Inspection on 22/05/07 for Longmead Court Nursing Home

This inspection was carried out on 22nd May 2007.

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

Other inspections for this house

Longmead Court Nursing Home 12/06/08

Longmead Court Nursing Home 12/06/06

Longmead Court Nursing Home 07/03/06

Longmead Court Nursing Home 26/09/05

Longmead Court Nursing Home 22/02/05

Longmead Court Nursing Home 20/07/04

Longmead Court Nursing Home 30/10/03

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

CARE HOMES FOR OLDER PEOPLE Longmead Court Nursing Home London Road Braintree Essex CM77 8QQ Lead Inspector Francesca Halliday Unannounced Inspection 22nd May – 12th June 2007 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 Longmead Court Nursing Home DS0000015357.V339568.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. Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longmead Court Nursing Home Address London Road Braintree Essex CM77 8QQ 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) 01376 344440 F/P 01376 344440 Dovecote Care Homes Limited Mrs Jane Alison Billingham Care Home 54 Category(ies) of Dementia (54), Dementia - over 65 years of age registration, with number (54), Mental disorder, excluding learning of places disability or dementia (54), Mental Disorder, excluding learning disability or dementia - over 65 years of age (54) Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Persons of either sex, aged between 45 - 65 years, who require nursing care by reason of dementia (not to exceed 54 persons) Persons, aged 65 years and over, who require nursing care by reason of dementia (not to exceed 54 persons) Persons of either sex, aged between 45 - 65 years, who require nursing care by reason of mental disorder (not to exceed 54 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of mental disorder (not to exceed 54 persons) The total number of service users accommodated in the home must not exceed 54 persons 12th June 2006 Date of last inspection Brief Description of the Service: Longmead Court is located in a cul-de-sac off the main Chelmsford to Braintree Road. It is close to local shopping facilities and a large shopping complex. It has good access to bus routes and there is car parking at the home. There are close links to the A120 and M11 motorway. The home is a two-storey building and the majority of rooms are single. There are several communal lounge/dining areas. The home is registered to provide nursing care for up to 54 people with dementia and mental disorders, who are over the age of 45 years. The home is predominantly for older people. The home had a range of information for prospective residents and their representatives. At the time of inspection, in May 2007, the fees ranged from £700 to £775. Additional charges are made for toiletries, hairdressing and private chiropody. Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection included inspection visits on 22nd and 24th May 2007. Throughout the report the term resident is used to describe people living at Longmead Court. The inspection included discussions with 7 residents, although advanced dementia made communication difficult with the majority of them. 3 relatives were spoken with during the inspection and 4 completed surveys were received from relatives. 8 staff including the manager and deputy manager were spoken with during the inspection. Additional information was requested at the time of inspection and was received on 12th June 2007. This concluded the inspection process. The year prior to this inspection had been extremely busy for Longmead Court as an extension to the home was built and which opened in October 2006. This increased the number of beds in the home from 30 to 54 and involved the recruitment and training of a large number of additional staff. What the service does well: What has improved since the last inspection? What they could do better: The standard of care documentation needed to be more resident focused and have more of an emphasis on identifying and retaining residents’ life skills. An example of more resident focused care plans and risk assessments was sent to the Commission following the inspection, and training in care documentation Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 6 was being arranged for both nurses and care staff. The management of medicines needed to be improved and following the inspection the manager took prompt and appropriate action to address this. Frequent medicines audits were being carried out and additional staff training was being given. 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. Longmead Court Nursing Home DS0000015357.V339568.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 Longmead Court Nursing Home DS0000015357.V339568.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): Standard 3 (standard 6 not applicable) Quality in this outcome area is good. Residents are assessed prior to admission to ensure that the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager or deputy manager always carried out a pre-admission assessment for potential residents. The pre-admission assessment had an appropriate focus on mental health and the information was on some occasions supplemented by a social services assessment. The assessments seen generally gave a good indication of the prospective residents’ needs. The manager was advised to expand the form to include a place for the assessor to sign and to ensure that all aspects of standard 3.3 and information about any wounds was included. One relative said that they had been involved in the decision about the choice of home and had visited the home prior to the resident being admitted. Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 Quality in this outcome area is good. Residents’ health and care needs are met and they are treated with respect. The manager is taking prompt action to improve care documentation and medicines management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents who could express a view said that they were happy in the home. All relatives spoken with and surveyed said that they were very satisfied with the standards of care in the home and considered that residents’ privacy and dignity was respected. However, care plans were not generally resident centred and did not provide sufficient evidence that staff were encouraging choices and independence and identifying and preserving life skills. Discussions with staff indicated that they were monitoring residents’ psychological health but there was limited documentary evidence to confirm this. The care plans had been reviewed but care and care needs were generally not being evaluated on a regular basis. The care documentation was not being used as a communication tool between nurses and care staff. Carers Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 10 and senior carers spoken with said that they did not have any direct input into the care records and did not refer to them. A discussion about the care documentation was held with the manager and some of the staff and following the inspection a sample of revised care plans was sent to the Commission. The new care plans were much more comprehensive. The manager said that staff would be given training and support to improve the care documentation and to make it more resident centred. The manager said that care staff would also be involved more directly in care planning and in recording the care they had given. Residents’ weight was monitored on a monthly basis, but the information was recorded in a book and not always transferred to the residents’ individual records (see standard 37). There was evidence that action was taken to address any resident’s weight loss. Staff reported that the support from local GPs was good. Medicines management in the home at the time of inspection needed to be improved. The Controlled Drugs (CD) balance was checked and found to be correct. The manager was advised that for safe practice money and valuables should not be stored in the CD cupboard. The medication (paracetamol) belonging to one resident had been given to another, who was not prescribed it. Staff were told that medicine prescribed for one resident must never be given to another and advised that it might be beneficial to agree a list of homely remedies with visiting GPs. Some medicines with a limited shelf life had been dated on opening but not others. There was no record of the administration of topical creams on either the Medicine Administration Records (MAR) or the care documentation. On occasions when the prescription was for a variable dose it was not possible to establish the actual dose given. Staff were advised to record this on the reverse of the MAR. In some instances an explanation of the codes used on the MAR was needed. There were some gaps on the MAR where it was not clear whether the resident had received their prescribed medicines. Some residents prescribed sedatives, painkillers and laxatives on a regular basis were being given them when needed. Staff were advised to ask the GP to change these prescriptions to “as required”. A few changes to residents’ medication, on the MAR, had not been signed or dated. One resident’s prescribed medication was not available for a period of over two weeks. One resident’s medicines were being crushed to aid administration (with the knowledge of the resident’s GP). However, this practice was specifically contraindicated with one of the medicines prescribed and staff were advised to check with the pharmacist prior to the next medicine round. The manager was advised to expand the medicines policy to cover covert administration of medicines and verbal orders. The manager said that this would be done following the inspection. Staff said that residents had not had a recent medicines review. However, a system for three monthly reviews, and Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 11 improved liaison with the GP in relation to medicines, was arranged following the inspection. The clinical room had an air conditioning unit and temperatures were monitored and seen to be within safe limits for the storage of medicines. The drugs fridge temperatures were on occasions outside the safe storage of medicines, which is 2-8c, and the manager was advised to investigate this. Following the inspection the manager drew up a prompt action plan to address the issues raised in relation to medicines, which included increased medicines audits, spot checks and additional staff training. The manager said that the pharmacist was also being asked to carry out audits and provide additional advice. Longmead Court Nursing Home DS0000015357.V339568.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15 Quality in this outcome area is good. The standard of activities and links with the community have improved. Residents receive a nutritious diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The overall standard of activities and stimulation in the home had improved considerably since the last inspection. The home had one full time and two part time activities co-ordinators and carers also regularly took part in activities. There were a range of activities, which included arts and crafts, watering the garden, feeding the birds and some physical activities. Residents had trips out to the local shops and a trip to Maldon had taken place. A number of further outings were being organised. The activity co-ordinator said that they were planning to create a portfolio of residents’ craftwork and paintings. The activities co-ordinator said that they were trying to find some training on exercises for older people. The activities and care staff had not had any training in the range of activities for older people with dementia. A few staff needed more guidance about how important it was to interact with residents Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 13 when supervising them in the lounges. The manager said that this would be discussed at the next staff meeting. The home had links with the local community, schoolchildren visited and occasional entertainments were held in the home. A PAT dog visited every