Inspection on 05/02/07 for Glebe House

This inspection was carried out on 5th February 2007.

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

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

Other inspections for this house

Glebe House 05/06/09

Glebe House 03/12/08

Glebe House 10/01/06

Glebe House 27/07/05

Glebe House 15/02/05

Glebe House 28/07/04

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

CARE HOMES FOR OLDER PEOPLE Glebe House 5 Sundays Hill Lower Almondsbury South Glos BS32 4DS Lead Inspector Melanie Edwards Key Unannounced Inspection 09:15 5 and 6th February 2007 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 Glebe House DS0000020277.V319983.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. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glebe House Address 5 Sundays Hill Lower Almondsbury South Glos BS32 4DS 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) 01454 616116 01454 616118 glebenursinghome@btconnect.com www.bristolcarehomes.co.uk Avonedge Limited Ms Jacqueline Brown Care Home 53 Category(ies) of Old age, not falling within any other category registration, with number (53), Physical disability (5) of places Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. May accommodate up to 53 persons aged 65 and over, who are receiving nursing care. Of the total 53 persons, the home may accommodate up to 3 persons (who must be 65 years or over) requiring personal care only. Staffing notice dated 19/3/1998 applies Manager must be a RN on parts 1 or 12 of the NMC register. May accommodate up to 5 persons between 50 and 65 years of age. May accommodate one named person aged 32 years or over. The registration wil revert to 50 years and over when the person leaves the home. 10th January 2006 Date of last inspection Brief Description of the Service: Glebe House was first registered as a Care Home providing nursing in 1996. It is one of three homes in the same ownership. The other homes are Field House in Horfield and Beech House in Thornbury. Glebe House is in part a converted older building with a purpose built annexe. The home is situated in wooded grounds that are well maintained and accessible to residents and visitors. Accommodation is of a high standard and is arranged on three floors providing forty-one single bedrooms and six rooms for double occupancy. The majority of rooms have en-suite facilities and others have a washbasin and a toilet within a short walking distance and there are two large lounge areas and two smaller ones for quiet occupation if wished. There is access to all parts of the building provided by a passenger lift. The fees for staying at the Home range from £585- £970 a week. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Twenty of the forty-seven residents currently living at the Home were consulted to find out their views of the service. A number of visitors including several relatives were consulted. The registered manager, the administration manager, one registered nurse, two care assistants and a chef, were also consulted about their roles and responsibilities, their training needs, and how they assist and support residents. Staff were observed assisting residents with their needs. A range of records relating to the day-to-day running and management of the Home were inspected. A selection of resident’s care records and care plans were also reviewed. The majority of the environment was seen with the only areas not viewed being a small number of bedrooms. What the service does well: What has improved since the last inspection? All staff have attended `protection of vulnerable adults’ training to help them understand the principal of protecting vulnerable residents in their care. Glebe House DS0000020277.V319983.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. Glebe House DS0000020277.V319983.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 Glebe House DS0000020277.V319983.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): 3,4. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed and are met by the Home. EVIDENCE: Five residents care records were reviewed to find out how residents care needs are assessed. The assessment records were informative and showed the Home had consulted with residents and representatives to ascertain the range of physical, mental and social needs the person has. There was an assessment of residents skin vulnerability, and their risk of developing pressure sores had also been completed. There was a moving and handling assessment in place for each resident to assess how best to support residents with reduced mobility. The assessments demonstrated how the Home intends to meet each residents needs. A physiotherapy assessment is also carried out, (funded by the Home) for all new residents. This demonstrates residents’ mobility needs are being well assessed by the Home. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 9 There were many comments of satisfaction expressed by residents about the care and overall service that the Home provides. Examples of comments made by residents included, ‘the service is beautiful I wouldn’t want to be anywhere else the staff are always very willing’, ‘ the staff have a good work ethic I know them they are so friendly and helpful ’, and, ‘the staff are very obliging there is not a miserable one among them’. These comments were reflective of the comments made by all residents and demonstrate they feel very satisfied with how their needs are met. On both days of the inspection staff were observed working hard to ensure residents needs were met. Staff were communicating with residents in a courteous and professional way. Glebe House DS0000020277.V319983.