Inspection on 19/02/07 for Jeannette Lodge

This inspection was carried out on 19th February 2007.

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

Jeannette Lodge 13/07/09

Jeannette Lodge 16/04/09

Jeannette Lodge 12/01/09

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

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 Jeannette Lodge 15-17 Park Avenue Gillingham Kent Lead Inspector Sue McGrath Key Unannounced Inspection 19th February 2007 09:30 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 Jeannette Lodge DS0000068133.V327595.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. Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jeannette Lodge Address 15-17 Park Avenue Gillingham Kent 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) 01634 852894 01634 851647 Golden Slumbers Limited Mr Richard Anthony John Raj Care Home 21 Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (15) of places Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First inspection under the new owners Brief Description of the Service: Jeanette Lodge offers residential care to older people. They are registered for 21 service users, 6 of which provide care for service users with dementia. The home is a large detached property situated in a residential area and directly opposite an attractive park. The home is close to local shops, bus stops and local amenities. Chatham and Gillingham town centres are approximately one mile away. Accommodation is provided on three floors, the upper floors are accessible by chairlifts. All bedrooms have a call bell point. The home has a large garden, which is accessible for all residents. Fees are from £323.00 to £408.00 per week. Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on 20/02/07 and was conducted by Sue McGrath, Regulation Inspector. It was the first inspection under the home’s new ownership. The key inspections for care home services are part of the new methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Some judgements have been made through observation only. Overall this was a positive inspection with generally good outcomes for service users. What the service does well: What has improved since the last inspection? Although the new owners have only been at the home for five months there have been many improvements in the environment of the home. A major redecoration and refurbishment programme has vastly improved the internal surroundings. Two new chair lifts have been installed due to the poor condition of the old ones. A new call system has also been installed. New furniture has been purchased in the lounge, dining room and some bedrooms. New carpets have been fitted in the lounge, dining room and some bedrooms. The hallway, stairs and some other bedrooms are also being re carpeted by the end of March. The home also benefits from a new Jacuzzi Parker bath. Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 6 The atmosphere in the home is now more relaxed and focussed on the residents and not on tasks. The staff have adjusted to the new ways of working and have embraced most of the recent changes. Staff supervision and appraisals are now happening regularly. 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. Jeannette Lodge DS0000068133.V327595.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 Jeannette Lodge DS0000068133.V327595.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): 2, 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. A written statement of terms and conditions protects resident’s legal rights to occupancy. Prospective residents benefit from being offered trial visits to admission so as to ensure that the home will be suitable for them. EVIDENCE: The home does have a satisfactory statement of purpose but now needs to concentrate on producing a service users guide. Contracts for each resident are in place or were in the process of being completed and returned. These contracts comply with the requirements of Standard 2 of the National Minimum Standards. It was evident that all prospective service users will have a full needs assessment completed by the home prior to being considered for a placement Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 9 at the home. The assessment process is comprehensive and should ensure the home can met the assessed needs of the service user. The new owners have made sure they can meet the needs of the existing residents and some have been transferred to a more appropriate setting. Discussion with families confirmed that they had been involved with the admission process and had been fully consulted throughout their relatives stay. They also confirmed that trial visits and a trial period were offered. The home does not offer intermediate care. Jeannette Lodge DS0000068133.V327595.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 benefit from having clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Health needs are met and residents benefit from having full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Each individual resident has a detailed care plan which enables staff to deliver a good quality service. A few minor additions would enhance these plans and these include nutritional assessment (8.9) and further details on mouth care. The plans are drawn up with the involvement of the resident, who sign to say they agree to the level of care offered by the home. If it is not possible for the Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 11 resident to agree to the plan, due to the level of dementia, a relative or representative signs them. The care plans are reviewed on a monthly basis and any changes highlighted to staff. All residents are registered with a local G.P. and have full access to other healthcare professional including District Nurses, Community Psychiatric Nurses, Opticians, Chiropodists and Dentists. Good records are maintained of all visits. Tissue viability is managed well. Medication is stored in a locked cupboard that is chained to the wall in the dining room. This is not ideal and it is advised that when the home draws up its long-term plans it considers a more suitable place. The home is strongly advised to follow the guidance in the Royal Pharmaceutical Society of Great Britain guidelines on the storage of medication. The storage of the medication cupboard keys needs to improve and a written policy drawn up. This will be a requirement. The actual administration was found to be safe, although it will be a recommendation that staff that are responsible for the administration complete an accredited course. It is acknowledged that the staff have completed an in house training course. It is also advised that PRN protocols are drawn up, in conjunction with the G.P., to ensure that staff correctly administer these medications. Residents spoken with on the day and comments made in comments cards (11 returned) confirmed that they felt comfortable with the staff and felt well cared for. Support was given when required but independence maintained where possible. All of the residents looked well cared for and smart, it was noticed their general appearances had improved since the last inspection. The majority of the ladies had manicured nails and wore coordinated clothing. Very good interaction was seen between staff and residents and the atmosphere was pleasant and relaxed. Several residents commented on how their rooms had been decorated recently and that they had been able to choose the colour scheme themselves. Some of the comments from resident are listed below: “Staff are very friendly and helpful, and I think they manage my care well.” “I have always shared a room and would be lost without my friend. We get on very well together.” “The food is normally good and we always have a choice.” Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 12 “All of the staff are very nice to me and I like it here. The staff are all very helpful but I like to manage my own personal care.” “Staff do help me to get to bed and to get up in the morning. The call bell is always answered promptly.” Privacy curtains are provided in the shared rooms. Staff were seen delivering mail to residents and offering support where needed. Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home tries to be flexible and attempts to provide a service which is as individual as possible by using its staff and resources effectively. Residents are actively encouraged to keep in contact with family and friends living in the community. EVIDENCE: Mr Raj has recently started to introduce more activities in the home to help stimulate and satisfy social, cultural and religious interests and needs. These include some trips out, quizzes, theatre trips and in house entertainment. A Christmas pantomime was arranged. The owners hope to eventually have dedicated activity hours and have a dedicated activities co-ordinator in the long term. Visitors confirmed they can visit at any time and are always made welcomed by staff. Staff were seen to offer choices were possible and where not possible full support was given. Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 14 Mealtimes are relaxed and provided in the newly refurbished dinning room. Several residents commented how nice the room looked. The tables were set for lunch and looked very smart. The majority of the residents said the food was fairly good but on the day of the inspection the menu was not followed. One resident complained to the inspector that she did not think much of the menu that day. It had been changed to either faggots or fish fingers. No reason could be found for the changes and the owners were not aware that the changes had been made. The menus given to the commission in the pre inspection questionnaire were wholesome and nutritional and if adhered to would provide a balanced diet. It was disappointing to see the changes because they did not improve the daily menu for that day. The kitchen was viewed and discussion took place regarding the introduction of a written cleaning schedule. The owners agreed to prepare one. The kitchen was clean and tidy but long term planning should include some refurbishment work. The fans over the cooker had been professionally cleaned recently. The owner also needs to consider providing dedicated cook hours for weekends and for evenings. Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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 home has a clear complaints procedure and service user and relatives are aware of how to complain. Residents are protected from potential abuse and feel their views are listened to and acted upon. EVIDENCE: Mr Raj has introduced a complaints procedure that is simple, clear and easily accessible but needs to include timescales for the process. This will ensure any complaints are dealt with promptly and effectively. Mr Raj is advised to change the address of CSCI to Maidstone and not Ashford as stated in policy. Residents confirmed they would feel comfortable to complain if they had a reason to. There have been four minor complaints since the new owners have taken charge. All were resolved within twenty eight days. Staff spoken with had a good understanding of Adult Protection procedures and had clearly received training in this subject. Jeannette Lodge DS0000068133.V327595.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, 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. Residents now benefit from living in a clean, safe, well-maintained environment and have safe access to comfortable indoor and outdoor communal areas. EVIDENCE: Mr Raj has improved the internal environment considerably since he purchased the home nearly five months ago. Two new stair lefts have been installed and all of the bedrooms have been decorated. Residents were given a choice in the new colour schemes. The dining room has been transformed into a very pleasant room with good quality furniture and fittings. All new table linen and cutlery have been purchased. New carpets and curtains have also been fitted in the dining room. A superb chandelier now hangs in the dining room. One residents thought this was very smart. Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 17 One of the existing bedrooms has been refitted as a bathroom and boasts a parker bath that has Jacuzzi facilities. The new bathroom has been tastefully decorated and pleasant finishing touches applied. A new call system has been fitted throughout the home. Six new beds have been purchased and several new wardrobes have also been purchased. The lounge now has new armchairs and new carpets and curtains. Three of the bedrooms have also had new carpets fitted. New carpets are to be fitted in the hallway and stairs and a further six bedrooms are also to be re-carpeted. This work is expected to be completed by the end of the month. Part of the long term planning is to refurbish the kitchen. All of the above work now means that the residents enjoy a home that is well maintained and safe. The owner is to be congratulated on completing so much work in the five months he has owned the home. Residents have access to a pleasant outdoor garden. Several of the bedrooms were viewed and were much improved. They mostly had matching curtains and bed linen. The responsibility for some of the improvements in the bedrooms has been given to the domestic, who has really taken on board the idea of individuality and ensured rooms were comfortable and well personalised. Various personal items were seen in the rooms that gave them a homely feel. The home was very clean and fresh. One area of concern was the lack of a sluice (26.6). This was discussed with Mr Raj and he was advised to contact the Infection Control Nurse to discuss the home’s requirements. Currently the residents do not have keys to their own rooms and again this was discussed with the owners. It is planned that keys will be offered to those that wish to hold them in the near future. Jeannette Lodge DS0000068133.V327595.