fortnight and the mobile library visited regularly. The home had a student on work experience. They received an induction and guidance on their role whilst in the home. The manager said that they had tried to contact local clergy to arrange for visits to the home but without success. Relatives said that they were made very welcome when they visited. There was evidence from observations during the inspection that residents were being given choices. However, one carer was observed trying to take a resident to the toilet against their will, until a senior member of staff intervened. As stated in Standard 7, staff needed to provide more evidence that promoting choices and independence and helping to preserve residents’ life skills was an integral part of daily care. The kitchen was clean on the day of inspection and looked well organised. The menu did not have choices but there was evidence of alternatives if residents did not like what was on the menu. Residents who could express a view said that they were happy with the food in the home. A relative said that the resident they visited only liked a limited range of foods and said “Staff try to tempt her with different foods”. Staff were observed helping residents with their meals in an appropriate and unhurried manner. Fly screens had been installed in two of the kitchen windows since the last inspection. Longmead Court Nursing Home DS0000015357.V339568.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16, 18 Quality in this outcome area is good. Relatives are confident that concerns are addressed promptly and that residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a complaints procedure and relatives were generally aware of how to make a complaint. There was evidence that the manager had an open door policy and addressed concerns very promptly. One relative said that they were very happy with staff attitudes and standards of care, “I’ve got no complaints whatsoever”. The manager said that staff were being encouraged to document verbal complaints so that the manager and deputy were made aware of any concerns or issues raised. The home had a protection of vulnerable adults (POVA) policy. Staff spoken with had an understanding of the types of abuse that could occur and the action to take if abuse was suspected or poor practice observed. The majority of staff had received POVA training. Longmead Court Nursing Home DS0000015357.V339568.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 26 Quality in this outcome area is good. The environment is clean and well maintained and new furniture is being ordered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was in good decorative condition and rooms seen were generally well personalised to individual residents. There was a mismatch between the height of some dining tables and chairs and one resident was seen with the table nearly up to their neck. There were very few small tables in the lounges for residents’ use. The manager said that she was taking steps to address these issues following the inspection and that new chairs and tables had been ordered. Relatives said that the home was kept very clean and free from unpleasant odours. The security of the stairs, and the safety of residents, had been improved since the last inspection with the addition of keypads on the doors leading to the stairs. Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29, 30 Quality in this outcome area is good. The home has an appropriate number and skill mix of staff and training is given a high priority. Recruitment procedures are sound. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the day the staffing levels were 2 nurses and 12 carers from 07:00 – 21:30. At night the levels were 2 nurses from 21:00 – 08:00 and 4 carers from 21:00 – 07:30. Both the manager and deputy manager were supernumerary to the above numbers. The nurses were a mix of general and mental health trained. The majority of relatives spoken with and surveyed considered that there were generally sufficient staff on duty. However, one relative said that occasionally staff left residents unattended in the lounge for 10-15 minutes and said “I have felt quite vulnerable at these times”. The manager said that there was a policy for a member of staff to supervise residents at all times in the lounges and that staff would be reminded that a nurse should cover if carers were called away. The home had appropriate numbers of domestic, catering and laundry staff plus a handyman and a gardener. A sample of three staff files was inspected. There was evidence that all the required checks were carried out and information obtained prior to staff taking Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 17 up employment in the home. Staff had Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) list checks and checks with the Nursing and Midwifery Council (NMC) where appropriate. The manager said that she would set up systems to check nurses’ continued registration status periodically through the year. A discussion was held with the manager about the benefit of using set questions for the interviews of different grades of staff and recording the answers given, as good equal opportunity practice. The home employed an experienced mental health nurse as a part-time trainer for one day a week. The trainer confirmed that all new staff received induction in line with the Skills for Care common induction standards. Training in the Mental Capacity Act was planned. The manager said that 30 staff had achieved National Vocational Qualification at level 2 or equivalent. She said that senior staff would be giving training sessions in core care skills for the care staff to ensure consistency of standards. 8 nurses, 3 senior carers and 3 carers had attended tissue viability training. 4 carers attended a study day on teamwork. Approximately 15 staff had received training in falls prevention. A number of staff had received training in dementia care and care of the older person with Parkinson’s disease. 