Inspection on 05/04/05 for Honeysuckle House Nursing Home

This inspection was carried out on 5th April 2005.

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

Honeysuckle House Nursing Home 02/08/07

Honeysuckle House Nursing Home 23/02/07

Honeysuckle House Nursing Home 11/03/06

Honeysuckle House Nursing Home 19/10/05

Honeysuckle House Nursing Home 08/02/05

Honeysuckle House Nursing Home 21/10/04

Honeysuckle House Nursing Home 23/02/04

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

CARE HOMES FOR OLDER PEOPLE Honeysuckle House Nursing Home 1a Oakthorpe Road Palmers Green London N13 5HY Lead Inspector Caroline Mitchell Announced 5th & 7th April 2005 @ 9:30 am 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. Honeysuckle House Nursing Home Version 1.10 Page 3 SERVICE INFORMATION Name of service Honeysuckle House Nursing Home Address 1a Oakthorpe Road, Palmers Green, London, N13 5HY 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) 020 8886 8086 020 8886 0964 admin.heatherbrook@careuk.com Nicholas Farmer of Care UK Community Partnership Ltd Ms Sheila Patten Care Home Nursing Home 32 Category(ies) of MD(E) registration, with number of places Honeysuckle House Nursing Home Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 18 nursing beds for service users aged over 65 years and upwards and 14 beds for personal care are available. Date of last inspection 22/03/05 Brief Description of the Service: Honeysuckle House Nursing Home is a registered care home with nursing providing care to thirty-two older people with a diagnosis of mental disorder. Care UK Community Partnerships Limited manages the home and employs the staff. The home is owned by the London Borough of Enfield who retain contractual responsibility for funding the majority of the maintenance at the home as well as for purchase of furniture and equipment. The London Borough of Enfield block purchases the thirty-two places at the home.The home is a purpose built, two story premises that was opened in the1990’s, originally to accommodate service users following the planned closure of a long stay hospital. The home provides both residential care and nursing care in two separate units. The ground floor contains a fourteen place residential unit that has twelve single bedrooms, one double bedroom and a range of communal facilities including its own lounge and dining room. The manager’s office, main kitchen and a large activity room are also situated on the ground floor. The first floor contains an eighteen place nursing unit that has sixteen single rooms, one double room, and a range of communal facilities including lounge and dining room. A passenger lift as well as stairs connects the two floors and both have an appropriate range of accessible bathrooms and toilets. Facilities throughout the home are fully accessible to wheelchair users. The home is situated in a quiet residential area close to the shops and amenities of Palmers Green as well as good public transport links. Honeysuckle House Nursing Home Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection. It took place over a day and a half. During these two days the inspector spoke to several residents, several member of staff and the manager. The manager and deputy manager showed the inspector around the home. Records were also examined. Prior to this inspection the inspector undertook an additional visit on 22nd March 2005, in response to an anonymous complaint. A summary of the findings and requirements made at this visit is included below and the requirements that were made at that visit are included as part of this report. Summary of Complaint An anonymous letter was received by the Commission on 22nd March 2005. The complainant alleged that the quality of care had deteriorated leading to negligence in various areas, and also alleged abuse of a service user. The complainant raised a number of issues regarding the recruitment and skills of the staff, and about the management style in the home. Summary of Additional Visit An additional visit was made to the home on 22nd March in response to the complaint, by Caroline Mitchell, the lead inspector for the home, accompanied by Susan Shamash, inspector. The inspectors met all staff on duty, discussed elements of the complaint with the registered manager and the deputy manager, reviewed the numbers and identities of the staff on duty and saw staff personnel records for the staff recently recruited. The inspectors met and reviewed the records of all service users who were prescribed Temazepam, reviewed the complaints and accident records that are kept in the home and reviewed the arrangements for the storage and administration of controlled drugs. The inspectors found that some medication was missing at this visit and the registered manager was required to investigate and provide a report of the investigation and the outcomes to the inspector. There were parts of the anonymous complaint that required further investigation and the registered provider was required to investigate these and provide a report of their investigation and the outcomes to the inspector. Marilyn Mackenzie, the pharmacist inspector also visited the home on Wednesday 6th April to examine records in relation to Temazepam prescribed to for service users. Her findings and requirements are included as part of this Honeysuckle House Nursing Home Version 1.10 Page 6 report. It should be noted that the majority of the requirements made at the time of the additional visit had been met at the time of writing the report. