Inspection on 21/11/06 for Englewood Care Home

This inspection was carried out on 21st November 2006.

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

The inspector 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

Englewood Care Home 25/01/10

Englewood Care Home 06/04/09

Englewood Care Home 30/04/08

Englewood Care Home 24/01/08

Englewood Care Home 14/08/07

Englewood Care Home 25/05/06

Englewood Care Home 26/01/06

Englewood Care Home 04/05/05

Englewood Care Home 20/12/04

Englewood Care Home 18/06/04

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

CARE HOMES FOR OLDER PEOPLE Englewood Care Home 42-44 Egerton Park Rock Ferry Birkenhead Wirral CH42 4QZ Lead Inspector June Beaver Unannounced Inspection 21st November 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Englewood Care Home DS0000054702.V320740.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. Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Englewood Care Home Address 42-44 Egerton Park Rock Ferry Birkenhead Wirral CH42 4QZ 0151 645 5064 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) Englewood Care Limited Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. A maximum of 24 adults over the age of 65 years may be accommodated in the category OP 25th May 2006 Date of last inspection Brief Description of the Service: Englewood care home provides personal care and support for 24 older people both male and female over the age of 65. Accommodation is provided on three floors, which are accessible by a passenger lift. The home has two communal areas on the ground floor. There is lounge and a large dining room and conservatory to the rear of the building overlooking the garden. The home has a call system, assisted baths; grab rails etc to assist service users and to promote their independence. The weekly fee charged is £367 per week. Each service user is given written terms and conditions of their stay showing the services and facilities included in the weekly fee. Englewood Care Home DS0000054702.V320740.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 site visit to the premises which was part of a key inspection. The visit lasted approximately 6 hours. During the visit several service users were spoken to as well as several members of staff. The owner and manager completed a pre-inspection questionnaire prior to the visit and the information it contained was verified on the day by looking at the records and documentation available at the home. The visit also included a tour of the premises and a check on the safety certificates for the utility services and equipment provided by the home. There were some requirements and recommendations made which relate to reviewing some of the service users placements to make sure they were in the best place to meet their needs, updating staff training in fire safety and replacement of some of the furniture and furnishings. What the service does well: What has improved since the last inspection? The care plans have been reviewed and re-written in a plain and simple way by the newly appointed Manager. She has worded the care plans in a way that will make it easier for staff to meet the service users health care needs however there were some additions needed to make the care plans fully effective. An improvement to the front of the premises was noted and the Owner has replaced the passenger lift. A new central heating boiler with a booster has been fitted so that all parts of the building are warm and the dining room has been re-decorated. there has been an improvement in the activities programme. Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 6 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. Englewood Care Home DS0000054702.V320740.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 Englewood Care Home DS0000054702.V320740.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): 1,2,3,4, & 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose, Service User Guide and pre-admission procedures were sufficiently detailed to help service users and their families to make an informed decision whether to choose the home as a place to live. EVIDENCE: The Statement of Purpose and Service User Guide encourage prospective service users and their families to visit the home prior to admission to help them decide whether to move in. This was also confirmed when discussing pre-admission with service users and staff. Service users from out of the area are accepted into the home and sufficient information is provided prior to admission to ensure that all the necessary Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 9 information is obtained including visits by family to ensure the service can meet the required needs. The service does not offer intermediate care. Englewood Care Home DS0000054702.V320740.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 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and social care needs of service users are met in a satisfactory manner and service users are treated with dignity and respect. EVIDENCE: Three service users were case tracked on this visit which meant reviewing their care plans and risk assessments. The care plans have been changed by the Manager and are now written for the service users in a plain simplistic manner. They described clearly how staff will help with issues such as washing and dressing, walking about, taking care of medication, food and diet and getting help from a doctor if necessary. Two of the care plans needed some additional information about specific health needs and the Manager was advised to develop a catheter care procedure to help staff give the best care. Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 11 The care plans need to be signed by the service user or their families and countersigned by the Manager so that they all agree what is best for each individual. Observation of the service users indicated that some would benefit from re-assessment by social services to ensure that they were appropriately placed to receive the care they need to manage their short term memory loss and confusion. The daily records for the service users that were case tracked were good giving the reader a good indication of how they had spent the day. These records are kept separately from the care plans which makes it harder for staff to make sure all the service users needs listed are being reviewed, it would be better if all information on service users in kept in one place. The G.P.’s that visit the service when called for by staff have developed the practice of writing in each service users care file what they think is wrong and what they want staff to do about it. The G.P. surgeries that returned the CSCI survey forms stated they were happy with the service provided by the home. There was evidence in the files that other professionals visit the home to treat service users such as opticians, chiropodists, district nurses and community dentists. Observation of staff assisting service users showed that they were treated in a helpful friendly way. Staff were observed to be caring and one service user stated that staff were “very kind and patient”. The Pharmacy Inspector did a review of the medication practices on 14th November 2006. She made the following comments:Policies and procedures for handling and recording medication were in place, however it is important that staff follow these at all times in order to protect residents. Residents were supported to be responsible for their own medication if they wanted to. The manager must ensure that risk assessments are in place for all residents who look after their own medication (including creams and inhalers) and also for residents who are not supervised whilst taking their medicines. One resident said she was happy with the way her medicines were given to her so that she could take them later in the evening when she was ready. Another resident said that he got his medicines correctly, however an audit of stocks and records showed that medication had been given to him but not signed for and also that some medicines had been signed for but not given. Further checks showed that this was also true for three other residents. The health and wellbeing of residents is at risk of harm whenever medication is not administered correctly. The manager must ensure that all medication is administered as prescribed and that staff sign for medication as it is given. When variable doses are prescribed staff must record exactly what was given. Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 12 Prescriptions should be seen and checked before they are dispensed by the pharmacy. The Royal Pharmaceutical Society of Great Britain recommends this for good practice. Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The range and number of activities within the home is good, providing service users with a fair amount of stimulation and social interaction on an individual basis or in a larger group. EVIDENCE: Staff stated that service users are provided with a range of activities such as armchair exercises, board games such as scrabble and in house entertainment. Service users can choose whether to take part in activities and this was confirmed by one service user who stated “I prefer to stay in my room and read my book or listen to the radio” and another stated “I am free to go out with my family as often as I want”. On the day of the site visit a local chemist had arranged a table sale to enable service users to buy toiletries and festive gifts. Several service users bought seasonal items as well as personal things for themselves. One of the service users had bought a cuddly toy and was “delighted” with it. A jewellery sale had been arranged for the following day and a clothes party was set for the Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 14 week after. There was a range of activities listed for December on the notice board in the reception area these included a Christmas party and an entertainer. One of the service users stated she likes to go out to local shops and staff are generally available to support this activity. The Manager stated that she plans to contact the local talking books society and the “pat a pet” service. There was evidence that some of the service users have a daily paper delivered and there were copies of the free local newspaper around the home. A record is made of what activities each service user has taken part as well as a record of family/friends visits. A recent random site visit was made to review the food and menus. Service users spoken to at the time stated that they were happy with the food and also got plenty to eat. One or two service users mentioned that the puddings can sometimes be repetitive and that they did not like to eat too many sponge and custard dishes. This information was passed on to the Manager who has arranged for the community dietician to review the menus including sweets with a view to giving some nutritional advice. A recent environmental health site visit has been carried out and a copy of their report was available for inspection. The three recommendations they made have now been complied with. Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are protected through the provision of satisfactory policies and procedures. Staff have a good understanding of adult protection issues that helps protect service users from potential harm or abuse. EVIDENCE: There have been no complaints made to the service and two made to the office of the Commission for Social Care Inspection since the last site visit. The complaints were about heating, meal sizes and lighting on the first and second floor corridors. The heating and lighting are now fully operational and the service users spoken to during the complaint investigation were all satisfied with the meals and portion sizes. Service users have access to the home’s complaints policy and a recommendation was made to include the registered provider’s name with the Manager’s. Staff confirmed that they had recently undergone dementia training and how to handle issues such as wandering and aggression. They were aware of the “protection of vulnerable adults” policy and would know how to raise any concerns. Englewood Care Home DS0000054702.V320740.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): 19,20,22,23,24 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment in this home is adequate and all areas are clean and odour free to provide service users with a homely place to live. EVIDENCE: The registered provider has made several improvements to the premises since the last key site visit which include fitting a new passenger lift, fitting a new gas central heating system, improving the front car parks and adding security lights, purchasing new kitchen and office equipment and re-decorating the dining area. Whilst the home was very clean and there were no unpleasant smells some of the furniture and furnishings in the main rooms and bedrooms Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 17 were showing signs of wear and tear. The bedding was faded in some of the rooms and there were no divan valances used exposing the base of the bed which looked unsightly. A recommendation was made to commence a rolling programme of improvement for the benefit of the service users and to improve the look of the home. One room was identified as needing a new carpet however the Manager stated the registered provider had already taken steps to address this matter. The premises were warm and well lit. There has been an improvement to the heating system as a new boiler has been fitted with a booster to make sure the heat travels throughout the whole building. Service users can adjust the temperature in their rooms if they want to. There were sufficient toilets, showers and bathrooms to meet service users needs and there were aids such as hoists in the bathrooms to help staff assist service users to get in and out of the bath. The laundry is sited in the basement of the premises, accessed by a flight of stairs and is kept locked to prevent service users entering and putting themselves at risk. The laundry is equipped with modern facilities; there is a copy of the COSHH regulations pinned to the wall for the laundry assistance to refer to should they need to some advice on how to handle hazardous substances. There was a private enclosed garden with seating areas for the service users and their visitors to use in the warmer weather. The garden had a variety of plants and bushes and a bird table as well as a paved path around the grass. The garden is secured by gates and lit by security lights. Englewood Care Home DS0000054702.V320740.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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels are appropriate for the current group of residents. Service users are protected through a good recruitment procedure and the employment of a competent staff team. Some of the mandatory training needs updating. EVIDENCE: Rotas confirmed that from 9am to 5pm Mondays to Fridays, the manager and two carers, an Activities Officer and separate domestic staff, staff the home. At night there are two waking staff. At the weekend a senior member of staff who has completed an NVQ level 3 in care manages the service. A member of the care staff team covers activities at the weekend from 11am until late afternoon after assisting service users get ready for the day. Three staff files were reviewed. All contained a completed application form, two satisfactory references, health declaration forms, job descriptions, terms and conditions of employment, CRB & POVA checks, copies of birth certificates and passports were available as well as copies of training certificates. Not all files contained an up to date photograph for identification purposes and interview notes were not kept. Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 19 Nine members of staff have completed NVQ 2 training and two more are on the course. Two members of staff have completed an NVQ level 3 course. A discussion with staff confirmed that they had recent training in safe moving and handling, protection of vulnerable adults from abuse, whistle blowing and medication administration. The pre-inspection questionnaire stated that six members of staff have had first aid training. It is recommended that all staff who handle food take a basic food hygiene course and staff need to update their fire safety training and fire drills. It is further recommended that a matrix style record is developed to help identify staff training updates at a glance. Englewood Care Home DS0000054702.V320740.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): 31,33,35,36 and 38. Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. The home is run in the interests of residents and the manager has a development plan and vision for the home. EVIDENCE: The service has appointed a new Manager since the last site visit who has experience in managing services for older people and has completed an NVQ level 4 in care. The Manager is an NVQ Assessor and a Moving and Handling Trainer. An application to be registered with the Commission for Social Care Inspection has been processed and the final stage of interview is to be held shortly. Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 21 The manager is available in the home on a full time basis (Monday to Friday) and is accessible to service users, their families and staff during this time. Service users spoken to at the time of the inspection confirmed that the manager was open and friendly and they could ask advice about their care and health needs. The members of staff spoken to during the visit also confirmed that the Manager was very approachable and fair. The service does not act as advocate for any of the service users and a recent review of all financial transactions on behalf of service users proved satisfactory. There is a charge for services such as hairdressing and chiropody and service users or their families are given receipts for all transactions made on their behalf. Staff supervision on a formal one to one basis has commenced under the leadership of the new Manager and it is anticipated that this will continue at regular intervals. Certificates of worthiness for fire appliances, the passenger lift, hoists and small portable appliances were available and up to date. The recently installed boiler and gas central heating system is waiting to be “flushed out” before a safety certificate is issued (to be forwarded to this office once received) and the electrical report available indicated that all faults were now mended and the electrics were passed as “safe”. Fire safety training including drills was not done regularly. The fire safety checks have also not been carried out as the key needed to check the fire break points is missing. The hot water temperature checks have not been done since the handyman left some months ago. These matters need to be addressed as soon as possible to ensure service users, visitors and staff are not put at risk. A fire risk assessment has been completed as well as a building risk assessment since the last inspection of the service. The Manager has commenced seeking service users views by sending out questionnaires. The completed surveys indicated that they were satisfied with the service and made some comments about food which have been addressed by seeking advice from the community dietician. Eight Commission for Social Care Inspection “have your say” questionnaires were returned to the office all of which stated that they were happy with their/or their relatives care and two of the surveys returned were professional visitors to the home who were also satisfied with the service. Englewood Care Home DS0000054702.V320740.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 3 3 3 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 3 x 3 2 2 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 2 2 Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? 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 OP4 Regulation 14 Requirement Timescale for action 31/12/06 2. OP7 14 3. OP7 14 4 OP9 13(2) The registered person must ensure service users who’s needs have changed are re-assessed to ensure the home can meet their needs and the placement is appropriate. The registered person must 31/12/06 ensure that service users and or their families are consulted when developing care plans and obtain signatures to that effect where possible. The registered person must 31/12/06 ensure all aspects of service users health care needs are included in the care plan. The responsible person must 15/12/06 ensure that all medication is administered as directed by the prescriber. Medication must be signed for at the time of administration. The registered person must ensure that appropriate risk assessments are in place for residents who self-medicate or take/use medication unsupervised The registered person must DS0000054702.V320740.R01.S.doc 5 OP9 12(1)(a) 31/12/06 6 OP19 16 & 23 31/12/06 Version 5.2 Page 24 Englewood Care Home 7. OP25 13 (4) (c) 8. OP37 17 ensure that a rolling programme of refurbishment is commenced to improve and enhance the premises for service users. The registered person shall ensure that regular tests of the hot water temperature are carried out Outstanding from the previous inspection. The registered person must ensure that all records require to be kept in the care home are up to date including fire safety tests and water temperature tests Outstanding from the previous inspection. The registered person must ensure that the fire equipment in the care home complies with the recommendations of the local fire authority i.e. weekly testing of the fire alarm and monthly testing of the emergency lighting. 14/12/06 14/12/06 9. OP38 13 & 23 14/12/06 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 OP30 Good Practice Recommendations The registered person should review the format of the staff training records to evidence that staff receive three paid training days a year. It is recommended that the registered person ensures all staff handling or serving food receive basic food hygiene training. The registered person should replace bedding that is worn and provide divan valances to enhance the appearance of the bedrooms. 2. 3. OP15 OP24 Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 25 4. OP37 The registered manager should review the homes policies and procedures to ensure they contain sufficient information to assist staff meet service users needs. Prescriptions should be seen and checked before they are dispensed by the pharmacy 5 6. OP9 OP29 It is recommended that the registered person keeps a record of interview notes for all members of staff and obtains a suitable up to date photograph for identification purposes. Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Englewood Care Home DS0000054702.V320740.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!