Inspection on 14/09/06 for Lawn Park Care Home

This inspection was carried out on 14th September 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Lawn Park Care Home 01/10/08

Lawn Park Care Home 02/10/07

Lawn Park Care Home 18/01/06

Lawn Park Care Home 24/05/05

Lawn Park Care Home 21/01/05

Lawn Park Care Home 06/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Lawn Park Care Home Lucknow Drive Sutton In Ashfield Nottinghamshire NG17 4LS Lead Inspector Karmon Hawley Key Unannounced Inspection 14th September 2006 9:45 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 Lawn Park Care Home DS0000024645.V310965.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. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lawn Park Care Home Address Lucknow Drive Sutton In Ashfield Nottinghamshire NG17 4LS 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) 01623 515340 01623 440174 Keslaw Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Rosalind Kennedy Brown Care Home 49 Category(ies) of Old age, not falling within any other category registration, with number (49), Physical disability (10) of places Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service user shall be within categories OP (49) and PD (over 60 10 beds) 18th January 2006 Date of last inspection Brief Description of the Service: Lawn Park is situated in an idyllic position overlooking the park in Sutton In Ashfield near Mansfield Nottingham and is within walking distance to a bus route into the main town. It provides 34 beds for personal care with nursing and 15 beds for older people with either nursing or personal care needs. The home comprises of two floors and is furnished at a good standard. 32 bedrooms have ensuite. There is a large and comfortable lounge, conservatory, smaller sitting room and a dining room from which the wild life can be observed in the pleasant and accessible gardens, there is also a large car park. The manager stated that the current weekly fees are as follows: very dependent residential £319, residential private £425, nursing funded £343, nursing private £465. There may be additional top ups, nursing and council contributions. Chiropody and hairdressing are not included in the fees. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the site visit an analysis of the performance of the home over the previous year took place in line with the key national minimum standards. The evidence gained was assessed and thus the site visit planned in accordance with further evidence required to demonstrate compliance with the national minimum standards. One inspector undertook the site visit over five and a half hours. The main method of gaining evidence during the site visit was case tracking, this is a method of sampling the records of four randomly selected service users to ascertain if the needs of service users are appropriately assessed and identified needs are being catered for by the home to maintain optimum health and wellbeing of the service user. Six service users and one relative were spoken with so as to give the inspector an insight into the conditions and standards within the home. Those spoken with were happy with life within the home and care received. The manager assisted in the site visit and three members of staff were spoken with. Staff were able to demonstrate an understanding of service users needs and the core values and principles in relation to their job roles. What the service does well: What has improved since the last inspection? Appropriate risk assessments are now in place for identified risks, in some areas these still require slight improvement however great progress has been made ensuring service users are further protected. There have been several improvements since the previous inspection. New carpets have been fitted to the lounge, corridors and several other areas. The main corridors have been redecorated. New furniture has been purchased for the main lounge complementing the décor. Several windows have been Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 6 repaired or replace. The outcome for service users being that they live in a safe and well maintained environment. The manager has liaised with the Environmental Health Officer in regards to the Safer food Better Business documentation and is intending to implement this in the near future ensuring that service users are protected in regards to food safety. Staff training files have been developed ensuring each member has a personal profile working towards evidencing that all staff are trained and competent to so their jobs. Quality assurance monitoring has made several improvements ensuring the home is run in the best interest of service users. Additional fire practices have been carried out to ensure service users are further protected. 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. Lawn Park Care Home DS0000024645.V310965.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 Lawn Park Care Home DS0000024645.V310965.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 The quality rating for his outcome area is good this judgement was made using evidence available including a visit to the service. Service users may be assured their needs will be assessed and met prior to entering the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. EVIDENCE: The manager visits prospective service users in the community to carry out preadmission assessments. The assessments observed within service users case files covers the requirements of the standard. Prospective service users and relevant others may also visit and spend time at the home before making a decision as to whether to move into the home. One member of staff spoken with was able to substantiate that this takes place. Two service users spoken with discussed with the inspector how their admission had been arranged and one service user stated they had visited the home prior to becoming a resident. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 9 The home has 5 allocated beds for rehabilitation during the summer months and 10 during the winter months. A physiotherapist, occupational therapist and consultant are on the ‘Step Down Scheme’ (rehabilitation scheme) and have their own equipment for the use of these service users. Staff employed by the home provide care in addition to these members of the team. Meetings are held on a weekly basis so home care packages can be devised. The manager stated that the ‘step down’ staff provides the homes staff with training in the required areas. One service user on the step down scheme discussed with the inspector that they had been home the previous day so that their home care package could be developed according to their needs. The step down team were observed working with a number of service users within the home. Staff were able to discuss how the step down service works and the input required by themselves. Lawn Park Care Home DS0000024645.V310965.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the home. Service users health, personal and social care needs are set out in an individual plan of care, however further development in regards to complex needs in respect of care plans and risk assessments would prove beneficial. Service users health care needs are fully met. Service users are supported and protected by the homes medication policies and procedures however minor attention is needed in the receipt of medication. Service users feel they are treated with respect and their right to privacy upheld. EVIDENCE: Service users undergo various assessments such as the activities of daily living, pressure area care, manual handling and risks. Information gained forms the basis of the plan of care. Care plans in place covered identified needs, were personalised and reflected service users likes and dislikes. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 11 In regards to complex needs care plans were detailed however in one care plan observed relating to diabetes mellitus information in regards to foot and nail care was not included. Appropriate risk assessments were in place for identified needs, however the warning signs to look for in regards to complication for diabetes mellitus were not included, also in respect of epilepsy information was brief. Daily running records were maintained and contained significant events, there was evidence of service users changing needs and any follow up care required. Evidence was seen within plans of care to demonstrate that service users and relatives had been involved in the plans of care in the form of care plan agreements, reviews and consent forms. Service users spoken with stated that their needs were fully met and staff assisted them as required. Staff were able to discuss service users needs and the support they require. The relative spoken with stated that their spouse had improved in health since admission and expressed they were well cared for. There was evidence within service users case records to demonstrate that the multidisciplinary team and specialist services are accessed as required. Two service users spoken with stated that they may see a doctor if needed. One service user explained the care afforded by the physiotherapist. Relevant equipment and aids were noted to be in use during the tour of the building. A visiting district nurse was seen to be attending to a residential service user during the visit. Those service users case-tracked medication was observed against the medication record. All were correct with the exception of digoxin (a heart medication.) The prescription on the bottle did not correspond with the printed prescription chart. This was discussed with the registered nurses who confirmed that the prescription chart was correct, they checked the stock of medicines, two further bottles had the wrong dose on it and a third was correct. The manager confirmed she would contact the chemist in regards to this and look at ways in which the checking in system of medication could be improved upon to ensure this does not reoccur. On checking the temazepam, (a night time sedative) the records showed that 16 tablets should be in stock; on counting these there were only 15. The medication chart was checked, this had been signed for to show the tablet had been given, however had not been transferred into the auditing records. Relevant signs in regards to the storage of oxygen were in place. Fridge and room temperatures are recorded on a daily basis. The medication room was clean, tidy and well organised. The manager stated that all staff are instructed on maintaining service users privacy and dignity during the induction process and on an ongoing basis. She stated that all staff knock on doors prior to entering, both staff and service users substantiated this. Service users stated that they felt respected and staff were considerate to needs and that their privacy was maintained. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the service. Service users find the lifestyle experienced in the home matches their expectation and preferences and satisfies their needs. Service users are enabled to maintain contact with relevant others. Service users are helped to exercise choice and control over their lives and equality and diversity if recognised within the home. Service users receive a wholesome and appealing diet in pleasing surroundings. EVIDENCE: A part time activities coordinator is employed. Activities are carried out on an individual and group basis as required. Activities are varied and include musical movement, quizzes, arts and crafts, games and more as required. On speaking with service users some enjoyed joining in the activities, whereas some preferred not to join in, they stated that this was respected. All spoken with were happy with the level of activities on offer. Trips outside the home are also arranged on occasion and outside entertainers visit the home regularly. Both staff and service users spoken with stated that the routine of the home is flexible and they service users may choose how they spend the day. Several Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 13 service users stated that they can please themselves at all times and they only have to ask and things are done for them. There are no restrictions on visiting and staff stated that relevant others are always made welcome. Several visitors were observed entering the home and were acknowledged by staff. One relative spoken with stated that they came on a daily basis and was always made welcome and on occasion had a meal with their relative. Service users spoken with discussed how they received visitors and one confirmed that they may be received in private if wished. There is a key coded lock on the main door; regular visitors have access to the code. The manager stated that this does not stop service users leaving and entering the home, as they tend to use the conservatory entrance. Service users if able may handle their own finances and a lockable facility is available as are keys for service users rooms. Information is available on the use of advocates if required. In respect to equality and diversity the manager and staff were able to discuss the basic principles in relation to ensuring service users are treated as individuals and their needs and preferences observed. Service users spoken with stated that they felt respected and treated as individuals. The menu seen demonstrated that a wholesome and appealing diet was available and there was evidence of choices available. Service users spoken with substantiated this and stated that they had enjoyed the lunch on the day of the visit. One service user discussed how staff assist in the maintenance of their special diet. The lunch on the day of the visit looked appealing and was plentiful. One service user was observed assisting another service user with the main meal during the visit, this was discussed with the manager and is reported on in standard 27. The kitchen was clean and tidy and relevant records were seen. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the service. Service users and relevant others may be confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: Appropriate policies and procedures are in place in regards to complaints. Staff spoken with were able to discuss how they would deal with a complaint should it arise. Service users and the relative spoken with expressed no concerns. There have been two complaints received since the previous inspection. The first in regards to the lift breaking down; the lift has been refurbished and this complaint has been resolved. The second was in respect to access to a private telephone, therefore a mobile handset had been purchased to remedy this. Relevant policies and procedures are in place in regards to adult protection. The majority of staff have undertaken training in regards to adult protection. All staff spoken with were able to discuss relevant issues in respect to adult abuse and how they would act in the event of this. All staff have satisfactory criminal record bureau checks in place. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the home. Service users live in a clean, pleasant, hygienic, safe and well-maintained environment. EVIDENCE: A maintenance man is employed by the home and records were seen to evidence that routine maintenance is carried out as required. Several areas around the home have been redecorated and new carpets have been laid in the main lounge and hallways. New chairs and furniture has been purchased to complement the décor. Service users spoken with stated that they were pleased with the redecoration, however stated in some places some areas were a little dark when they wanted to read, especially in the small lounge. This was discussed with the manager who stated that new lamps were to be purchased. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 16 New benches and bird tables have been placed in the garden for service users to use as they wish. The lift has been refurbished. A new parker bath (specialist assisted bath) has been installed. The manager stated there are plans to refurbished the kitchen in the near future. A number of windows have been repaired or replaced; the manager stated there are plans to continue this process. The laundry room was clean, tidy and well organised. Appropriate equipment and hand washing facilities were available. The home was clean and tidy on the day of the visit. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality rating for this outcome area is good this judgement was made using evidenced available including a visit to the service. Service users needs are met and by the number and skill mix of staff, however it may be of benefit if during busy period of the day the way in which staff are utilised is considered and staff and service users views are taken in to account. Staff are working towards ensuring service users are in safe hands at all times. Service users are supported and protected by the homes recruitment policies and practices. Staff are working towards being fully trained and competent to carry out their job. EVIDENCE: The staff rotas were observed which demonstrated that sufficient staff were employed to meet the needs of service users. The manager stated that skill mix is taken into consideration when planning the duty rota. On discussions with staff they felt that additional staff would be beneficial at busy times to ensure quality time is available for each service user. On speaking with service users, two discussed that staff are very busy as there were many