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Honeysuckle House Nursing Home Version 1.10 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 Honeysuckle House Nursing Home Version 1.10 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) 3, 4 &5 The admission procedure is well designed. The information available to prospective service users and the thoroughness of needs assessment carried out at the time of the initial trial period enable service users to be confident that the service understands and will be able to meet their needs. EVIDENCE: This home specialises in working with older people who have a mental disorder and all current service users have a diagnosed mental illness. The written records of four service users were inspected and each had an assessment in place. As well as assessment carried out by the placing authority, Honeysuckle House carry out a pre-admission assessment of each service user. There is a trial period of six weeks, after which the service user has the opportunity to take up a long-term place in the home or to move elsewhere. The manager also provided evidence that the assessment process enables the Honeysuckle House to be clear about the kind of needs that can be met in the home. Honeysuckle House Nursing Home Version 1.10 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 standard(s) 7, 8, 9, 10 &11 The health and personal care needs of service users are generally well met and there is a clear and consistent care planning system in place that is satisfactory overall. However, some service user plans are not detailed enough with regard to pressure relief, which potentially places service users at risk of pressure sores. There was evidence to show that at the time of death, service users and their relatives are treated with sensitivity. Personal support in this home is offered in such a way as to promote service users’ privacy and dignity. EVIDENCE: The written records of four service users were inspected and included service user plans that clearly described their needs. Two of these files were for people living in the nursing unit and one was for a person living in the residential care unit. The records examined reflected that all residents had received health checks at appropriate intervals and ongoing appointments for specialist treatment were kept with the outcomes recorded. Each service user’s record included risk assessments and identified specific risks to each individual in relation to their needs. These covered areas such as tissue viability, mobility and falls, moving and handling, mental health, challenging behaviour and nutrition and fluid intake. Service users’ weight is also monitored. Honeysuckle House Nursing Home Version 1.10 Page 10 Cot sides were being used for two of the service users whose records were examined and there was evidence that this was in consultation with service users and their representatives. Although there was brief written policy providing some guidance for staff, this must be revised in consultation with an occupational therapist in order to ensure that the risks are fully recognised and real alternatives to the use of cot sides are actively sought. The registered manager explained that an occupational therapist had been allocated to the home in order that the use of cot sides could be reviewed. Where it was identified that a service user was at risk of developing pressure sores, pressure-relieving equipment such as special mattresses and cushions were being used. This was noted in care plans. However, this information was not detailed sufficiently to ensure that staff were clear about the aids that are allocated to each service user and air flow mattress settings for the weight of the particular service user. Staff had received training in wound care. However, it is necessary for training to be provided to all care staff regarding maintaining tissue viability with emphasis on prevention, in order to ensure that the care practice in the home keeps pace with practice developments. The fourth file examined was for a lady who had recently died in the home. Careful and sensitive notes had been kept up to and after her death regarding the care that she received, the contact that the home had with her family and the arrangements that were made regarding her funeral indicating that staff treated the service user and her family with sensitivity and respect. The inspectors found that 10 Temazepam tablets could not be located in the home at the time of the additional visit on 22nd March. The registered persons were required to investigate this issue and provide a detailed report of the investigation and the outcomes to the inspector. Marilyn Mackenzie, the pharmacist inspector visited the home to review medication in relation Temazepam prescribed to for service users. She concluded that no evidence could be found that any misuse of Temazepam had occurred. A number of requirements were made in order to ensure greater audit control over the use of Temazepam