Inspection on 19/12/06 for Iden Manor Care Home

This inspection was carried out on 19th December 2006.

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

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

Other inspections for this house

Iden Manor Care Home 14/10/08

Iden Manor Care Home 06/10/05

Iden Manor Care Home 24/05/05

Iden Manor Care Home 31/01/05

Iden Manor Care Home 11/10/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Iden Manor Care Home Iden Manor Cranbrook Road Staplehurst Tonbridge Kent TN12 0ER Lead Inspector Gary Bartlett Unannounced Inspection 19th December 2006 09:45 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 Iden Manor Care Home DS0000045153.V324902.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. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Iden Manor Care Home Address Iden Manor Cranbrook Road Staplehurst Tonbridge Kent TN12 0ER 01580 891261 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) Whitepost Health Care Centre Sandra Faith Gower Care Home 51 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (31) of places Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users between 55 and 65 years of age that have physical and mental conditions usually associated with older persons may be admitted. The following rooms have been identified for service users experiencing difficulties with memory loss or a diagnosis of dementia. Rooms 32, 33, 34, 35, 36, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50 and 51. It has been agreed that room numbers 28, 36 and 50 can be shared by partners or siblings who request this facility. 6th October 2005 3. Date of last inspection Brief Description of the Service: Iden Manor Care Home is owned and operated by Whitepost Health Care Centre. It is a Victorian Manor House situated in fifteen acres of land on the edge of Staplehurst. Staplehurst offers the usual facilities of a small town and has a mainline railway station. Currently, the Home provides 31 beds for service users needing care with nursing and 20 beds for dementia care. A shaft lift and stair lift provides access to the upper floors. There is car parking to the front. The Home employs care staff that work a roster that gives 24hour cover. The Home also employs other staff for catering, domestic and maintenance tasks. Current fees range from £728.00 to £894.00 per week. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in Iden Manor from 9.45 a.m. until 5.45 pm. During that time the Inspector spoke with some residents, visitors and some staff. Parts of the Home and some records were inspected and care practices observed. A large number of comment cards were received prior to the inspection. Residents and their relatives generally responded that they liked the home and staff. Responses from health professionals also indicated good standards of care and good communication. Statements on comment cards included: • “This is a very friendly home”. • “The family are very, very pleased with my mother’s care at Iden Manor”. • “I am very satisfied with the standards”. • “Extremely pleased with all care and conditions provided”. Further statements are quoted in the text of the report. The Manager and staff gave their full co-operation throughout the inspection. What the service does well: Iden Manor provided a comfortable environment that was clean bright and airy. Information about the home is easily accessible. Staff are good at helping residents to settle in. The home enjoys good relationships with other health care professionals. The home had an open and friendly atmosphere with good interaction between residents, staff and visitors. Personal health care needs were generally well supported and residents’ individual preferences were catered for where practicable. Residents enjoy a wholesome and varied menu of meals. There was a good standard of hygiene and cleanliness. Staff were well supported in their training. There is provision for residents to partake in activities suited to their preferences and capabilities. There are good procedures to protect residents from abuse. The Manager is approachable and has high expectations of the standards of care for residents. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Iden Manor Care Home DS0000045153.V324902.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 Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that they are appropriately placed due to good preadmission assessments and benefited from being able to visit the home prior to admission. The home does not provide intermediate care. EVIDENCE: A relatives/visitors comment card received prior to the inspection stated: • “My husband settled in very quickly”. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 9 The Manager said the Statement of Purpose was accurately descriptive of the aims, objectives, philosophy of care, services and facilities and terms and conditions of Iden Manor and copies of the Service Users Guide were provided for each service users or their representative. These were not inspected on this occasion. The Manager described how a pre-admission assessment was made of each prospective resident using an aide-memoir. The records seen included a medical history, activities of daily living, usual reliance on medical services, and any existing care manager or nursing assessments. Prospective residents, their families, advocates, and relevant health care professionals were involved in the assessment process. Specialist advice was sought from external sources where required, for example psycho-geriatric guidance for the Good Shepherd Wing. Residents said they or their families had been able to visit Iden Manor before moving in. This was confirmed by a relative present. They also said staff had been very helpful in assisting them to settle in. Intermediate care is not offered at Iden Manor. