Inspection on 29/01/07 for Glenfield House Nursing Home

This inspection was carried out on 29th January 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

Glenfield House Nursing Home 12/10/05

Glenfield House Nursing Home 18/07/05

Glenfield House Nursing Home 11/10/04

Glenfield House Nursing Home 29/06/04

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

CARE HOMES FOR OLDER PEOPLE Glenfield House Nursing Home Middle Lane Wythall Birmingham West Midlands B38 ODL Lead Inspector Yvonne South Unannounced Inspection 09:00 29 January 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 Glenfield House Nursing Home DS0000004110.V324149.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. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenfield House Nursing Home Address Middle Lane Wythall Birmingham West Midlands B38 ODL 01564 823795 01564 822603 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) Mr Cahal Joseph Grant Mr James Noel Walsh Mrs Barbara Hancock Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30) of places Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 12.10.05 Brief Description of the Service: The home is located in a semi-rural area of Wythall. Parking is available for several vehicles in the homes car park. Glenfield House nursing home was first registered in 1994. It is a purpose built home and provides 24 hour nursing care for 30 elderly residents of either sex. The accommodation is provided in 22 single rooms some with en-suite toilet facilities and 4 shared rooms. There is a spacious lounge and dining room. The home has a lift, which enables residents to access all floors of the home and handrails are fitted to assist those with mobility problems. Communal bathrooms, a shower room and toilets are provided with suitable aids to help the less able. Laundry, kitchen staff and storage facilities are located in the basement and are accessible to staff only. The gardens are pleasant, well maintained and are accessible to residents. The home’s registered manager is Mrs Barbara Hancock who is a registered nurse and Mr Cahal Joseph Grant and Mr James Noel Walsh own the home. In information provided to the Commission for Social Care Inspection on 17.01.07 the registered manager stated that the fees at that time were between £2000 and £2600 per month. Additional charges were made for hairdressing at the hairdresser’s rate, private chiropody at £11 and newspapers at current prices. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that incorporates information received by the Commission for Social Care Inspection since 12/10/05 and the information obtained during fieldwork on 29.01.07. The fieldwork took place over 9 hours during which the inspector spoke to three residents, six staff and the home manager. Documents were assessed and a partial tour of the premises was also undertaken. Prior to the fieldwork the home was asked by the Commission for Social Care Inspection (CSCI) to complete and return a pre-inspection questionnaire and to distribute questionnaires to the residents, relatives and health care professionals seeking their opinions of the service. To date 9 responses have been received from residents, 8 from relatives and none from health care professionals. Phone calls were made to two relatives and their views of the service were also sought. The focus of this inspection was on the key National Minimum Standards and the requirements and recommendation that arose out of the previous inspection. What the service does well: The home provides a warm friendly welcome to everyone. Relatives say that they feel welcome and are kept well informed of matters that concern them. A resident searching for a care home said; My family were made to feel very confident and also made to feel welcome to visit on more than one occasion to make sure beforehand that it was the right place for all concerned. A good standard of personal and health care is provided by staff that are kind and committed. Relatives say; We have always been very pleased with the care mom receives at Glenfield. It is an excellent nursing home. The care home is excellent. Could not ask for better care and attention. The staff are well recruited and trained. They provide a good service that is described as kind, sensitive and caring. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 6 The home employs a full time activities organiser who provides a range of activities and events in the home and the community in which residents can participate if they choose. Personal choice and preference is respected. The home is clean and light, well furnished and maintained. People are encouraged to personalise their own bedrooms with items they treasure. What has improved since the last inspection? What they could do better: Staff records still need to be organised so that the information can be readily retrieved and checked, supervision and training achievements can be monitored. All staff should have an up to date photograph in their records. Residents and/or with their consent their relatives, should be actively involved in discussions and decision regarding care plans so that residents wishes, preferences and needs are all taken into account when care is provided. It is acknowledged that dying and death is a sensitive subject. However the wishes of residents, and/or with their consent their relatives, should be ascertained regarding the care they require at the end of their life and their wishes when they die. Without information staff may be unable to meet the needs of those involved. Good practice guidance must be followed regarding medication records so that the safety of residents is safe guarded. Minor improvements are necessary to further improve the management of infection control so that people in the home are protected. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 7 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. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (An intermediate care service is not provided therefore standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have access to the information and support they need to help them make a decision regarding residence in the home. People are only admitted to the home if their needs can be met there. EVIDENCE: Copies of the Statement of Purpose and Service Users’ Guide were readily available. Relatives confirmed that they had been offered these and copies of previous inspection reports when they were assessing the home. People said that they had visited several homes, visited Glenfield and undertaken a tour before making a decision. It was said that Glenfield had been recommended, the management and staff were really committed and approachable. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 10 Prior to admission someone from the home had visited the prospective resident and undertaken an assessment of their needs. This was confirmed by assessment of three sets of care records. They were comprehensive and informative. Places were only offered to people who could be cared for in the home. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments are maintained to provide staff with information and guidance so that residents’ personal and health care needs are met. Staff are recruited and trained so that residents receive the care they need and are treated with dignity and respect. EVIDENCE: It was observed that risk assessments and care plans had been drawn up advising staff how each care need should be addressed. These were detailed and informative. Monthly evaluations (reviews) had been undertaken to ensure the guidance was still accurate and relevant. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 12 The trained nurses employed in the home, visiting doctors, opticians and dentists and attendance at hospital appointments, were addressing health care needs. The daily records (Kardex) was well maintained but there was no evidence that the residents, or with their consent their relatives, had been involved in the compilation of their care planning. If discussions take place on a formal or informal basis there should be evidence of this. There was little evidence of the residents’ wishes regarding their end of life care. It is acknowledged that this is a sensitive subject however if the information is not available people’s wishes cannot be met. The management of medication was assessed. It was observed that keys and storage were secure. The storage was appropriate and well maintained. The requirements in the previous report to amend the policy and procedure to reflect the changes relating to the disposal of medication and to maintain an up to date photograph of each resident in the medication record had been complied with. The care records demonstrated that reactions to medication were monitored and responded to as necessary. Records of receipt and administration were maintained. However the meaning of the code letter ‘O’ had not been clarified on the administration sheets and when a prescription gave a variable dose the amount administered had not been recorded. It was also observed that a resident who was allergic to penicillin had been recorded on the medication administration sheet as having no allergies. This is a serious error that could result in harm to the resident concerned. It was immediately corrected. When handwritten amendment or additions are made to the prescription records two signatures are required to ensure accuracy. It was observed that the staff related to the residents with kindness and respect. A relative commented that he was impressed by the attitude and demeanour of staff. Although there were no (approved) locks on the doors of bedroom and ensuite facilities the manager confirmed that these could be provided if the resident wished. It was recommended that the admission process should pro-actively offer this facility subject to a risk assessment and record the response. Any locks that are fitted would need to comply with the guidance given which ensured residents could not become trapped and staff could obtain access in an emergency. It was observed that personal privacy was respected through the closure of doors and curtains, mail was delivered unopened or held, with the residents’ consent, for their relatives, and phone calls could be made and received in private. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities and events are provided so residents have opportunities to be interested and stimulated. A choice of good quality food is provided so residents are able select a meal they enjoy. EVIDENCE: The home employed a trained activities adviser who arranged a range of in house and community activities and events. Relatives confirmed that quizzes, exercises to music, and bingo took place. A resident told the inspector that she enjoyed the events very much. In a questionnaire that was returned by a relative it was commented that; All occasions are organised very well i.e. Christmas Easter, Summer fetes. They do their best to include everyone’s family. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 14 The pre-inspection questionnaire listed a wide range of activities that provided both mental and physical stimulation for those who wished to participate. The records indicated that residents belonged either to the Church of England or were Roman Catholic. No other faiths were recorded and many records had no entry. It is important that residents are asked if they need any support to maintain links with their culture and religion. If there are no needs this should be stated. The manager and a resident confirmed that the vicar and the priest from the local churches visited the home and conducted services for those who wished to attend. Residents’ meeting were held and they were encouraged to participate and express their views and opinions. Minutes were maintained. It was observed that there was little recorded information regarding residents’ participation in events and this should be addressed. The cook confirmed that residents were offered a choice from the menu each day. When residents had difficulties making choices the staff used their knowledge of their preference to make selections for them. Residents responded in the questionnaires that they usually liked the meals that were provided. A relative said that his relative was provided with the meal of her choice each day. The cook said that currently no special diets were required but some people needed food specially prepared. Glenfield House Nursing Home DS0000004110.V324149.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. People have the information and support they need to enable them to raise their concerns. Therefore they can do so confident that they will receive an acceptable response. Staff are recruited and trained so that the people in the home are protected from abuse. EVIDENCE: Copies of the complaints procedure were available in the Statement of Purpose and Service Users’ Guide. Copies were observed in bedrooms and the procedure was displayed on the notice boards. In all questionnaires received from residents it was stated that staff listened to residents and acted on what they were told. They knew who to speak to if they wished to make a complaint and Matron was always available. Since the last inspection a complaint was received by the CSCI concerning the employment of a student and a complaint had been received by the home Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 16 regarding the manager’s availability. Both were investigated and no cause for concern was identified. Currently issues had arisen regarding staff personalities and these were being addressed. Three staff were interviewed by the inspector. They described the home as a happy place to work in. They were all aware of their role should they be in receipt of a complaint or observe abuse and they all described a robust recruitment process that they had gone through. References had been taken up and checks had been made by the Criminal Records Bureau (CRB) before new staff were appointed. Not all staff could recall training relating to the protection of vulnerable people. However everyone knew the action they should take if they had any concerns. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. Residents are able to live in a clean home that suits their needs and wishes. Generally residents’ health and safety is protected. However some practices increase the risks of cross infection. EVIDENCE: A partial tour of the home was conducted. Everywhere was clean and there were no offensive smells. Some carpets looked marked and in need of attention. The manager said that the lounge and corridors had recently been redecorated and bedrooms were redecorated as they became vacant. It was hoped that Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 18 building work to construct a conservatory would soon commence. Following this work carpets in the home would be replaced. Dining chairs had already been replaced. The pre-inspection questionnaire also indicated that new hygiene equipment had been purchased, four new nursing beds and a new dishwasher since the last inspection. In one bathroom cupboard there was two containers of prescribed creams one of which had been re-labelled by hand, and a range of personal toiletries. There was another range of personal toiletries in a second bathroom. Toiletries and prescribed creams are personal property. They must only be used by their owner and therefore should be returned to the relevant bedroom after use. A sluice door was open and a bin in one bathroom lacked a lid. These are health and safety hazards. The laundry was well organised, clean a tidy. There was adequate equipment and personal protective equipment was readily available through the home. Liquid soap, disposable towels and alcohol hand wash were appropriately placed. Staff told the inspector that they had received training related to infection control and this was supported by their records. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient staff employed to provide the residents with the care they need. They are well trained so that the quality of care is good. They have been well recruited so that the residents are not put a risk of harm. EVIDENCE: Three staff spoke to the inspector. They were aware of their roles and had received training throughout their employment. The relatives’ questionnaire responses indicated that five of the eight respondents considered that there were sufficient staff on duty. Two relatives who spoke to the inspector said that there always seemed to be enough staff about and residents said that they received the care they needed and staff were available. The staff considered that the staffing levels were adequate to meet the current needs of the residents. The pre-inspection questionnaire completed by the manager indicated that ten first level nurses, twenty-seven care staff and eight ancillary staff were employed. 80 of the care staff had National Vocational Qualifications (NVQ) at level 2 or above. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 20 It was recommended in the previous report that staff files be more organised to ensure they are complete. This work had not been carried out. The three sets assessed were comprised of loose documents in no particular order. Staff photographs were not available other than the poor copies taken from passports. The staff who were interviewed had worked in the home between three and thirteen years. A similar recruitment process had been undertaken by all of them. Files contained application forms, interviews had been conducted and checks had been undertaken by the CRB. However only the most recent appointee had two references in their file. It is acknowledged that it is not logical to take up references for people who have been long employed in the home and it would appear that practice has improved. The manager confirmed that no one started work until they had received CRB and PoVA (Protection of Vulnerable Adults) clearance and it was the practice of the home that staff worked in pairs for the safety of all. Staff recounted extensive lists of training they had undertaken and there were some training certificates in their files to support their statements. The manager demonstrated that she was in the process of compiling individual training records and a training matrix that demonstrated the teams’ achievements. This matrix will help in the quality assurance assessment of the home and planning for the coming year. Requirements had been made that there be evidence that staff had received mandatory training and this had been updated and staff received an induction training programme appropriate to the residents in the care home. An induction record was seen in one file and the manager confirmed that all new staff now undertook the ‘Skills for Care’ Induction programme and maintained a progress log. It was observed that a number of staff were undertaking an in-depth dementia care course and documents indicated that places on other specialist courses were being booked. The pre-inspection questionnaire stated that in the past twelve months training had been undertaken in fire safety, health and safety, moving and handling, customer care, bereavement, optical awareness, and the role of the care worker. There are currently no volunteers working in the home. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 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 managed so that staff provide the care the residents need in a safe homely environment. Health and safety is addressed for the good of everyone in the home. EVIDENCE: The home’s manager is well trained and experienced, She has been in post for many years and is respected by the residents, relatives and staff. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 22 Residents appreciate the fact that the manager is always available. Relatives describe her as nice, committed, approachable. Staff state she is approachable and fair. Every said that the atmosphere in the home was pleasant and friendly. Staff confirmed that they received supervision (1:1 support) from a senior member of staff and records were maintained. Records were observed in the staff files. Since the last inspection a new quality assurance system (The Derek Brown Quality System) had been introduced based on questionnaires. This is in its early stages of implementation and as yet it is not clear if this is a stand-alone system that will include an assessment/audit of all of the home’s systems or if it will need to be used in conjunction with a separate audit programme. Inspections were not being undertaken monthly by one of the registered providers or their representative as is required. These inspection play an important part in assessing the service and identifying areas for development. Some residents had personal money held for them in safekeeping. Security and access was well managed. The manager confirmed that receipts were given for all income and retained for all expenditure. Records of account were also maintained. Health and safety was well managed. The pre-inspection questionnaire indicated that equipment and systems were checked and serviced. It was observed that a risk assessment for the home was available. Emergency procedure notices were displayed. A Health and Safety Audit was undertaken by the Health and Safety Executive and this had triggered an action plan that the manager confirmed was being implemented. A Fire Risk assessment had been undertaken and approved by a fire officer. Comments and suggestions made by him had been accepted. Checks of the fire safety equipment and systems were being undertaken and staff training was ongoing. Suggestions were made to amend the records to ensure greater clarity and monitoring. Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 2 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 2 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 2 X 3 X 2 3 Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13 Requirement Staff must adhere to the policy and procedures for the receipt, recording and administration of medication. Suitable arrangements must be made to prevent the spread of infection through the home and safeguard residents. Timescale for action 01/02/07 2 OP26 13 01/02/07 Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 25 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 OP7 Good Practice Recommendations There should be evidence that the residents, or with their consent their relatives, have been involved in discussions and decisions regarding care when drawing up the care plans. Residents’ end of life wishes regarding their terminal care and death should be ascertained and implemented. The records relating to staff should be in good order and organised so that management is assisted. 2 3 OP11 OP37 Glenfield House Nursing Home DS0000004110.V324149.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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. 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