Inspection on 07/09/06 for Hollymount Nursing & Residential Care Home

This inspection was carried out on 7th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hollymount Nursing & Residential... 08/11/05

Hollymount Nursing & Residential... 02/06/05

Hollymount Nursing & Residential... 13/01/05

Hollymount Nursing & Residential... 08/06/04

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 Hollymount Nursing & Residential Care Home 3 West Park Road Blackburn Lancashire BB2 6DE Lead Inspector Jane Craig Key Unannounced Inspection 7th September 2006 10:00 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 Hollymount Nursing & Residential Care Home DS0000022514.V305478.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. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hollymount Nursing & Residential Care Home Address 3 West Park Road Blackburn Lancashire BB2 6DE 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) 01254 266450 01254 266451 Longfield Care Homes Limited Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38), Physical disability (25) of places Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Within the overall total of 38, a maximum of 24 service users requiring nursing care who fall into the category of either OP or PD Within the overall total of 38, a maximum of 28 service users requiring personal care who fall into the category of OP Within the overall total of 38, a maximum of 1 service user requiring personal care who falls into the category of PD The Registered Provider must, at all times, employ a suitably qualified and experienced manager, who is registered with the National Care Standards Commission. 8th November 2005 Date of last inspection Brief Description of the Service: Hollymount Nursing and Residential Home provides care for up to 38 people who have personal care or nursing care needs. The home is located in a residential area close to Corporation Park and approximately half a mile from Blackburn town centre. The main road with shops and other amenities is within walking distance. Hollymount is an extended detached property. It offers mainly single room accommodation with some en-suite facilities. Ample bathrooms and toilets are located close to bedrooms and communal areas. There are three lounges and a dining area. Decor and furnishings are of a good standard, comfortable and homely. Residents have access to well maintained gardens and a patio area. There are car parking spaces to the front and side of the home. Information about Hollymount is sent out to prospective residents following an enquiry about admission. The latest CSCI inspection report was on display in the manager’s office. At 7th September 2006 the fees ranged between £364 and £497 per week. A single resident occupying a double room may be charged a supplement. There were additional charges for newspapers, hairdressing and clothing. Residents were also charged a fee for staff escorts to hospital and other appointments. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over one and a half days. At the time of the visit there were 32 residents accommodated. The inspector met with a number of residents and spent time observing interactions between staff and residents. Wherever possible residents were asked about their views and experiences of living in the home and some of their comments are quoted in this report. Six residents and five visitors had completed comment cards before the inspection. Discussions were held with the responsible individual, a company director, the acting manager and a number of staff. The inspector also received comments from a visiting professional. A tour of the premises took place and a number of records and documents were viewed. This report also includes information submitted by the home prior to the inspection visit. What the service does well: The manager made sure that prospective residents had information about the home to help them to make a choice about whether the home was right for them. Residents were assessed before admission, which meant that staff understood what care the person might need and whether it could be provided at the home. Those residents spoken with said they were satisfied with the home. One said, “I am quite happy living here, I don’t know where else I would want to be.” Residents who were asked, and those who filled in surveys, said they were well cared for. Visitors who completed comment cards indicated that they were satisfied with the overall care given to their relative or friend. One commented that their father was always well groomed and that all the family members were satisfied with Hollymount. Residents said they were able to make choices about their daily routines, for example when to get up and go to bed. They were able to receive visitors at any time and visitors said they were made to feel welcome in the home. There was a programme of activities, which some residents took part in. Residents said the meals were usually very nice. One said, “We get very well fed.” They had a choice of meals at breakfast and teatime. Several residents and a visitor commented that there was a good variety. One resident said they could have breakfast in bed whenever they wanted. Residents were very positive about their relationships with staff. The residents who completed surveys said that staff listened to them and acted upon what Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 6 they said. Comments during the inspection included; “the staff are all very nice,” “most are very understanding,” and “I get on well with all of them.” A comment card from a visitor stated that the staff had a high level of dedication and an approachable attitude. Over 50 of the care staff held a nationally recognised qualification in care. The home was nicely decorated and furnished. Residents were able to personalise their bedrooms with pictures, ornaments and small pieces of furniture. Those residents spoken with were happy with their rooms and said they were “comfortable” and “homely”. Fire safety equipment and electric and gas systems were serviced regularly. This helped to make the home safe for the people who lived and worked there. 