Inspection on 21/03/07 for Highcroft

This inspection was carried out on 21st March 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

Highcroft 03/11/05

Highcroft 19/05/05

Highcroft 28/02/05

Highcroft 06/09/04

Highcroft 30/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Highcroft 7 Eastfield Park Weston Super Mare North Somerset BS23 2PE Lead Inspector Barbara Ludlow Unannounced Inspection 11:00 21st March 2007 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 Highcroft DS0000020244.V322461.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. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highcroft Address 7 Eastfield Park Weston Super Mare North Somerset BS23 2PE 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) 01934 622247 01934 626100 Mr David Harold Willcox Mrs Ann Willcox Mrs Ann Willcox Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate 23 persons aged 50 years and over who require nursing care of whom up to 3 persons may be 65 years and over and in need of personal care only. Staffing Notice dated 18/04/1997 applies Manager must be a RN on Parts 1 or 12 of the NMC register. 2. 3. Date of last inspection 3rd November 2005 Brief Description of the Service: Highcroft Nursing home provides nursing care for up to 23 persons, aged 50 years and over. The home is situated in a quiet cul-de-sac in Weston-supermare and is opposite a small private park. Accommodation is offered in single and double rooms, which are decorated to a high standard and in keeping with the period of the house. Some rooms have en suite facilities. The main lounges look out across the gardens and town and a larger room is available on the lower ground floor for family celebrations and special events. A passenger lift offers easy access to all areas of the home. The weekly fees ranged from £595.00 to £625.00 per week with a change to the system planned from 1/04/07. The range will become £500.00 to £550.00 plus the Registered Nurse Care Contribution (RNCC). Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This unannounced key standard inspection was undertaken by B.Ludlow for CSCI. The Homes Proprietor/ Manager came to the home to assist with the inspection process. This inspection was very well received. The nurse in charge introduced the inspector to the home’s record keeping systems and gave a good account of the day-to-day running of the home. A tour of the premises was made and lunchtime was observed. There were twenty-two service users in residence and there was one vacancy. All service users and staff were seen during the day and many were spoken with. Care plans were sampled and records were inspected. Mr Willcox and the homes administrator were seen during the afternoon and access to staff recruitment files and service users contracts was facilitated. Feedback was given to Mrs Willcox at the end of the inspection day. Written feedback had been received at CSCI from five service users, six relatives and two visiting health care professionals. The results of this are incorporated into the body of the report. The inspector would like to thank all who contributed towards this inspection. What the service does well: This home offers a very high standard of comfortable accommodation. Written service user comment said that there is a ‘very high standard of cleanliness’. The home has a lot of input from the proprietor / manager who is very committed to delivering a high standard of care and service those in residence at the home. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 6 The home has a skill mixed and experienced workforce that offer a good level of care to the service users. Written feedback indicated that staff are always ‘pleasant and helpful’. Record keeping is exemplary. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. 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. Highcroft DS0000020244.V322461.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 Highcroft DS0000020244.V322461.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): 1,2,3,4 Quality in this outcome area is good. The home has a good range of information about the home for prospective service users. A pre admission assessment would be made by the home’s manager to ensure care needs can be met at the home. Contracts clearly state the cost of care at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and the Service User Guide are useful and informative documents for prospective service users seeking an insight into care at this home. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 9 Pre admission assessments are made by Mrs Willcox to determine whether or not the prospective clients’ care needs can be met at the home. Very detailed care plans were seen. Service users spoken with about their admission had family support with the choice of home and with the paperwork. Very positive comments were heard about how settled they felt. One person stated that they have a ‘very good home here’, they ‘couldn’t get anywhere better’ and their daughter had ‘made a good choice’. Contracts were sampled; these clearly demonstrated the cost of the care. The weekly fees ranged from £595.00 to £625.00 per week with the Registered Nurse Care Contribution refunded. The inspector has been informed since the inspection that there has been a change to the way fees are charged. The new system fee range is £500.00 to £550.00 per week plus the Registered Nurse Care Contribution. Highcroft DS0000020244.V322461.