they will be able to express their views. EVIDENCE: Elgin Rest home is well run by the owner manager. During the site visit and on surveys many positive comments were made about the manager such as ‘very caring and runs the home very well.’ The manager has a nursing qualification and the Registered Managers Award which is a recognised qualification for people managing care homes. There are strategies in place to monitor the quality of the service, and seek residents’ views. Residents’ meetings are held and minutes of these were seen. One to one discussions take place. Annual reviews are held for those Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 20 who are funded at the home by the local authority. This provides the opportunity for the resident to express their view about if the home is still meeting their needs. Surveys are used to see how people feel about the service and highlight any areas that need attention. Completed surveys seen dated from January 2007 and October 2007 and were very complimentary about the service provided. Residents spoken with and responses on CSCI surveys said that staff always listened to residents and acted upon what they said. This was also observed during the site visit where staff were always attentive to residents. Residents’ money is held securely. Clear records are maintained and receipts retained for each transaction. The AQAA completed by the home shows that systems and services within the home are checked and maintained. It was reported that the fire service had visited and found everything, including the home’s fire risk assessment, to be satisfactory. An environmental health officer’s recent visit to the home had found the systems in place, and standards of hygiene in the kitchen to be good. Records were seen that showed that regular fire drills take place, so that staff will be competent in the event of an emergency. Staff records showed that staff are kept up to date in core training areas such as moving and handling, so will be able to care for residents appropriately and safely. Accident records were maintained, and following advice it is planned to improve the recording of accidents and preserve residents confidentiality by changing to a clearer and standardised format. Strategies are in place to manage the risk of legionella. Elgin Rest Home DS0000015432.V354313.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 3 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 3 3 X X X X X X 3 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 3 X 3 X 3 X X 3 Elgin Rest Home DS0000015432.V354313.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 OP9 Regulation 13(2) Requirement To ensure the safe management of residents’ medicines, arrangements for its storage must be reviewed and improved. Robust recruitment procedures must be maintained at all times so that residents are protected. This refers to the need to better explore staffs’ employment history and to maintain a proper record of checks such as PoVA first. Timescale for action 01/03/08 2. OP29 19 (1) 01/02/08 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 OP9 Good Practice Recommendations The best practice advice in relation to the management of residents’ medication at the home, such as developing protocols for medicines prescribed as PRN, should be acted upon to make the system as safe as possible. DS0000015432.V354313.R01.S.doc Version 5.2 Page 23 Elgin Rest Home 2. OP19 The worn commodes in use by residents should be replaced so that they are provided with safe and clean equipment. Elgin Rest Home DS0000015432.V354313.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Elgin Rest Home DS0000015432.V354313.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!