Inspection on 24/10/06 for Hill View Care Centre

This inspection was carried out on 24th October 2006.

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

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

Other inspections for this house

Hill View Care Centre 14/12/07

Hill View Care Centre 22/11/05

Hill View Care Centre 28/06/05

Hill View Care Centre 01/02/05

Hill View Care Centre 31/08/04

Hill View Care Centre 10/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Hill View Care Centre Crankshaw Street Rawtenstall Rossendale Lancashire BB4 7RA Lead Inspector Mrs Janet Proctor Key Unannounced Inspection 09:30 24th October 2006 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 Hill View Care Centre DS0000022484.V308371.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. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hill View Care Centre Address Crankshaw Street Rawtenstall Rossendale Lancashire BB4 7RA 01706 218484 01706 211321 hillviewcc@schealthcare.co.uk 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) Southern Cross Care Homes Limited Miss Emma Malecki Care Home 45 Category(ies) of Dementia - over 65 years of age (2), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (2), Old age, not falling within any other category (45), Physical disability (2), Physical disability over 65 years of age (25) Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. maximum of 45 service users requiring personal care who fall into the category of OP. Within the overall total of 45, a maximum of 25 service users requiring personal care who fall into the category of PD(E). Within the overall total ogf 45, a maximum of 20 service users requiring nursing care who fall into the category of OP. Within the overall total of 45, a maximum of 2 service users requiring nursing care who fall into the category of DE(E) or MD(E) Within the overall total of 45, 2 named service user srequiring personal care who falls into the category of PD. The service should employ a suitably qualified and experienced manager who is registered with the Commission 22nd November 2005 Date of last inspection Brief Description of the Service: Hill View was purpose built in 1990. It is a two-storey building with car parking available to the front of the building. There is wheelchair access via a ramp. The home is situated close to the town centre of Rawtenstall. Local amenities, including the market place, are near by. The registered persons for Hill View are Southern Cross Care Homes Ltd, who are a company providing care throughout the UK. The day to day management of the home is undertaken by a Manager. Hill View provides both nursing and personal care for men and women over the age of 65 years. Accommodation is provided on 2 levels and a passenger lift enables access to the first floor. All accommodation is provided in single rooms. There is an enclosed garden where service users may sit when the weather permits. Hill View is part of a larger company providing care throughout the UK. Information on the home is available in the Service User’s Guide and previous reports. These are displayed in the reception area of the home and copies can be supplied. In October 2006 the fees for the home were £338-00 to £525-00 per week depending on the type of care required. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Hill View Care Centre on the 24th October 2006. The previous inspection was done on 22nd November 2006 and information on the findings of this can be obtained from the home or from www. CSCI.org.uk . No additional visits have been made since the previous inspection. Information was obtained prior to the inspection from a pre-inspection questionnaire submitted by the Manager. On the day of the inspection there were 38 residents at the home. Nine of these were in need of nursing care and 29 in need of personal care. Information was obtained from staff records, care records, and policies and procedures. Information was also got from talking to residents, the Manager, staff members and a visitor. A tour of the building also took place. Five survey questionnaires were returned from relatives/visitors and four from residents. Wherever possible the views of residents were obtained about their life at the home and these are included in the report. What the service does well: The service ensured that a thorough assessment was undertaken before a prospective resident was admitted to the home. This meant that their needs were known and arrangements could be made to ensure that these were met. There was a plan of care for each resident so that the staff knew what their needs were and how to meet these. Residents were cared for in a friendly and professional manner. A resident said, “They’re very nice with me. I like the staff”. A visitor said, “The staff are lovely – couldn’t be better. They have a good attitude and are very caring.” The medications were kept and given in a safe manner. This protected the health and welfare of residents. Residents were able to make choices about their daily routines. This meant that they had some control over their lives. A resident said, “You can get up and go to bed when you like.” The home provided a clean and pleasant place for residents to live. A resident said, “My room’s good, there’s everything I need.” A visitor said, “I think there’s a high standard of care given in a nice environment.” Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 6 All new staff received a thorough vetting before being employed. This ensured that residents were safeguarded. Once employed they received an Induction and training to ensure that they had the skills and knowledge to care for residents. The home was well managed. Audits were done. This gave the Manager the chance to be aware of areas that might not be running as well as they should. She could then do an action plan to ensure that these were put right. Staff spoken to said that they felt well supported and that they could approach the manager if they had any concerns. What has improved since the last inspection? What they could do better: Any handwritten entries to the Medication Administration Recording charts should be witnessed. This is to ensure that the details have been written correctly. Action should be taken if the temperature of the medication storage room rises above 25 degrees Celsius. This is so that the medications remain effective. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 7 The cleaning record in the kitchen should be signed by the person completing the task. This is so that it can be seen who has done the task. Steradent must not be on display in residents’ bedrooms. This is so that residents who are confused cannot access potentially harmful items. The Induction book for staff should be signed when they have completed this so that there is verification that they are competent to do the tasks. 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. Hill View Care Centre DS0000022484.V308371.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 Hill View Care Centre DS0000022484.V308371.