Inspection on 21/11/07 for Grove House - City of York Council

This inspection was carried out on 21st November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Grove House - City of York... 23/12/08

Grove House - City of York... 30/11/06

Grove House - City of York... 21/03/06

Grove House - City of York... 18/10/05

Grove House - City of York... 09/03/05

Grove House - City of York... 09/06/04

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

CARE HOMES FOR OLDER PEOPLE Grove House - City of York Council Grove House 40-48 Penleys Grove Street York North Yorkshire YO31 7PN Lead Inspector Jo Bell Key Unannounced Inspection 21st November 2007 09:15 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 Grove House - City of York Council DS0000034935.V333767.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. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grove House - City of York Council Address Grove House 40-48 Penleys Grove Street York North Yorkshire YO31 7PN 01904 628250 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) www.york.gov.uk City of York Council Mrs Ann Morton Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All Service Users for Intermediate Care (up to a maximum of 11) will be accommodated within Intermediate Care Unit and be in the category OP. 30th November 2006 Date of last inspection Brief Description of the Service: Grove House is a care home run by City of York Council and is registered to provide a service for 22 older people of either gender aged over 65 years who do not have any specialist requirements. There are an additional 11 places for people aged 65 years and above who require ‘High dependency care’. Grove House was purpose-built approximately 40 years ago and is located within a short walk of local facilities in Monkgate. The centre of York is within 1 mile. The accommodation is provided in single rooms on two floors. The upper floors are accessible via passenger lift. There is an enclosed rear garden. The fees per week are £392. Additional charges are made for hairdressing, chiropody services and individual items like toiletries. The service provides an information booklet about the home to prospective residents. The Statement of Purpose and service user guide that gives information about the home is available, with a copy of the latest inspection report, for people to read. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is what was used to write this report. • • • Information about the home kept by the Commission for Social Care Inspection. Information asked for before the inspection. This is called an Annual Quality Assurance Assessment. (AQAA) Information from surveys, which were sent to people who live at Grove House, their relatives, and other professional people who visit the home. 10 were sent to people at the home and 8 were returned. 3 were sent to people’s relatives and 1 was returned. 3 to Care Managers and 1 was completed and returned. A visit to the home by one inspector, which lasted about 6.5 hours. This visit included talking to residents and to staff and the manager about their work and training they had completed and the care provided. It also included checking some of the records, policies and procedures that the home has to keep. Previous requirements had all been met. • Information about what was found during the inspection was given to the registered manager and her line manager at the end of the visit. What the service does well: What has improved since the last inspection? The quality and choice of food has improved (the home are involved in a three month trial) Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 6 The views and opinions of people using the service are taken into account and acted upon. This is part of the overall quality assurance system where audits are taking place regarding care plans and part of the medication system. This helps to identify where improvements are needed. Assessments to determine people’s nutritional status are starting to be implemented, this helps to ensure that any issues regarding people being underweight or overweight are picked up and addressed effectively. 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. Grove House - City of York Council DS0000034935.V333767.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 Grove House - City of York Council DS0000034935.V333767.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 (Standard 6 is not applicable) People who use this service experience good quality outcomes in this area. Needs are effectively assessed before people move into the home to make sure the appropriate care and support is offered. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: All people are assessed before they agree to move to the home. A care manager carries out this comprehensive assessment as well as either the manager of the home, or one of the care leaders. This assessment looks at the physical, emotional and social needs of the individual, to ensure that the home can provide the level of support that they require. Two assessments confirmed that this information is obtained. The manager is very aware of the categories of registration and the type of client which is suitable for the home and how staff will be able to meet these needs. People making enquiries about moving there are given information about the home, including the latest inspection report from the Commission for Social Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 9 Care Inspection. This helps them in making a decision as to whether the home is right for them. They can also look around the home and talk with some of the people living there. All people who move to the home stay for a six-week trial. A meeting is then held to determine whether the person is going to stay there. Intermediate care is not provided at Grove House, though the home has eleven high dependency beds. Grove House - City of York Council DS0000034935.V333767.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 & 10 People who use this service experience adequate quality outcomes in this area. Health and personal care needs of people living in the home are generally well addressed, though improvements in the medication system are needed to ensure people are not at risk of harm. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People spoken with were very happy living at Grove House. They described the staff as kind and helpful and felt that they were well cared for. Observations showed people looking clean with hair washed, nails groomed and clothes looking washed and ironed. Privacy and dignity is maintained and staff were observed having a pleasant attitude and manner towards people using the service, and their visitors. Three care records were looked at. These describe the care and support that people need, to live as independent a life as possible. There are now assessments in place to determine whether a person is at risk of falling or of losing weight because of poor appetite or a health problem. The home have obtained some sit on scales to help determine a person’s weight. There are Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 11 also assessments describing how people are to be moved in a safe manner, though on one occasion no risk assessment had been completed. The manager audits some of the care plans and action is taken when issues are identified. Plans are reviewed and evaluated on a regular basis. Though the information can be difficult to find as it is not organised in a systematic way. The medication system currently does not protect people from harm. Issues were identified with the recording of stock balances relating to the controlled drugs. One person requiring morphine started off with sixty tablets, eleven had been administered, and forty nine should have remained, these were counted and there were fifty. No stock balances were taken, though two people witnessed the medication had been administered. The recording of ‘treatments’ i.e. ear and eye drops and any lotions and creams was poor. There were many blanks and it was unclear as to whether medication had been administered. Staff had not received any recent medication training and were unsure of the latest guidance from the royal pharmaceutical society. A visit has been requested from the pharmacy inspector. A pharmacist inspection took place on the 27 November 2007. The current Medication Administration Records (MAR) were looked at. There is no record of staff authorised to administer medicines. This means it is not possible to identify who was involved in administration if a problem or query occurred. There were a number of MAR charts that did not have a photograph of the person. It is important to have a photograph to reduce the risk of medication being given to the wrong person. There are two systems in use, one to record the administration of tablets and liquids and another to record the administration of eye drops, creams and inhalers. The standard of accurate record keeping across the two systems is poor; there were a number of gaps on the charts. This means it is difficult to know if a person has received their medication correctly. There were a number of entries that were handwritten. There was information missing from these entries such as the dose to give and the quantity received. This means there is a risk that the instructions for administration may be wrong and medication may be given incorrectly. There were some medicines that were listed on separate MAR charts and a record of administration made against both entries. It is therefore difficult to have an accurate record of what has been administered. The code ‘O’ was regularly used to record no administration, however there was nothing written on the MAR to explain why it was not given. It is important to clearly record why medication was not given to provide information if a review is required. A number of medicines in use did not have a MAR chart to record administration. This means it is difficult to demonstrate that medication has been given. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 12 An audit of current stock and records showed that some medication had been signed for but not given. For example one person was prescribed 56 Epilim 200mg tablets, 26 records of administration had been made but 33 tablets remained in the box. The stock control system is poor. There is no record made of the quantity of medication received or of the quantity of medication that is used from one monthly cycle to another. This means it is difficult to have a complete record of medication within the home and to check if medication is being administered correctly. For example one person prescribed a medication to be given weekly had a two records of administration on the chart but the box in the trolley was full. There was more of this medication in the cupboard from previous months. The total quantity had not been recorded which made it difficult to know if the medication had been given. The stock levels of medication are not regularly checked or recorded which means that medication may be issued on a prescription that is not required. For example one person had twelve salbutamol inhalers in stock, one inhaler lasts at least 2 months. Medication is stored in a locked room in locked cupboards and a trolley. There is a separate fridge in the kitchen for storing medication. The fridge is not lockable which means there is a risk that medication may be removed or tampered with. The temperature of the fridge is not taken. It is therefore difficult to know if medicines are being stored correctly. The date of opening of medicines with short use once opened is not recorded. This means there is a risk that they may be used beyond the date recommended by the manufacturer and may not be safe to use. A number of out of date medicines were found. Medicines that are out of date must be separated from current medication and recorded on the returns book. This reduces the risk of out of date medicines being administered. There were medicines found that did not have a container or a pharmacy label on. To make sure medication is given correctly only medication that has been supplied in the original container from the pharmacy and labelled for that person should be used. The controlled drugs cabinet is suitable for use. The recording of controlled drugs is poor. A notebook is currently used and only records of administration are made. For a complete and accurate record of controlled drugs a record of supply and return should be made. For example one person prescribed buprenorhpine patches had a record showing administration but not when the supply was made. Administration was recorded on 1 November 2007 and the 15 November 2007. The box in the cupboard was labelled as 6 November 2007 but this supply was not recorded. Through discussions with the manager it was identified that some members of staff were administering medication such as eye drops but had not had any training. Only staff that have had training should administer medication. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 13 Three care plans were looked at. A list of current medication must be included. This makes sure staff have access to up to date information about a person’s medical condition. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience good quality outcomes in this area. People are happy with their daily routine and the food and drink provided is good. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People have access to a range of activities. One person is responsible for planning the activities and various trips out have occurred recently. Arts and craft take place every Tuesday and evidence of this was displayed in the dining room. One person said “I have painted a lovely picture with the art lady” The home can hire a mini –bus and activities are recorded daily. The residents meetings offers people an opportunity to discuss which activities they would like to participate in. The television, music and newspapers and magazines are available, and staff were observed interacting well with people. Religious needs are discussed in the care plan, and the manager is in the process of catering for a particular religious need which had been identified. The key worker negotiates with the client as to when they would like to get up and go to bed or have a bath. This was discussed in the annual quality assurance assessment. The home have an unrestricted visiting policy and this was evidenced through observation and when checking the visitors book. Staff Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 15 are keen to promote autonomy and choice in all aspects of care. One person said “I go to see my wife when I want to”, the home arrange a taxi and independence is clearly encouraged. The lunchtime meal was observed. Currently the home are taking part in a three month trial where home-cooked food is made and served rather than hospital food being brought into the home. The home-cooked food is extremely popular, the home has a pleasant smell of cooking which gives people an appetite. Turkey and vegetables were served in the dining room, the portion sizes were good and an alternative choice was offered. The whole dining experience was very pleasant. People were socialising with each other and commenting positively on the food provided. One person said “I love the food here, I always look forward to my lunch”. Suitable crockery and cutlery was used and staff interacted well with people and assisted them effectively. Care staff are aware of which people are underweight and the cook knows how to fortify food and cater for specialised diets. This was evident in discussions with her. The completed surveys confirmed that people either always or usually like the food at the home, it might be helpful to display the day’s menu each day, so that people have the chance to look forward to their favourite meals. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience good quality outcomes in this area. People can be confident that their complaints will be addressed properly and staff are alert to signs of abuse which contributes to keeping people safe. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People living at Grove House are aware of how to complain, this was evident when speaking to people and through the information received in the surveys. A complaints procedure is in place and the City of York Council are currently dealing with one complaint, though no outcome has been concluded yet. The manager is approachable and is keen to foster an open culture in the home between people using the service, visitors and staff. This helps people bring any issues forward. Some staff have completed abuse awareness training, and the manager is aware of the action to take if an allegation is made. A copy of the multi-agency procedure for vulnerable adults is available and staff are aware of the different types of abuse. Three care staff were spoken to who all confirmed this. People looked happy and comfortable in the home and no concerns were raised regarding staff’s attitude or manner. It would be beneficial if abuse awareness training was mandatory for all staff on a yearly basis. City of York Council carries out recruitment checks centrally. All staff have a police check before starting working for the organisation to make sure they Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 17 have not been previously barred from working with vulnerable people. This good practice contributes towards keeping people safe. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience good quality outcomes in this area. The home is clean, warm and homely, which enhances the experience of living there. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home is purpose built and is located in Monkgate close to local amenities. Surveys completed confirmed that the home smells fresh and clean. No unpleasant odours were noted at the site visit. There are sufficient communal areas for both large and small groups of people. There is a small secure garden and car parking for staff and visitors. People said they enjoyed living at Grove House and the three bedrooms checked were clean with many personal possessions on display. Some staff have completed infection control training, staff were observed wearing protective clothing and using hand washing equipment. The laundry Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 19 area had sufficient washing machines and driers though the room needed a thorough clean as some water had leaked onto the floor. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use this service experience adequate quality outcomes in this area. Staff have the skills and knowledge to care and support people properly, though more staff would be beneficial. The recruitment process is robust so that people are being protected from harm. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People are looked after by staff who are skilled at caring for older people. During the day the manager is supernumerary, and the care leaders are supported by care staff. The home have eleven high dependency beds and during the evening it is difficult for two care staff and the care leader to meet everybody’s needs. Especially if two carers are needed for one person. The care leader is busy with the medication round, completing paperwork and dealing with the running of the home. This needs to be reviewed to ensure needs are consistently met. Many staff have completed an NVQ in care and staff are committed to providing a good standard of care. The revised induction programme covers mandatory training within a twelve week timescale. This helps to ensure that people are prepared to undertake the role and responsibilities they have been given. One person said “the staff are wonderful”. One member of staff was spoken with about their recruitment and induction process confirmed that they had received some training prior to starting work and had a period where they ‘shadowed’ another person to observe and learn about their role. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 21 The manager is aware of the organisations recruitment practices, this is done centrally. Two written references are always obtained and a police check along with a protection of vulnerable adults check is completed prior to a person starting work in the home. This helps to protect people from harm. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use this service experience good quality outcomes in this area. The home is run in the best interest of people living there, with health and safety needs being consistently met. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The manager is experienced in caring for older people and has completed extra qualifications to support her in this role. Staff spoken with said she was approachable and effective as a manager. Many people using the service were aware of who the manager was and asked for assistance throughout the day. The manager has developed questionnaires and surveys to seek views and opinions from people and visitors. This is part of the quality assurance system and clearly shows the views and opinions people have regarding the service. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 23 The system for keeping ‘pocket money’ was discussed. Three records were checked which are all well maintained. The amount kept was the amount recorded. It was evident that the amount the home is allowed to keep on the premises is above the limit and needs to be reduced. This was discussed with the administrator and manager who were aware of this issue. Health and safety issues at the home were discussed. Currently City of York uses contractors for all health and safety checks and maintenance/repair work. A selection of certificates were checked, these include the electrical wiring and gas safety. Both these were in date and no issues remained outstanding. A fire risk assessment has been undertaken and weekly fire alarm testing takes place. The manager is starting to record all of the training which has taken place and which is needed on a matrix. This is an ongoing process. Three staff files were checked and found to contain a range of certificates. Staff have completed first aid training, moving and handling, fire training and some infection control t raining. Regular water temperature tests and taken, three were checked and found to be within expected parameters. Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 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 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 2 x x 3 Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 26 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 Regulation 13 13 Timescale for action Risk assessments for moving and 21/12/07 handling must be completed and reviewed on a regular basis. All medication administered to 21/12/07 people living in the home must be administered correctly and recorded and signed for on the medication administration charts. This will make sure that people receive their medications as prescribed Only staff that have had training 21/12/07 should administer medication. This helps to make sure people get their medication correctly and safely. There must be a system in place 21/12/07 to make sure medicines with a limited number of days of use after opening have a date of opening recorded on the packaging and to identify and remove from stock any out of date medicines. This helps to reduce the risk of medication being administered that may no longer be safe to use. A review of the number of care 21/12/07 staff available on an evening shift must take place. Requirement OP9 3. OP9 13 4. OP9 13 5. OP27 18 Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations A system should be in place to record all medication received in to the home and medication carried over from the previous month. This helps to confirm that medication is being given as prescribed and when checking stock levels. Handwritten entries on MAR charts must be accurately recorded and detailed. This makes sure that the correct information and dose is recorded so a person receives their medication as prescribed. A current photograph of each person should be attached to their MAR chart. To reduce the risk of medication being given to the wrong person. The controlled drugs register must include details of drugs received and returned. This makes sure there is an accurate and detailed record of these drugs. The laundry room needs a thorough clean. The amount of money kept in the home should be in line with the amount allowed to be kept in the home for insurance purposes. 2. OP9 3. 4. 5. 6. OP9 OP9 OP26 OP35 Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Grove House - City of York Council DS0000034935.V333767.R01.S.doc Version 5.2 Page 29 - 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. 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