CARE HOMES FOR OLDER PEOPLE
Elmwood Swan Hill Road Colyford Colyton Devon EX24 6QJ Lead Inspector
Teresa Anderson Key Unannounced Inspection 9th November 2006 10:00 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 Elmwood DS0000021933.V311097.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. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Elmwood Address Swan Hill Road Colyford Colyton Devon EX24 6QJ 01297 552750 01297 551133 info@elmwoodonline.co.uk 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) Elmwood Residential Home Limited Mrs Josephine Victoria Newbery Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability over 65 years of age of places (33) Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 10th February 2006 Brief Description of the Service: Elmwood is a home offering 24-hour residential care and accommodation to up to 33 residents. It is set within the conservation area of Colyford in East Devon on the main road through Colyford. The house was built at the turn of the century and was established as a care home in 1983. It has remained with the same owner ever since. Over the years it has been extended and improved to provide private en-suite facilities throughout. Bedrooms are on the ground and first floors and the floors are linked by a passenger lift. All bedrooms are single and all have ensuite facilities. The grounds have been landscaped to include a prominent water feature and the owner continues to develop the gardens for the enjoyment of service users. Car parking is ample. The fees charged range from £323.00 - £430.00. This does not include items such as toiletries, newspapers, chiropody etc. Further information about this home is available direct from the home. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place as part of the normal programme of inspection. The site visit began at 10.00am and finished at 16.45pm. During that time the inspector spoke with approximately 14 residents, 4 in depth; with the manager and a director; with the cleaner and the cook; with 2 members of care staff and with 1 relative. The inspector looked closely at the care and services offered to a sample of 4 residents as a way of helping us to understand the experiences of people who use this service. The inspector looked around all communal and service areas of the home and saw many bedrooms. Records in relation to assessment, care planning, staff recruitment, resident’s monies and fire safety were inspected. Before the inspection the owner provided information in a pre-inspection questionnaire. The commission sent surveys to 15 residents and 7 were returned; to 10 members of staff and 4 were returned; to 5 relatives and 3 were returned. Surveys were also received from 6 health and social care professionals. What the service does well:
In surveys all residents said that they had received a contract and that they had enough information before moving into the home. Residents spoken with said they were offered the opportunity to visit and chat with staff and other residents and that they did this where possible. Records show that all residents are assessed prior to being admitted to the home ensuring that the home and staff can meet their needs. Each resident has a plan of care, which is written in a style that is clear and easy to understand. Healthcare needs are well met with evidence of multidisciplinary working. Comments from residents include ‘I have got much better since living here’ and healthcare staff comment that the care is good. All residents who responded in surveys said that they always or usually receive the care, support and medical support they need. Staff maintain the privacy and dignity of residents, ensuring residents receive all personal care in private and that residents wear their own clothes at all times. Residents say that staff always knock on bedroom doors and give their care in private. The home has a selection of pre-arranged activities including bingo, trips out and quizzes. In addition the owner holds bridge classes and events. Some residents talked of how much they enjoy the activities and the trips out. In
Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 6 surveys 3 residents say there are always activities they can take part in, 3 say there usually are and 1 that there sometimes are. There is good contact with the local community and visitors report they are made welcome. The manager has a good understanding of the importance of promoting equal rights for all residents in terms of choice and autonomy. Routines are kept to a minimum as a way of supporting this and care planning is, on the whole, based on the choice of residents. Residents say for example they get up when they like, wear the clothes they choose and go to bed when they like. One resident said that one of the best things about the home is ‘there are no rules and regulations’. No complaints have been received about this home. Residents report that they know who to speak to if they have a problem, that staff always listen to them and that action is taken to overcome any small problems. They also say they feel safe and that staff are kind. One referral has been made to the adult protection team by the home. The majority of staff have received training in ‘safeguarding adults’ and demonstrate a good understanding of this and the actions to be taken if needed. People who live here say the home is always clean and fresh. Staff describe good infection control procedures and these were observed being put into practice. Residents think very highly of the staff calling them ‘kind’, ‘helpful’ and ‘lovely’. The staff are well trained and informally supervised by the manager. In surveys they show a strong commitment to providing high quality care. 50 of staff have successfully completed NVQ training to level 2 or above. The manager is very highly respected by staff and residents. She has been in post since 2000 and has successfully completed the Registered Managers Award. She has consistently demonstrated excellent communication skills and a sound understanding of the needs of older and disabled people. She has an excellent understanding of issues relating to equality and choice. Shortcomings bought to her attention during this inspection are already being addressed. What has improved since the last inspection?