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 adequate. This judgement has been made using available evidence including a visit to this service. The residents benefit from being cared for by staff that have a good understanding of their needs. Residents are protected by the home’s robust recruitment procedures. The service has recognised where additional training is needed and has plans in place to improve this area. EVIDENCE: Records seen on the day and evidence given in the pre inspection questionnaire confirmed the home has sufficient staff to meet the needs of the residents. The current level of staff trained to National Vocational Qualification level two is only 20 but Mr Raj is committed to improving this figure and had booked staff onto NVQ courses. It is acknowledged that Mr Raj has inherited the current staff group and that he is working on improving their qualifications. New staff now receive a recognised induction programme. There has only been one staff member employed since Mr Raj bought the service. Their file confirmed that all of the relevant checks had been made to Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 19 ensure residents are well protected by the home’s policy on recruitment. One concern was that some staff that were employed by the previous owner did not have current CRB checks and this must be rectified as soon as possible. Jeannette Lodge DS0000068133.V327595.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, 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a home where the manager is competent, enthusiastic and very experienced with the care of older people and has a clear vision for the home. Residents benefit from staff who are appropriately supervised by senior members of staff. Sound financial procedures protect residents. Current arrangements were sufficient to protect the health, safety and welfare of residents and staff. Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 21 EVIDENCE: The issue of Mr Raj being both the Registered Individual and the Registered Manager was discussed as highlighted by the registration team from the commission. Mr Raj was advised to discuss the issue with the registration team before making a final decision. Mr Raj is reminded that as Registered Manager he is expected to be in the home for the majority of the time. Residents now have the benefit of regular residents meetings were they could air their views and feel involved with the running of the home. Mr Raj stated that this had not happened previously and that residents were reluctant at first to be involved, however they were now used to these meetings and looked forward to having their say. Now that Mr Raj has been running the home for five months a new quality assurance exercise is to be carried out in the very near future. This will reflect the new ownership and the recent changes made to the home. For residents who do not handle their own monies the home will maintain individual accounts on their behalf. These records are well maintained and the small amount of money is secure. Several accounts were audited and all balanced. Evidence seen in staff files and information given by staff confirm that regular supervision has started and that appraisals have happened. Mr Raj has introduced a wealth of policies and procedures. It is advised that these procedures be signed and dated to ensure regular updates are maintained. There are sufficient procedures in place to ensure the health welfare and safety of residents and staff. Equipment is well maintained Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 3 3 Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP29 OP22 Regulation 19 16(1) 23(2) Requirement All staff must hold a satisfactory police check (CRB) The registered person must be able to demonstrate that an assessment of the premises and facilities has been made by a suitably qualified person, including a qualified occupational therapist, with specialist knowledge of the client groups catered for, and provides evidence that the recommended disability equipment has been secured or provided and environmental adaptations made to meet the needs of service users. Timescale for action 31/03/07 31/08/07 3 OP28 18(1)(a-c) A minimum of 50 of staff must be trained to NVQ level 2 or equivalent. 24 31/03/08 4 OP33 An effective quality assurance 31/08/07 and quality monitoring systems, based on seeking the views of service users, needs to be in place to measure success in meeting the aims, objectives and DS0000068133.V327595.R01.S.doc Version 5.2 Page 24 Jeannette Lodge the statement of purpose of the home. It is recognised that the owner has only been at Jeanette Lodge for five months and is waiting for a suitable length of time so the judgements can be made on the change of ownership. 5 OP1 4 The registered person must produce a service user guide as defined in part one section five of the Care Home Regulations 2001. A copy to be forwarded to the commission on completion. A policy needs to be written and followed regarding the security of the keys for the medication cupboard. A copy to be forwarded to the commission on completion 30/04/07 6 OP9 13 30/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP7 OP12 OP15 OP15 OP16 Good Practice Recommendations It is recommended that nutritional assessments and oral care be added to the details in the care plan. It is recommended that the home employ dedicated activity staff. It is recommended that the home employ week end cooks. It is recommended that the menus are followed It is recommended that timescales are added to the complaints procedure and that the address of the commission is updated DS0000068133.V327595.R01.S.doc Version 5.2 Page 25 Jeannette Lodge 6 OP19 It is recommended that consideration be given in long term planning to refurbish the kitchen and have a dedicated medical room. It is recommended that residents be offered keys to their rooms unless their risk assessment suggests otherwise. It is recommended that advice is sought from the infection control nurse regarding the installation of a sluice. It is recommended that all staff that administer medication complete an accredited course in the safe administration of medication. It s acknowledged that the home currently uses an in house training scheme. It is recommended that PRN protocols are drawn up in consultation with GPs. 7 8 9 OP24 OP26 OP9 10 OP9 Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 26 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 Jeannette Lodge DS0000068133.V327595.R01.S.doc Version 5.2 Page 27 - 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!