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are treated with respect and sensitivity by staff at the Home. Residents’ care needs are met; and care plans support how to meet the needs. However residents would benefit if care plans were reviewed and updated on a more regular basis. Medicines policies and procedures are available to help staff administer medicines safely, however residents could be further protected if policies were more specific to the systems in place in the home. Some aspects of medicines handling should be improved to make sure that residents’ health is protected. EVIDENCE: Five care plans were reviewed, to find out how residents are supported by staff to meet their care needs. The care plans were informative and detailed how to meet the care needs of the person. The care plans stated what actions staff must follow to assist the resident to meet their needs. However care plans need to be reviewed and updated more regularly by registered nurses. This is to demonstrate residents’ health needs are being monitored and kept under review. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 11 The residents consulted said that staff are very helpful, kind and caring, when they assisted them with their needs. Many residents commented on the very helpful and kind attitude of the staff, and they said that staff were always willing to help them to ensure their needs are met. Staff were observed knocking on residents bedroom doors before entering them and assisting residents in a polite and respectful manner. One registered nurse was consulted about how they support residents to meet their health care needs. The nurse explained they constantly assess and monitor residents’ health needs, and will call a GP if required at the earliest opportunity. This helps to demonstrate how Nurses are monitoring residents’ health and will call a Doctor promptly when required. There was supporting information in residents’ care plans that demonstrated residents are well supported with their physical health care needs by the GP, the dentist, and the chiropodist. Five care plans were reviewed, to find out how residents are supported by staff to meet their care needs. The care plans were informative and detailed how to meet the health care needs of the person. The care plans stated what actions staff must follow to assist the resident to meet their needs. However while there was some evidence that care plans had been reviewed and updated by registered nurses, this had not been done on a sufficiently regular basis to demonstrate residents’ needs are monitored reviewed regularly. Staff were sensitive and supportive in manner to resident’s relatives who visited the Home to see their relations. The pharmacist inspector looked at the handling of medication in the home with the manager and a trained nurse on each floor. Medicines are supplied weekly by the pharmacy using Nomad boxes. The boxes checked indicated that medicines had been administered as prescribed. All medicines seen were stored securely. A medicine fridge is available; records showed that temperatures are not monitored daily and on several occasions temperatures were above the recommended range of 2 to 8 degrees C. To make sure that medicines are stored safely, temperatures should be monitored daily and action taken to keep the temperature within the recommended range. Two medicine policies are available giving guidance for the safe handling of medication but neither is specific to the procedures used in Glebe House. It is Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 12 recommended that a policy explaining the specific procedures used in the home be available for staff to help them safeguard residents’ health. Few residents are able to look after their own medicines. Two people currently look after their own inhalers. A policy for self-medication should be available including risk assessment to make sure that, if they wish to, residents can safely look after their own medicines. A homely remedy policy is available, so that some household medicines may be safely given. Records must be kept of the receipt, administration and disposal of all these medicines, so that staff can check that they are used safely. To protect residents some out of date homely remedies must be disposed of. A small emergency stock of injectable medication was seen. A record is kept of these medicines so that the stock balance can be checked. These medicines had originally been prescribed for named residents and cannot be kept as stock. It is recommended that staff discuss with the PCT how best to have emergency medication available. The pharmacy provides printed medicines administration record sheets with the medication. It was not clear on some record sheets whether particular creams and ointments had been administered. To protect residents’ health, records must be kept of the administration of all prescribed medication. Glebe House DS0000020277.V319983.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): 12-15.Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’, social and recreational interests are well met, and they are supported to maintain contact with their families, friends and community, also a varied and well balanced diet is provided. EVIDENCE: Residents benefit from a full time activities organiser as well as two part time activities organisers who put on a range of social and therapeutic activities for them each day. On both afternoons of the inspection there was a residents arts and crafts group, taking place. There are weekly exercise groups, as well as trips out into the community, in the Home’s minibus. Residents who were consulted said that they looked forward to the trips out into the community. There are two hairdressers who work full time, and manicurist who works part time. On the second day of the inspection residents were having their hair attended to which they looked to be enjoying. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 14 There is also a mobile shop, which offers residents the opportunity to purchase a range of day-to-day items such as toiletries, and chocolates. The shop is also used as an opportunity for residents who stay in their rooms to have social contact with staff. Visitors said that they are able to visit at any time they so wish. Two visitors had recently been able to stay overnight when their relatives had been very unwell. This is commendable and demonstrates the needs of residents to be supported by their families, are well met. Residents were asked their views of the quality and variety of meals provided at the Home, and all of the residents asked said they thought the food was very good. The menu of resident’s meal choices was inspected and the meal options were nutritionally well balanced. On the first day of the inspection, the inspector ate lunch with a group of residents. At lunchtime the tables were laid with linen tablecloths and flower table settings, helping to make the lunchtime meal a relaxed and social experience for residents .The meal choices were homemade steak and kidney pie, or home made cheese and onion flan, accompanied by creamed potatoes, green beans and carrots, followed by a desert of freshly made apple pie with custard, or fresh fruits, or ice cream. There are also resident’s with special dietary needs who were being served alternative dishes. The meals were very tasty and well presented. Residents said that the chef walks around the Home each day and asks them what food they like and what they think of the menu. Glebe House DS0000020277.V319983.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): 16,18.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the systems and procedures in place to help protect residents from abuse or harm and to ensure complaints can be taken seriously and acted upon. EVIDENCE: A copy of the complaints procedure is on display on a wall in a well-frequented part of the Home. The procedure includes the contact details for who runs the Home, as well as the area office of the Commission for Social Care Inspection, if someone is not happy with the outcome of a complaint investigated by the Home. All residents are provided with a copy of the complaints procedure and the contact details of the registered provider of the Home. The complaints record book was viewed to see how complaints are responded to. There had been no new complaints received since prior to the last inspection. The record included details of how complaints were to be dealt with. There is a policy in place relating to the issue of protection of vulnerable adults from abuse. All staff are provided with training by Ms. Brown to ensure they are up to date in their understanding of the principle of the protection of vulnerable adults from abuse. Glebe House DS0000020277.V319983.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): 19-26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Home is safe well maintained, and suitable for meeting the needs of residents. EVIDENCE: The Home is set in landscaped gardens in a quiet area, next door to a church and village pub. The property is located a short car ride away from the village of Almondsbury, and the town of Thornbury, where there are shops, services and amenities. The Home is also a short drive away from nearby motorway access, and a large shopping mall. The building is an older spacious converted property, built over three floors, with a range of suitable adaptations in place throughout the Home, to assist people who may have limited mobility. There is lift access to each floor of the Home. The inspector walked around the inside of the Home, and viewed all of the communal living areas and the majority of bedrooms. Rooms are generally spacious and fixtures and fittings are of a very high standard. This helps to enhance the quality of life for residents who live at the Home. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 17 The environment was very clean, tidy and well maintained. All residents are provided with their own television by the Home, as well as their own telephone and external line, they are also informed of the manager’s office extension number if they wish to contact her. A full time maintenance worker is employed to address general maintenance and they were observed carrying out their duties during the inspection. Service records were seen for the lift, the fire fighting equipment, and the hoists and manual handling aids. The records showed that external contractors had serviced the lift, and equipment in the last twelve months. Glebe House DS0000020277.V319983.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): 27,29,30.Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are cared for by staff who are very competent and well trained to meet their needs. EVIDENCE: A sample of staff files were inspected to find out if the Home operates safe recruitment practises. There are two written professional references taken up for all new staff prior to offering work with the Home. In addition, all staff sign to declare they have not committed a criminal offence prior to employment, as well as complete a Criminal Records Bureau check and a ‘POVA First’ Check before commencing employment. These checks are a further safeguard for vulnerable residents. Staff assisted residents in a calm, very courteous way, and knocked on bedroom doors before entering rooms. Staff were observed communicating among each other, and were working well as a team. In discussion staff conveyed a good understanding and sensitivity to the needs of the residents in their care. The staff on duty said that there are regular training and development opportunities provided by the Home. One registered nurse told the inspector about recent clinical training and update sessions that they had attended. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 19 The training records of four staff were reviewed to find out if staff are attending relevant training to help them in their work. The training records seen demonstrated staff attended training and updating in subjects that are relevant to the Home and to the needs of residents. The number of nursing and care staff on duty was reviewed to find out if residents’ benefit from a sufficient number of staff to meet their needs. There is a minimum of two registered nurses on duty at all times and nine care assistants in the morning, with seven care assistants and two registered nurses in the afternoon. At night there are two registered nurses and three care assistants on duty. There are at least two additional staff employed on a daily basis to serve drinks and assist with meals for residents. The number of staff on duty is above the legally required minimum staffing levels that are conditions of the Home’s registration. The manager and the administration manager work nine to five hours. There are full time catering, domestic and laundry staff also employed although the number of these staff was not reviewed at the inspection. However in the absence of domestic staff, the Home had booked additional, agency domestic staff. This is good practise and demonstrates the Home’s priority is to ensure there is a sufficient number of staff at all times. Glebe House DS0000020277.V319983.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): 31,32,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home is well run, with residents’ views actively taken into account by management , and the health and safety systems and procedures in place generally help protect the health and safety of residents, staff and visitors. EVIDENCE: Ms.Brown is the registered manager and has a number of years of experience working in care Homes at senior levels, and in palliative care and teaching. She is a first level registered nurse and has been the registered manager of the Home since it opened eleven years ago. This demonstrates Ms Brown is fit and suitable to run a Care Home. A number of the residents commented on how kind and caring Ms Brown is, and also that they see her everyday if they need to speak to her. She is supported in her work by a full time administration manager who is responsible for the management of running all non-clinical areas of the Home. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 21 Residents’ rights are protected by records that are satisfactorily maintained, up to date, legible and in order. The care records reviewed were satisfactorily maintained up to date and in order. Individual records and the Home’s records were kept secure in the Home, and are available to staff when needed. Other records are referenced elsewhere in the report. The environment looked safe and satisfactorily maintained throughout. Ms Brown and the administrative manager take responsibility for health and safety matters in the Home. They carry out regular health and safety audits of the environment to ensure it is safe throughout the Home. There are health and safety policies and procedures in place for staff to follow to ensure the safety of residents is maintained. Health and safety practices in the Home are also addressed at the new staff induction day. A selection of recent residents’ accident forms were inspected to find out what action is taken after residents have an accident in the Home. The accident records showed registered nurses record in detail the nature of the occurrence, and all follow up action over a period of days after the event. To further safeguard residents the manager audits and monitor all accident records. The fire logbook was checked and showed weekly tests of fire alarms being carried out. The fire fighting equipment was being checked regularly, thereby helping to maintain the safety of those in the building. There is a record to show staff had attended fire safety update training in the last twelve months to ensure they are aware of fire safety procedures. Glebe House DS0000020277.V319983.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 X X 3 4 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 4 3 4 3 STAFFING Standard No Score 27 4 28 X 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X X 3 3 Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 23 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. 2 Standard OP7 OP9 Regulation 15(1) 13(2) Requirement Timescale for action 05/03/07 All residents care plans must be reviewed and updated on a regular basis The registered person shall make 05/03/07 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home: • Records must be kept of all medicines administered, including creams and ointments. • Medicines must be stored within the manufacturers’ recommended temperature range • Prescription only medicines may only be administered to the person they were prescribed for. • Out of date homely remedies must be disposed of. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 24 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. 3 Refer to Standard OP38 OP38 OP9 Good Practice Recommendations Ensure residents’ accident records are filed methodically. Kitchen cleaning materials should be stored away from food preparation areas. To make sure that medicines are handled safely a medication policy specific to procedures in place at Glebe House should be available for staff. A policy for self-medication should be available including risk assessment to make sure that, if they wish to, residents can safely look after their own medicines. It is recommended that staff discuss with the PCT how best to have medicines available for emergency use. Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Glebe House DS0000020277.V319983.R01.S.doc Version 5.2 Page 26 - 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. 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