residents that needed help with meals and one to one care, however they expressed that their care needs were met. During the lunchtime meal one service user was observed to be assisting another to eat the meal. There were two members of staff in the main dining areas, one dishing up food the other serving, another member of staff was Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 18 assisting a service user in the lounge, two nurses were carrying out the drug round. This was discussed with the manager who stated that this was not normal practice and staff were normally available to assist service users as required. All new staff undertake a recognised induction. There was evidence to substantiate this within staff files observed. One staff member spoken with explained the induction process they had undertaken and stated that it had proved beneficial. Six members of staff have attained the National Vocational Qualification (a performance and knowledge based assessment based upon nationally recognised standards) level 2 in care. Eleven members of staff have been signed on to commence this training. Four staff files were observed which contained all the required documentation. All staff have a training and personal development file in place to substantiate all training that has taken place to date, this is since a new development since the previous inspection. The staff training matrix demonstrated that staff were working towards completing mandatory training, however there were deficits in health and safety, infection control and food hygiene. Evidence to substantiate that adult protection training has taken place was not available, the manager stated that this was due to the fact that staff had not brought in their certificates and she would request this. Service users spoken with stated that staff were always kind and considerate to needs and looked after them well. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The quality rating for this outcome area is good this judgement was made using evidence available including a visit to the service. 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 her responsibilities. The home is run in the best interests of service users. Service users personal finances are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager has worked at the home since 1986, initially as a registered nurse and the deputy manager. She has now completed the NVQ registered managers award and records were seen to demonstrate she also maintains up to date will mandatory training and other training related to her job role. Staff and service users spoken with spoke highly of the manager and stated she was caring and approachable and managed the home well. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 20 In depth monthly audits take place in regards to quality assurance, those undertaken were seen and demonstrated that action plans are put into place as required to ensure any deficits are addressed. The manager stated that all service users are spoken to monthly in respect of the service and care received. Responses were observed and these were positive. Four service users personal finances were observed. Each had an individual accounting sheet. Money for each service user is kept in one tin that is locked in the homes safe, if this reaches a large amount this is transferred into the homes residents’ bank account. There were clear records of all transactions and receipts available. There was also clear evidence of regular audits taking place. The home is not responsible for any service users finances. There is a lockable facility available within each service users room. Accident records were observed, these are audited on a monthly basis to ascertain the amount and type of accident a service user may have, the action taken and any necessary steps needed to be put into place to prevent its reoccurrence. Appropriate fires safety checks had been maintained with the exception of the emergency light checks, however on discussing this with the maintenance man it was explained that several lights were in need of repair that had been reported therefore checks had not been carried out, the inspector advised that it would be best practice to continue checks. Staff now sign to substantiate that fire drills have been undertaken. A number of staff were observed to have done this, however there remains a number of staff who have not undertaken this to date. Water temperatures are recorded on a monthly basis. All necessary maintenance checks and certificates with the exception if the mains electricity were observed. Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 22 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 responsible individual is required to ensure the safe administration and recording of medicines. Timescale for action 21/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP7 OP7 OP27 Good Practice Recommendations To further develop care plans in regards to complex needs to ensure all needs are met. To further develop risk assessments in regards to complex needs to ensure service users are fully protected. To discuss staff and service users concerns in respect with the staffing levels at busy times of the day to ensure they feel reassured that sufficient numbers of staff are available. Staff continue to work towards completing mandatory training in all areas. Emergency lighting is carried out as recommended by the fire authority. Staff continue to undertake fire drills. A copy of the mains electrical testing certificate is forwarded to the Commission for Social Care Inspection. 4 5 6 7 OP30 OP38 OP38 OP38 Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 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 Lawn Park Care Home DS0000024645.V310965.R01.S.doc Version 5.2 Page 24 - 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!