Inspection on 17/10/06 for Kay Court

This inspection was carried out on 17th October 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

Kay Court 07/08/07

Kay Court 22/02/06

Kay Court 20/09/05

Kay Court 18/11/04

Kay Court 15/06/04

Kay Court 02/03/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Kay Court 368 Finchley Road London NW3 7AJ Lead Inspector Mrs Pippa Canter Unannounced Inspection 17th October 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kay Court DS0000010337.V287328.R02.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. Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kay Court Address 368 Finchley Road London NW3 7AJ 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) 020 7435 8214 0207 794 8146 emoyo@jcare.org Jewish Care Miss Esther Moyo Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (56) of places Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22/02/2006 Brief Description of the Service: Kay Court is a registered Residential Care Home owned by Jewish Care with its main office at 211 Golders Green Road, London. NW11. It is a Volunteer Organisation and a Registered Charity that runs a number of specialist services for different age ranges and care needs for the Jewish people. Kay Court provides fifty-six (56) rooms for Residential Care for the elderly. The accommodation provides for fifty-one (51) Permanent Residents and five (5) Respite Care Residents. The home is divided into two parts: The main Kay Court building and the Annexe building, but the management remains as a whole. The two-part building is divided into two units. The main unit is for residents with medium-dependency and the annexe unit for residents who require higher levels of care and support. All floors are accessible from the ground floor via a shaft lift in each unit. The home is able to accommodate people with physical disabilities and is wheelchair accessible. There is a large terraced communal and well-maintained garden. The lounge looks out onto a patio with tables and seating. The home provides 24-hour care over three shifts, including waking night staff. The registered manager and deputy supervise four team leaders, who in turn supervise the care staff. Domestic, laundry and catering staff are subcontracted. Jewish Care employs a full-time maintenance operative. The property is situated in North West London between two underground stations, Finchley Road and Golders Green. The over ground at Finchley Station is close by as well as several bus routes. Parking is limited. Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over the course of one day by one inspector. The visit lasted a total of 7 hours, from mid morning to late afternoon. The Manager was available and assisted the inspection along with additional input from the staff on duty, service users and visitors. Records such as care plans, daily logs as well as accident and incident logs were examined. A tour of the building was made with attention to the rooms of the service users being case tracked. Some service users were asked for their views of the running of the home and talked about their experiences of living there. Relatives also contributed their comments. Staff were observed carrying out their duties and were involved in general discussion with the inspectors. Prior to the inspection, looked at all the information we had about the home, including notifications of accidents or serious incidents, monthly reports about the conduct of the home sent in by the provider and previous inspection reports. The manager had returned a pre-inspection questionnaire and a selfassessment, which confirmed some very useful information about the home and indicated the performance of the home against the National Minimum Standards. Six service users, four relatives, two General Practitioners and three Health and Social Care Professionals returned surveys. Their comments are reflected in this summary as well as the main body of the report. We reviewed all this information wand used it to develop an inspection plan to enable us to focus on the important outcomes for service users. At the end of the visit feedback was given to the Manager. A feedback form was sent to the manager following the visit so she could let us know how she felt about the inspection process. What the service does well: There was a lot of positive feedback about the standard of care in the home. Comments from relatives include “We have found that all the staff we have encountered to be very caring.” “My relative is well cared for and is happy in the home”. “The carers are really nice and friendly and we are always made welcome by the staff”. A service user said “The staff are excellent, thoughtful and very caring.” The visiting professionals supported the view that the home is well managed and that the health care needs of the service users are looked after. The evidence we found during this unannounced visit confirmed all the above views. The manager is experienced and is keen to set a high standard of care Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 6 within the home. There are programmes in place to ensure that staff have the relevant training, knowledge and skills in order to meet the diverse range of care needs of the older people. The principles of dignity, choice, privacy, rights and fulfilment underpin all aspects of the service. Service users know that their cultural and religious needs will be met in the home. Since the last inspection, the providers have put in an application to provide care for people with dementia. The providers have agreed to the improvements and additions necessary for this unit in order to provide a safe and reliable service. The management of the home ensures that there is ongoing development of the service to meet the needs of older people, some of whom may have special needs. 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. Kay Court DS0000010337.V287328.R02.