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Inspection on 11/10/07 for Meadow Lodge Care Home

Also see our care home review for Meadow Lodge Care Home for more information

This inspection was carried out on 11th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Staff work closely with residents and relatives to ensure residents settle into the home. Residents and relatives are involved in reviews to ensure that the care they receive is appropriate.. Appropriate health care professional support is obtained for residents with pressure care needs to ensure they receive the care they need.. Residents are treated with respect and their dignity is protected. Suitable activities are available to meet the needs of all the residents. A choice of nutritious and appetising meals is available to ensure residents have an appropriate diet.. Complaints are documented, investigated and complainants are responded to, ensuring that their concerns are addressed There are enough staff to meet the needs of the residents at the home Half of the staff have achieved their National Vocational Qualification to make sure they are trained to meet the needs of residents who need care. Proper checks are done on all staff who come to work at the home to make sure they are suitable to work with vulnerable people The home is well maintained and homely ensuring that residents live in a safe environment.

What has improved since the last inspection?

More information is on care plans ensuring that where needs are identified staff have the information to meet them. Risk assessments take place to ensure residents are protected and the risk is minimised. Where residents need bed rails families are now involved in the decision to have them fitted following a risk assessment. Radiator covers have been fitted to identified radiators to minimise the risk of a resident burning themselves. The garden area has been improved and secured providing residents with a pleasant and safe place to sit.

What the care home could do better:

The admission assessment could follow the information detailed in National Minimum Standard 3 and include information regarding oral hygiene to ensure all residents needs are identified.

