Inspection on 13/11/06 for Ferney Lee

This inspection was carried out on 13th November 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ferney Lee 09/10/08

Ferney Lee 04/01/06

Ferney Lee 10/05/05

Ferney Lee 19/01/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Ferney Lee Ferney Lee Road Todmorden Lancs OL14 5JW Lead Inspector Paula McCloy Unannounced Inspection 09:00 13 November 2006 th 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 Ferney Lee DS0000034939.V310772.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. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ferney Lee Address Ferney Lee Road Todmorden Lancs OL14 5JW 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) 01706 815507 01706 816025 Calderdale MBC Mrs Jean Nicol Conway Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Maximum number of permanent and short stay places - 23. Five of the registered beds to be utilised for intermediate care only. 4th January 2006 Date of last inspection Brief Description of the Service: Ferney Lee is a residential care home offering personal care and single room accommodation for up to 28 older people. Ferney Lee offers a permanent home as well as respite, transitional and intermediate care for the people of Calderdale. The home is owned and managed by Calderdale Metropolitan Borough Council. The communal rooms are attractively decorated, well furnished, light and spacious. The bedrooms rooms are also well decorated and furnished. The home stands in its own grounds and has ample car parking. The home is set just outside Todmorden town centre within reasonable walking distance of the main road and bus routes. The current weekly charge is £537.48 per week. The fees do not cover newspapers, hairdressing, dry cleaning, private chiropody, dental or optical treatments or the purchase of personal clothing and effects. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk The last inspection of the home took place on 4 January 2006. There have been no further visits to the home until this key inspection. This inspection was carried out to assess the home against a pre-determined selection of the National Minimum Standards for Older People and to check what progress had been made on meeting the requirements from the previous inspection visits. One inspector carried out the inspection over 1 day and spent approximately 7 hours in the home. The methods used in this inspection included discussions with 5 residents, 1 relative, 6 members of staff, observation of care practice, examination of records, and a partial tour of the home. A pre-inspection questionnaire was sent to the home prior to this visit asking for information. This questionnaire was returned and the information provided has been used in this report. Comment cards were given to residents and relatives; these cards provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way are shared with the provider without revealing the identity of those completing them. Eight residents and two relatives wrote to the inspector with their comments. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 6 What the service does well: Anyone thinking of moving into Ferney Lee can go and look around and get written information about the home, which is in the service user guide. If they decide to move in staff from the home will carry out an assessment to make sure that they can meet that person’s needs and arrange a day for admission. Residents get a contract/statement of terms and conditions document, this means that they are given information about their rights and obligations. Each resident has an individual care plan, these give information about peoples past lives, interests and preferred routines. This helps staff support them in an appropriate way. Activities are arranged at the home. Residents said that there were quizzes, board games, trips out and entertainers that come into the home. Residents look well cared for. All residents spoke well of staff and they felt that they were kind and caring. One resident said “There’s not a better home in Todmorden. I’m so happy here I can stay until I die. I have no complaints they all work very hard.” Another resident said “The staff are all very nice.” Residents can follow their own routines and relatives and friends are welcome to visit at any time. Meals at the home are good. One resident said “ I like the way the food is cooked.” Another resident said “I haven’t had a bad meal here.” Residents are involved in the running of the home and residents meetings are held regularly so that people can have their say. If residents and/or relatives are not happy about the service they are getting the home has a complaints procedure. Residents and relatives were aware of the procedure and said that they would be able to raise any concerns and that they felt any problems would be resolved. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 7 The home is clean, tidy, comfortable and well maintained. Seven residents said “The home is always fresh and clean.” The staff are friendly and well trained. Staff enjoy working at the home and feel they work well as a team. All of the staff spoken to said that they would be happy for a relative of theirs to live in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 8 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ferney Lee DS0000034939.V310772.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 Ferney Lee DS0000034939.V310772.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The statement of purpose and service user guide gives all residents details of the services the home provides. Prospective residents and/or their representatives are also encouraged to visit the home so they can make an informed decision about admission to the home. All prospective residents are assessed by staff from the home before admission to make sure that their needs can be met. Residents are given a written statement of terms and conditions of residence document which tells them in detail about the fees and any extra charges. EVIDENCE: Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 11 The statement of purpose and service user guide are available from the home. One relative said that they had been to look around the home before they decided to let their mother move in. Six residents said that they had received enough information about the home before they decided to go and live there. Each resident has a copy of this document, which is left in their bedroom. Staff get a copy of the social care assessors report before a resident moves into the home. Staff from the home do go out and see prospective residents before they move in to check the assessment information and to make sure that they can meet that residents needs. Staff are not documenting their assessment. It would be good practice for a record of this assessment to be made as it would help in writing the initial care plan. Residents are issued with a contract/terms and conditions of residence document when they move into the home. Staff do not currently keep a copy of this document on the resident’s file. Copies need to be kept for reference. Four residents confirmed that they had received a contract. The home provides intermediate care for up to 5 residents. This part of the service provides short term intensive rehabilitation so that residents can return to their own home. The intermediate care unit is self contained with its own kitchen, lounge and dining room and five single bedrooms. Staff working on this unit are trained and are supported by an occupational therapist and physiotherapist. One resident said that the service was excellent and that “the staff are willing to do anything for you.” She has used the intermediate care facility at Ferney Lee before and retuned home successfully and is confident that she will return home again after this stay. Residents on the intermediate care unit are not able to have televisions in their bedrooms. Staff said that they thought that this was because of a problem with the TV licensing authority. Although residents can watch TV in the lounge, staff are keen for people to have the choice of using their own room and TVs are available for all of the rooms. Ferney Lee DS0000034939.V310772.