tablets and liquid. One service user’s eyes were sticky and the registered manager is required to seek advice from the GP regarding the appropriate treatment for this. It was evident that one service user’s teeth had not been cleaned for some time, and she had an untreated skin condition. This service user’s records reflected that she is extremely resistant to intervention from staff with regard to her personal care. A requirement is made in respect of reviewing this to ensure that her personal care needs are met. Honeysuckle House Nursing Home Version 1.10 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 standard(s) 12, 13, 14 &15 Service users benefit from the energy put into the areas of social and recreational activities by staff, who have a good understanding of the service users’ needs and preferences. This is evident from the positive relationships, which have been formed between the staff and service users. Staff support service users in a way that provides opportunities for choice. The meals are good offering choice and variety and catering for special dietary needs. EVIDENCE: Throughout the inspection there were a number of social and recreational activities going on that service users were enjoying joining in with, with enthusiastic and sensitive support from the activities co-ordinator and several other staff members. The social care and activities plans for each service user are of a high standard, and make provision for one-to-one sessions so that service users of all interests and abilities can benefit. There are also comprehensive records kept of the day-to-day activities that service users undertake. Service users are able to decline the offer of these activities if they choose. The inspector sat down with the service users, to talk and to sample the food at lunchtime, the food was well presented and appetising. All service users who were consulted said that the food was of a good standard. There was evidence that service users who require special diets are properly catered for. The registered manager said that, where service uses have a pureed diet, each Honeysuckle House Nursing Home Version 1.10 Page 12 pureed food is served separately. However, the menu has not been reviewed for approximately two years and, to ensure that the menu is nutritionally balanced, must be reviewed in consultation with a dietician. One service users daughter, who visits the home on a daily basis, confirmed that the food is good. She also said that she is made to feel included and welcome. She added that staff discuss her mother’s care and welfare with her all of the time. The service user meetings are minuted by the activities organiser and these minutes reflected that they are held regularly and that service users are encouraged to discuss a broad range of topics. Honeysuckle House Nursing Home Version 1.10 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 standard(s) 16, 17 & 18 Service users benefit from a complaints procedure and an adult protection protocol that ensure that their views are heard and that they are protected from abuse. EVIDENCE: As stated in the summary of the report, there was an anonymous complaint received about the home just prior to this inspection and a requirement was made that the registered provider investigate the elements of the complaint. The inspector has been impressed by the thoroughness of the provider’s investigation, which was ongoing during this inspection. A number of adult protection referrals were made to the placing authority as a result of the provider’s investigation and are being further investigated. However, it was found that the copy of the local authority adult protection procedure that was kept in the home was out of date and a requirement is made for the registered persons to obtain an up to date version to be kept in the home. In terms of service users exercising their right to vote, the registered manager said that the polling station is nearby and that they are encouraged to vote. Two service users confirmed that they could vote if they wanted to. One service user said that she had no complaints, and she was not easy to please and concluded that the home must be doing something right. Honeysuckle House Nursing Home Version 1.10 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26 Honeysuckle House provides an environment that service users can regard as their home and their bedrooms are personalised to reflect this. Service users benefit from a home that provides suitable specialist equipment to maximise their independence and provides plenty of communal space and toilets and bathrooms. This is a safe, well maintained, clean and pleasant environment for service users to live in. EVIDENCE: The home is situated on a quiet residential street with easy access to shops, public transport and all other community amenities. A requirement made at the last two inspections to replace thirty two chairs throughout the home has been satisfactorily addressed. Some rooms have been redecorated and there are still some that were identified by the manager as needing to be redecorated and a number of requirements are made in this report in respect of these. The grass in the garden also needed cutting. At the time of this inspection, the home was well