CARE HOMES FOR OLDER PEOPLE Meadow Lodge Care Home 21-23 Meadow Road Beeston Rylands Nottingham NG9 1JP Lead Inspector Susan Lewis Unannounced Inspection 11th October 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 Meadow Lodge Care Home DS0000008717.V348558.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. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow Lodge Care Home Address 21-23 Meadow Road Beeston Rylands Nottingham NG9 1JP Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0115 922 8406 0115 922 8406 meadowlodge1@btconnect.com Mr David Teece Mrs Margaret Ann Teece Mrs Margaret Ann Teece Care Home 25 Category(ies) of Dementia (25), Old age, not falling within any registration, with number other category (25) of places Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following categories of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is : 25 9th January 2007 2. Date of last inspection Brief Description of the Service: The weekly fees for 2007/08 are between £288 and £326, these fee do not include hairdressing, chiropody and toiletries of choice. The most recent inspection report is available in the reception area. Meadow Lodge is situated on a main bus route, close to a railway station and one mile from Beeston Town Centre. The home is registered to care for 25 older people, including those with Dementia, in two linked adjacent houses. Accommodation is in single and double rooms and is provided on two floors with two passenger lifts. There is a large dining room and four separate lounges. The patio and gardens are pleasant and well maintained. There is new enclosed garden that is accessible for all residents. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection involved one inspector; it was unannounced and took place over 7.5 hours, including lunchtime. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. Some of the people who live at this home have a limited ability to understand and communicate. Therefore some judgements in this report are from observation of staff and resident interactions Two members of staff, a visiting health care professional and one set of relatives were spoken with as part of this inspection. In addition the views of two other residents who were not part of the “case tracking” were sought to form an opinion about the quality of the service. Documents were read as part of this visit and medication was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building was undertaken, all communal areas were seen and a sample of bedrooms to make sure that the environment is safe and homely. A review of all the information we have received about the home since the last inspection was considered in planning this visit and this helped decide what areas were looked at. Relatives interviewed said they were given a brochure about the home, and had seen an inspection report. What the service does well: Staff work closely with residents and relatives to ensure residents settle into the home. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 6 Residents and relatives are involved in reviews to ensure that the care they receive is appropriate.. Appropriate health care professional support is obtained for residents with pressure care needs to ensure they receive the care they need.. Residents are treated with respect and their dignity is protected. Suitable activities are available to meet the needs of all the residents. A choice of nutritious and appetising meals is available to ensure residents have an appropriate diet.. Complaints are documented, investigated and complainants are responded to, ensuring that their concerns are addressed There are enough staff to meet the needs of the residents at the home Half of the staff have achieved their National Vocational Qualification to make sure they are trained to meet the needs of residents who need care. Proper checks are done on all staff who come to work at the home to make sure they are suitable to work with vulnerable people The home is well maintained and homely ensuring that residents live in a safe environment. What has improved since the last inspection? More information is on care plans ensuring that where needs are identified staff have the information to meet them. Risk assessments take place to ensure residents are protected and the risk is minimised. Where residents need bed rails families are now involved in the decision to have them fitted following a risk assessment. Radiator covers have been fitted to identified radiators to minimise the risk of a resident burning themselves. The garden area has been improved and secured providing residents with a pleasant and safe place to sit. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. People are assessed as to whether the staff at the home can meet their needs and are supported appropriately to settle in to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager reported that she always obtains a social services assessment prior to a person moving to the home and assesses the person once it has been decided that they are able to meet the person’s needs. This was confirmed in discussion with relatives who said that the manager had carried out an assessment and discussed what staff could do to support their loved one. They also said that staff had been very helpful in helping their loved one settle into the home. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 10 Three care plans were viewed as part of the inspection and they all used the same format. It was a pre printed book, which covered different aspects of the resident’s life and gave a narrative of what staff needed to do to ensure residents were supported. Diary notes show how assessments are developed to inform the care plan. Although this covered most activities of daily living it did not totally cover everything mentioned in Standard 3 of the National Minimum Standards, particularly oral hygiene needs. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ health and personal care needs are addressed in a way, which is consistent, safe and respectful. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three plans were viewed as part of the inspection. Care plans were created from the care diary and included a narrative of how staff were to provide care this included information such as what time the person wanted to get up. . Any particular likes for meals and the size of appetite. This also included any cultural needs. Plans described in detail what help and support was needed to maintain the person’s independence. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 12 Plans were signed by the key worker and head of care and where possible the residents also signed plans or where not possible relatives signed. The monthly evaluation was carried out by carer and commented on by head of care or manager, care plans were also seen in some cases by social worker who signed to say agreed with result. Where a resident had specific care needs due to pressure ulcers this was documented with information about who had been contacted including Tissue Viability Nurses and District Nurse A requirement set at last inspection regarding bed rails and ensuring that an appropriate risk assessment was carried out this was seen and the requirement is met. A requirement was also set at last inspection regarding necessary equipment to be available for the safe use of bedrails to ensure service users are fully protected was evidenced in service users bedroom and is met. Diary notes show that the district nurse visits daily. There was also evidence in the diary notes that the staff are liaising with GP regarding this and also son. A requirement was set at the last inspection to ensure that care plans described how identified needs were to be met. This was seen in care plans viewed and is met. A requirement was set to fully protect residents through risk assessments this was evidenced in care plans and is met. Care were reviewed and relatives spoken with said that they were invited to discuss care plans and review them with the senior staff. Medication was observed being administered during lunchtime and Medication Administration Record sheet were only signed once medication was taken by the resident. The medication trolley is locked to the wall in the dining room and the three medication charts checked showed no errors. Medication was appropriately recorded for all incoming and returns with records signed by the pharmacist. A requirement regarding safe disposal of medication made at the last inspection was met. A copy of the training that staff receive to ensure safe administration was provided but not filled out this requirement set at the last inspection is not fully met. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 13 Observation of staff throughout the day with residents showed them to be speaking politely and pleasantly with residents. Residents spoken with said that staff were always kind saying that they were very nice and another said ‘staff are lovely’. Residents were all dressed smartly and all said that they wore their own clothes and staff respected their wish as to what time they got up and went to bed. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents have access to a variety and appropriate activities that stimulate and entertain them. Residents are encouraged to maintain contact with family and friends. Meals are well balanced and nutritious. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that a variety of activities were provided for residents including keep fit, reminiscence, karaoke as well as watching films. Staff spoken with confirmed that residents were able to spend their day as they wished and that a variety of activities were available. Dairy notes did indicate what residents had done during the day but as notes were not done daily it meant that only if something significant took place was it recorded. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 15 The manager reported that a catholic priest visited regularly and residents spiritual needs were identified and where possible met. Residents spoken with said that they spent their day as they wanted to and enjoyed doing the singing and had people come to the home to entertain them. The manager showed various activity packs that she had purchased to assist in a different activities that were suitable for residents with different abilities such as dementia. Relatives spoken with said that they felt the staff were lively and the home had ‘a buzz about it when you visited’. Residents were observed throughout the day walking freely about and were able to use a variety of space to meet visitors in private or in the various lounges available. Family spoken with said they were always made to feel welcome. Residents were able to personalise their bedrooms and those viewed showed that they had where possible been able to bring small personal items with them. The midday meal was observed and it was Tomato soup, belly pork with fresh vegetables and Apple Pie. In discussion with the cook he said that he cooked what the manager said was the meal for that day, meals were adapted for people with diabetes and alternatives were given. In discussion with the manager she had a good understanding of how aging and dementia affected the palate and people’s appetite and the need to ensure meals were not only nutritious but also appetising for residents. The manager said that she also discusses residents dietary needs when they move to the home as well as regularly checking the menu to ensure that residents still like it. The kitchen was clean and well maintained with good stock control; fridge and freezer temps were taken to ensure that food is maintained at a safe temperature. Residents spoken with said that the food was very good and they got plenty of it. If they particularly liked something then the manager would make sure they had it. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ concerns and complaints are responded to and investigated appropriately and staff understand their responsibilities in terms of safeguarding adults and whistle blowing on poor practice which protects residents from risk of potential harm and abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission has received no concerns regarding this service since the last inspection. A copy of the complaints policy is available in every resident’s bedroom, relatives spoken with said that the policy was explained to them when their loved one moved to the home. Residents spoken with all said that they would speak to the manager if they had a problem but no one spoken with had needed to complain. Relatives spoken with said that if they had raised any issues with the manager or staff they had been dealt with immediately and so felt that if they needed to complain about something serious it would be dealt with promptly. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 17 Staff spoken with understood what the whistle blowing policy was and what their responsibility was to ensure residents safety. Staff said that they had received training regarding a safe guarding adults and understood the different aspects of what abuse was and again what they must do to protect residents from abuse. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home is fit for purpose, is well maintained and is homely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A Partial tour took place and the service was clean and tidy, a new carpet has been laid in all the communal areas and residents commented on the improvement this had made to the home. The garden area is pleasant and accessible to residents but safe and secure so residents who may be at risk through their dementia are able to maintain some independence whilst maintaining their safety. A grant has recently been obtained through the local authority and this has been used to improve the garden to the side of the home. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 19 The sample bedrooms were pleasant and homely with evidence that they were personalised by residents and their family. Relatives and residents all felt it was well maintained and that their personal space was kept clean and relatives said that the home never smelt. Staff also felt the home was well maintained during the course of the visit a member of staff was seen carrying out maintenance in the home. The laundry facilities are separate and staff do not have to walk through where food is prepared or served to take soiled linen to the laundry. Residents said that their clothes were cleaned to their satisfaction. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Recruitment procedures are robust and protect residents from people who may abuse them and staff receive suitable training to ensure that they are able to meet the needs of all residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff rotas were viewed to ensure that enough staff were employed to meet the needs of all the residents. Residents, staff and relatives all felt that there were enough staff on duty, occasionally when staff phoned in sick at short notice it caused a problem but this was usually dealt with promptly by the manager. From pre inspection information received from the manager it showed that 50 of all staff have achieved their NVQ National Vocational Qualification 2 to ensure a suitably qualified workforce. The staff files were inspected to make sure that they had all of the information and documentation to ensure that residents are properly protected from people who may harm or abuse them. The files were very well kept and contained all Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 21 of the information and documents needed by Law in order to safeguard vulnerable people. The evidence on staff files indicates that a great deal of training has been provided since the last key inspection. A requirement was made at the last inspection to create a training matrix to demonstrate what staff training has taken place. The manager has now completed this and the requirement is met. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The manager is a caring and approachable person and there are adequate systems in place to ensure that the home runs smoothly when she is not there. The home is well maintained to ensure the health and safety of residents and staff. The service is run in the best interests of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Following a query around the status of the manager who is also the owner of the service this has now been resolved and she has been registered as manager with the Commission. The registration document has been amended to reflect this change. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 23 It was evident from the discussions had with the manager during the inspection that she keeps herself abreast of changes in care practice and is aware of new research particularly in regard to people with dementia. She also undergoes training to maintain her skill levels, recently she has had training in Mental Capacity Act and Safeguarding Adults. Staff, residents and relatives spoke positively of the manger and staff said that she ensured that they knew what standard of care was expected. Evidence was seen that the manager is carrying out quality assurance questionnaires and collates this information and has sent out feedback to relatives as a result. Residents money is not routinely held by the manager, she confirmed that she is not responsible for any service users money and no service users money is kept on the premises. Any costs incurred by residents such as hairdressing then relatives are invoiced for this amount. Evidence for this practice was seen. Risk assessments for the hot radiators that were identified at the last inspection have been carried out and where necessary radiator covers have been fitted. This was a requirement at the last inspection and is now met. A requirement was also made regarding monitoring of hot water to minimise risk of scalding. The manager said that all water outlets residents have access to are fitted with regulators so they cannot exceed 43°C and temperatures are taken when residents have their bath and this is recorded in their care plan diary. This requirement is met. The records of Health and Safety servicing and checks were inspected to ensure that residents’ are properly protected. These were all up to date and well recorded. The staff have all completed their statutory training courses and they confirmed that their health and safety is promoted and protected by the provision of training and equipment. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A 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 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 25 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. 1. Standard OP9 Regulation 18(1,i) Requirement The responsible person is required to ensure that evidence is available to demonstrate that staff who administer medication are trained appropriately for the work they are to perform. (Not sufficient evidence to show compliance.) Outstanding from the last inspection Timescale for action 20/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 Good Practice Recommendations To review the preadmission documentation to cover the information as set out in standard 3. Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 26 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 Meadow Lodge Care Home DS0000008717.V348558.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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