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff need to make sure that the written care plans accurately reflect the care and support they are offering to residents. This will make sure that residents receive consistent care. The medication system is well managed and the checking systems are good. Residents get their medication at the right times EVIDENCE: Four care plans were examined in detail. The care plan for the resident using the intermediate care facility was detailed and clear about the support that was required from staff. The resident confirmed that she had been visited by the district nurse the day after she had told staff about a particular problem. The documentation of this was detailed and easy to follow. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 13 The three care plans for residents in the residential part of the home were less detailed. The care plans contained assessment information that identified the areas each individual resident needed support with. There were no actual care plans that described in more detail how this support would be delivered. For example on one resident’s plan it was noted that they had a continence problem and that they wear pads. There was no detailed plan about a toileting regime, the type of pad the resident needed or how often the pads need to be changed. For another resident, who suffers from a chronic chest problem staff were able to talk about how this condition is managed. None of this detail was documented in their care plan. Staff are identifying residents needs and are taking appropriate action. For example they know that one resident has not got a good appetite and they make sure that he gets his food supplements and is weighed regularly, but there is no formal care plan that addresses this particular need. Care plans do not contain all of the necessary assessments. There are no risk assessments regarding nutrition, continence, falls or development of pressure sores. Staff said that the community matron is going to help them put this assessment information together. All of the care plans contained details of residents moving and handling needs and how staff should give support. One resident said that staff had given her a pendant call bell to wear around her neck so that she could summon staff assistance whenever she needed it. Staff have clearly identified that this resident was at risk if she couldn’t summon staff quickly and have taken appropriate action. There were no details of this in the individuals risk assessment. Residents said that they get the assistance that they need. Staff need to make sure that care plans are detailed and reflect the care and support they are offering. Staff are also completing person centred plans that give details of residents preferred routines, interests and likes and dislikes. These are kept in the residents’ bedrooms. It would be helpful if this information was used in the care planning process. Residents’ health care needs are being identified and met. Staff are vigilant and health care professionals are being involved as necessary. There was clear evidence of GPs, chiropodists and opticians being involved in the ongoing care of individual residents. Eight residents confirmed that they receive the care and medical support they need. Residents’ care and support needs are being reviewed monthly and there was evidence that residents are involved in these reviews. Three relatives said that they are kept informed about their relatives’ well being. The medication system is generally well managed and shows that residents are getting their medication consistently at the right times. The routine stock Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 14 check had identified that one resident’s medication did not tally. There were 5 tablets less in stock than there should have been. Staff felt that this was because tablets had been given but not signed for. Staff must make sure that they sign the medication records at the time they give the medication. If they do not do this there is a risk of a resident getting too much medication. Staff also need to make sure that all medication is booked in, so that they know when and how much medication was received. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ preferences in relation to daily routines are respected. Relatives and friends feel welcome to visit at any time. The meals are good and residents are consulted about the choice of meal available. EVIDENCE: The person centred plans contained information about residents’ preferred routines and interests. Staff are working hard to make sure that residents are able to maintain their contacts outside of the home. For example two residents want to go out to church. Staff have made arrangements with the church for this to happen. One resident continues to go to out to a club and another to the pub. Staff also organise regular trips out. In October residents went out for a pub lunch and on a trip to Blackpool to see the illuminations. Two entertainers also visited the home. Staff also organise some activities in the home themselves both on a group and individual basis. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 16 Relatives said that they are made to feel welcome when they visit and that they can see their relative in private. Details of how to contact advocacy services are on display on the notice board. Advocates from Age Concern are involved with the home and attend residents meetings. Advocates also supported some residents in completing the survey forms that were sent out as part of this visit. This means that residents were able to voice their opinions about the home. Residents stated that the food was good as did staff who also have some meals at the home. There is a choice available for every meal. At lunchtime the dining tables were set with tablecloths, placemats, cutlery and condiments. There was a choice of steak and kidney pudding or liver, potatoes and vegetables. The delivery of meals at lunchtime was well organised and staff were available to supervise and assist residents. The mealtime was a relaxed and social occasion. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 17 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has a satisfactory complaints system and complaints that have been made have been resolved. Staff have a good understanding of adult protection issues which protect residents from abuse. EVIDENCE: The complaints procedure is well publicised. It is in the service user guide and on display in the home. The home keep a complaints log which gives details of any complaint that has been made together with the action taken and outcome. Complaints that staff have dealt with have been resolved. Residents and relatives said that if they had any concerns that they would feel able to raise these with the registered manager or one of the senior staff and that they felt confident that any problems would be sorted out. The local adult protection procedures were available in the home. All staff spoken to had received training and were able to talk about what they would do if they felt any practices in the home were not in the best interest of the service user. Ferney Lee DS0000034939.V310772.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a clean, safe, comfortable, well maintained home. EVIDENCE: Ferney Lee is situated in Todmorden and is approximately a 10 minute walk away from the centre of town. The home is well maintained, clean and comfortable. There is a car park at the front of the building. CCTV is in operation around the outside of the building for security purposes. The home’s front door bell is linked to the residents emergency call system. Each member of staff carries a ‘pager’ that tells them the location of the call. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 19 From observation the ‘pagers’ were going off almost constantly at one point. Staff explained that this is because the front door call repeats and repeats until someone answers it. Staff also said that they are looking into a better system for answering the front door as the current arrangement is not satisfactory. The home was clean and tidy on the day of the inspection. Ten residents and three relatives said that the home is always fresh and clean. There are infection control procedures in place. There have been no infection control issues at the home since the last inspection. The laundry is well equipped, clean and tidy. The required ‘non return’ valves are in place on the washing machines. Ferney Lee DS0000034939.V310772.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff morale is good resulting in an enthusiastic workforce that work positively to improve residents’ quality of life. Staff are receiving appropriate training to meet residents needs. Any new staff are thoroughly checked to ensure that they are suitable to work with older people. EVIDENCE: The duty rotas were examined. These show that during the day there is one senior staff member on duty with five care assistants during the day. At night there are two care assistants on duty with a member of the senior team ‘sleeping in’ who can be called if an emergency arises. There is cook, domestic and kitchen assistant cover during the day. Care staff cover the laundry duties. Staff said that at the current time the numbers of staff on duty were adequate to meet residents’ needs. All staff spoken to felt that they were working well as a team and that they enjoyed coming to work. Agency staff are used to cover some shifts, these tend to be the same staff who are familiar with the home. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 21 There are 66 of the care staff qualified to NVQ level 2. Four staff files were examined at the social services main office. Recruitment procedures are robust. Staff files confirmed that the necessary checks are being completed to ensure the suitability of new staff. All staff spoken to said that they had been given copies of the General Social Care Councils codes of practice. All new staff receive induction training and records of this training are kept on their recruitment files. Ferney Lee DS0000034939.V310772.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35, 36 &38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well managed and run in the best interests of the residents. Practices in the home promote the health, safety and welfare of the residents. EVIDENCE: The registered manager has completed the Registered Managers Award. Residents know who the manager is and all of them said that they could talk to her about any problems. Staff also said that any problems they have relating to their job are sorted out. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 23 Residents and relatives are consulted about the running of the home via the annual quality assurance questionnaires. The results of the last survey were published in the homes’ annual report. Surveys have been sent out again recently. Residents meeting are also held and advocates from Age Concern are used to make sure residents’ views are put forward. Staff act on the issues residents raise. For example some residents said they did not know which member of staff was their keyworker. To address this each resident now has a photograph of their keyworker in their bedroom. Residents and relatives are also kept up to date with what is going on in the home via the homes newsletter. The responsible individual for the service completes the necessary monthly visits to the home and reports of these visits are available. These visits are a way of checking that the home is being run properly and that residents are satisfied with the service. The manager does hold money on behalf of residents. The records examined were well maintained and accurate. All of the staff members spoken to confirmed that they receive regular individual supervision. This means that staff are supported in their role and have the opportunity to discuss their personal development. There is a written Health and Safety policy. Staff receive moving and handling, food hygiene, fire safety, health and safety, first aid and infection control training. The fire alarms are tested weekly and fire drills/practices are held. The passenger lift and moving and handling equipment service records were all seen and were up to date. Ferney Lee DS0000034939.V310772.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 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X X Ferney Lee DS0000034939.V310772.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 OP8 Regulation 12 Requirement Timescale for action 31/03/07 2 OP9 13 Staff must make sure that care plans contain all of the necessary assessment information and that the plans accurately reflect the care and support that is being delivered. Staff must make sure that they 30/11/06 sign the medication records contemporaneously. 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 OP19 OP24 Good Practice Recommendations Staff should try and find a better way to manage the front door ‘buzzer’ system. Staff should try and sort out the TV licence problem so that residents using the intermediate care service can have a TV in their bedroom. Ferney Lee DS0000034939.V310772.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 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 Ferney Lee DS0000034939.V310772.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!