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 Kay Court DS0000010337.V287328.R02.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): Standard 3 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are assessed and supported when moving into the home so that staff can meet their needs and aspirations. EVIDENCE: There is clear evidence that the home offers a planned admission process, which supports the service user, so that they do not become overwhelmed. All six-service user surveys said that they received sufficient information about the home prior to admission. The manager confirmed the changes to the statement of purpose and service user guide in order to reflect the application for a dementia care unit. As part of this variation there was discussion around how both documents should reflect the need for relatives to be involved in the admission process and the expectation that they will be involved and ready to supply life history information. Please see recommendation 1. Allied to this, it was discussed that the service user guide should be in an accessible format Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 9 and the size of the print and the colour of the paper should be taken into consideration. Please see recommendation 2. One service user confirmed that there had been a lot of preparation attached to their admission in order to facilitate their “hearing dog”. Invitations to visit the home are extended and according to service users are accepted. Assessments are undertaken either by care management and/or by a senior member of staff from the home. Copies of assessments are available on file, together with contracts, which show that staff receive relevant information in order to plan an individual programme of care for service users. Kay Court DS0000010337.V287328.R02.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): Standards 7, 8, 9 & 10 - Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users know that their assessed and changing needs will be met but further development of the care plans is required. The administration of medication is safe but further work is required to bring it in line with updated practice. Service users know that their privacy and dignity will be respected at all times. EVIDENCE: Previous inspections have highlighted that a comprehensive care-planning format has been introduced, which requires fine-tuning. A sample of five care plans was taken during this visit and it showed that further development of the care planning system is required. All service users have a care plan and there is clear evidence that care plans are being audited and monthly reviews are taking place. There is a clear description of need and short term, long term and potential goals are recorded; however the care instructions need to be more informative and specific interventions need to be included. Please see Requirement 1. Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 11 The pre-inspection questionnaire recorded that the service users have access to health and remedial services. All six-service users who sent in questionnaires confirmed that they could access medical support. Two General Practitioners returned comment cards and confirmed that the staff in the home have a clear understanding of service users’ needs, work in partnership with the surgery and will incorporate specialist advice into the care plans. Both GP’s were satisfied with the overall care in the home. The needs of some service users are increasing and there is reluctance by relatives for their mothers and fathers to move elsewhere. The GP’s confirm that the management of the home does make appropriate decisions when the staff team are no longer able to meet the needs of some service users. A GP surgery is held in the home each week and on the day of the inspection District Nurse was visiting and attending to service users’ needs. A look at the care records showed the involvement of a speech and language therapist, chiropodist, dentist and ongoing district nurse support. The service has a robust policy and procedure for the ordering, storage, administration and disposal of medication. Staff receive detailed training and are assessed for their knowledge and competence in the administration of medication. Both GP’s are satisfied that staff in the home handles medication appropriately. A look at the medication administration records (MARS) showed that some prescriptions were to be given “as directed”. This is not acceptable and clear instructions must be recorded. The manager needs to discuss this with the GP and the dispensing pharmacist. Where creams and lotions have been prescribed, these must be signed on the MARS sheet when it has been applied. The inspector has drawn the manager’s attention to the CSCI guidance on completing MARS sheets. Please see Requirement 2. As part of the staff’s development, the inspector has recommended that each service user have a profile, which includes the name of the medication they are taken; what that medication is used for and what side effects staff need to report. Please see Recommendation 3. All the service users who participated in the inspection confirmed that staff respect privacy and dignity. This was observed during the visit. The interaction between service users and staff was based on mutual respect. Kay Court DS0000010337.V287328.R02.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): Standards 12, 13, 14 & 15 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to follow their preferred lifestyle and will have a range of opportunities for stimulation and occupation. The ethos of the home is to recognise the therapeutic value of visits from friends and family. Improvements to the catering arrangements are being made on a daily basis. EVIDENCE: This is a faith specific home. All service users are Jewish and are welcome whatever their level of religious observance. As a Jewish home, a Jewish atmosphere is encouraged and Shabbat and all festivals are marked in the traditional way with service held in the home. Service users confirmed that no one is obliged to attend services. With a multi cultural staff, the manager encourages an exchange of cultures and understanding. Staff attend training in order to learn about the Jewish culture and are instrumental in ensuring that service users are able to follow their own faith and culture. Although a synagogue is available on the premises, transport is arranged for them to attend a place of worship in the community. Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 13 Service users are able to attend activities in the home. An activities organiser has joined the staff team and the manager has been working with him on implementing a programme of activities that is line with the national minimum standards. One service user confirmed that because of the dual sensory impairment that a staff member will accompany them to the “residents’ meetings” in order to ensure their participation. There was discussion with the manager around including opportunities for stimulation through leisure and recreational activities with particular consideration for people with dementia and for service users with visual, hearing or dual sensory impairments. One service user said that they used to talk to service users about Jewish Festivals but because of the sensory impairment is no longer able to. However a key worker may be able to support this service user to put together visual displays to exhibit. The service users were very complimentary about the standard of care they receive in the home. The care plans reflected the values of privacy, dignity choice, independence and fulfilment. The ethos of the management is that staff take a customer care approach and this is instrumental in visitors being welcomed into the home. All visitors are welcomed into the home and offered refreshments on arrival. Comments from relatives include “We have found that all the staff we have encountered to be caring towards our aunt”. My relative is well cared for and is happy”. The carers are really nice and friendly and we are always welcomed by the staff”. Comments from the service users about the food were varied. Some said that they usually liked the food however there were also remarks such as, “They are boring. I usually land up with porridge to fill myself up”. “The menu needs changing. The meat is tough. The soup is sometimes either too salty or too peppery”. “Sometimes I am not happy with the meals because the caterer uses cooks who are not good cooks”. “The food is not brilliant, but it is varied and they do their best.” In response to comments similar to these the manager has set a food committee, which is made up of service users. They have worked on new menus, which have been implemented. As further empowerment, the food committee assess the quality of the food prior to it being served and comment on any improvements that are necessary before it is served to the remainder of the service users. Kay Court DS0000010337.V287328.R02.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): Standard 16 & 18 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from harm and neglect. Their views are listened to and acted upon. EVIDENCE: The service has a robust policy and procedure relating to complaints. There have been no complaints reported direct to the Commission for Social Care Inspection (CSCI). However one relative commented “There have been times when I have asked for things to be dome for my aunt, which I feel should have been noticed by the staff – but on the whole I am certain they may have been oversights”. All service users said that they knew how to make a complaint and who to approach with their grievances. One commented “I know the senior staff well and if they are available they will help and take it further”. A recent Regulation 26 reports (reports produced on a monthly basis by an external visitor, on behalf of the registered person) noted that a complaint had been made about the food but this had been resolved locally. From the complaints records and discussion with the service users it is evident that complaints are dealt with quickly and resolved satisfactorily. The service has a robust policy and procedure for ensuring the safety of service users. Allied to this is the provider’s commitment to equal opportunities and anti-discriminatory practice. Staff have attended POVA training. The manager notified the CSCI of an adult protection issue. The Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 15 home’s procedure has been followed and the allegation reported to the care manager and the Adult Protection Liaison officer of Camden Social Services. Stringent efforts have been made to ensure the safety of the service users and staff. The manager has submitted an action plan to ensure that the issue has been investigated appropriately and resolved to the satisfaction of the service users and their family. A review of the action plan and discussions with the manager have demonstrated that the service user has sent out a clear message that poor practice will not be tolerated in the home. Kay Court DS0000010337.V287328.R02.