Inspection on 23/08/08 for Landmere Care Home

This inspection was carried out on 23rd August 2008.

CSCI found this care home to be providing an Poor service.

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

Landmere Care Home 04/03/08

Landmere Care Home 12/09/07

Landmere Care Home 13/03/07

Landmere Care Home 03/05/06

Landmere Care Home 22/11/05

Landmere Care Home 02/08/05

Landmere Care Home 08/03/05

Landmere Care Home 07/10/04

Landmere Care Home 25/03/04

Similar services:

Hunter`s Lodge

Lester Hall Apartments

Harvey House

Extracts from inspection reports are licensed from CQC, this page was updated on 13/11/2008.

CARE HOMES FOR OLDER PEOPLE Landmere Care Home Ruddington Lane Wilford Nottingham NG11 7DD Lead Inspector Keith Williamson Unannounced Inspection 23rd August 2008 09:00 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 Landmere Care Home DS0000026450.V370414.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. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Landmere Care Home Address Ruddington Lane Wilford Nottingham NG11 7DD 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 945 5940 0115 982 7341 manager.landmere@lifestylecare.co.uk www.schealthcare.co.uk Southern Cross (LSC) Ltd Mandy Mae Amos Care Home 70 Category(ies) of Past or present drug dependence over 65 years registration, with number of age (70), Dementia (10), Mental disorder, of places excluding learning disability or dementia (10), Mental Disorder, excluding learning disability or dementia - over 65 years of age (70) Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 10 or fewer service users who may be accommodated in categories MD and DE must be aged between 55 and 65 years. 4th March 2008 Date of last inspection Brief Description of the Service: Landmere Care Home is a purpose built home divided into four units with a total of 70 places. The home provides nursing care for people over the age of sixty-five with Mental Disorder or Dementia. Ten places can accommodate people from fifty-five with a Mental Disorder or Dementia. The provider remains responsible for reflecting the specific services available within the Statement of Purpose. The accommodation comprises of two floors, with all bedrooms being for single occupancy. There are a number of lounges and sitting areas throughout the home. The main kitchen serves 4 small dining areas. In addition the home has a number of bathing facilities, toilets and extensive garden areas. The home also a hairdressing room; there are plans to adapt the activities room to an area for the Service Users and their relatives enjoyment, with the addition of tea and coffee making facilities. The home is situated in a residential area of Wilford, south of, and on a bus route to, the city of Nottingham. West Bridgford is close by and provides shops, library and leisure facilities. The range of fees is from £423.00 to £660.00 per week; these do not include charges for hairdressing, chiropody and toiletries. Copies of the last Commission for Social Care Inspection report are available from the office. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections is on outcomes for Service Users and their views of the service provided. The main method of Inspection used was ‘case tracking’ which involves selecting a sample number of Service Users and tracking the care they received through talking with them where possible, and looking at their records and accommodation, in this case four Service Users were chosen. This visit took place over one day, commencing at 9.30am and took seven hours to complete. An opportunity was taken to talk with Service Users, relatives and staff, look around the home, view records, policies and care plans. Information was obtained from the Annual Quality Assurance Assessment (AQAA), which gives information on the home, and is filled in by the manager. The majority of the Service Users were seen, and a number of those spoken with along with a relative, three staff members, the registered manager and the Registered Person. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. What the service does well: The home is purpose built with a number of public areas used by the Service User and visitor group. Service Users care needs are assessed and a number of areas documented to ensure their safety and that of the staff assisting them. Service Users have a number of choices and variety of activities based around their individual needs, promoting people’s independence, choice and decisionmaking. Service Users are encouraged and assisted to keep in contact with relatives, and the greater community with regular visitors being able to enter the building, knowing how to enter through the security system. Service Users have questionnaires and formal meetings and to discuss issues such as meals and menus pastimes and outings, as well as informally, using comments through the suggestion box. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 6 Complaints information is displayed throughout the home, and is also available in the paperwork issued prior to moving in to the home. Staff are aware of how the complaints and whistleblowing procedures works. Staff employed in the home have a detailed process to go through, prior to being allowed to work at the home. New staff have a detailed induction and all staff are subject to supervision, which is a meeting between the manager and staff on a one to one basis, continues on a regular basis. Comments received from relatives included: “I was there when the staff came to see mum, she (the staff) were very sensitive to her needs, and though mum couldn’t say a lot, they included her in the conversation” What has improved since the last inspection? Evidence is now in place of assesments considering peoples ability to selfadminister medication. Staff were able to demonstrate they were aware of peoples needs in the home, with those spoken with showing a good knowledge of Service User’s individual needs. Staff were aware of the limits where restrictive practices or equipment such as lap belts and bedside rails, should be used. This shows staff have a good awareness of protecting Service Users. Staff are aware how to ensure Service Users privacy and dignity, and areas around the home such as toilets, bathrooms and bedrooms are enabled to be locked by any Service User wishing to increase their privacy. The staff files have the appropriate information on criminal record bureau checks, these were available at the inspection. Further work has been done on the quality assurance systems to ensure that people who live in the home and their relatives have the opportunity to express their views and opinions. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 7 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. Landmere Care Home DS0000026450.V370414.R02.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 Landmere Care Home DS0000026450.V370414.R02.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): 1, 2, 3 & 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective Service Users receive information on the home and have their needs assessed before moving into the home, which will ensure that their needs can be met. EVIDENCE: Prospective Service Users can expect to have their needs assessed before they move into the home; this would ensure that staff have the experience and qualities to meet peoples needs. The Service Users’ files were found to include an assessment of their needs completed by a social worker or the senior staff member from the home. A relative visiting on the day of the visit explained that someone from the home had visited their mother before they moved in and that she had been given the opportunity to look around the home to decide if it was the right Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 10 place for their mother to live. The relative also confirmed a Statement of Purpose, which sets out the latest aims, objectives and philosophy of the home, about its services, facilities, and current staffing, was given out to the family, and a Service User Guide was left with the resident. Contracts outlining the terms and conditions of the persons stay were also completed, but stored on separate files. Comments received from relatives included: “I was there when the staff came to see mum, she (the staff) were very sensitive to her needs, and though mum couldn’t say a lot, they included her in the conversation” Landmere Care Home DS0000026450.V370414.R02.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): 7, 8, 9 & 10 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. Service Users are looked after well in a safe and secure environment, and are treated with respect, and their rights to privacy and dignity are upheld. The lack of staff checking medication accurately puts Service Users at risk of enduring pain. EVIDENCE: Service Users have a care plan, which details the care they receive whilst in the home. This is important so people know how they will be looked after. Care plans were up to date and had been reviewed regularly with the Service User or a member of their family. The manager is in the process assessing what input the Service Users’ relatives shall have in the future, with the introduction of the Mental Capacity Act. This has been introduced by the government to protect people and ensure those that can, still have a say in their care. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 12 Care plans are also risk assessed, which gives staff vital information how to keep people safe in the home. From records kept by the home it was evident that health care services including General Practitioners, community and tissue viability nurses visit on the Service Users behalf. There are some issues with the current visiting General Practitioner that the manager is taking up with the appropriate authority. This is to ensure an ongoing General Practitioner service for Service Users. Staff working at the home are well aware of the individual care needs of the Service Users and those staff spoken with showed a depth of knowledge, being able to speak of Service Users’ individual needs. Service Users relatives spoken with stated that individual care needs were currently being met. Medication is securely held and administered by the Registered Nursing staff in the home. Staff showed a good level of knowledge of the system when explaining how the system worked. This is important as it increases the security for Service Users around medication administration. However there were a number of areas where medicines that are supplied in their original packaging from the pharmacist, were not accounted for properly. This is due to the staff not checking on a regular basis what medication was left in stock. This is important to ensure the correct amount of medication had been administered to Service Users. There was a further issue of a Service User not having enough pain relief to continue their prescribed dose. This occurred due to staff not ensuring that an adequate supply of the controlled drug was in stock. The manager took steps to ensure supplies were obtained so the Service User had the medication to last over the weekend. These situations put Service Users at risk of enduring severe pain, and in danger from a lack of continuous medical treatment. There were some illegible signatures on the medication administration records (mar charts), these are used to indicate the initials of staff administering medication or are coded with an alphabetical letter, to indicate why medication had not been given. This places Service Users at risk, due to staff being unable to tell if medication had been administered or not, and leaving that person open to being under or overdosed with their prescribed medicines. The policies and procedures to instruct the staff in administering medication to Service Users, and those relating to assist people who self medicate, are not detailed enough or put together in a fashion that staff could refer to them, whilst checking if medication is administered appropriately. This puts Service Users at risk, as staff do not have an accurate and detailed method where medication administration can be checked by staff. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 13 All Service Users and relatives spoken with felt that the care workers treated them with respect and throughout the visit care workers were seen interacting with the Service Users in a professional and dignified manner. Staff were also seen knocking on a bedroom door prior to entering. Comments received during the visit included: “I am happy with the care my mother receives, the staff treat her and the others very well, they are lovely”. Landmere Care Home DS0000026450.V370414.R02.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): 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. There is a relaxed and homely atmosphere within the home and social care is encouraged to enable service users to maintain contact with relatives, friends and the wider community. EVIDENCE: Service Users are offered choices on a daily basis. These include when to get up or go to bed, what to wear, a choice of meals and whether to join in the activities provided. Two activities coordinators were employed till recently when both left the homes employment. The manager explained how far the recruiting of another has gone, and that they will commence employment shortly. Even with no activity coordinator, various pastimes were continued by the staff. Evidence of what had been provided for Service Users were noted in the daily records used for that purpose, and confirmed by staff. These included arts and crafts, music and movement, and dominoes. This is important and Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 15 enhances the feelings of wellbeing in Service Users and ensures the staff get to know the Service Users on a personal and intimate basis. Staff comments regarding the activities included: “F (a Service User) taught me how to play dominoes, he always wins though”. “I get time to sit and speak to the Service Users, I discovered that B likes cats, now I chat to her about that when feeding her”. Menu choices are displayed in the foyer of the home, and Service Users enjoy the choices of a balanced diet. Special diets are catered for, as are soft foods and meal supplements, these being stored appropriately in the fridge in the treatment rooms with the medication. A Service User’s relative also indicated “the foods great, we see mum enjoying her food when we visit”. Landmere Care Home DS0000026450.V370414.R02.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 & 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service Users and their relatives can be confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: There have been no complaints forwarded to the Commission for Social Care Inspection since the last visit to the home in March 2008. There have been four complaints recorded by the home, these have been investigated, and the outcomes recorded in the complaints information. Complaints information is clearly displayed in the Service User Guide, and is available in a pictorial version, which would help the current residents in making a complaint. Staff told the Inspector what they knew about complaints, adult protection and whistleblowing procedures. Adult Safeguarding training was arranged but the trainer cancelled this at short notice. The acting manager is in the process of re-arranging the training from more than one source, to ensure no repeat of these issues. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 17 There have been no protection issues forwarded to the Commission for Social Care Inspection. Relatives showed an awareness of the complaints process one stating, “if I wasn’t happy I would speak to Mandy (the manager) or the head nurse. Landmere Care Home DS0000026450.V370414.R02.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, 21, 24, 25 & 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The standard of the accommodation within this home is very good, providing Service Users with an attractive homely and clean place to live. EVIDENCE: Service Users can enjoy this purpose built home, rooms being single occupation and well maintained. Decoration in the home is of a very good standard and furnishings in the communal areas are domestic in character and in good condition. Due to company policy, a permanent decorator is employed and is continuing with a programme of re-decorating all of the public areas. The manager stated that on completion of this, he would move on to Service Users bedrooms. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 19 A selection of bedrooms were seen during the visit. These were clean, appropriately furnished and included items personal to the service users. Toilets and bathrooms have appropriate locks, a sample of those were seen to work. This ensures Service Users and staff have the choice of maintaining Service Users privacy and dignity. There is a secure enclosed garden within the home, and other gardens to the front and rear. This is accessible from the dining lounge areas. The garden has a pet rabbit, and the manager hopes to have a “sensory” garden. This would enable Service Users to have an extra experience further enhancing their wellbeing in the home. All staff have received training in infection control and observations during the inspection confirmed that staff used appropriate protective clothing when carrying out their duties. This is important, so infections are not transferred from person to person at the home. Landmere Care Home DS0000026450.V370414.R02.