CARE HOMES FOR OLDER PEOPLE
Ferncross 4 Crossdale Avenue Cross Cop Heysham, Morecambe Lancashire LA3 1PE Lead Inspector
Mrs Jennifer Dunkeld Unannounced Inspection 18th April 2007 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 Ferncross DS0000059354.V330465.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. Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Ferncross Address 4 Crossdale Avenue Cross Cop Heysham, Morecambe Lancashire LA3 1PE 01524 850008 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) Draycombe House Care Ltd Mrs Ann Withers Care Home 15 Category(ies) of Dementia (11), Old age, not falling within any registration, with number other category (4) of places Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home may accommodate eleven people in the dementia (DE) category and four named people in the category of old age (OP). All further admissions to the home must be of the dementia (DE) category. No more than fifteen people may be accommodated in the home at any one time. 30th March 2006 Date of last inspection Brief Description of the Service: Ferncross is situated in Heysham and is a home for older people who have a dementia. With the agreement of the Commission for Social Care Inspection the home currently accommodates some people who do not fall within the category, as they do not have Dementia. However they have chosen to move to this home when the service provider vacated the previous home known as Ferncross. The home can accommodate a maximum of fifteen people in mainly single bedrooms. A double bedroom is available. The bedrooms are located on the ground and first floor. A passenger lift gives access to the first floor for those who require it. There are 2 lounges and a separate dining room. There is also a well-maintained garden where the people can sit/walk in safety. The current fees for receiving care at this home are £365 to £425 per week according to the assessed needs of the individual. Draycombe House Care Ltd owns the home and Mrs Ann Withers one of the Directors of the company manages the home on a day to day basis. Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for older people introduced in April 2002. This was an unannounced inspection in that the service provider, staff nor the people who live there were aware the inspection was to take place on 17/4/07 This inspection was over a 4-hour period during the day. In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of people who live in the home. All records relating to these individuals are examined, along with the rooms they occupy in the home. The people receiving care at Ferncross were invited to discuss their experiences of the home. This inspection also included discussions with the staff on duty and the service provider in addition to viewing the home’s required written information such as medication records. The written plans of care were also viewed for 3 people who live there. The plan of care is a document outlining the needs of the individual and how these are to be met. The plans of care cover all aspects of the individual’s life including health, personal care and social activities thereby ensuring people are content in the care they receive. Time was spent in the lounges and dining areas observing the interactions between the staff and the people who live at Ferncross. The inspector had sent out questionnaires to the service provider some weeks before the inspection, to give to the people living at Ferncross and their relatives however only one questionnaire from a relative had been received back and comments from this are used in this report. The people the inspectors spoke with were happy with life at Ferncross. The staff enjoyed their work and spoke in a professional manner about the people they care for. They were also full of praise for Ann the service provider. Prior to this inspection the Pharmacist inspector had visited the home and has sent out a separate report offering advice. This is referred to in this report. What the service does well:
Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 6 Upon arrival in the home there was a pleasant atmosphere where one lady was having her hair done and said she felt ‘beautiful’. A musical CD was playing, with people singing along to it. One lady was petting one of the dogs. There was a good smell of cooking and it all gave a feel of a very homely atmosphere. The home is very good at providing the right levels of care and attention to all of the people. The inspector saw staff working quietly and kindly with the people. They were friendly but respectful, caring and treated the people as individuals. They were good at allowing people to have their own privacy and were careful with anything that might prove a risk to people such as going out alone, an escort was offered. The service provider enables people to keep their pet with them in the home if at all possible. Currently 2 dogs live at Ferncross. The owner and other people living in the home love the dogs being there. One dog thinks she’s a guard dog and barked as I entered the home. One lady who does not own a dog said she gets lots of pleasure from one dog in particular. The dog is fond of her and was seen to keep going to her to be petted. This staff are good at listening to the people who live at Ferncross and taking the right steps to make