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): Standard 19 & 26 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in an environment that they find to be comfortable, clean and odour free. EVIDENCE: The home is within reach of local facilities and the service users have access to a local taxi firm. The manager is aiming that the service users will take more advantage of the local community. Working together with the Activities Organiser, it is planned that service users will be able to go and buy their newspapers and personal items rather than having them delivered. The building was toured with the manager. Internally rooms are pleasant, light and airy. A shaft lift gives access to all the floors. It was discussed with the manager about whether it could be a talking lift so service users assessed as being competent could use the lift securely. In some areas the corridors Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 17 were found to be stuffy because there are no windows but they had been made to look attractive. The home is divided into two separate units. One unit is to be developed to provide accommodation and care for people with dementia. The manager confirmed that in order to comply with expected standards for dementia care, the CSCI registration inspector had asked for improvements to the environment to be made. There has been confirmation in writing that this upgrading work has been agreed and money has been allocated for the improvements to take place. This will also extend to the garden. This is enclosed and there are plans to develop so it will offer an interesting sensory place for all the service users to wander freely and safely. The manager is working with an established dementia care organisation to ensure that the environment is suitable. Signage is being used to show where toilets and bathrooms are located. Keypads are being used on doors leading to stairwells to ensure safety. All the service users confirmed that the home always smells fresh and clean. There is a stringent daily routine for checking for odours and where necessary cleaning carpets. Kay Court DS0000010337.V287328.R02.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): Standards 27, 28, 29 & 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent and deployed in sufficient numbers to meet the needs of the service users. They are trained and supported to do their jobs. EVIDENCE: An inspection of the rota shows that the staffing levels are based on one staff member to five service users. The staff team include both the receptionist and the activities organiser. All the service users said that they receive the care and support that they needs and that staff are available when needed. One comment was “The staff are excellent, thoughtful and caring”. The statement of purpose identifies the skills and experience of the staff. The manager is keen to develop staffs’ knowledge and skills and foster appropriate attitudes; all of which is tie provide a good standard of care. The providers have robust anti-discriminatory policies and procedures in place. Previous inspections have recorded that the recruitment and selection process it is robust and thorough with all the relevant checks in place. The staff are from a multi cultural background and they receive training in the Jewish culture as part of their induction process. The manager encourages sharing of knowledge and experiences on culture reflecting national dress, music and customs. Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 19 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): Standards 31, 33, 35 & 38 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home that is managed for their benefit. Their health, safety and welfare is assured EVIDENCE: The manager confirmed that she is preparing her application to become registered. The management structure is to include a deputy and this vacant post will be advertised. A person specification has been drawn up. The current manager has the essential background knowledge, experience and qualifications to effectively manage the care home. The manager has a reputation for open and inclusive management. A team at Jewish Care oversees quality assurance. Service users views are valued and acted upon. Service users and relatives are asked for their views Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 20 both formally and informally through satisfaction surveys, residents and relatives meetings. The inspector reminded the manager that in light of new regulations that reports collating the views of stakeholders must be sent to the CSCI. Service users monies are handled appropriately. The administrator oversees accounts for service users who are assessed as being unable to look after their personal monies. Representatives from Jewish care audit accounts and countersignatures are required either by the manager or a relative. Accounts are managed so as to provide an audit trail. There are health and safety policies and procedures in place. The preinspection information shows that systems are being maintained and checks are being carried out. Records are available in the home to corroborate this. Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 21 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 X 3 X X X 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 22 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. 2. Standard OP7 OP9 Regulation 15 13(2) Requirement Care plans must include clear care instructions on how goals are to be achieved. Prescriptions must be clearly written on the medication administration records (MARS). The use of the term “as directed” is not acceptable. When creams or lotions are applied topically then the this must be recorded on the MARS. Timescale for action 30/01/07 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations It is recommended that the Statement of Purpose and Service User Guide reflects that relatives, friends or advocates will be involved in the admission process and to supply life history information. It is recommended that consideration is given to making the Service User Guide more accessible to service users so DS0000010337.V287328.R02.S.doc Version 5.2 Page 23 2 OP1 Kay Court 3 OP9 consideration should be given to the size of the print and the colour of the paper when printing. It is recommended that a medication profile is devised for each service user. The profile should give details of the medication, what it is used for and what side effects or special precautions must be taken into consideration. Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 Kay Court DS0000010337.V287328.R02.S.doc Version 5.2 Page 25 - 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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