Inspection on 22/08/07 for Margaret`s Rest Home

This inspection was carried out on 22nd August 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 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

Margaret`s Rest Home 13/09/06

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 Margaret`s Rest Home 32 Kingsley Road Kingsley Northampton Northants NN2 7BL Lead Inspector Thea Richards Unannounced Inspection 22nd August 2007 10:00 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 Margaret`s Rest Home DS0000067708.V346984.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. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Margaret`s Rest Home Address 32 Kingsley Road Kingsley Northampton Northants NN2 7BL 01604 710544 01604 792789 carehome32@aol.com 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) Hollyberry Care Limited Ms Kathryn Emma Clarke Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (23), of places Physical disability over 65 years of age (5) Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No service user in the category of OP may be admitted when there is already a total of 23 service users accommodated in this category. No further service users in the category of DE (E) may be admitted when there is already a total of 23 service users accommodated in this category. No further service users in the category of PD (E) may be admitted when there is already a total of 5 service users accommodated in this category. The number of service users accommodated must not exceed 23. Date of last inspection 13th September 2006 Brief Description of the Service: Margaret’s Rest Home is a care home providing personal care and accommodation for 23 older people with physical and/or mental health needs. Hollyberry Care owns the home and Kathryn Clarke has been the manager since 2005. Margarets Rest Home is a large Victorian house situated on the outskirts of Northampton, opposite the racecourse. Local shopping and leisure amenities are close by and the home has good access to local transport facilities. There is limited parking in the road outside the home. The accommodation is mainly single bedrooms with en-suite facilities with two shared bedrooms without en-suite facilities. On the ground floor there is a lounge with a dining area. A stair lift provides access to the first floor and there is a pleasant garden and parking area to the rear of the property. Weekly fees range from £348.00 to £390.00 for those residents with mental health needs and £ 318.00 to £ 420.00 all others. There are extra charges for hairdressing, chiropody, newspapers and personal items. The current registration certificate from the Commission for Social Care Inspection is displayed in the reception area. The latest report is available in the manager’s office. The home can be contacted by telephone, fax or email Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of a care home for older persons, which ended with an unannounced visit to the service. Before the visit the inspector spent four hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on the 13th September 2006. The visit took place on the22nd August 2007 and lasted seven and a half hours. During the visit the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was completed through a method called ‘case tracking’. Case tracking means that the inspector looked at the care provided to two of the residents. To achieve this, the residents and, where possible, their families were spoken with. The inspector spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. The inspector also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. The inspector looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. The inspector looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit the inspector spoke with the manager, the owner, staff, residents, families and visitors. What the service does well: There are good numbers of staff with a good skill mix on all shifts. The staff and the manager all receive excellent training to meet the needs of the residents. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 6 The staff show empathy and support to the residents when looking after them and are aware of all their needs. The residents are given a varied programme of activities. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Margaret`s Rest Home DS0000067708.V346984.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 Margaret`s Rest Home DS0000067708.V346984.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): 2, 3. 6 is not applicable in this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. To make sure that they will receive the right care, residents’ needs are well assessed prior to moving into the home by the completion of a pre-admission assessment and a visit to the home. EVIDENCE: The care records of the residents who were case tracked, showed that they had all had received a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the information that is needed about the services offered and the Terms and Conditions that apply. Providing a comprehensive Statement of Purpose & Service Users’ Guide gives good information for the residents, making sure that they they can get the most suitable care. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 9 One of the residents families spoken with told the inspector that they had a visit from the home manager before their relative was admitted. They confirmed that they were given the opportunity to visit the home before they came in. The residents are offered the opportunity of a month’s trial at the home to make sure that they are happy there. This makes sure that that the staff in the home have the the right information before the resident is admitted so that the resident gets the best care. It makes sure that the home can meet the residents needs and that the resident meets someone from the home who they can recognise. This makes the move into care easier to manage for them. Members of the staff spoken with said that they knew what the residents needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection (CSCI) was displayed in the entrance of the home, with an up to date insurance certificate was displayed in the entrance hall. This makes sure that prospective residents know that the home is registered to be able to care for them. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff meet the care needs of the residents as identified in the care plans, which the residents and their families are happy with. EVIDENCE: The care plans which were ‘case tracked were found to contain good individual evidence of the care being given to the residents. There are keyworkers for the residents identified in the care plans. Key workers are members of staff who have particular responsibility and interest in an individual service user. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the doctor Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 11 and other health professionals when they needed to. There are records of the meals that the residents have eaten, which makes sure that they are having an adequate diet. There are records of the residents being weighed regularly which makes sure that they are maintaining their weight. The residents needs for the protection of their skin is monitored and the home involves the district nurse and provides equipment to protect them from pressure damage. The care plans seen had been agreed by the resident or their families which makes sure that the resident and/or their families are aware of the care to be given and that they agree with it. The daily record of care is up to date, which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. There is evidence in the careplans showing that the residents are given choices in when they wish to get up and what they would like to wear. Their was evidence in the careplans to provide privacy for residents who are married or who have a personal relationship. The inspector saw the residents being treated with dignity and respect when staff spoke with them. The staff were seen to be sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. Staff seen giving care did so in the right way, giving the residents privacy where needed and were seen to be knocking on the residents doors before going into them. Staff spoken with were aware of the care needs of the residents and the residents and the families spoken with were happy that all the care needs were being met. There are risk assessments in place to cover all the identified risks for the residents. This makes sure that the residents and the staff are protected from any risks that have been identified, without restricting their activities. Medication records for the case tracked residents were in order. Medicines are only given by the manager or the senior carers, who have all had extensive medicine training. This was confirmed by the staff and by the records seen. The medicine round was seen by the inspector and medicines were administered individually and the residents seen to be taking them. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 12 The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The manager regularly looks at the record sheets but does not record this. She should consider formally auditing the records and recording the results. The chemist who supplies the medicines regularly audits the medicines and these were in order. The ‘controlled’ (dangerous) drugs storage and records were looked at. When giving ‘controlled’ medicines the numbers of tablets should be counted and recorded when they are given. There is a policy in place for the residents who are able to look after their own medicines. However, there are no residents looking after their own medicines at the moment. Consideration could be given to obtaining a trolley to store the medicines and to help the staff to give out medicines safely. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have their social, spiritual and nutritional needs met very well. Their views are taken into consideration and acted on. EVIDENCE: There was evidence of a good range of activities being provided both inside and outside the home. These include someone coming in to play the piano and the residents are taken out to local pubs and theatres. There are themed activities every month, such as Burn’s night, Valentines day, St Patrick’s day etc. There is a list produced weekly, showing what activities are happening, these are also included in a monthly newsletter which has other information about the home. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 14 On the day of the visit the staff were seen to be spending individual time with the residents, having a sing a long and using a sensory basket. This is where the residents pick an item out of the basket to feel and to talk about. They all seemed to be enjoying the activity. The home have developed a form ‘ Getting to know you’, which gives information about the residents likes and dislikes. If the residents don’t like the choice of meal, the cook offers an alternative and was seen to be talking to all the residents to ask which meal they wanted that day. The inspector spent time with the residents at lunchtime and all the residents said that they were enjoying their meal and that if they always had a choice ls if they didn’t like the meal that day. The cook is has a good understanding of the dietary needs of the residents including diabetic diets. Visitors are made welcome in the home and some regularly take their relatives out. This was confirmed by visitors and families spoken with who told the inspector that they were made very welcome at any time. The inspector saw the welcome given to visitors when coming into the home which was warm and friendly. They are spoken with regularly on a one to one basis by the manager. The manager or the deputy sees each of the residents on a one to one basis every day. There are annual quality audits to get the views of the residents and their families. The manager holds regular residents meetings, which have minutes taken. These practices make sure that the residents keep contact with the community and their families and that views for improvements can be considered. There is a regular church service within the home which the residents enjoy and communion can be arranged for them if they wish it. The local Roman Catholic church arranges visits for those residents of that faith or the residents visit the church. These practices make sure that the pastoral care needs of the residents are met and that all Faiths are provided for. Individual needs for the residents are identified and the staff are trained to deal with them. This has happened in areas such as residents with dyslexia and where there are communication needs, such as English not being their first language. A hairdresser visits regularly and the residents told the inspector that they really enjoyed her coming. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 15 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. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if they needed to. The complaints book was looked at and there are several records of minor concerns that had been received since the last inspection on 13th September 2006 these had all been resolved satisfactorily. The Commission for Social Care Inspection has received one complaint since the last inspection, which had been documented and had been resolved satisfactorily. There were many letters and cards of praise and thanks for the care that the home gives. The residents spoken with were happy that they would speak to the manager or a member of staff, if they had a problem and that it would be dealt with. Families spoken with on the day of the visit said that they were aware of the procedure to complain and would have no concerns about doing so. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 16 The staff spoken with knew how to deal with a complaint which was given to them. Consideration could be made to produce the complaints policy in other formats, such as in large print, signs or other languages. The date that the concern or complaint had been resolved should be put onto the complaints form. The staff confirmed that they had had training in safeguarding adults and this was confirmed by the training records held in the home. The staff spoken with told the inspector how they would handle such an incident and that they would have no concerns about ‘whistleblowing’. This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a pleasant home, which provides for their needs and will be improved by the provision of new accommodation. EVIDENCE: Margaret’s Rest home is a converted house on the outskirts of Northampton. There is a lounge and a dining room in the home, which are crowded for the residents. The owners are in the process of extending into the house next door, which will provide much larger and suitable communal area for the residents. The extension will provide a lift to the first and second floors, so that the stair lift can be removed. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 18 There are pictures on the walls, including those of the staff and of the residents enjoying activities. The home is well maintained, clean and free from any unpleasant odours and it gives the residents a pleasant place to live in. The garden and patio area is well kept and is accessible for the residents, who regularly enjoy spending time out there. The summer fair had been held out there on the Saturday before the visit, which the residents said that they had enjoyed. The bathrooms are clean, tidy and free of any hazards. One of the bathrooms had unnamed toiletries in it, which could cause a hazard for confused residents, who might drink them. There could be an infection control risk if toiletries were used for more than one resident. The manager was informed about this and the items were removed from the bathroom before the end of the visit. With their permission the case tracked residents bedrooms were looked at by the inspector. They provided good accommodation, which had been personalised with the resident’s belongings. The bedrooms were clean and well maintained. Sharing a room would be discussed with the resident and their families before they moved in. The residents could be given privacy with the use of screens. There was evidence of equipment such as hoists having been provided to help in the care and comfort of the residents. There were no further outstanding safety or maintenance issues seen on the tour of the premises. The registration certificate from the Commission for Social Care Inspection was displayed with a current certificate of insurance. The inspection reports are available in the office. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents’ needs are well met and their safety protected by the recruitment policy and by the training that is in place. EVIDENCE: There was evidence of a good skill mix and number of staff to make sure that the residents have the right care. The duty rota reflected the number of staff on duty. The residents, staff and visitors spoken with felt that there were enough staff on duty to look after them properly. Three staff files were looked at by the inspector and the required information was complete in all of them. This included evidence of identification, completed application forms, two written references and Criminal Records Bureau checks. There was evidence of extensive staff training including induction and the staff spoken with confirmed that they received regular training in moving and handling. Ongoing training includes basic food hygiene, first aid, dementia and Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 20 challenging behaviour. All the staff receive a staff handbook which outlines the information and training that they need. The home employs a dedicated training person who holds a Natonal Vocational (NVQ) assessors award and staff have regular training time allowed to them There are 77 of the staff with an NVQ in care at level 2 or above. This is above the level required by the Care Standards act 2000 and is to be commended. Training in how to deal with the chemicals in the home is in place and the staff have data sheets explaining how to use chemicals safely. The Manager has completed the registered managers award through the National vocational award programme. The National Vocational Qualification is a qualification for care staff to make that they receive the right training in the needs of the resident group whom they are caring for. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a home, which is run in their best interests; with health and safety records and staff supervision being are up to date. EVIDENCE: The manager and the owner were available throughout the visit to the home. The manager has managed the home for two years and has completed the Registered managers award (RMA). Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 22 There was evidence of staff supervision taking place as often as it is required by the Care Standards Act 2000. The process of formal supervision time gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs and should be recorded. There are regular meetings held with the staff to pass on and exchange information and minutes are kept. The manager holds regular meetings with the residents as well as one to one discussions both to pass information on and to listen to their views and opinions. There is a regular newsletter produced to let the residents and the families know what is going on in the home. There are annual quality questionaires sent out to residents and their families to gain their views about the home. There is a suggestion box available in the home to allow the residents, their families and the staff to put suggestions into. These practices allow the manager and the responsible person to respond to the residents and the staff’s needs. The home has been the Investors in People Award, which looks at the recruitment and training of staff and its impact on the residents. The residents ‘pocket money’ is held in the office and the records looked at were in order with two signatures on each transaction There are policies and procedures in place for the home, which are up to date and regularly reviewed. The records for the testing of hot water and the fire alarm tests were found to be up to date. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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 4 Refer to Standard OP9 OP9 OP9 OP16 Good Practice Recommendations Consideration should be given to obtaining a medicine trolley for the storage and the safe administration of the medicines. The registered manager should complete and record the outcomes of regular medicine audits. Controlled drugs should be monitored and counted whenever they are given. The complaints form should have the date on it when the complaint is resolved. Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Margaret`s Rest Home DS0000067708.V346984.R01.S.doc Version 5.2 Page 26 - 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. 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