decorated, clean and tidy, and was well heated and ventilated. Service users have a choice of lounges, Honeysuckle House Nursing Home Version 1.10 Page 15 where they can watch television, listen to music or sit in a quiet lounge. There is also a large activity room where people socialise and take part in group activities. Some service users chose to sit and chat in communal corridors. Some service users’ bedrooms were seen. These were decorated and furnished to a satisfactory standard. There was evidence that staff have helped service users to personalise their bedrooms. Service users who were consulted said that they are happy with their rooms. The home provides sufficient toilet and bathroom facilities for the service users. The home is wheelchair accessible and all the necessary disability equipment is provided. Honeysuckle House Nursing Home Version 1.10 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 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, 29 & 30 The needs of the service users in the home were seen to be met by the numbers, competence and skills of the staff employed. Staff and therefore service users benefit from the homes policy on training. Users are generally protected by the homes recruitment practices although some risks remain in the area of the kind of checks undertaken. EVIDENCE: The copy of the staffing rota provided to the inspector for March 2005 reflected that there are five staff in the Nursing Unit each morning and four in the afternoon/evening, and three staff in the Residential unit each morning and three in the afternoon/evening. Both units have two staff awake on duty at night. There is a registered nurse on duty at all times in the Nursing Unit and a senior carer in the Residential Unit. Staffing levels appear to be satisfactory to meet the needs of current service users. In addition, there is a full time activities co-ordinator, administrative staff, and a number of ancillary staff. The registered provider provided information for the inspection, as part of the pre-inspection questionnaire stating that out of the twenty four care staff employed twelve, have attained NVQ 2 or equivalent. A comprehensive staff training and development programme is in operation and a formal mentoring arrangement. The manager supplied the inspector with details of all training that has taken place in the last year and this showed that relevant training is offered and taken advantage of by the staff. In terms of recruitment practices, the inspector saw the CRB checks for all staff recruited since the inspection in October 2004. At the inspection that took Honeysuckle House Nursing Home Version 1.10 Page 17 place in February 2005 it was recommended that the registered persons obtain references from an employee’s last employer as per company policy, and also ensure that any professional referees state the place of work where they worked with the employee to help the registered persons check authenticity of the reference. The records seen showed that this issue remains relevant and this recommendation is repeated in this report. It was noted that, as a matter of policy enhanced CRB checks are obtained for care staff and standard checks for ancillary staff. However, a number of the ancillary staff can, in some situations have unsupervised access to service users, therefore it is recommended that enhanced CRB disclosures are obtained for all staff. Honeysuckle House Nursing Home Version 1.10 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, 32, 33, 37 & 38 The management of the home is satisfactory overall and service users benefit from the well organised and professional management approach. Service users’ interests are looked after through effective record keeping systems. Service users can be confident that the home protects their physical safety and security through a proactive approach to health and safety. EVIDENCE: The registered manager has been managing Honeysuckle House for six years and has worked at the home since it opened. She is currently completing her NVQ level 4 qualifications in management and is a qualified nurse. The manager was open and approachable and it was clear to the inspector that she was involved in care planning issues. The managers office was well organised with all information and files clearly labelled and accessible. From discussions with the manager during the inspection, the inspector believed that the manager had a clear understanding of service users’ needs. Honeysuckle House Nursing Home Version 1.10 Page 19 Service users’ records are kept appropriately and securely. There are three sets of Care UK policies in the home, in the managers office, nursing office and the residential unit office. Therefore staff have easy access to any policies and procedures that they need. The inspector has received monthly reports on the conduct of the home as required by Regulation 26 of the Care Homes Regulations 2001 since the last inspection. The team’s morale had been affected to some extent by the ongoing management investigation into the anonymous complaint. However, both the manager and the staff appeared to be maintaining a positive attitude in order that the service users were not affected. In terms of health and safety in the home the electrical and