Inspection on 28/06/05 for Hill View Care Centre

This inspection was carried out on 28th June 2005.

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

Hill View Care Centre 14/12/07

Hill View Care Centre 24/10/06

Hill View Care Centre 22/11/05

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 Janet Proctor Unannounced 28 June 2005 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 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 F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hill View Care Centre Address Crankshaw Street Rawtenstall Rossendale Lancashire BB4 7RA 01706 218484 01706 218484 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Highfield Care Homes Ltd Care Home with Nursing (N) 45 Category(ies) of Physical disability over 65 years of age (PD)(E) registration, with number 25 of places Dementia- over 65 years of age (DE)(E) 2 Mental disorder, excluding learning disabilty or dementia - over 65 yearsd of age (MD)(E) 2 Physical disability (PD) 2 Old age, not falling within any other category (OP) 45 Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Maximum of 45 service users requiring personal care who fall into the category of OP. 2 Within the overall total of 45, a maximum of 25 service users requiring personal care who fall into the category of PD(E). 3 Within the overall total of 45, a maximum of 20 service users requiring nursing care who fall into the category of OP. 4 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). 5 Within the overall total of 45, 2 named service users requiring personal care who falls into the category of PD. 6 The service should employ a suitably qualified and experienced manager who is registered with the Commission. Date of last inspection 01 February 2005 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 Highfield 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. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 9 hours on the 28th June and the 29th June 2005. The previous inspection was done on 1st and 2nd February 2005 and information on the findings of this can be obtained from the home or from www. CSCI.org.uk. On the day of the inspection there were 39 residents at the home. Information was obtained from staff records, care records, and policies and procedures. Information was also got from talking to 8 service users, the Manager, 2 staff members and 3 visitors. Wherever possible the views of residents were obtained about their life at the home. Due to memory and communication difficulties, some of the residents were unable to engage in conversation or make comment about their experience of living in the home. Detailed notes were taken, which have been retained as evidence of the inspection findings. What the service does well: What has improved since the last inspection? The overall standard of the plans of care had improved. These were now being written as soon as a resident was admitted and, wherever possible the resident and relatives were consulted about the plan of care. Although not all residents were interested in their care plan this is an important aspect of care, as Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 6 residents’ views as to how they are cared for should always be taken into account. The plans were written in greater details so that staff were given precise information on the needs of the resident and how to meet these. This is one means of ensuring that the correct care is given in a consistent manner. The amount and range of training done by staff had improved significantly. All ‘core’ subjects e.g. moving and handling, fire safety, were now being done by all staff. The percentage of staff with the NVQ level 2 qualification had also increased and further numbers of staff were on the course. Staff spoken to said that they welcomed the increased training opportunities. The number of staff on duty had stabilised so that there were no shortfalls in the number on duty. The number of ancillary staff hours also ensured that the home was kept in a clean and well-maintained condition. All health and safety issues had been dealt with. There were up to date records to show that all appliances and equipment had been serviced. A work based fire risk assessment had been done and the Manger had consulted with the Lancashire Fire & Rescue Service about fire precautions in the home. 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. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 4 and 6 The admission procedures meant that residents had their needs assessed before moving into the home. Written confirmation that the home could meet their needs was not sent to prospective residents. This meant that they could not be assured that their needs would be met. EVIDENCE: The statement of terms and conditions of residency did not include details of the room to be occupied. This meant that there was a potential for a change to the allocated room to occur without the resident being formally consulted about this. From the records of the residents’ files that were viewed it was evident that appropriate pre-admission assessments were being undertaken. These included details from the Local Authority where appropriate and a preadmission assessment done by the Manager. A visitor to a recently admitted resident said, “There had been a smooth transition” when moving in and the staff had been very helpful during the admission process. The prospective resident was not receiving confirmation that their needs could be met at the home. This should be sent in writing before they are admitted. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 9 The manager stated that she audited the skills and competence of staff against the residents’ needs and ensured that relevant training was obtained if there were any gaps. Examples of this were courses being arranged for staff on swallowing difficulties and dealing with people with dementia. Intermediate care was not given at Hill View. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. The care planning system provided staff with the information they needed to satisfactorily meet residents’ needs. Their personal care was delivered in a way that promoted their privacy and dignity. The control and management of medications was good. EVIDENCE: A plan of care was prepared as soon as the resident was admitted. The individual plans of care identified the full range of residents’ care needs. They included good directions to staff on how to meet these needs and were reviewed monthly. Some of the reviews made a statement to show what progress was being made towards meeting the needs of the resident. The Manager said that she was in the process of inviting all relatives to a review meeting so that they had the opportunity to be fully involved in the care planning process. A review sheet was completed that showed any concerns, queries or agreements reached. When asked about their care plans some of the residents said, “I’m not interested” and “There’s too much red tape. The more writing they do the less