them happy and to make sure they are safe all the time. The staff are well trained and are keen to learn all about their job so they can give the people living there good care and attention. In the discussions it was apparent that they were really concerned that they did things right and were keen to improve through talking to each other and the service provider and by completing training courses. The service provider makes sure that all new staff have had a proper interview and that she checks out that they are good, decent people who have not had any trouble with the police nor have been sacked from any other care job. The service provider spends time with each member of staff so that they can talk about their work, deal with any problems, look at their training needs and help them to be better workers. Ann the service provider has worked hard to get things running very smoothly. She is trusted and respected by people who live there, their families and the staff. The questionnaire received from a relative reflected ‘we think all the staff we have encountered are extremely caring, cheerful and helpful. They treat Mum with compassion and a good sense of humour.’ Also stated ‘Whenever we go we are always made to feel welcome, told how Mum is and offered a drink etc’ and concluded ‘Overall we are delighted with the home.’ Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 7 The pre-inspection questionnaire completed by the service provider reflects the safety checks that are made to ensure the well being of the people who live there. What has improved since the last inspection? What they could do better:
There is an endeavour to provide a clean, homely environment for people to live in, this needs a little tightening up so that the appearance of the home remains of a good standard. Some of the external doors of the home have been changed and a key is now needed to be able to exit the building. This has been done to ensure confused people don’t accidentally wander onto the road outside. However there is a need to ensure people would not be trapped in the home should a fire break out. As previously stated the service provider generally ensures a thorough staff recruitment process. However when appointing new staff 2 written references must be requested, even if the individual is known to the service provider. Some of the advice offered by the pharmacist inspector on 8/3/07 has yet to be acted upon. This includes the following; ‘Checking (Audits) of medicines by managers should be carried out to ensure medicines are being given to people correctly. Medicines prescribed as “when required” should have a clear written care plan that describes how to give them correctly.’ Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 8 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. Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 9 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 Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 10 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): Standards 3 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People moving to live at Ferncross know that their unique needs will be met ensuring they are content in life. EVIDENCE: There are informative and comprehensive details recorded about what the home provides and how this will be achieved. People new to Ferncross and their relatives are provided with opportunities to visit the home and allow them to make an informed decision. Care has been taken to make sure that people’s individual needs are clearly identified and assessments also include risk assessments. Documentation is kept up-to-date and the use of daily records makes sure that individual need is regularly assessed. The Statement of Purpose and Service User Guide are provided and available to each person living there. These documents are also reviewed regularly so that any changes are promptly updated. The Service User Guide states ‘ If you
Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 11 decide that you would like to live at Ferncross a full assessment will be carried out, this is to ensure that we can meet your needs regarding care’ Each person living at Ferncross should have a written contract on the terms and conditions that apply to their placement in the home. This had yet to be signed for one person relatively new to the home. This home does not offer intermediate care. Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 12 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): Standards 7,8,9 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The manager and staff are sensitive to the individual needs of the people who live there ensuring their well-being and safety. EVIDENCE: As part of the case tracking process the care plans for 3 people were examined, these revealed that the health care needs of the people are identified and acted upon, ensuring people have a healthy lifestyle in a home where their needs are met. The people told the inspector they were happy living at Ferncross and ‘The staff are kindness itself’ also ‘There is nowhere better’. The care plans revealed that specialist advice is sought when necessary to meet the individuals needs, for instance District Nurse, Continence advisor and Occupational Health Dept. All GP and Psychiatric visits are recorded as part of the care plan.
Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 13 If anyone has an accident this is recorded and a copy of the record is kept on the individuals file. Risk assessments form an important part of the care plan covering topics such as ‘smoking’ and how to ensure the individuals safety when doing this. Also ‘Wandering off’, when an individual wants to leave the building the staff are advised to escort the individual for a walk. This is a good practice. The staff confirmed that this is the approach they would take understanding that the person would become anxious if unable to go out. People who are prescribed medication have signed a ‘Medical Declaration’ form outlining whether they wish to self medicate or have the staff administer their prescribed medication to them. This recognises people’s rights to be independent within a risk assessment framework. The staff who administer medication have all received appropriate training such as ‘Medication Awareness’. The following advice offered by the pharmacist inspector had not yet been acted upon; ‘Checking (Audits) of medicines by managers should be carried out to ensure medicines are being given to people correctly.’ However the service provider stated that she and a senior carer had set time aside for the following week to ensure this is thoroughly carried out. He also advised ‘Medicines prescribed as “when required” should have a clear written care plan that describes how to give them correctly.’ It is important that medicines such as those that can cause drowsiness and for medicines that treat pain should have clear written instructions to ensure care staff take a consistent approach when giving these medicines. This is particularly important for people that suffer with dementia as communicating with them can be difficult. This was discussed at length with the manager and advice was given on how to develop this.’ This important advice had not as yet been acted upon. Ferncross DS0000059354.V330465.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): Standards 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. People are encouraged to make choices leaving them content in the care they receive EVIDENCE: There is a set menu at Ferncross, which is based upon people’s known likes. People are told what is for the next meal and asked if they would like that or something else. Dislikes are also recorded to ensure an alternative is offered. The people spoken with all said the food was very good. The completed questionnaire from a relative stated ‘The food is excellent’ The main meal for the majority of people is at lunchtime. However one person prefers main meal at teatime and this choice is respected. Another person won’t eat at teatime but if offered a sandwich or a snack at 3pm she eats it. These practices result in people being healthy and happy at Ferncross.
Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 15 The people who live at Ferncross stated that they are enabled to make choices such as what to eat, when to rise/retire. They said they were happy living at Ferncross as ‘the staff are lovely and nothing is too much trouble.’ A further comment was ‘ No-where is better than here’ Upon arrival in the home there was a pleasant atmosphere where one lady was having her hair done and said she felt beautiful. A CD was playing, with people singing along to it. One lady was petting one of the dogs. There was a good smell of cooking and it all gave a feel of a very homely atmosphere. The service provider enables people to keep their pet with them in the home if at all possible. Currently 2 dogs live at Ferncross. The owner and other people living in the home love the dogs being there. One dog thinks she’s a guard dog and barked as I entered the home. One lady who does not own a dog said she gets lots of pleasure from one dog in particular. The dog is fond of her and was seen to keep going to her to be petted. People spoke of the activities they enjoy such as; Weekly art class Visiting musician Bingo Walking the dogs Outing in wheelchair Indoor bowls Reminiscence Hand massages Face massages Some people assist with household chores such as folding the washing, hanging washing out and dusting etc. People gain pleasure from this and offers them a similar life similar to the one they had in their own home. Ferncross DS0000059354.V330465.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): Standards 16 and 18 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The people know that their opinion matters and that any concerns/complaints will be taken seriously and acted upon. Resulting in their contentment in life. EVIDENCE: The Service User Guide contains the homes complaints procedure and a copy is given to each resident and/or their next of kin. This is a robust document that is easy to follow ensuring people know how to complain. The people said that if they weren’t happy about something they would tell Ann (service provider) and she would sort it out for them. The homes policies and procedures ensure the people who live there are protected from abuse. The staff spoken with were aware of what action to take should they suspect abuse had taken place. Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 17 All complaints would be recorded along with the action taken to rectify it. Neither the home nor the Commission for Social Care Inspection have received any complaints about Ferncross in the last 12 months. Ferncross DS0000059354.V330465.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): Standards19 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The resident’s benefit from living in a clean, hygienic and pleasant environment. EVIDENCE: The home has a pleasant dining room and two lounges, which are well furnished and decorated to a good standard. There are pictures mirrors and other little things that make the house look homely. Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 19 Some carpets in bedrooms have been replaced and some rooms redecorated since the last inspection in March 2006, offering a pleasant room for the occupant. Some of the lounge chairs are in need of shampooing and the service provider is arranging for this to take place to keep the home clean in appearance. There are currently 2 people who smoke in the home and this has led to the service provider trying to find a way of facilitating their smoking without affecting the health of the other people who live in the home. Bedrooms contained the personal knick-knacks of the person whose room it was reflecting their personalities. Some people had some of their furniture from their own home and this helped the person to feel ‘at home’ The people who live at Ferncross are happy with the home. Comments such as ‘it’s a lovely home’ and ‘there isn’t anywhere better’ were made. The passenger lift enables people to go between the two floors with ease. Some people like to spend time in their own room in the daytime and this is respected. One woman said ‘I prefer to be in my room, reading or watching TV, but I do join the others for meals.’ There is a bolted gate on the kitchen doorway. The service provider stated that this is not to keep people out as this is their home, but merely to let the person cooking know that someone is about to come in, to prevent any possible accidents. Some people like to help in the kitchen and they are enabled to do this. The staff confirmed that people do help in the kitchen if they wish to do so. Some of the external doors of the home have been changed and a key is now needed to be able to exit the building. This has been done to ensure confused people don’t accidentally wander onto the road outside. However there is a need to ensure people would not be trapped in the home should a fire break out. Ferncross DS0000059354.V330465.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): Standards 27, 28, 29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people’ benefit from being cared for by staff who are trained and competent to do their jobs. EVIDENCE: The way the home takes on new staff was looked at and it was found that the service provider made sure she only takes on the right kind of people who could care for people properly. She did this by interviewing them and checking that they had good references and had no criminal convictions. However there was only one reference for one employee and the service provider explained that this was because she had known the person for a number of years. Advice was given in relation to the requirements of the Care Home regulations, which outlines the need for two written references. The service provider agreed to comply with this in future. Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 21 The inspector saw the records that show that every person working in the home gets the chance to talk about their work with the service provider. These were basic, a more detailed record would show that the staff talk about resident’s care and think about how to improve the way they support them as well as addressing the staff member’s work performance. The service provider believes strongly in the importance of staff being appropriately trained to carry out their role and this is evident from the staff training record. The record reflected that once the 2 staff currently attending the National Vocational Qualification in care, have successfully completed the training, the home will have all staff except one with this training at level 2 or above. This is an excellent example of recognising the importance of having competent well trained staff. The staff attend numerous other courses such as Fire Safety Food Hygiene Health and Safety Moving and handling Abuse and Protection of Vulnerable Adults awareness Dementia Awareness training is on going and staff will receive a certificate at the end of the course. Infection Control All staff receive a thorough induction training when they commence employment at Ferncross. The people who live at Ferncross spoke about the kindness of the staff and Ann.(service provider) The comment of ‘couldn’t be anywhere better’ was made several times by them. The staff spoken with during this inspection had a positive attitude to their role within the home. The staff were observed to communicate with the people receiving care in a professional and respectful manner. Ferncross DS0000059354.V330465.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): Standards 31,33, 35 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service provider at Ferncross offers a service that ensures the people are well cared for. EVIDENCE: The Pre Inspection Questionnaire received from the service provider showed that the health and safety things like electrical tests and fire safety were being checked on a regular basis. The staff spoken with were aware of how to keep people safe.
Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 23 The staff said that the home is well managed and that Ann (service provider)is always happy to listen to issues they raise and offers support. The people who live at Ferncross are happy there. The home has a consistant staff team with a low turnover of staff which reflects that the home is well managed. Ann service provider has a wealth of experience in the care of people with dementia and has successfully completed a number of courses including the Registered Managers Award. Ferncross DS0000059354.V330465.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 24(1) Requirement The registered person must ensure systems are in place that help maintain the quality of medicines handling within the home. A regular recorded medicines audit/check can help achieve this. The registered person must ensure the building complies with the requirements of the local fire service. This is in relation to external doors being locked by means of a key. Timescale for action 14/05/07 2 OP19 23(4)(b) 14/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Medicines prescribed as when required should have a clear written care plan that describes how to give them correctly.
DS0000059354.V330465.R01.S.doc Version 5.2 Page 26 Ferncross 2. OP9 Care plans and risk assessments for people selfmedicating should be reviewed and updated. All handwritten medicines records and alterations should be double-checked and counter signed to help prevent mistakes. All medicines patient information leaflets should be read and any relevant information transferred onto the medicines records and/or the care plans. The people who smoke should be provided with a suitable place to do this that does not affect the health of the other people who live there. The furnishings in the lounges should be checked daily and any food spillages wiped clean. 3. OP9 4. OP9 5 OP19 6 OP19 Ferncross DS0000059354.V330465.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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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