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedures meant that residents could be confident that their needs could be met at the home. They were given enough information about the home and a contract so that they were aware of the terms and conditions of residency. EVIDENCE: The Service User’s Guide had been updated to show changes in the management of the home. This was on display in the reception area. The last three inspection reports were also on display for people to read. An assessment was done before a resident came to live at Hill View Care Centre. The assessment covered a full range of personal and health care needs. It gave sufficient information for the manager to make a decision about whether the proposed resident’s needs could be met at the home. A letter was then sent to the prospective resident telling them whether the home could meet their needs or not. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 10 Each resident was issued with a contract when they were admitted. This statement of terms and conditions of residency now included details of the room to be occupied. Intermediate care was not provided at Hill View Care Centre. Hill View Care Centre DS0000022484.V308371.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were provided with the information they needed to satisfactorily meet residents’ personal and health care needs. Medication practices were safe. Residents felt they were treated with respect. EVIDENCE: A plan of care was prepared as soon as the resident was admitted. Assessments to ensure that residents’ health care needs were identified were done. These included: risk of developing pressure sores; nutrition; risk of falls; risk of using bed-side rails; moving and handling needs; and continence needs. The individual plans of care included good directions to staff on how to meet these needs. One plan did not give staff information on the adverse effects of anti-coagulant therapy. This meant that they might not recognise when the resident needed medical input and put their health at risk. The plans were reviewed monthly. The reviews made a statement to show what progress was being made towards meeting the needs of the resident. Relatives were invited to a review meeting so that they had the opportunity to be fully involved in the Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 12 care planning process. A review sheet was completed that showed any concerns, queries or agreements reached. There was some good practice seen when checking the medications. For example, there were records to show medications ordered, received, administered and returned. The prescriptions were seen before being dispensed. There was a list of staff signatures. There was an appropriate Controlled Drug cupboard and recording book. The Controlled Drugs were checked and the balance was as recorded. Calogen and eye drops were dated on opening so that it could be seen how long they had been in use. Criteria for when to give ‘as required’ medications was available. This meant that these would be given in a consistent manner. Records were kept of the fridge and room temperatures. The room temperature had been as high as 26 degrees Celsius on some days. This may have an effect on the medications and make them ineffective. Not all of the handwritten entries to the Medication Administration Recording charts had been signed and witnessed. The GPs were requested to do medication reviews but were not always doing these as and when they should. The need for privacy when giving personal care was noted in plan of care. The preferred term of address was noted in plan of care. Staff were seen to approach residents in a pleasant manner. They made provision for religious needs to be met and were aware of the diverse needs of the residents. Hill View Care Centre DS0000022484.V308371.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ recreational and social needs were being met. Contact with relatives and friends was encouraged and they were made welcome at the home. Residents received a varied and nutritious diet and said that they enjoyed the food. EVIDENCE: The plans of care included details about the resident’s past interests and hobbies. A social care profile had also been completed for some residents. There was a programme of activities and records kept of what had been done. New activities had been started and these included a bird watching group, a wildlife garden and flower arranging. The preferred rising and retiring times of the residents were noted in the plan of care. Residents spoken to said that they made the decision about when they got up and went to bed. Staff said that they asked residents and respected choices. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 14 There were no restrictions on visiting. Visitors were offered refreshments and could have a meal. Residents spoken to were happy with the meals at the home. The day’s menu was displayed and residents knew where this was. They could have alternatives to the menu if they wished and a list of these was displayed on the tables. A light lunch was served and the main meal at tea-time. The likes and dislikes of the residents were known and respected. The tables were nicely set out with flowers, place mats, and table cloths. There was a peaceful atmosphere at the meal time. Staff were feeding residents in an appropriate manner. There were stocks of fresh food and frozen food. The night staff had access to snack type foods so that they could prepare something if a resident was hungry during the night. Records were now being kept of meals served. Records were kept of fridge, freezer and cooking temperatures. There was a cleaning schedule. This was just ticked not signed, which meant that it could not be seen which staff had done what job. Hill View Care Centre DS0000022484.V308371.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were confident that their concerns would be listened to and acted upon. Residents were protected from abuse and harm. EVIDENCE: The complaints procedure was displayed in the reception area. The details of the Commission were included. There was a recording system for any complaints received at the home. No complaints had been received at the home. One complaint had been made direct to the Commission. This was sent to the Manager for her to investigate. This was done in a thorough manner. There were procedures for Protection of Vulnerable Adults. There was also a copy of No Secrets in Lancashire available for staff to refer to. There was a Whistle Blowing procedure. Staff received a copy of this in the Staff Handbook at the beginning of their employment. There was also a confidential hotline that they could use to report any concerns. Training for staff in Protection of Vulnerable Adults had commenced. Staff spoken to knew about reporting any concerns. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lived in a pleasant, safe and well-maintained environment. EVIDENCE: All areas of the home were clean, nicely decorated and well maintained. The bedrooms looked pleasant as they were nicely decorated and had matching quilt covers and curtains. They had locks on the door and each resident had a lockable storage space. This protected their privacy. Residents could bring in items of their own furniture if they wished to. Some new carpets and chairs had been purchased. A new freezer & dishwasher had been obtained for the kitchen. The garden area had been upgraded as part of the activities programme. Pictures had been put on the bathroom and toilet doors for those residents who had lost the ability to read. Steradent was seen in some rooms. This meant that residents with confused behaviour had access to potentially harmful items. Fire doors on the corridor were wedged open. The Manager said Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 17 that there was a risk assessment in place and magnetic détentes were to be fitted in the future. Liquid soap and paper towels were available in each room to encourage good hand washing practice. There were two washers with a sluice programme in the laundry. There was one dryer. There was a sink with liquid soap and paper towels. There were gloves available for handling laundry. Red alginate bags were used for fouled linen. This protected the control of infection within the laundry. There were separate sluice facilities on each floor. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs were met by the numbers of staff on duty. The recruitment procedures were thorough and safeguarded residents. Staff had received training to ensure that they were competent to do their jobs EVIDENCE: There was a duty rota showing the names and grades of staff and what hours they worked. The number of staff rostered for duty was sufficient for the number of residents living at the home. There was an Administrator employed. There were sufficient ancillary staff to ensure that the cleaning, cooking and laundry was done each day. There was also a Handyman and a decorator employed. One of the resident surveys said that response time to buzzers could be improved. Residents spoken to said, “The staff always come when the buzzer’s pulled” and “I fell the other day and when I pulled the buzzer there were 3 of them in here within minutes”. A buzzer was pulled at random during the tour of the building and staff responded within two minutes. Three staff files were viewed. These showed that new employees had completed an application form and had a face-to-face interview. A Criminal Records Bureau clearance was done and there was evidence that a POVA First check had been completed prior to employment. Two references were requested and received and one of these was from the previous employer. There was proof of the employee’s identity, including a recent photograph. All Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 19 new staff received a copy of the Staff Handbook and the GSCC code of conduct and practice. Staff received a contract of employment after 8 weeks. All new employees received a First Day Induction, which included fire safety and health and safety issues. A record of this was kept in the staff file. They then completed an Induction workbook that included a review and assessment section. The book examined for one member of staff had not been signed off to show that she was assessed as being competent to do the tasks. All staff had done fire safety training. There was a rolling programme of training to ensure that staff received all their mandatory training. There was a matrix to show which staff had done what training. 60 of the carers had NVQ 2. Other staff were enrolled on the course. Seven of the carers were also doing NVQ level 3. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and staff had confidence in the Manager’s abilities to manage the home. Residents were able to give their views on how the home was run and these were acted upon. Resident’s financial interests were safeguarded. The health, safety and welfare of staff was fully promoted and protected. EVIDENCE: The Registered Manager is a Registered Nurse with a BA in Nursing. She had experience in managing homes before coming to Hill View Care Centre. Residents and staff spoken to said that they had every confidence in the Deputy and the manager. They said that the Deputy and the Manager were very approachable. A resident said, “You can go to them about anything and they’ll sort it out.” Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 21 A number of audits were done to ensure that the home was running smoothly and was at the expected standard. A survey of residents’ views had been done and the results shown in a graph form. Residents and relatives meetings were now being held. The last one was in February 2006 and the next scheduled for November. These were made into a social occasion with a buffet tea. Staff meetings were held. The issues discussed were recorded and minutes produced. These meetings enabled residents, relatives and staff to give their opinion on how the home was run. Regular visits were done by a representative of the Company and a report issued on her findings. This meant that staff and residents had an opportunity to make their views known to someone outside the home’s management. One resident managed all her own money. For those residents who did not have anyone to manage their money, their Pension Benefits were paid into the Company bank account. The personal allowance for these residents was then sent to the home. Small amounts of money were kept for residents. This was securely stored in a safe. Receipts were issued for any money or valuables left with staff. There was a recording system to show amounts deposited, withdrawn and the balance. The money held for the residents who were case tracked was checked against the records and found to be correct. Fire drills were done on a regular basis and the staff that attended were named. The fire alarms were tested weekly. The extinguishers and alarm system were serviced. Portable Appliance Testing had been done. All other appliances had been services as required and there were certificates to demonstrate this. Updates for staff in safe working practices was being done. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 X X X 3 Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 13(4)(c) Requirement Unnecessary risks to the health or safety of residents must be identified and eliminated. Timescale for action 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP7 OP9 OP9 OP15 OP30 Good Practice Recommendations The adverse effects of anti-coagulant therapy should be included in the plan of care. All transcribing onto a Medication Administration Recording chart should be signed and witnessed. Arrangements should be made to cool the medication storage area if this is higher than 25 degrees Celsius. The cleaning schedule should be signed to show which person has completed the task. The Induction book for staff should be signed when they have completed this so that there is verification that they are competent to do the tasks. Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hill View Care Centre DS0000022484.V308371.R01.S.doc Version 5.2 Page 25 - 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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