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 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 welfare would be better promoted by care plans being more consistently maintained and risk assessment being recorded when necessary. Staff adhered to the procedures for the administration and disposal of medicines. The implementation of planned improvements to the storage and recording of residents’ medication will better protect residents. Residents’ health needs were met with good liaison with relevant health care professionals. EVIDENCE: Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 11 Three care plans were inspected in detail. There had been clear efforts to improve care planning, with some work still needed to ensure they were consistently reflective of the resident’s current needs. Like wise there was some improvements in risk assessments being reviewed or recorded as a result of reported incidents. It was important for necessary and current information to be recorded and readily available to staff for them to be able to meet residents’ needs. The Manager understood this and was working to ensure the care plans were consistently of the standard required. They explained there had been recent changes in the senior staff team and was confident that the recent appointments would greatly assist in further improving the quality of the care plans. The standard of daily record keeping had improved. Visiting relatives said they were invited to reviews and staff were very good at keeping them informed. A notice in each bedroom informed the occupant of their named Nurse and key-worker The clinical preparation rooms were clean and well maintained. The temperature of the rooms had been monitored and recorded. These records showed the room temperature had been consistently too high some medicines that should not be stored at more than 25 degrees C. The Manager stated airconditioning had been bought for these rooms and they were making arrangements for them to be installed. The Manage also described how more convenient storage provision was being sought for the medicine trolleys. Records were available to indicate that all staff administering medications had been trained and signed off as being competent to do so. The Medication Record Administration Record (MAR) sheets that were inspected had been generally completed appropriately but a few changes in prescription had not been recorded or signed off in accordance with current guidelines. The Manager undertook to address this. The administration of medications was not observed on this occasion. The home continued to have a good working relationship with the specialist and local health care professionals. This greatly assisted in supporting residents in their health care needs. A comment card completed by a General Practitioner included the comment: • “Excellent care provided”. Residents felt that staff were kind and gentle, this was confirmed by observation. Staff were seen to be very considerate of the age and dignity of residents and to treat them with courtesy. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 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. 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 enjoyed routines of daily living and activities that were flexible and varied to suit their preferences. Dietary needs of resident were well catered for with a balanced and varied selection of food that met their tastes and choices. EVIDENCE: Resident’s comment card received prior to the inspection included the statements: • “The activities at Iden Manor are very good, the trips out in the minibus are very enjoyable. Bingo sessions go well. They do try and arrange something most weeks”. • “I like the food served here”. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 13 Staff spoken with were aware of the rights of residents to have the opportunity to have choice in daily routines and activities. Activities were now coordinated by two new, part-time staff. Residents and their visitors spoke very favourably of the activities and outings being arranged. Residents described how their links with the local community were maintained according to their wishes and taking account of their needs. During the inspection a number of visitors were seen in the home and the visitor’s book recorded regular visits by families, friends and others. Residents could meet with visitors in various communal rooms or in their bedrooms. Residents said they were happy with the arrangements. Visitors described how they could visit at any reasonable time and were always made welcome by staff. A religious communal service, a monthly occurrence, was conducted on the day of inspection. The Manager stated residents were supported to manage their own affairs for as long as they wished and were able. The Cook was experienced in cooking for older people, was an important member of the care team and was well aware of the recorded dietary and cultural needs of each resident. She was committed to making sure that residents were able to enjoy the food they preferred and liked. The menus seen were varied and balanced. Food was served to meet the needs of all residents including those who had swallowing or chewing difficulty. Staff gave assistance to those residents who needed help to eat, in a discreet and sensitive manner. Mealtimes were relaxed, staff were patient and helpful, and allowed residents the time they needed to finish their meal comfortably. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives knew their complaints would be listened to and acted on. There were systems to ensure residents were protected from abuse. EVIDENCE: The updated complaints procedure was readily available to residents and their relatives and visitors. Residents described how they knew of the complaints procedure but had not had cause to use it; “ if there are any quibbles, they are quickly dealt with”. Records of complaints were kept and these included details of investigation and action taken. The Manager stated that complaints were used to improve practice where required. Records indicated there had been one complaint since the last inspection. There were procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. The Manager and other staff spoken with demonstrated a sound understanding of adult Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 15 protection procedures and stated that any allegation of abuse would be referred to the concerned agencies without delay. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home was good providing residents with an attractive, homely and safe place to live. EVIDENCE: A relatives/visitors comment card received prior to the inspection stated: • “Iden Manor is always very clean”. Those parts of the home inspected were clean and free from unpleasant odours. The home had been very tastefully decorated for the festive season. Residents said they were happy with their rooms and welcomed the opportunity to personalise them and had ready access to all parts of the home Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 17 they needed. The furnishings in the bedroom seen was of high quality. The Manager stated quotes had been obtained for the replacement of worn carpets. The home was generally warm, although one area was chilly throughout the day as staff continually left a fire exit door open after they had been outside for a “cigarette break”. The Manager agreed to address this in the immediate instance and was aware of the potential security risk this also raised. An additional communal area was being provided in the Good Shepherd Wing to afford the residents more spacious accommodation. The Manager stated they were exploring the most effective ways to assist residents to identify their bedrooms on this unit. The Manager described how plans were in hand to make good the flooring in the area of the kitchen and laundry. This was necessary to promote infection control and prevent trip hazards. Staff practices were seen to effectively maintain infection control. Hoists and wheelchairs were provided where there was assessed need and assisted bathing and toilet facilities were available to residents. Storage space was at a premium and staff were having to be very careful that wheelchairs and hoists did not cause obstruction when not in use. Residents told the Inspector that the current toilet and bathing facilities were adequate to meet their needs. The Manager said they believed it was intended to proceed with the installation of en-suite facilities to bedrooms established as phase one of the home in 2007. The temperature of the hot water was tested at several outlets and was at a safe temperature. The Manager described how there were regular tests for Legionella and safety measures were taken as required. Residents spoke of how they enjoyed the extensive grounds that were well maintained and attractive. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment processes offer protection to people living at the home. The home provided ongoing training for staff so they had the skills to meet the needs of the residents. EVIDENCE: A relatives/visitors comment card received prior to the inspection stated: • “The staff are friendly, caring and the atmosphere is always excellent.” Residents and visitors spoke highly of the staff and considered them to be very caring and hard working. A Deputy Manager had been recently appointed and there had been successful staff recruitment that meant the Home was no longer reliant on the use of agency care staff. The Manager was optimistic that this would now enable them to more easily monitor the quality of care and of associated records such as care plans. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 19 The staff roster seen indicated that staffing levels were geared to peak times of activity. The Manager used a training matrix for easy monitoring of staff training/update requirements. This indicated there was a range of training for staff. NVQ training was encouraged for care staff and ancillary staff. Commendable work had been done in improving the staff files. This more efficient system made it easier to locate documentation. The files of three recently recruited staff members were inspected. Whilst it was apparent necessary checks were made, it was strongly recommended that an applicants’ second reference was not obtained from another employee of the Home. It was also recommended that only the new reference forms that had provision for being signed and dated were used. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 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. The home benefited from a Manager who was accessible and had high expectations of the service to be delivered. The home regularly reviewed aspects of its performance through a programme of self-review and consultations, which included the opinions of residents and relatives. Residents’ financial interests were protected. EVIDENCE: Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 21 A relatives/visitors comment card received prior to the inspection stated: • “Sandra Gower is an excellent captain of her ship and her crew are wonderful. Full marks”. Residents benefited from the support of a Manager who was competent and experienced. She was a registered nurse and had completed the Registered Managers Award. The management approach to the Home created an open, positive and inclusive atmosphere in which people who lived there were able to influence the way in which the Home was run. The Manager described how residents and their representatives or relatives were regularly asked for their views about the service. Relatives/residents’ meetings were held regularly and questionnaires were distributed annually. The Manager was reminded that a report must be produced, in which the outcome of the quality assurance system was recorded, and provided to the Commission. The home encouraged residents to manage their own financial affairs or to have assistance from their families / representatives. There was a sound system of holding and recording residents’ cash, which facilitated ease of monitoring. The Manager said these were regularly audited in-house. It was not evident that the Whitepost Care Centre conducted an independent audit. The amounts of monies held that were inspected, balanced with the records Residents’ and relatives did not express any concerns about the management of monies or valuables held on the residents’ behalf. A system of comprehensive recorded environmental risk assessments had been recently introduced. The standard of cleanliness in the kitchen was good. An environmental Health Officer had inspected the kitchen on 9th September 2006 and there had not been any resultant recommendations. Staff spoken with had a sound understanding of emergency procedures. There was some discussion about how the method of recording staff attendance of fire drills/training could be improved for easier monitoring that all staff attended at periods recommended by the Fire Safety Officer. The Manager stated that all records of maintenance and safety checks were up to date. These were not inspected on this occasion. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 22 Policies and procedures were being signed and dated to show they were regularly reviewed by a competent individual to ensure they complied with current legislation and good practice advice. Records seen were kept in a manner that preserved confidentiality. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 3 3 3 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 3 3 3 X 2 X X 3 Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation Requirement Timescale for action 31/03/07 2. OP7 3. OP9 15(2)17Sc “The registered person shall hedules3 maintain records as specified in and 4 Schedules 3 and 4. The registered person shall keep the service user’s plan under review” in that care plans must be accurately reflective of service users current needs. This must be completed by the given timescale and maintained thereafter. 31/03/07 13(4) The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated in that risk assessments must be recorded in response to incidents and changes in residents welfare. This must be completed by the given timescale and maintained thereafter. 31/01/07 12(1)(a), “The registered person shall 13 make arrangements for the recording, handling, safekeeping, safe administration of medicines” in that Medication Administration Record sheets must be completed in accordance with current guidelines. DS0000045153.V324902.R01.S.doc Version 5.2 Page 25 Iden Manor Care Home 4. OP9 12(1)(a), 13 5. OP19 23(2) This must be completed by the given timescale and maintained thereafter. “The registered person shall 28/02/07 make arrangements for the recording, handling, safekeeping, safe administration of medicines” in that the planned improvements to the clinical preparation rooms must be implemented to ensure medications are stored at an appropriate temperature. Interim measures must be used in the meantime. This must be completed by the given timescale and maintained thereafter. 30/06/07 “The registered person shall having regard to the number and needs of the service users ensure that the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally” in that the damaged flooring near the kitchen must be made good. This must be completed by the given timescale and maintained thereafter. 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. Refer to Standard OP20 OP29 Good Practice Recommendations It is strongly recommended the proposed changes to the use of the reception area of the Good Shepherd Wing be implemented to enhance this area for residents. It is recommended that only the new reference forms that have provision for being signed and dated are used. DS0000045153.V324902.R01.S.doc Version 5.2 Page 26 Iden Manor Care Home 3. 4. 5. OP29 OP35 OP38 It is strongly recommended staff applicants’ second reference is not obtained from another employee of the home. It is recommended the records of monies held on behalf of residents are regularly checked as part of the Regulation 26 visits. It is recommended the method of recording staff attendance of fire drills is improved to facilitate easier monitoring. Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Iden Manor Care Home DS0000045153.V324902.R01.S.doc Version 5.2 Page 28 - 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!