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 Quality in this outcome area is excellent. Care plans that were sampled were found to be detailed, person centred and had been recently reviewed. Health care needs were identified and risk assessments were in place. Medications were well managed. Service users were treated with respect and care, observed interactions with staff were polite and friendly and those asked confirmed that they are ‘always’ treated well. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users had care plans. A sample was examined and was found to be detailed; person centred and recently reviewed giving a clear picture of the health and well being of the service user. Health care needs were identified and any specialist input was recorded. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 11 Risk assessments were in place for bed rails, nutritional status and manual handling and pressure sore risk. Very specific risk assessment and service user consent was seen where a deviation was agreed in the service user’s best interest against optimum best practice, such as the use of a wheelchair without footplates. The level of documentation was excellent in the care plans and in the associated files, for example the falls register and infection monitoring records. Wound care management was excellent and the care planning was very detailed and regular assessment was recorded. A kardex system is used to record personal information and a daily report. Any professional contacts are reported such as the G.P visiting. Photographic identification was included. Catheter care and continence management is recorded. Service users are weighed regularly and this is recorded and used in conjunction with the risk assessments for nutrition and Waterlow assessment. Staff were seen completing records of diet and fluids taken where there was a risk and where a service user was unwell. Care plans had been reviewed and risk assessments updated when there was a change in health or condition. One care plan where mobility had improved was reflected in the Waterlow assessment of that individual when reviewed. The care plans included references to end of life care and the gold standards framework. The home works closely with and has good relationships with the community health care services. Written feedback to CSCI was positive from one visiting G.P and one social worker. Equipment was available and one person was observed being transferred from wheel chair to chair. This was done with care and attention; the service user was given clear instruction and was confidently and safely transferred. Medications management was examined. The system used is very thorough and is audited on a regular basis to ensure safe practice. Three hand transcribed entries and one alteration had not been signed by the person making the entry. All other entries were fully completed. Controlled drugs were checked; all were correct and accurately logged. Self medication risk assessment was seen in one care plan that was sampled. Service users were treated with respect and care, observed interactions with staff were polite and friendly and those asked confirmed that they are ‘always’ treated well. Blood sugar monitoring was discussed and reference was made to the Medical Devices Agency 2006/066 issued on 6/12/2006 regarding the use of lancets by Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 12 staff in care homes. The manager agreed to explore the availability of sharp safe lancets with the local health and pharmacy services. A new medications fridge had been purchased and had been set up and was in use. The temperature of the fridge was recorded each day. The thermometer measures the minimum / maximum temperature, it is suggested that this is checked and recorded to ensure that the optimum temperature range for medication storage is maintained at all times. Highcroft DS0000020244.V322461.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 excellent. Highcroft has a friendly informal atmosphere. Service users are helped to feel at home. There are activities and social opportunities for those who wish to take part. Families are welcomed. Service users reported that they enjoy the food and get plenty to drink and this was evident at the inspection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an informal atmosphere and is very comfortable. Visitors can be received in the communal rooms or in private in the service user’s room if they wish. Visitors to the home were seen, they confirmed that they are made welcome and are offered refreshments. The home has a ground floor room that can be used by service users who may wish to meet with family privately or have a family party. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 14 Service users go out with their family; one person was looking forward to going out for a Mothers Day breakfast. Another service user had recently had a party to celebrate being 100 years of age and the Mayor and the local press had attended. The home has pleasant views and the service users spoken with appreciated the homes outlook and their comfortable environment. Staff were referred to as ‘kind’ and ‘always kind’. Families and friends are welcomed. Feedback from two service users indicated that their families still took a great part in their lives, they visited or kept in touch by phone and had no worries about them being at Highcroft. Written feedback from relatives was very positive. Comment included, ‘Good standard of care’, ‘well maintained and clean’, relative ‘warm and comfortable’, ‘excellent’ but ‘could do with more outings’. A range of activities are offered, there