Inspection on 12/06/07 for Kingsthorpe View Care Home

This inspection was carried out on 12th June 2007.

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.

Other inspections for this house

Kingsthorpe View Care Home 01/08/08

Kingsthorpe View Care Home 25/04/06

Kingsthorpe View Care Home 05/10/05

Kingsthorpe View Care Home 27/06/05

Kingsthorpe View Care Home 27/01/05

Kingsthorpe View Care Home 09/09/04

Kingsthorpe View Care Home 22/03/04

Kingsthorpe View Care Home 10/02/04

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

CARE HOMES FOR OLDER PEOPLE Kingsthorpe View Care Home Kildare Road St Anns Nottingham NG3 3AF Lead Inspector Stephen Benson Unannounced Inspection 12th June 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 Kingsthorpe View Care Home DS0000039367.V340609.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. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingsthorpe View Care Home Address Kildare Road St Anns Nottingham NG3 3AF 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) 0115 950 7896 0115 941 1446 kingsthorpeview@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited Mrs Sally Fitzsimons Care Home 50 Category(ies) of Dementia (50) registration, with number of places Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2006 Brief Description of the Service: Kingsthorpe View is a purpose built care home of 41 beds in the main unit and a smaller unit of 9 beds. The home is registered to accommodate 50 older people whose primary need is dementia. The main building is used for people requiring nursing or residential care, with the small 9 bed unit for people requiring residential care. The registration category only applies to those people admitted since the change of category, this has resulted in a number of people still receiving care at the home for enduring mental illness as the previous category allowed. The home is owned by Southern Cross and is situated in the St Anns area of Nottingham, close to the city centre and on a main bus route; the area is mainly residential with a few local shops and community facilities. The acting manager said on 12/06/07 that the fees for the service range from £273 - £617 per week depending on dependency needs and the method of funding. There are additional charges for hairdressing and chiropody. Further information about the home is available in the brochure and service user guide or from the website: www.southerncrosshealthcare.co.uk. The manager or provider welcome any telephone enquiries and a copy of the last key inspection report is available in the foyer, and the report from a shorter inspection called a random inspection is available on request from the manager. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2007 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The site visit lasted for 8 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the operations manager, the manager, staff on duty and care practices were observed. A visitor was spoken with during the visit. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. The home had not returned the self assessment form they had been asked to or any survey forms sent to residents. The registration certificate was checked and found to be incorrect. A request has been made for a replacement. What the service does well: Prospective new residents are assessed before coming to the home. This is to ensure the home is able to meet their needs. Care plans describe how residents needs are to be met and these are used by staff so they provide the care that residents require. Visitors are welcome to come to the home at anytime so residents can keep in contact with family and friends. There is a varied menu providing a choice at each meal and further alternatives are available so residents have a nutritious and balanced diet in pleasant surroundings. The home has a complaints procedure, which is available for residents to use and there are policies and procedures for staff to follow if they suspect anyone is not being properly treated. The home has been decorated in a way that helps residents with finding their way around and provides them with stimulation. There is always at least 8 care staff and 2 nurses on duty during the day and regular training is provided. New staff can only start work when the required Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 6 checks have been carried out, including a satisfactory Criminal Records Bureau or Protection of Vulnerable Adults check. There is a suitably qualified and experienced manager in post and residents are able to express their views on how the home is run through completing questionnaires. The home will hold money for residents so they can make any purchases they want to. Regular checks and tests are carried out on the building and equipment. 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. Kingsthorpe View Care Home DS0000039367.V340609.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 Kingsthorpe View Care Home DS0000039367.V340609.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): 3 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents are fully assessed prior to moving into the home to ensure that their needs can be met. The home does not offer an intermediate care service. EVIDENCE: The home has an assessment form to complete to help assess the needs of any prospective resident and these were seen completed on residents’ files. There were also copies of assessments completed by Social Services seen. Assessments included details of any specialist assistance a resident requires. The manager said that anyone is welcome to apply for a place providing they fall within the registration category for the home. Currently there are male and female residents from various ethnic backgrounds. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 9 The manager said that a senior member of staff always go to assess a prospective new resident and that a pre admission care plan is prepared from the assessments. An assessment and a pre admission care plan were seen completed for a recently admitted resident and staff said they know about any new resident before they move to the home. A recently admitted resident said, “We are told about any new resident before they come to the home”. There is no arrangement made for the home to provide an intermediate care service. Kingsthorpe View Care Home DS0000039367.V340609.