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. Hollymount Nursing & Residential Care Home DS0000022514.V305478.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 Hollymount Nursing & Residential Care Home DS0000022514.V305478.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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 process ensured that residents had sufficient information to help them to make a decision about moving in and staff had enough information to understand the new resident’s care needs. EVIDENCE: Residents had access to information about the home to help them to decide whether or not the service could meet their needs. The service user’s guide had been updated in June 2006. A copy of the guide, including the terms and conditions of residency, was seen in all bedrooms viewed. Prospective residents were assessed before they were offered a place at the home. The files of two recently admitted residents showed that the information on the pre-admission assessment was used to draw up initial care plans. Intermediate care was not provided at Hollymount. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 9 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. Residents’ health and personal care needs were met. Some medication practices were unsafe and may place residents at risk. EVIDENCE: The care records for three residents were inspected and others were viewed in less detail. The care plans for a recently admitted resident addressed all their needs as outlined in the pre-admission assessment. Although there was no evidence that their relative had been offered an opportunity for involvement in drawing up the care plans, visitors who completed comment cards said they felt involved in their relatives’ care and were kept informed. The plans for all three residents contained sufficiently detailed directions for staff to ensure that care would be provided in a consistent manner. Care plans were reviewed and most were amended when the resident’s care needs changed. Several care plans made reference to providing care in a way that promoted residents’ privacy and dignity. Two staff talked about the importance of maintaining privacy when providing personal care. Residents said that their privacy was protected. One said, “at first the toilet wasn’t as private as I liked but now I Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 10 have my own bathroom.” Another said that she was able to go to her room whenever she wanted for a bit of quiet. During the course of the inspection staff were observed speaking with residents in a respectful manner. All care plans included risk assessments for moving and handling, nutrition, pressure sore risk and, where applicable, bed rails. However, the corresponding plans were not always detailed enough. For example, one resident who was assessed as very high risk of developing pressure sores did not have a separate plan. Residents with a history of falls were assessed but there plans were not always in place to address the specific reasons or risks. As previously required, staff used appropriate moving and handling techniques and equipment to help residents to move. Residents spoken with said they were well looked after. Five out of six residents who completed surveys indicated that they always received the care, support and medical attention they needed and one said this usually happened. A visiting professional said that they always received timely referrals and that staff made sure they carried out any instructions for care from other professionals. The visiting professional said “I would let a relative of mine come here, and that says a lot.” Two residents self-administered some of their medication but there were no assessments to check their safety. Registered nurses or care staff with training administered all other medication. Medication was stored in a locked room and there was restricted access to the keys. The temperature of the storage room was regularly recorded at above 250c, which contravened the manufacturers advice for storage of most medicines. Medicines received at the beginning of the month were recorded on the Medicine Administration Record (MAR) chart and there was a record of medicines disposed of. Waste medication was disposed of appropriately. There were some gaps on the MAR charts with no explanation as to why medicines had not been given. Handwritten additions to MAR charts were not always signed and witnessed and abbreviations were used to indicate how often the medicine was to be given. There were two lots of medicines in the trolley without names. A bottle of eye drops being used on the day of the inspection was out of date. There were discrepancies in the amounts of some medication carried over from the previous month, which indicates that some medicines may be shared. Storage, recording and administration of controlled drugs was appropriate. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 11 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 had choice and control over their daily lives. Daily routines and meals suited residents. The programme of organised activities met the majority of residents’ social and recreational needs. EVIDENCE: Most residents had information about preferred daily routines, interests and cultural needs recorded on their care plans. It was also apparent that staff were aware of residents’ preferences. For example, one carer told a resident, “I’ve got your favourite biscuits on the tray today.” Residents said they were able to choose when to get up and go to bed and what to do with their time. One resident said they often went up to their room after tea and staff brought up their supper. Staff said that all residents, even those unable to communicate verbally, were able to make choices. Some staff were more skilled than others at providing residents with choice. For example, one member of staff was observed asking residents about a small, yet important, issue of whether they wanted to wear an apron to protect their clothing or not. The carer also told residents exactly what was for lunch and asked did they want everything, whereas another member of staff just put the meal in front of the residents. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 12 There was a programme of activities. Half of the residents who completed surveys said the activities were always suitable and one resident spoken with said they enjoyed most things. A small number of residents said they would like to be able to go out sometimes but the activity organiser said there had not been enough staff to achieve this. Two of the residents spoken with said they did not join in many of the activities. One said, “I’m sociable but I don’t like to play games.” There was an open visiting policy. All the visitors who completed comment cards said they were always made to feel welcome and that they were able to visit their relative in private if they wished. All residents spoken with at the time of the inspection said they enjoyed the meals. One said, “it’s good, normal food, meat and potatoes, very nice.” Another commented, “we get quite a variety and it’s very nicely cooked.” Residents who completed surveys said the meals were usually good. Records showed that residents were offered a nutritious and varied diet. There was no choice at lunchtime but the cook and staff said that residents who did not like what was on the menu would be offered something else. Residents were able to choose where to have their meals and one said that they were always given the opportunity to have breakfast in bed if they wished. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 13 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. The procedures for safeguarding residents were understood by some staff but a lack of training may result in allegations of abuse being mishandled. Residents were confident that complaints would be dealt with appropriately. EVIDENCE: There was a complaints procedure on display and all residents received a copy in their service user’s guide. The records of complaints showed the outcome of investigations. Residents who completed surveys and those spoken with said they knew who to go to if they had a complaint. One said she would ask the manager. Another said she had made a complaint and it had been sorted out satisfactorily but she could not remember what it was about. The home had received two complaints in the past year. There had been none directly to the Commission. Staff had access to written guidance on the protection of vulnerable adults. Some had received training but this was not up to date for all staff. The staff spoken with during the inspection were aware of their roles and responsibilities in reporting any allegations to their line manager and outside the home if necessary. There were some strategies on individual care plans for managing behaviour that may cause harm to the resident or to other people. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 14 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. The home was clean and well maintained. The standard of décor and furnishings provided residents with a safe, comfortable and homely place to live. EVIDENCE: A tour of the premises evidenced that the home was safe and well maintained. Communal spaces were comfortable and homely and many of the residents’ rooms were personalised with pictures and ornaments. There was a good standard of décor and furnishings throughout the home. Several new carpets had been laid since the last inspection and a number of areas had been repainted. There were sufficient bathrooms and toilets close to lounges and bedrooms. There were assisted bathing facilities and bathrooms were equipped with grab rails, raised toilet seats and other equipment to aid independence. Those residents who were asked said they were happy with the furnishings in the lounges and with their bedrooms. One said her room was “very comfortable” and another said, “it’s a nice room to go back to.” Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 15 The home was clean, tidy and fresh smelling. Residents who completed surveys indicated that it was always like that. The laundry was sited in the basement and away from resident areas. It was adequately equipped for the size of the home and on the day of the visit it was tidy and organised. There were no complaints about the laundry and the minutes of a recent residents’ meeting showed that a minor problem had been sorted out. Staff had access to infection control procedures and notices about safe handling of laundry and waste were displayed in staff areas. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. There were sufficient staff and the majority held a relevant qualification. Staff recruitment practices and health and safety training do not completely safeguard residents. EVIDENCE: Residents and visitors had mixed views about the staffing levels in the home. Half of the residents who filled in surveys said that staff were always available when they needed them and the other half said they usually were. However, two residents at the time of the inspection said there were not always enough staff around. Two visitors who filled in comment cards said there were not always sufficient staff on duty, two others indicated there were, and one said sometimes yes and sometimes no. Staff themselves said there were sufficient numbers of staff to meet the needs of the current resident group. Senior staff said extra staff could be rostered if needs increased. Residents and visitors who completed comment cards were positive about the staff. Residents spoken with during the inspection said they had good relationships with all or most of the staff. The files of three recently employed staff were inspected. Records showed that staff did not commence work until a clear POVAfirst check had been received and they were then supervised until a satisfactory CRB disclosure was returned. However, two of the staff only had one written reference and one of the references for the other member of staff had been received after they Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 17 started work. There was no written explanation why one member of staff had left a previous job working with vulnerable adults. All the recently employed staff had a record of initial induction which included an introduction to the organisation, orientation of the building and emergency procedures. The new staff were either registered nurses or held an NVQ, therefore they did not need to complete the common induction training. The inspector was told that a programme that met the standards was in place and new staff would complete it as necessary. The new manager was working towards improving training for existing staff. She had a programme of short courses in place over the next few months. Despite previous requirements, training in safe working practice topics was not up to date. The manager was aware of the shortfalls and was looking to access courses in the near future. Information submitted by the registered person showed that over 50 of care staff were qualified to NVQ level 2 or above. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 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 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. Planned improvements to the quality monitoring systems will benefit residents. Residents were protected by health and safety procedures. EVIDENCE: There had been a change of manager since the last inspection. The new manager is a registered nurse with many years experience of working with the resident group. The manager said she attended short courses to keep up to date with her practice and she plans to enrol on the next available NVQ management course. She received regular supervision from the registered persons, who she said were very supportive. The manager is aware that she needs to apply for registration with the Commission for Social Care Inspection in the near future. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 19 Residents’ meetings were held every month. Minutes of the meetings showed that residents’ opinions were sought about day to day issues such as activities and meals. There was a plan to introduce regular annual surveys to ensure that all residents had opportunities to influence the development of the service but this was not in place at the time of the inspection. The home retained the Blackburn with Darwen quality assurance award. Residents’ finances were managed by their families. Some residents were able to manage their own personal allowances and the home held small amounts of money on behalf of others. All transactions were recorded. Computer records were complete and up to date and residents or relatives were able to have a printed copy at any time. Servicing and testing of the fire system, equipment and alarms was up to date. Most staff had received fire safety training and been involved in practice drills. There was a brief fire risk assessment, which the registered person said they planned to review in the near future. Certificates were available to evidence maintenance of installations and equipment in the home. There were environmental risk assessments and potentially hazardous items were stored safely. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP8 Regulation 13(4) Requirement The registered person must ensure that adequate plans are in place to control/minimise identified risks to residents’ health and safety. This would include risk of falls and risk of developing pressure sores. Residents who wish to selfmedicate must be assessed as to their ability and safety. The assessments must include storage and be kept under review. Labels on medicine containers must include the name of the resident to whom the medicine belongs. Medication must be given according to the prescriber’s instructions. There must be explanations for omissions. The registered person must ensure that all pre-employment checks are carried out and that staff files contain the information DS0000022514.V305478.R01.S.doc Timescale for action 31/10/06 2. OP9 13(2) 30/09/06 3. OP9 13(2) 08/09/06 4. OP9 13(2) 08/09/06 5. OP29 19(4) Schedule 2 30/09/06 Hollymount Nursing & Residential Care Home Version 5.2 Page 22 required in Schedule 2. 6. OP30 18 Staff must be provided with updated training in all safe working practice topics. (Timescale of 08/06/04 not met) 31/12/06 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. Refer to Standard OP9 OP9 OP33 Good Practice Recommendations Medication should be stored and discarded in accordance with the manufacturer’s instructions. Handwritten additions to MAR charts should exactly reflect the information on the medicine labels. The additions should be signed and witnessed. The registered person should extend the resident satisfaction surveys to give all residents opportunities to make their current views about the home known. Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 Page 23 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 Hollymount Nursing & Residential Care Home DS0000022514.V305478.R01.S.doc Version 5.2 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. 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