was an organised activity in the morning but there was no activity planned for the afternoon. The activities programme is organised by the home’s administrator, this was reported to be working well. The pre inspection information indicated a wide range of events that included chair aerobics, arts and crafts, church singers, Holy Communion, the Banjo man and quizzes. Service users had their own phones and are billed separately for this service. Newspapers can be ordered at cost. The hairdresser visits the home each Wednesday. Service users spoke of their choice of time to get up in the morning and when to retire. This person also commented on enjoying ‘a laugh with the staff’. The written feedback to CSCI was received in the Autumn 2006. Responses on the quality of the food indicated that it was variable. The comments heard about the food at the inspection were that it was ‘very good’, ‘food is very nice’, and ‘enjoy the food’. The survey responses were discussed with the manager and the problem’s that had occurred had been addressed. This area is monitored and the menus are under review. The inspector was impressed to see the attention given to diet and drinks. Drinks were offered very regularly and were regularly topped. Records were kept of dietary intake where there were any concerns or where someone was unwell. Nutritional likes and dislikes are recorded in the care plans on admission; special diets such as diabetic diets are recorded. Mealtimes were appropriately spaced and there is a choice of menu and a hot option at teatime. Home baked cakes are made for tea times. The main meal served on the inspection day Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 15 was Lamb hot pot and potatoes with cabbage, leek and sweet potatoes, followed by crème caramel. Juice and tea were also served. Sandwiches, cheese on toast and homemade cake was on the menu for teatime. Highcroft DS0000020244.V322461.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): 16,17,18 Quality in this outcome area is good. Policies and procedures are in place to protect service users from harm. The home has a complaints policy. Service users said they felt able to complain or raise concerns. Service users are enabled to vote. Staff are aware of the protection of vulnerable adult issues and good care practice underpins the safety of service users at Highcroft. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has policies and procedure in place to protect service users from harm. Service users were asked if they felt able to complain and if they would say if they were unhappy about something. A positive response was heard and service users spoke with confidence about complaining saying ‘I would if I needed to’. Most service users spoke of being ‘happy’ at the home and of the staff being ‘very good to me’. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 17 One person asked about voting and taking part in the civil process confirmed that they have added to the register of electors and had opted for a postal vote. Recruitment practice demonstrated that all staff had a Criminal Record Bureau check on file and that their POVA First checks had been returned before they had commenced working at the home. One anomaly with regard to reference validation was raised with the home’s administrator. Highcroft DS0000020244.V322461.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): 19,20,21,22,23,24,25,26 Quality in this outcome area is excellent. The home is well appointed and is maintained to a very high standard. The home has been suitably adapted and is well equipped. The home was warm and is kept clean and hygienic. Service users said they enjoy living at the home and looked to be comfortable in the communal areas. Individual accommodation is very comfortable, homely and can be personalised to taste. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises was made. The home is well appointed and well maintained. A warm comfortable temperature was maintained throughout the home. The home has good levels of natural light and is well ventilated. Some bedrooms have access to a balcony patio, which provides a very pleasant area Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 19 for sitting in warmer weather. Service users said they enjoyed having access to the balcony patio. All areas of the home were very clean and fresh. The premises have been well adapted as a nursing home and have level access throughout with a passenger lift between floors. The home has attractive comfortable individual accommodation throughout. There are lots of pictures on the walls and interesting decorative features; one service user said how much they liked this. Individual bedrooms can be personalised and made homely with ornaments and photographs. Some new beds have been purchased and service users asked said they found their beds comfortable. The home has four patient handling hoists; one has been purchased since the last inspection. The home has assisted bathing facilities and sluice facilities. There are staff hand washing facilities, access to protective gloves and aprons and waste disposal to reduce the risk of cross infection at the home. The laundry is well equipped and the processing of laundry was reported to be good. Service users looked well kempt and their clothes well laundered. One washing machine had broken down and was undergoing repair at the inspection. The kitchen was clean and tidy; the cook was seen and spoken with briefly. Records sampled for evidence of temperature checking and cleaning were complete. Highcroft DS0000020244.V322461.