gas installations have been inspected within the last year. Health and safety checks are carried out by contractors employed by Enfield council and others by Care UK. The fire alarm system is tested on a weekly basis in the home. The fire alarm system is tested on a weekly basis. The inspector saw the results of a very thorough audit that had recently been undertaken in order to ensure that all aspects of heath and safety in the home were planned for. Honeysuckle House Nursing Home Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 2 2 3 2 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 3 3 3 x x x 3 2 Honeysuckle House Nursing Home Version 1.10 Page 21 NO 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 8 Regulation 12 (1) (a) 18 (1) 12(1) (a) 15 Requirement The registered persons must ensure that staff receive training in the prevention of pressure ulcers The registered persons must ensure that service users plans are more detailed with regard to pressure relieving equipment that is to be used for individual service users, including the settings of air flow mattresss in relation to individual service users weight The registered persons must ensure that the policy regarding the use of cot sides is reviewed in consultation with an occupational therapist. The registered manager must seek advice from the GP regarding the treatment of one service users sore eyes. The registered manager must ensure that one service users plan and written records are reviewed to better reflect her personal care needs and the recommended interventions of staff in relation to this and any challanging behaviour she might exhibit. Version 1.10 Timescale for action 30/07/05 2. 8 30/05/05 3. 8 13 (4) 30/06/05 4. 8 13 (1) (b) 30/04/05 5. 8 12(1), (2) 15 30/05/05 Honeysuckle House Nursing Home Page 22 6. 9 13 (2) 7. 9 13 (1) (b) 8. 9 13 (2) 9. 9 13 (2) 10. 9 13 (2) 11. 15 16 (2) (i) 12. 18 13 (6) The inspectors found that 10 Temazepam tablets could not be located in the home at the time of the inspection. The registered persons must investigate this issue and provide a detailed report of the investigation and the outcomes to the inspector. The registered persons must request medication reviews by a Psychogeriatrician for the three service users prescribed Temazepam with a view to seeking alternative medication. The registered persons must request a copy of the pharmacist’s record of all Temazepam that has been supplied to the home in the last 6 months and retain a copy in the home for inspection. The registered manager must ensure that the administration of temazepam liquid is given by an oral pipette. The quantities of temazepam liquid must be checked weekly, using an accurate measure, to check that the quoted stock levels in the Controlled Drug Register agree with the actual amount of temazepam liquid left in the bottles. The registered manager must ensure that the locks are changed on the medication and Controlled Drug cupboards. The registered manager must ensure that the menu is reviewd in consultation with a dietician, to ensure that it is nutritionally balanced. The registered persons must obtain an up to date version of the local authority adult protection procedure to be retained in the home. Version 1.10 Immediate Requireme nt 30/03/05 30/03/05 30/03/05 30/04/05 30/04/05 30/06/05 30/04/05 Honeysuckle House Nursing Home Page 23 13. 14. 20 20 23 (2) (b) 23 (2) (b) 15. 21 23 (2) (b) 16. 21 23 (2) (b) 17. 23 23 (2) (b) 18. 19. 20. 23 23 (2) (b) The registered persons must ensure that the music lounge is redecorated. The registered persons must ensure that the quiet room, next to room 25 is redecorated and the carpet is replaced. The registered persons must ensure that the assisted bathroom next to the hair dressing room is redecorated. The registered persons must ensure that the ground floor toilet, next to the TV lounge is redecorated. The registered persons must ensure that bedroom 13 is redecorated and the carpet steam cleaned or replaced. The registered persons must ensure that bedroom 30 is redecorated. 30/09/05 30/09/05 30/08/05 30/09/05 30/09/05 30/09/05 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. Refer to Standard 4 18 29 29 Good Practice Recommendations It is recommended that the registered manager continue to seek Turkish-speaking staff to work with one Turkishspeaking service user. It is recommended that the registered persons inform the Adult Protection team of the allegation of abuse regarding one service user. It is recommended that enhanced CRB disclosures are obtained for all staff. It is recommended that obtain references from an employee’s last employer as per company policy, and also ensure that any professional referees state the place of work where they worked with the employee to help the registered persons check authenticity of the reference. Version 1.10 Page 24 Honeysuckle House Nursing Home 5. 6. Honeysuckle House Nursing Home Version 1.10 Page 25 Commission for Social Care Inspection North London Area Office Solar House, 1st Floor 282 Chase Road, London N14 6HA 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 Honeysuckle House Nursing Home Version 1.10 Page 26 - 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. 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