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Inspection on 27/11/08 for Kingsbury House

Also see our care home review for Kingsbury House for more information

This inspection was carried out on 27th November 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Make sure that people are properly assessed before they move into the home so that everyone is sure their diverse needs can be properly met. People are supported in a flexible, sensitive way and staff engage them in good conversation. This helps people to lead a life they choose and to talk about things that interest them.Provides people with home cooked, tasty and varied menu choices giving them a good diet of nutritious food. Gives staff access to a range of training opportunities that help them to do their job. Has achieved an excellent level of almost 100% of staff who have gained a National Vocational Qualification (NVQ) at a minimum of level 2 helping them to do their job. Provides people with a warm, welcoming and comfortable place to live, where they can feel at home.

What has improved since the last inspection?

The manager`s hours are all now dedicated to the running of the home which will help to promote the proper assessment of people moving into the home, care planning, recruitment of staff and adherence to policies and procedures. Additional staff have been recruited to the team to help with domestic and kitchen tasks in the home. Criminal Records Bureau checks have been updated to make sure that people working in the home have not received any cautions or convictions that would mean they should not work with vulnerable people. Storage facilities for medication held in the home has improved making it easier for staff to access when they responsible for administering medicines to residents. An increased range of activities and events was displayed on the notice board, giving people more choice about what they might like to do, or join in, and when. Staff continue to have access to an increased range of training that promotes the safety of residents and how staff do their job.

What the care home could do better:

Ensure that care plans are in place for everyone living in the home. This will mean that staff get the information and guidance they need to provide care and support to residents. Make sure that staff follow proper procedures and guidance when dealing with the safe handling of medication. And ensure that storage facilities are safe and meet the requirements of current legislation.Provide staff with regular and recorded supervision to help and support them to do their job.