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 Quality in this outcome area is excellent. The home has an enthusiastic staff team who deliver a good service and are reported by service users to ‘work very hard’. Staff receive training to enable them to deliver a very professional care service. Recruitment with the exception of two undated references was good. All staff had CRB / POVA First checks. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a registered nurse in charge of the home at all times. The home has a skill mixed team and is led by a registered nurse manager. The home is supported by Mr Willcox, the proprietor and an administrator who has also taken over the role of social events organiser for the home. Registered nurses support the high standard of care and management at Highcroft. The inspector spent some time with the registered nurse in charge at the start of the inspection and was impressed by her enthusiasm and her knowledge and awareness of person centred care giving and the management of the home. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 21 Five staff had left the home since the last announced inspection in November 2005. Staff spoken with at this inspection said they ‘enjoyed working at the home’ and were ‘happy working here’. Staff confirmed that they had received training including fire and manual handling training. Since the last inspection five staff have completed a National Vocational Qualification (NVQ)at Level 2 and one staff at Level 3. One carer is currently studying at Level 2. The nurse in charge had completed specialist training in equality and diversity, falls prevention, administration of subcutaneous fluids, diabetes updating and flu vaccination practice. Recruitment records were sampled for four new starters since the last inspection. All had a CRB check or evidence on file and had a POVA First check carried out before commencing work at the home. One new starter due to commence work was to be supervised until their CRB check was returned. Evidence of staff supervision and annual appraisal having been undertaken was seen on the files. One person had two references that were not dated and had not been dated on receipt. This was discussed at the inspection with the home’s administrator. The home has a staff team that includes a full time maintenance person, two domestic cleaning staff providing cover across the seven-day week. There are separate laundry staff and a team of catering staff. The home’s administrator organises the social events for the home. Highcroft DS0000020244.V322461.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): 31,32,33,34,35,36,37,38 Quality in this outcome area is excellent. The home is very well managed. Systems for auditing care and the service are in place. Health and safety of the service users and staff are promoted by good practice and good maintenance. Records are stored securely and access is appropriately restricted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Willcox the home’s registered nurse manager / proprietor is very experienced in her role. Mrs Willcox provides leadership and support working closely with her staff to set high standards of care and record keeping. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 23 Staff spoken with heard that Mrs Willcox spends a significant amount of time at the home each week and is supportive of the training and development of the staff. The home has a maintenance person and is very well maintained and finished. There is evidence of significant investment of time and resources to develop the premises and the underpinning management systems for the care service for the benefit of the service users. The inspector was informed that the business has achieved an Investor in People award in 2006, which was reported to have been a useful management exercise. Quality assurance systems are in place. Thorough auditing of all aspects of care and the environment take place annually, this system has been in place for three years. There is an annual Quality Management Meeting and the inspector was informed that this was held in October each year. All records seen at this inspection were appropriately stored and access was appropriately restricted. Records seen at this inspection included the care plans, risk assessments, medication charts, contracts, recruitment files, kitchen temperature records, infection monitoring and falls register. Certificates were seen displayed for registration and employers liability insurance. The fire records were not requested at the inspection. Mrs Willcox was asked to fax a copy of the most recent tests to CSCI. The weekly fire alarm tests, monthly emergency lighting checks and the fire safety equipment checks were all faxed to CSCI by return and these were all satisfactory. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 3 3 3 3 3 3 4 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 4 4 4 3 3 3 3 3 Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement The registered person shall ensure that: Hand transcribed entries made onto the Medication Administration Records must be signed by the person making the entry, to verify the accuracy of the entry. Timescale for action 06/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP29 Good Practice Recommendations References that have been accepted for new recruits should be dated and validated if necessary. Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Highcroft DS0000020244.V322461.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!