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 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The recruitment process promotes Service Users’ safety, and staff employed in sufficient numbers to meet their individual needs. EVIDENCE: There were sufficient numbers of staff on duty on the day of the visit to meet the current needs of the Service Users. The manager stated that the staffing numbers are reflective of the Service Users’ needs, and are increased and decreased accordingly. Staff who passed an opinion on this did so with mixed opinions. Service Users are protected by an extensive recruitment procedure; this involves a regulated procedure prior to staff being appointed. Two staff files were checked, both were found to include all the necessary information including an application form, two references, povafirst and Criminal Records Bureau checks (checks made to ensure people are safe to work with vulnerable people). This demonstrates the home has the Service Users’ safety in mind when appointing new staff. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 21 Training is planned well in advance, courses sought from a range of private, voluntary and public sources. There is a comprehensive induction for new staff. A new member of care staff showed an excellent knowledge of training received within the first four weeks (induction) following employment in the home. A comprehensive staff induction shows a willingness by the manager to develop new staffs’ talents. The training plan for other staff is worked out on an annual basis, and is displayed in the staff area of the home. Training courses completed included; first aid, dementia awareness, moving and handling, safe handling of medicines infection control and food hygiene. Service Users’ and staff meetings are arranged at the beginning of the year and the dates posted in the office, this ensures people are aware when and what is to be discussed, as agendas are prepared in advance. Landmere Care Home DS0000026450.V370414.R02.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, 35, 36 & 38 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 by the ethos of the management, recruitment, staffing at the home. EVIDENCE: The registered manager has many years experience in care, and has completed her NVQ level four, National Vocational Qualification (a nationally recognised course for staff in caring) and Registered Managers Award. The deputy manager is also undertaking the level four (NVQ) Qualification. The Service User’s finance balances were seen and were accurate. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 23 Staff spoken with stated that they were well supported, through staff meetings, supervision and on a personal basis. Supportive relationships between Service Users, their relatives, management and staff were evident throughout the visit. This demonstrates a caring environment where people can be sure of support in times of crisis. Service Users and staff are consulted with regard to how the home is run and meetings for Service User and relatives are held on a periodic basis. Quality assurance questionnaires have also been distributed, though as yet the manager has had few returned. A suggestion box is also in use in the foyer. This shows willingness for the manager to include many peoples’ opinions in the development of the home. Staff meetings and staff supervision (which is one-to-one meetings between all staff in the home and their immediate supervisor) are a regular feature of developing the staffs’ knowledge, and ensuring they are aware of the company policies and procedures. Policies and procedures required for the safeguarding of Service Users are in place. Records seen on this occasion were accurate, relevant and up to date, apart from the policies, procedures and records on medication, which are mentioned in detail earlier in this report. There is a routine programme of maintenance operated by the handyperson, and a number of routine tests are performed by him such as weekly fire alarm testing. Other routine health and safety maintenance is performed by professionals from external companies. Certificates of compliance were seen from companies who had performed the “PAT” tests (on portable electrical items), gas safety tests and chlorination of the cold water storage system. This ensures the safety of Service Users and staff in the home. Landmere Care Home DS0000026450.V370414.R02.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 3 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 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 3 X X 3 3 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 X X 3 3 X 3 Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No. 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 OP9 Regulation 13 (2) Requirement The registered person must ensure adequate supplies of pain relief medication are held appropriately in the home. This is to ensure Service Users are not left without adequate pain relief. The registered person must ensure that medication brought from the pharmacy, are accounted for and audited throughout the medication “month”. This is to ensure that staff are overseen to administer the appropriate amounts of medication to Service Users in the home. The registered person must ensure that policies and procedures used by the staff in the administration of medication are sufficiently detailed. This is to ensure staff have appropriate policies and procedures to refer to. Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 26 Timescale for action 23/08/08 2 OP9 13 (2) 01/09/08 3 OP9 13 (2) 15/09/08 4 OP9 13 (2) The registered person must ensure that policies and procedures used by the staff in the self-administration of medication are sufficiently detailed. This is to ensure staff have appropriate policies and procedures to refer to. The registered person must ensure that medication prescribed for Service Users is appropriately identifiable for a person resident at that time. This is to ensure the correct Service User gets his or her correct medication, and those medications, which are not being used, are disposed off appropriately. 15/09/08 5 OP9 13 (2) 01/09/08 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 Landmere Care Home DS0000026450.V370414.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Landmere Care Home DS0000026450.V370414.R02.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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