CARE HOMES FOR OLDER PEOPLE Kingsbury House 61-62 Percy Park Tynemouth North Shields Tyne & Wear NE30 4JX Lead Inspector Elaine Charlton Key Unannounced Inspection 27th November 2008 08:45 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 Kingsbury House DS0000000371.V373250.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. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingsbury House Address 61-62 Percy Park Tynemouth North Shields Tyne & Wear NE30 4JX 0191 2575121 F/P 0191 257 5121 No Email 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) Mrs Pamela Craig Dawson Manager post vacant Care Home 30 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (21) of places Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th July 2008 Brief Description of the Service: Kingsbury House was previously three terraced houses and has been adapted to provide care and support for 30 older people, nine of whom may have dementia care needs. The home is close the seafront at Tynemouth. Sea views can be enjoyed from some bedrooms and the large lounge. The home is close to local transport links and street parking is available. There are bedrooms at ground, first and second floor levels. All bedrooms are for single occupation. There are en-suite facilities in two bedrooms. A passenger lift is fitted for the comfort and convenience of residents. Nursing care is not provided. The cost of receiving care and support in the home is between £379 and £410 per week. A service user guide and copies of the Commission for Social Care Inspection (CSCI) reports are available to help people decide whether the home can provide the kind of care support they need. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star; this means that the people who use this service experience adequate quality outcomes. An unannounced visit was made on the 27 November 2008. A total of six hours were spent in the home. The manager was present throughout the inspection. Before the visit we looked at: Information we have received since the last visit on 24 July 2008; How the home has dealt with any complaints and concerns since the last visit; Any changes to how the home is run; The provider’s view of how well they care for people; The views of people who use the service, their relatives, staff and other professionals who visit the service. During the visit we: Talked with people who use the service, staff, and the manager; Arranged for an inspection of medicines and the medication administration systems to be carried out by a CSCI Pharmacist; Looked at information about the people who use the service and how well their needs are met; Looked at other records which must be kept; Checked that staff had the knowledge, skills and training to meet the needs of the people they care for; Checked what improvements had been made since the last visit; We told the manager what we found. What the service does well: Make sure that people are properly assessed before they move into the home so that everyone is sure their diverse needs can be properly met. People are supported in a flexible, sensitive way and staff engage them in good conversation. This helps people to lead a life they choose and to talk about things that interest them. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 6 Provides people with home cooked, tasty and varied menu choices giving them a good diet of nutritious food. Gives staff access to a range of training opportunities that help them to do their job. Has achieved an excellent level of almost 100 of staff who have gained a National Vocational Qualification (NVQ) at a minimum of level 2 helping them to do their job. Provides people with a warm, welcoming and comfortable place to live, where they can feel at home. What has improved since the last inspection? What they could do better: Ensure that care plans are in place for everyone living in the home. This will mean that staff get the information and guidance they need to provide care and support to residents. Make sure that staff follow proper procedures and guidance when dealing with the safe handling of medication. And ensure that storage facilities are safe and meet the requirements of current legislation. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 7 Provide staff with regular and recorded supervision to help and support them to do their job. 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. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 8 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 Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 9 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): Standards 3 and 6. People who use the service experience good quality outcomes in this area. People are given information to help them decide about moving into the home. Their diverse needs and wishes are properly assessed so that everyone is sure they can be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who live in the home have very different needs and some are able to be more independent than others. As well as carrying out their own in-house assessment, the home obtains a copy of the one carried out by the healthcare professional referring the person for care. This makes sure that all the information is available to make sure that people get the right care and support. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 10 A new brochure for the home has been produced and is made available to people who are making referrals for care and support or to family who may wish to place a relative. Staff use recognised assessment tools to record a person’s need for pressure area care, dependency, nutritional and fluid intake. The home does not provide intermediate care. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 11 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 and 10. People who use the service experience adequate quality outcomes in this area. Individual health and care needs are delivered in a sensitive and respectful way, in accordance with people’s wishes but record keeping is not fully up to date and may mean that people do not receive the right car and support. Policies, procedures and guidance for the safe handling and administering of medication are in place but are not always regularly followed which places people at risk. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the records for four people who live in the home. One was for the person most recently admitted. For the person admitted to the home on the 23 September 2008, there were no care plans in place. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 12 The care plan recording sheet has been changed from that being used earlier in the year. The information is now quite ‘squashed up’ and staff are not signing to say that they have produced the care plan. We saw evidence of some good, outcome based evaluations but others still say ‘continues to sleep well’, ‘remains continent’, ‘quite day, good diet and fluid’ and ‘fine today’. For one person there had been no evaluations recorded in their care plans between May and October 2008. Their daily living profile recorded only events such as birthday and hairdresser. There was no information about social events, activities or outings. One member of staff was heard talking to a resident. She was telling her that the nurse had come to see her and that they were going upstairs so that she could see her in private, this was very sensitive. Some progress has been made towards meeting requirements and recommendations made at the last inspection about the safe handling of medication. Medicine administration generally follows good practice guidance. Oral syringes and medicine spoons are available for measuring and administering liquid medicines. All medication and the medicines trolley are now stored in a small room at the back of the managers office which is at a suitable temperature. Temperature monitoring of the medicines refrigerator is irregular with only 11 daily recordings out of 26 for the month of November documented. The storage of controlled drugs does not meet the safe custody regulations. Controlled drugs are stored in a safe, which has an electronic lock. The access code is not regularly changed. Although the administration of controlled drugs is recorded in the controlled drugs register there were no records of administration made on the Medication Administration Record (MAR) charts. We were told that this had arisen from a misunderstanding of the comments made at the last pharmacist inspection. The audit trail for the disposal of controlled drugs is not robust and the disposal of one fentanyl patch could not be verified from the list of medicines collected for disposal. Hand written entries on the MAR charts do not always include the signature of a second person confirming that the details are correct. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 13 There were a small number of discrepancies between the quantities of medicine supplied, the number of doses recorded as administered and the quantity of medication left in stock. This suggests that all medicines are not being administered as prescribed. In addition, a service user did not receive a daily dose of warfarin because she was out on leave at the time the medication was due to be administered. A bottle of morphine sulphate solution and two tubes of cream had no date of opening on the label and appeared to have been in use longer than recommended by the manufacturer. Four staff have recently completed comprehensive medication training and the remaining staff handling medication are scheduled to attend the same course. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 14 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 and 15. People who use the service experience adequate quality outcomes in this area. People are supported to exercise choice but activities, events and social opportunities are still limited and not well recorded. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People were seen getting up and having breakfast at very different times throughout the morning. One lady was given very sensitive support about where to sit when she got up just before lunch, she had a cup of tea and engaged in very nice conversation with the laundry assistant. The dining room notice board displayed events that were due to take place and these included shopping to Eldon Square, a visit from Paint Pots (ceramic painting and Christmas goodies), Christmas Concert by the John Spence School, meal out at the Park Hotel, visit from the Monarch Singers, Christmas Party Night, buffet and entertainment. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 15 There had also been a jewellery party, a day out at the Aquarium and Park Hotel, a Summer Fayre and sing-a-longs. Lunch on the day of the inspection was lamb casserole or chicken curry and rice, followed by semolina pudding. We sampled both choices. Both meals were tasty and the meat was tender. We spoke to chef who told us she had made the Christmas cakes and that they just needed icing. She was making a cake, scones and rock buns for the afternoon tea. There is now a dedicated kitchen assistant to support work in the kitchen and this has released chef from some of the more practical daily tasks. A meals comments book had been recently started. Three comments were ‘more liver and chops’, ‘good variety’ and ‘too many chips’. Residents’ meal choices are recorded each morning and there is a note to say whether they prefer a large or small portion. Staff need to be careful that when they are asking a resident what they want to eat they do not answer them with another question. One lady was asked what she wanted for breakfast and she responded by asking what there was to eat, the carer responded by saying ‘would you like some more toast’. The general manager told us that she is putting together an activities plan starting in January 2009, this can be added to as new things are arranged or changes are made, but it will help people who live in the home or might want to come to live in the home know what type of things are happening, and what they can expect. There is an activities co-ordinator employed for three days each week. She can vary her working days depending what is happening and what people want to do. We were shown menus that had been prepared and laminated ready for the Christmas period. These covered Christmas Day, Boxing Day and New Year. These were lovely. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 16 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): Standards 16 and 18. People who use the service experience good quality outcomes in this area. Clear complaints and protection systems are in place to ensure that people are listened to, their concerns are dealt with in a timely way and they are protected from risk of harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home’s complaints procedure is clearly displayed in the entrance hall. The manager told us that she had received no complaints since the last inspection but she was unable to locate the complaints register. Staff told us that they have completed an Adult Protection Basic Awareness course. The general manager and manager have completed the two day Protection of Vulnerable Adults (POVA) course for managers of care services. As well as Mental Health Capacity Act training and Deprivation of Liberty. All of these promote the safety, wellbeing and protection of people who may choose to live in the home. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 17 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): Standards 19 and 26. People who use the service experience good quality outcomes in this area. The home is comfortable, welcoming and well maintained and people are encouraged to bring items into the home to personalise their bedrooms. Hygiene routines are good which helps to keep the home clean and odour free. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We did not carry out a walk around the premises but were told about on-going re-decoration and replacement programmes that are well underway. The home remains comfortable and warm and gives people space to spend time privately or with other residents. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 18 The main, large, lounge looks out over the sea. There is also a smaller, quiet lounge at the side of the building. Residents here chatted freely about their budgerigar who had just moved into the home at the last inspection. He is called Sparky and is very popular. A new member of staff has been recruited as part of the domestic team and is responsible for ‘deep cleaning’. She works in the home each day Monday to Friday between 08:00 and 15:00 hours. On the day of the inspection the hot water boiler in the kitchen, used for providing drinks, had broken down. The general manager arrived during the morning with two commercial style kettles as a back up until a repair could be carried out. People can move around the home freely, and there is a passenger lift for people who have some difficulty with stairs. In the afternoon one lady joined staff in the dining room for a break, she choose to have a glass of lager for her drink, she was really enjoying her self and joining in conversations. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 19 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 and 30. People who use the service experience good quality outcomes in this area. Recruitment and selection procedures are properly followed and checks are carried out to make sure that people who live in the home are safe and protected from harm. Staff receive good training to help and support them carry out their job. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager told us that her hours of work are all now supernumerary and she is no longer rostered to carry out care shifts on a regular basis. This means that she can concentrate on improving and updating records and systems in the home. Two other people have also been appointed to the staff team. One is a kitchen assistant and the other a person who will take responsibility for ‘deep cleaning’ routines in the home. We were told that 21 out of 23 Criminal Record Bureau (CRB) checks have now been updated. Applications had been completed for the other two. The home has engaged a new company to carry out these checks on their behalf and they are getting a much quicker response to applications. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 20 The files for two new members of staff were seen. These showed that recruitment and selection procedures had been properly followed with the exception of one Rehabilitation of Offenders statement on an application form that had not been signed by the applicant. We saw evidence of two different application forms being used. We spoke to the manager about using only form AP2H(A). This would mean that everyone who applies for a post provides the same information and will make it easier to decide if someone is suitably qualified to be interviewed for a post in the home. Staff have completed and are continuing to attend training on fire safety, equality and diversity, infection control, dementia and safeguarding adults. Part of the recent training programme has included a literacy qualification to support staff who might have previously had problems with doing training and writing in records. Staff have to sign an attendance sheet at training as part of the audit trail. The sheet also details the course title and content. This is good practice. Individual training logs are being set up for each member of staff. Almost 100 of staff employed in the home have completed a National Vocational Qualification (NVQ) at a minimum of level 2. This includes kitchen and domestic staff. This is an excellent achievement. A number of staff have also achieved an NVQ at level 3 and others are working towards this qualification. Staff told us that they continue to attend lots of training that they are really enjoying. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 21 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, 36, 37 and 38. People who use the service experience adequate quality outcomes in this area. People continue to live in a home that is well managed and provides an open and inclusive environment that promotes their best interests. The general manager, manager and staff team are keen to improve practice in the home and continue to show a commitment to achieving change. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The general manager continues to work and consult with CSCI and local authority departments, as appropriate, to improve the quality of care provided in the home. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 22 The new manager has not yet achieved registration with CSCI but her application is underway. She told us that all her hours are now extra to those provided on the staff rota for the provision of care and support to people living in the home. This means that she can concentrate on care plans, policies, procedures and systems in the home, and supporting staff through supervision and training. We were told that an external Fire Consultant has just been employed to carry out a full risk assessment of the home. The report had not yet been received. Fire checks are regularly carried out and recorded. We looked at the programme for supervision of staff. This does not yet meet the requirements of the National Minimum Standards. The general manager told us that she is about to send out questionnaires to families and healthcare professionals to ask them their opinion of care at Kingsbury House. Accident records were seen but the manager does not sign these to show that she monitors events and makes sure that any necessary actions are carried out. Information in daily records is still limited and not outcome based. New procedures have been put in place for the management of monies held on behalf of people who live in the home. Kingsbury House DS0000000371.V373250.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 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 2 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 2 X 2 X 2 2 2 3 Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Comprehensive care plans must be developed outlining all areas of care. This will mean that people who live in the home receive the care and support they need. (Previous timescale of 1 April 2007, and 1 August 2008, partially met.) Records must be up to date and accurate. This will mean that people who live in the home know their needs are being identified. (Previous timescale of 1 April 2007) Best practice guidance and the provider’s policy must be followed when storing, giving, recording and disposing of medicines. This will help to make sure that people’s health and welfare are protected from risk of medication errors or omissions. (Previous timescale of 24 August 2008, partly met.) Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 25 Timescale for action 01/03/09 2. OP37 17 30/03/09 3. OP9 13 24/12/08 4. OP9 13 All medicines must be stored 24/12/08 safely, securely and at the appropriate temperature to ensure that there is no mishandling of medicines and medicines remain fit for use. A system must be in place to check expiry dates and to add the date of opening on containers when necessary. This makes sure medication is safe to administer. (Previous timescale of 24 August 2008, not met.) Medication must be given as prescribed. This will make sure that people receive their mediation correctly and the treatment of their medical condition is not affected. (Previous timescale of 24 August 2008, not met.) A controlled drugs cupboard, which meets the safe custody regulations, must be purchased for the storage of all controlled drugs in the home. Staff must receive regular and recorded supervision. This will help them to carry out their job and let them know that they are supported. 5. OP9 13 24/12/08 6. OP9 13 26/02/09 7. OP36 18 30/03/09 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 OP7 Good Practice Recommendations The format being used for recording care plans should be reviewed to make sure that it is clear to staff what they complete/when and that they should sign as evidence of DS0000000371.V373250.R01.S.doc Version 5.2 Page 26 Kingsbury House 2. OP7 3. OP9 their assessment. Work should continue to ensure that care plan evaluations become more outcome focused. This will ensure that the benefit people have received from the care and support they have received is properly recorded. Staff should sign and date handwritten entries they make on MAR charts. Each entry should be checked and countersigned by a second person to reduce the risk of error when copying information. The medicines policy should be updated in line with current guidance so that staff understand how to handle and administer medicines safely. Stocks of controlled drugs should be regularly checked and a record made in the controlled drugs register. Records for the disposal of medicines should be comprehensive and include a date and signatures when removed from the home. The procedure for the disposal of controlled drugs should be reviewed and the person collecting the medicines, preferably the local pharmacist, should sign the controlled drug register and medicines for disposal book to confirm receipt. The temperature of the refrigerator should be regularly monitored to make sure that medicines are being stored at the temperature recommended by the manufacturers. Social care plans should be completed for everyone who lives in the home to help decisions be made about what activities and social events people want to be involved in. This will help staff to provide and arrange events and activities of interest to residents. Staff should be careful about how they consult with people to see what they want to eat. This will mean that people know all the choices that are available. The manager should make sure that all applicants for posts in the home have completed and signed the Rehabilitation of Offenders Statement. This will promote the proper and safe recruitment of staff. The use of different application forms should be reviewed to make sure that everyone applying for a job is providing the same information. This will promote the employment of properly trained people. The manager should ensure that her application for registration is followed up. The manager should sign the accident book to show that she is monitoring events. This will mean that people are DS0000000371.V373250.R01.S.doc Version 5.2 Page 27 4. OP12 5. 6. OP15 OP29 7. OP29 8. 9. OP31 OP38 Kingsbury House kept safe and get appropriate support and attention when they need it. Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Kingsbury House DS0000000371.V373250.R01.S.doc Version 5.2 Page 29 - 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!