Since the last inspection the manager has reviewed some record keeping arrangements to ensure that confidentiality is maintained and that there is clear evidence of multi-disciplinary care planning. Many radiators have been covered and some areas of the home, inside and out, have been redecorated. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. This home does not provide intermediate care. Quality in this outcome area is good. Residents have enough information about the home before they move in. Assessments of residents prior to admission ensure that staff have enough information in order to know and meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys residents say that they had enough information about this home before they moved in and that they have been issued with contracts. One newly admitted person said they had visited the home and got all the information they needed from the manager. The manager assesses all residents before they are admitted to the home to make sure their needs can be met. On the day of the inspection someone was
Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 10 being admitted. The home director had provided transport and their room had been made ready by the staff. The maintenance man made sure that before he went home the resident had a working television with remote control. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. The arrangements in place for planning resident’s care ensure that residents consistently get the care they need in a way that suits them. The healthcare needs of residents are well met with evidence of multidisciplinary involvement. The systems for the management and administration of medications are generally good and largely ensure that residents’ medication needs are met safely. Personal support is offered in such a way as to protect and promote residents’ rights to privacy and dignity. This judgement has been made using available evidence including a visit to this service. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 12 EVIDENCE: All residents have a plan of care which details the care staff are to deliver. This is written in a way that is easily to understand and follow. Risk assessments form part of the care plan. 4 care plans were looked at and these show that all care needs are recorded. Staff have a good knowledge of the information in these and of the care to be delivered. Staff gave examples of how they make sure care is given in the way the resident likes. For example one resident says she likes to go to her room, but staff are aware that she very quickly tires of being alone and wants to return to the lounge. They make sure this happens. Another resident is fiercely independent. The aim identified in their care plan is that they retain this. The resident reports that staff always respect this. One very dependent resident is receiving excellent care with staff ensuring that this person does not develop pressure sores and supporting them to eat the foods they enjoy. The district nurses are involved in care where required and timely referrals are made to health and social care professionals such as GPs and Community Psychiatric Nurses. The staff and home obviously work hard to meet the individual and diverse needs of residents in a way that promotes equal rights. For example one resident who has significant memory problems is as fully included in the care of their spouse as they can be in recognition that they used to be the main carer for this person. One resident has a family of stuffed toys that are as important to them as real children. This person says that when they are not there that the staff look after them very well. Staff demonstrate an excellent understanding of the importance of this. One resident comments that their wheelchair can go anywhere within the home meaning they have access that is equal to those who do not use wheelchairs. Health and social care staff report that the home communicates clearly, that there is always a senior member of staff to confer with and that specialist advice is incorporated into the care plan. Medication is generally handled well. Those residents who can and wish to are enabled to manage their own medication (following a risk assessment). These people have lockable spaces and one resident demonstrates an understanding of their responsibility to keep their medicines safe. The manager orders and receives all medications into the home. She checks this in with another person but is not currently making a record if this as is good practice. Medication records show that residents always get their medication and residents confirm this. Some changes have been made to
Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 13 medication records in line with residents needs. However, 2 people have not signed these, as is good practice. The management of stock is very good and all medications are kept safely. Staff who administer medications receive training and some staff have received advanced training. Residents say that staff respect their privacy for example knocking on bedroom doors and making sure they receive their care in private. One care plan seen stated that staff should ensure that a resident has private time with their spouse. This demonstrates a recognition and understanding of the importance of continuing personal relationships. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 14 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. Links with the community and visitors are good and residents, on the whole, have their social care needs met. Support is offered in a way that promotes choice and flexibility. The meals offered provide choice, variety and meet nutritional needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys 3 residents said that there are always activities that they can take part in, 3 said there are usually activities they could join in with and 1 person said that they are sometimes. Activities offered currently are bingo, quizzes, church services, trips out on the minibus and trips on the local ‘charabang’ bus. An activities co-ordinator has very recently been employed and says that she usually works about 9 hours each week. Although this person is well qualified and highly motivated she does not have training in providing activities for older
Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 15 people or for those with failing memories. Neither does she have access to information about residents’ needs or their social interests and preferences which would be helpful. Some residents spoken with said they were very happy with the activities and some did not have time to speak with the inspector because they were going out on a trip. Other less able residents said they could get bored sometimes. When the care plans of residents were reviewed it was found that social histories are not always being taken and that some people who are not able to participate in ‘activities’ and/or outings and are not all having their social care needs met in any other way. However one resident with communication difficulties worked very hard to ensure that the inspector knew that his social care needs are being well met and that they have been supported to rekindle an old interest that gives them immense pleasure. Links with the community are good. Many of the residents are local and know the area and have visitors from the area. Visitors are free to come and go and describe staff as ‘welcoming’ and say that a cup of tea is always offered. In surveys one relative said ‘Elmwood is very friendly’. Staff demonstrate a good understanding of how to respect residents and their personal belongings. For example, each bedroom is seen as the residents ‘private domain’, residents wear only their own clothes and staff view resident’s personal belongings as important. One resident said this is a good home because there are no ‘rules or regulations’. Residents are very complimentary about the food at Elmwood. A new chef has recently been appointed and it is reported that he is highly motivated and knowledgeable about meeting nutritional needs. He is introducing more variety into the meals as well as increasing the amount of home baking. Staff and residents alike believe that this cook has the potential to be excellent. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 16 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 good. The home has a satisfactory complaints system that residents feel confident in using if they need to. Residents feel safe and well cared but some staff’s knowledge of the procedures to be followed in adult protection cases might put them at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints have been received about this service by the commission or the home. Residents say that if they have any niggles they just tell someone and it is sorted out. A relative commented ‘the management team are very responsive to comments’ and gave an example of this. If residents wish to make a formal complaint the procedure for doing so is posted up in each bedroom. The home has recently had cause to make a referral to the adult protection team. However, the procedures in place and agreed by all agencies were not followed. Extra training has been arranged for the people involved. Whilst the majority of staff have received training in safeguarding adults, records show
Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 17 that relatively new staff, including the chef and activities co-ordinator, have yet to receive training in the protection of vulnerable adults. The inspector spoke with one of these members of staff who demonstrates an excellent understanding of what to do if they see or suspect abuse. The manager agreed that these staff should receive this training and said she would arrange this. Residents say they feel safe and that staff are kind and caring. During the inspection many examples of this were seen. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 18 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 and 26. Quality in this outcome area is good. The environment of this home provides residents with a homely and clean place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys all residents say that the home is always clean and fresh. And the inspector found this to be the case on the day of inspection. The home has two designated cleaners who clearly work hard to keep the home clean and tidy. There is also a designated maintenance man who carries out a programme of routine maintenance, painting and decorating and responds to requests for mending.
Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 19 The laundry is well equipped and kept clean and tidy and residents say their clothes are well cared for. Staff demonstrated a good knowledge of how to prevent the spread of infection. There is an on-going programme of covering radiators to prevent scalds. Many of these have been done since the last inspection. Window restrictors and thermostatic valves on baths are in place for the protection of residents. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 20 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 adequate. Staff receive appropriate training to provide residents with the support and care they need and are employed in sufficient numbers. The recruitment procedures designed to protect residents are not being fully followed meaning that residents safety cannot be entirely ensured. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys residents say that they always or usually get the care and support they need, that staff always listen and act on what they say and that staff are usually available when needed. During the inspection residents said that the staff are ‘kind’ and ‘helpful’ and always ‘try to do that bit extra’. They say they are kept busy but come when needed. In surveys staff said that they can meet residents needs but wish they had more time to spend with the less able residents who spend the majority of the time in bed or in their bedrooms. There are 5 care staff on duty in the morning, 4 in the afternoon and 2 waking staff at night. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 21 Training for staff is ongoing and all staff are encouraged to undertake NVQ training. 50 of the care staff are trained to NVQ Level 2 or above and the manager reports that 2 new staff will start this training when they have finished their induction. Three staff recruitment files were inspected. All demonstrate that staff had completed an application form (although these do not follow equal opportunities guidance). However one staff file only contained one reference (there should be two) and the police check of one member of staff had been received after they had started work. Whilst this work has not involved direct contact with residents, for the full protection of residents, a POVA 1st check should be carried out before any member of staff starts work. This did not happen in this case. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 22 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. The management systems in place help to ensure residents live in a well-managed, safe environment where they are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of Elmwood has been in post since 2000. She has successfully completed the Registered Managers Award and updates her training as needed. She has consistently demonstrated excellent communication skills and a sound understanding of the needs of older and disabled people. She has an excellent understanding of issues relating to equality and choice. In surveys and during the inspection residents and staff talked of their support and respect for the manager.
Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 23 Residents told the inspector that they have many opportunities to provide suggestions and feedback to the owners and management team. For example, the owner meets with the majority of residents approximately three times weekly, 6 monthly residents meetings are held and one of the directors has responsibility for carrying out quality assurance surveys. This director has agreed to send in a copy of a summary to the commission and to include it in the information about the home available to the public. The monies of one service user which is held by the manager was checked and this was found to be in order. However, when giving or receiving money on behalf of a resident it is good practice to have the monies checked and signed by two people. In the preinspection questionnaire the owner indicated that the gas boilers and gas central heating systems have not had a routine test since 2002. On the day of inspection the manager had to reset on of the boilers as it had stopped working. The owner (who was away on leave) has since reported that he had already made arrangements to either replace or upgrade the current heating system. The preinspection questionnaire indicates that all other checks and maintenance arrangements are in place. Staff receive mandatory training including food hygiene, infection control, manual handling and fire training. First aid boxes are kept in the home and staff receive training in providing first aid. The manager was reminded that policies and procedures should be reviewed and where necessary updated annually. Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 24 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 2 3 X X x x x 2 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 4 x 3 x 2 x x 3 Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 25 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 Timescale for action 31/12/06 2. OP25 13(4) (c) 3. OP29 19 (1) (b) Schedule 2. You must ensure that you make arrangements, by training staff or other measures to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. You must ensure that 31/12/07 unnecessary risks to the safety of service users are identified and so far as possible eliminated. (This refers to the need to ensure that any risks associated with unguarded radiators are identified. The timescale for action refers to the date by which all radiators will be guarded). This requirement is partly met as the programme of covering radiators is ongoing and many radiators have been covered. You must ensure that all the 31/12/06 necessary checks are made (as detailed in Schedule 2) before you employ a person to work at the care home. (On this occasion this refers to police checks (CRB’s) and to getting two written references).
DS0000021933.V311097.R01.S.doc Version 5.2 Elmwood Page 26 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. 2. Refer to Standard OP9 OP9 Good Practice Recommendations You should ensure that all hand written entries on the medication records are checked and signed by 2 people. You should ensure that you record on the medication administration records how much medication has been received into the home and ensure the person who does this signs for this. You should ensure that residents’ social interests are recorded and that their social needs are met. You should give special particular consideration to those with cognitive impairments. You should ensure that a summary of information relating to quality assurance surveys is included in information available to prospective and current residents and a copy sent to the commission. You should ensure that when handling residents monies two people check and sign for these monies. 3. OP12 4. OP33 5. OP35 Elmwood DS0000021933.V311097.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Devon Unit D1 Linhay Business Park Ashburton TQ13 7UP 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
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