6 carers attended a dementia care study day in March 2007. Some staff said that they would like more training in dementia care and one said that they would like to have training in breakaway technique. The manager said that 20 staff were due to attend a two day course in dementia care in the near future. The manager confirmed that bank staff, who also worked in other establishments and could not provide current evidence of training, would receive training at the home. Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 38 Quality in this outcome area is good. The home is run in the best interests of residents and a quality assurance programme is being developed. The manager is aware of staff training needs in relation to safe working practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is a very experienced nurse with considerable management experience. Staff said that they found the manager very supportive and relatives said that they found her very approachable. The manager and deputy manager were both supernumerary and the home had full time administrative support. Both the manager and deputy had received training in supervision, staff appraisal, personal safety management and performance management. The deputy had also attended seminars on duty of care, Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 19 diabetes and the revised NMC Code of Professional Practice. The manager was due to attend training on infection control for managers. The home carried out surveys with relatives each year in order to get feedback on the quality of care and services. Some audits were also carried out, for example of accidents, but quality assurance was an area that needed to be developed. There were satisfactory systems in place to handle residents’ monies. Receipts were available and balances checked were correct. The company accountant audited residents’ monies. The manager said that the use of double signatures for all transactions undertaken was introduced following the inspection. Staff were advised that a number of care documents seen, the handover sheets, communications book, weight book, doctor’s book and incident book, did not meet the Data Protection Act 1998 and maintain confidentiality of personal information about residents. Any list of information about residents, for example to discuss with the visiting GP, must be kept secure and destroyed once details of residents’ treatment and care have been transferred to their individual folders. There was evidence that accidents were being recorded and analysed. A carer was seen to transport a resident in a wheelchair without footplates and tipped back in the chair. No comment was made on this even though there were a number of staff in the vicinity when this occurred. The manager said that staff would be reminded about the appropriate use of wheelchairs to transport residents. The home had a moving and handling trainer. The manager said that the trainer was due to do an assessment of all residents in relation to their moving and handling and equipment needs. New care staff had a session on moving and handling in their induction and worked with a senior carer until they had received their formal training. The manager said that they would be appointing a health and safety representative for the home, who would receive additional training for the role. Some staff were in need of training or an update in infection control and food hygiene. The manager was aware of this and said that training would be arranged. There were systems in place for servicing and maintenance of equipment. A fire risk assessment had been carried out and the manager said that the few issues raised were being addressed. Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 20 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 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X 2 3 Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 21 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. The following requirements were discussed with the registered manager at the time of inspection. No. 1. Standard OP7 OP14 Regulation 15(1)(2) Requirement Care plans must be resident centred with information on individual abilities, and with an emphasis on promoting independence and the preservation of life skills. The monthly evaluation of care and care needs must involve residents and relatives and be used to update the care plans. This was a requirement in the last report – the timescale of 01/08/06 was not met. Timescale for action 01/08/07 2. OP9 13(2) Records of the administration of 22/05/07 medicines must provide a clear audit trail and evidence that residents have received their medicines as prescribed. Residents must only receive medicines that they have been prescribed and systems must be put in place to ensure that residents do not have a break in the supply of a prescribed medicine. This was a requirement in the DS0000015357.V339568.R01.S.doc Version 5.2 Page 22 Longmead Court Nursing Home last report – the timescale of 01/08/06 was not met. 3. OP33 24 A quality assurance programme 01/10/07 must be developed that provides evidence of the actions being taken to review and improve services and care for residents. A copy of the quality assurance report and action plan must be sent to the Commission when it has been completed. This was a requirement in the last report – the timescale of 01/11/06 was not met. Records in the home must 01/08/07 comply with the Data Protection Act 1998 in order to maintain confidentiality of residents’ personal information. This was a requirement in the last report – the timescale of 01/08/06 was not met. 4. OP37 17 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations Staff should have training in activities and social interactions/stimulation in order that they understand the range of activities that can benefit residents at all different stages of dementia. Longmead Court Nursing Home DS0000015357.V339568.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Longmead Court Nursing Home DS0000015357.V339568.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. 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