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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care planning system can work well, but sometimes needs are overlooked. More could be done to promote residents’ dignity. EVIDENCE: The manager said that a nurse completes care plans and where possible a relative is involved. These are then reviewed monthly by the nurses and are audited through the provider’s monthly audits. One care plan seen had a recent audit form completed. Care plans included risk assessments for a variety of things, including managing challenging behaviour, falls, nutritional intake and tissue viability. There was a sheet to record communication had with relatives Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 11 Following a recent incident involving a resident, a project manager had updated the care plan to address problems that arose. The operations manager said that senior managers external to the home will write care plans if needed. Staff said they write daily and weekly reports in care plans and look at them to find out about residents. A member of staff said that she had recently not given a resident a bath as when she looked in the care plan it had said to use a hoist and there was not a sling available to do so. The manager said that some new slings have been ordered and waiting for them to be delivered. A resident said, “I am looked after well, its all good”. There is a professional visits sheet to record any contact residents have with healthcare professionals. These showed that opticians, dentists, chiropodists, dieticians, tissue viability nurses, speech and language therapists have all had contact with residents at the home. The manager said that healthcare resources are identified depending upon need and either the doctor or the home will make a referral. Staff said that there is not sufficient lifting equipment at the moment. The manager said that a new stand aid has been ordered. A visitor said she had been told that her relative could not have his ears syringed, as the local surgery does not provide this service. A request was then made that olive oil is given daily, but this is not being done. The relative also said that she did not know why her relative was wearing an incontinence pad as he was not incontinent and was seen asking to go to the toilet, and was taken by staff. A resident said, “I saw a doctor not so long ago, staff ask how I am feeling. I have some reading glasses”. There was always a member of staff in each communal area and staff were seen arranging for someone else to cover if they had to leave for any reason. Each of the three units give out the medication to residents on their units. Nurses are responsible for giving out medication on the two larger units and wear red tabards with ‘giving out medication and not to be disturbed’ written on. There is a form to assess whether any resident is able to self medicate, but there are not any residents who can. Medicine Administration Records seen were fully completed. There was a Medicine Administration Record that had been handwritten, but not signed by the person doing so, or witnessed. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 12 The manager said that all staff have been through the customer care programme, which includes details and information on how to promote residents privacy and dignity. The manager said that staff should always knock on residents’ doors, initiate conversations with residents and explain to residents what assistance they are about to provide and how they are going to do it. During periods of observation there were a number of occasions seen where staff did not talk to residents when assisting or telling them what they were going to do. This included hoisting a resident, preventing a resident from pulling at her clothing and putting someone’s hat on the chair they were sitting on. There was also an incident where a resident was asking questions and staff did not know how to respond. As a result a story was compiled. In discussion with the operations manager and the manager afterwards it was agreed that there should be an agreed strategy to deal with this and similar situations. A visitor said that her relative always looks clean and tidy and sometimes is ‘very spruce’ and well shaved. Kingsthorpe View Care Home DS0000039367.V340609.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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents need more opportunities to satisfy their social and recreational interests and greater opportunities to exercise choices. Residents receive a wholesome and balanced diet. EVIDENCE: The manager said that they have still not been able to recruit an activities coordinator to work in the home and a further advert has just been placed in a local newspaper. A member of care staff is standing into the position but was not available during the visit. There was an activities programme displayed on an activities notice board, however this was not being followed and no activities were organised during the visit. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 14 During a period of observation in one of the lounges the manager turned off the television and put some music on, which residents clearly enjoyed and sang along to. A small lounge has been furbished as a bar and the manager said they have pub evenings where residents can have a drink. Staff said that residents do some activities such as colouring and puzzles. A resident said, “There is nothing much doing, I haven’t asked for anything but I would try anything”. A record is made of activities provided in the care plan and those seen showed that residents don’t take part in regular activities, for example one chart showed that a resident had two sessions over the past month. The manager said that visitors are welcome to visit at any time and a visitor spoke of visiting at various times during the day and evening. One resident said to the operations manager that she would like to go and visit Matlock and the operations manager said this would be arranged. There was a notice saying that the home has access to a mini bus for trips out. Staff said that they thought residents upstairs should have more opportunity to use the garden. The manager said that staff are expected to provide choice to resident where they can, including what they want to wear, where they want to sit and when they get up. Staff were seen leading residents to seats and they were not always asked where they would like to sit. When turning on a television a member of staff asked a resident whether they wanted to watch channel 1, 2 or 3, without saying or showing what was on. Meals are prepared for the three units in a central kitchen and delivered in a heated trolley. There is a 4 week menu, but the cook said this is not rigidly stuck to. A record is made of all food served. The menu provides a choice of dish at every meal and there are a variety of dishes, including shepherds pie, beef burgers, omelettes, quiche and faggots. There is a different type of fish on Fridays and a roast dinner on Sundays. Staff said that residents can have an alternative if they don’t want the choices provided and a pudding is provided at lunchtime and cakes at tea. A visitor said that her relative eats well but doesn’t know if he has spaghetti, which he always used to eat. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 15 Residents were seen eating lunch and had a choice of sausages or pork casserole with green beans, cabbage and mashed potato with gravy. The pudding was jelly and ice cream. Residents appeared to enjoy the meal and several comments were made that it was nice. The menu says that a cook breakfast can be provided but this was not available. Kingsthorpe View Care Home DS0000039367.V340609.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): 16 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints raised by residents or any allegations of abuse are acted upon. EVIDENCE: The home has a complaints procedure and a book to record any complaints in. There were 3 complaints recorded since February 2007 when the book came in to use Records of complaints did not include details of the investigation or the outcome. Then three complaints raised were by relatives, two of which are still being dealt with and one was not substantiated. The manager referred to some things she was currently dealing with on behalf of residents, which they had raised and these should have been recorded as complaints. The manager recorded these in the complaints book. Staff said they did not know the complaints procedure but would pass any complaint onto the manager or a senior member of staff. A visitor said she had seen the complaints procedure in a brochure. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 17 A resident said, “I would go to see the manager if I wanted to moan, but there isn’t anything wrong”. The manager said that she has had to use the Adult Protection Procedures twice recently, one allegation was unfounded and another is currently being investigated. There was a copy of the Adult Protection Procedures and the home has a whistleblowing policy. Staff said they have received training on safeguarding adults and that a recent incident was reported to the manager. Staff said that external doors are alarmed so they know if a resident is trying to leave the building. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 18 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 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a stimulating environment, which helps with the orientation of residents. The home is not always as fresh as it could be. EVIDENCE: Much of the home has been redecorated and has been designed to assist residents with dementia to orientate themselves through different coloured doors and street names in corridors. Each bedroom has its own letterbox and doorknocker. Pictures and newspaper pages from bygone days are on are used to stimulate residents and areas have been created in corridors such as a garden area to provide areas of interest to residents who wish to wander in the corridors. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 19 The manager said there is some further carpeting and flooring replacement planned shortly. The manager said that residents have requested a shower and a request for this has been made to the provider. A maintenance man attends to most minor repairs. A resident said, “I think it is a good idea to have the old pictures and newspapers”. The upstairs temperature was noted to be very warm and a number of staff commented upon this. The operations manager asked one resident if she as too hot and she aid no. The operations manager said some air conditioning will be provided. One of the washing machines was broken and staff are having to take laundry to other residential homes in the area owned by the same provider and a local laundry. The manager said a new washing machine is on order. Staff said that at times there is an unpleasant odour in lounge areas and a visitor also said this. I did not detect any odour, but the operations manager said that she had noticed one earlier and asked for it to be sorted out. There are sluice facilities in the home and a contract for waste disposal. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 20 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient and suitably trained staff employed at the home, ensuring that residents needs can be met. Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: The home has assessed their minimum staffing levels to be 8 care staff and 2 nurses during the day and 4 care staff and 1 nurse at night. In addition the home employs a cook, kitchen assistant, laundress, handyman and cleaners. The manager said that staffing levels are worked out on the number of residents and that there are 3 care staff and 1 nurse on the two nursing floors and 2 care staff on the residential floor. The home employs male and female staff and they are of varying ages and from differing ethnic backgrounds. The manager said that nurses are expected to take part in care duties when not providing nursing input or writing records. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 21 Staff said there had not been enough staff on duty that morning and some staff had to leave a training session to assist with caring for the residents. The manager said this had arisen because staff put on the rota to cover had not turned up. A visitor said that staff sometimes seem under pressure, particularly in the evening, but they do a great job and would not criticise them. A resident said, “There are usually a lot of people on duty” Seven care staff have completed National Vocational Qualification level 2 and a further 5 are currently working towards this qualification. A member of staff said they had just completed Level 2 and were waiting to be assessed to see if they have passed. Staff files seen showed that the correct recruitment practices are followed. The home follows their equal opportunities policy in the recruitment of new staff. A recently appointed member of staff confirmed that she had an interview before starting work in the home. The manager had a record of all training done by staff and this shows which staff have yet to complete the required training and when staff are due for the training to be updated. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 22 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 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable management systems in place for the smooth running of the home and to protect residents. Residents express their views on how the home is run. EVIDENCE: The manager has worked at the home since 2005 and has been the registered manager since June 2006. The manager said that she has just passed the Registered Managers Award. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 23 The manager said that she had undertaken a quality assurance survey between December 2006 and February 2007. The operations manager said that she is currently in the process of analysing the results. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 24 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 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 X 3 X 3 Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 25 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 OP8 Regulation 12 (1)(a) Requirement Residents must receive the healthcare they require. This will ensure that they are kept in the best possible health. When it is necessary to handwrite a Medicine Administration Record this must be signed by the person doing so and by another person to confirm they have checked it has been copied correctly. This is to ensure that residents are given the correct medication Staff must ensure that residents know what assistance is being provided. This will promote they dignity of residents More frequent and varied activities must be provided. This will ensure that residents have opportunities to spend time doing things they find enjoyable and stimulating. This is a repeated requirement. They previous timescale of 01/11/06 was not complied with DS0000039367.V340609.R01.S.doc Timescale for action 07/07/07 2. OP9 13(2) 01/07/07 3 OP10 12(4)(a) 07/07/07 4 OP12 16(2)(n) 01/08/07 Kingsthorpe View Care Home Version 5.2 Page 26 5 OP14 12(3) Staff must give residents greater opportunities to make choices. This will ensure that residents have some control over their lives. 01/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Kingsthorpe View Care Home DS0000039367.V340609.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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