time they have to look after people”. Risk assessments were completed for a variety of health issues: development of pressure sores; nutritional risk; risk of falls; and moving and handling. From the outcome of this assessment the level of risk was determined and a plan of Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 11 care written to inform staff on how to reduce or manage the risk. These were generally well written but could have included more precise detail on type of pressure mattresses and cushions and continence aids used. Weights were recorded monthly. Other professionals were involved as necessary in the care of the resident e.g. Speech and Language Therapist, Community Psychiatric Nurses, GPs and District Nurses. None of the residents looked after their own medication and this was all administered by a Registered Nurse. The records kept of the medications ordered, received, administered and returned were clear. There were a large amount of dressing products for residents who were no longer accommodated at the home. Not all of the transcribed entries for medications had been signed and witnessed. The medication storage area did not have ventilation and the temperature of this was recorded as being above 25 degrees Celsius for 2 days. A system to ensure that residents aged 75 and above, who were prescribed 4 or more medications, received a Medication Review was needed. The majority of residents said that they were treated with respect and that their privacy and dignity was respected. They said, “The staff always knock on my door”, “The staff are wonderful, very caring” and “I have a key and can lock my door if I want”. Two residents said that some carers were sometimes “sharp” and that there were sometimes “bits of controversy”. These comments were passed to the Manager who promised to address this. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12, 13, 14 and 15 Residents were able to make choices about their life at the home so that their lifestyle met their preferences. Resident’s social, cultural and recreational needs were met through links with their family and friends being maintained and opportunities to undertake activities within the home. The meals offered at the home were to the liking of residents. The lack of accurate records meant that it could not be demonstrated that the individual dietary needs of residents were met and that the food was safely prepared. EVIDENCE: Residents stated that there were flexible routines in the home. They could make choices about rising and retiring times and how they spent their time. Staff confirmed that they allow residents to follow their normal or preferred routines and that this was because Hill View was “their home”. Residents could use their bedrooms as and when they wished and had a choice of lounge areas to sit in. There was a part time Social Therapist employed who did activities with the residents. The programme of activities was displayed on the notice board and included: glass painting, board games, and a video night. Residents were also encouraged to follow their own interests and hobbies and two were doing tapestry and embroidery. One resident said that the home had a “good library, there’s always something to read”. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 13 Three visitors were spoken to and all said that they were made to feel welcome when they visited Hill View. A resident said “My visitors can come and see me anytime. We sometimes sit in the lounge or in my bedroom”. Residents spoken to were happy with the meals at the home. They said that it was “good food” and “good quality food”. Breakfast was served between 8.30 am and 10.30 am to fit in with residents rising times. The evening meal was now being served at a later time, as recommended at the previous inspection. The menus were planned week on week and the day’s menu was displayed and residents knew where this was. They could have alternatives to the menu if they wished. One resident said that she disliked fish and always had something else when this was on the menu. If anyone required a pureed diet, this was served with all the components of the meal blended separately, which meant the meal looked more attractive and appetising. The records of meals served at the home were not in enough detail to enable it to be determined whether the diet was satisfactory in relation to nutrition or otherwise. Fridge and freezer temperatures were recorded but the recording of cooking and serving temperatures was inconsistent. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16 and 18 Residents were confident that their complaints would be taken seriously and acted upon. The lack of staff training in protection of vulnerable adults may result in abusive practices being unrecognised and unreported. EVIDENCE: The complaints procedure was displayed on the notice board. As this notice board was on the stairway, all persons who visit the home may not see it. The Manager changed the position of the procedure during the course of the inspection to a more easily accessible place. The details of the Commission were not displayed. Again the Manager remedied this during the course of the inspection. There was a recording system for any complaints received at the home. Two complaints were entered. The details showed the date the complaints had been received, the details of the complaint, the action taken in response to the complaint and the outcome. Residents spoken to said, “I’ve no complaints” and “I would go to Nina (Manager) if I had any complaints”. All residents spoken to were positive that their complaints would be listened to and sorted out. There were policies and procedures for prevention of abuse. Staff spoken to had not received any training on the protection of vulnerable adults although they were aware of what action to take should an incident occur. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19, 24 and 26 Residents were happy with their accommodation at the home and lived in a safe, clean, well-maintained environment. EVIDENCE: The home was clean and well maintained. And all residents spoken to were happy with the accommodation. All bedroom doors had been fitted with door locks and residents offered the use of a key to their door. There was a Handyman and a decorator employed. This meant that repairs and items of decoration could be done in a short time scale. The staff record items for repair in a record book that was ‘signed’ off when the repair was completed. There were self-closing devices to some of the corridor doors. Other doors were noted to have wedges being used. The Manager said that she had done a risk assessment on this and the Lancashire Fire & Rescue Service had been consulted and they were satisfied with the amount and location of the use of these. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 16 The home was clean and odour free at the time of the inspection. The systems for maintaining hygiene included procedures for infection control. Plastic aprons and gloves were available to staff when undertaking care duties. There was a separate laundry room, which had sufficient and appropriate equipment to meet the laundry needs of the number of residents accommodated. Residents said that their laundry was returned on time and in a good condition. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 29 Residents’ needs were met by the numbers and of staff on duty. The number of staff with the NVQ qualification needed to be increased. The recruitment procedures were not thorough enough with the potential that they might not ensure the protection of residents at the home. 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 at least one member of Domestic staff on duty each day, and also a designated person for doing laundry. There was a Cook on duty from 8.00 am – 5.00 pm each day and a Kitchen Assistant worked in the morning and in the evening. There was also a Handyman and a decorator employed. 13 of the care staff had NVQ level 2 in care and another six staff were currently studying for the qualification. The new Manager was fully aware of the procedures to be followed and the documents to be obtained in respect of recruitment of staff. She had not recruited any new staff since she came to the home and the files of two staff that had been employed before she commenced work were viewed. There was no evidence of a POVA First check in the files for these staff, who had commenced employment two days prior to their CRB checks being returned. None of the recently employed staff members had a photo on file. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36 and 38 The manager of the home had a good understanding of the areas that needed improvement and was actively undertaking this. Further development of quality assurance systems was needed to ensure that the home was run in the best interests of the residents. Staff were being appropriately supervised in order to ensure that they understood their roles and responsibilities. The health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: A new Manager was appointed in April 2005. She is a Registered Nurse with a BA in Nursing. She has recently completed a year’s trainee management course with Highfield Care Group and this is her first full management post. Prior to doing, and during, her degree course she worked as a carer in several care homes. She intends to commence the Registered Manager’s Award in September 2005. An application for registration has not yet been received by CSCI. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 19 There was a requirement at the previous inspection under standard 33 for quality assurance systems to be developed. The new manager stated that she had commenced these but as she had only been in post for 2 months had not had time to fully develop these. Therefore, this standard will be fully assessed on the next inspection. Supervision for care staff had been commenced. Records are kept of this that demonstrate: the issues covered; any areas of lack of understanding; any concerns; and topics for next sessions. It was recommended that there be some indication of the action to be taken to address any areas of lack of understanding or concerns raised. Records of fire drills were kept. Fire alarms and emergency lighting were checked regularly. There was a work based fire risk assessment. Water temperatures were checked monthly. There was a current electrical installation certificate. Portable Appliance Testing was being done on the day of inspection. The servicing of the gas boilers and appliances had been done in May 2005. The bath hoists and mobile hoists had been serviced in May 2005 and the passenger lift in April 2005. Eight staff had received training in health and safety. Nine staff had the received training in First Aid so there was always a person with this training on duty. Seven staff had received fire safety training at Burnley College and an inhouse fire safety lecture was scheduled for 5th July 2005 for the remainder. Moving and handling training had been done and a member of staff had recently completed the ‘Train to train’ course. Access to a course on Protection of Vulnerable Adults was being sought. A distance-learning course for infection control was being sourced. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 2 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 2 x 2 x x 3 x 3 Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 21 Are there any outstanding requirements from the last inspection? 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 OP3 Regulation 14(1)(d) Requirement The resident or their representative should receive confirmation in writing that the home can meet their needs. Appropriate records relating to the indiviual diet taken by residents and of the cooking and serving of food items must be kept. All staff must receive training in the Protection of Vulnerable Adults. There must be evidence that a POVA First check has been undertaken or a CRB check returned for new members of staff before they are permitted to commence employment. There must be proof of identity, including a recent photograph for all staff members An application for registration must be received in respect of the new manager. That there is a system for reviewing and improving, the quality of care provided. (Timescale of 31 December 2004 not met) Timescale for action 30th June 2005 30th June 2005 2. OP15 17(2) Schedule 4(13) 16(2)(j) 13(6) 19 Schedule 4 3. 4. OP18 OP29 31st August 2005 30TH June 2005 5. 6. 7. OP29 OP31 Op33 17 Schedule 2 8 23(1) 31st July 2005 31st July 2005 30th September 2005 Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 22 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. 6. 7. 8. 9. Refer to Standard OP2 OP7 OP8 OP9 OP9 OP9 OP9 OP28 OP36 Good Practice Recommendations The statement of terms and conditions of residency should be amended to include details of the rooms to be occupied. That the review includes a statement as to what progress is being made. That precise information on the type of pressure mattress and cushion and continence aids is included in the plan of care. That all transcribing onto a Medication Administrtaion Recording chart is signed and witnessed. That dressings and other medication products are not kept after the resident leaves the home. That action to cool the medication storage room is taken should the temperature be recorded as being above 25 degrees Celsius. That a system to prompt a Medication Review with the GP or Practice Nurse is commenced. That 50 of the care staff have NVQ level 2 in care by 2005 That the supervision notes contain an indication of the action to be taken to address any deficiences or concerns identified. Hill View Care Centre F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road, Clayton-Le-Moors Accrington Lancashire. 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 F57 F07 S22484 Hill View V228875 280605 Stage 4.doc Version 1.30 Page 24 - 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!