Inspection on 21/07/08 for Millreed Lodge

This inspection was carried out on 21st July 2008.

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

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

Other inspections for this house

Millreed Lodge 15/08/07

Millreed Lodge 12/09/06

Millreed Lodge 08/03/06

Millreed Lodge 20/09/05

Millreed Lodge 22/11/04

Millreed Lodge 21/07/04

Millreed Lodge 04/03/04

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Larchfield Manor

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Extracts from inspection reports are licensed from CQC, this page was updated on 26/11/2008.

CARE HOMES FOR OLDER PEOPLE Millreed Lodge 373 Rochdale Road Walsden Todmorden Lancashire OL14 6RH Lead Inspector Tony Brindle Key Unannounced Inspection 21st July 2008 1:00 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 Millreed Lodge DS0000057454.V368895.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. Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Millreed Lodge Address 373 Rochdale Road Walsden Todmorden Lancashire OL14 6RH 01706 814918 01706 817919 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) Millreed Lodge Care Ltd Mrs Elizabeth Shufflebottom Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (31), Physical disability (2), Terminally ill (2), of places Terminally ill over 65 years of age (2) Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To accommodate a maximum of two persons in category TI/TI(E) at any one time To accommodate a maximum of two persons aged under 65 years of age with a physical disability Two named persons over 60 years of age Date of last inspection 15th August 2007 Brief Description of the Service: Millreed Lodge is set in landscaped grounds alongside the Rochdale canal and Walsden Water, and is situated on the main Rochdale Road in Todmorden. Banks, a post office and shops are one mile away in the local town. The home provides care with nursing for up to thirty-three people The accommodation was created many years ago by the conversion of a textile mill. A conservatory and reception area has been added to the ground floor accommodation. All of the bedrooms have en suite toilets. There is a passenger lift that serves all floors. The fees at Millreed Lodge are between £443 and £405 nursing determination per week. Hairdressing, chiropody, newspapers and personal items are not included in the fees. Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one (1) star. This means the people who use this service experience adequate quality outcomes. This unannounced visit started, it was a very positive and enjoyable visit. There was the opportunity to speak to people living at the home and the care staff. The care plan files of people living at the home were seen and included assessments, care plans, daily and medical records and the record of activities. Staff records were also seen and included application forms, references, police checks and training records. A sample of people’s medications and monies were checked and a look around the home was undertaken. Other information considered was the home’s returned Annual Quality Assurance document. The inspector would like to take the opportunity to thank the staff and people living at the home for their hospitality, patience and co-operation throughout the visit. During the visit, it was identified that one person living at the home did not have a care plan even though they had been living in the home for about 10 days. As the need for a care plan for this person was seen to be a priority, an immediate requirement was left with the manager, requiring her to compile appropriate care plans for this person within 24 hours. The following day, the manager faxed to the Commission a series of care plans for these people, which were found to be satisfactory. What the service does well: People can be confident that the care home can support them. This is because there is a good system for obtaining an accurate assessment of people’s needs before they move into the home, and this tells the staff at the home all about the person and the support they will need. On the whole, people’s health, personal and social care needs are met, and the staff have care plans that they can work from in order to meet people’s needs. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. People are treated as individuals, and the service supports people in limited ways to follow personal interests and activities. People are able to keep in touch with family, friends and representatives, and they are provided with nutritious and attractive meals and snacks, at a time and place to suit them. If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. There are good systems in place that safeguard people from abuse and neglect. People live in a safe, comfortable, well-maintained and Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 6 homely environment. People have safe and appropriate support as there are enough competent staff on duty at all times. They can have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. People’s needs are met and they are cared for by trained staff who get support from their manager, and this would be further enhanced if all the staff got relevant refresher training when they required it. People get the right support from the care staff because the manager runs the home appropriately with an open approach that makes them feel valued and respected. 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. Millreed Lodge DS0000057454.V368895.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 Millreed Lodge DS0000057454.V368895.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): 3. The home does not provide intermediate care (Standard 6) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can be confident that the care home can support them. This is because there is a good system for obtaining an accurate assessment of people’s needs before they move into the home, and this tells the staff at the home all about the person and the support they will need. EVIDENCE: The personal files that were looked at contained comprehensive pre-admission assessments had been carried out by either a social worker and the manager of the home, before offering someone a place. The manager explained that these assessments form the basis of the people’s care plans. One person living at the home said that they remembered someone coming out to see them before they moved in, and that this person had asked them questions about the care they needed. A staff member explained that the manager usually goes Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 9 out to visit new people to gather information about them and their needs, and she added, that people can come and visit the home before they move in so that they can get a feel of what it is like. Millreed Lodge DS0000057454.V368895.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 poor. This judgement has been made using available evidence including a visit to this service. On the whole, people’s health, personal and social care needs are met, and the staff have care plans that they can work from in order to meet people’s needs. However, if the needs of new people who move into the home are not set out in a plan of care in a timely fashion, then their needs are at risk of not satisfactorily being met. People’s health and well-being have been put at risk by poor practice in relation to the administration and recording of medication. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. EVIDENCE: The care plans that were looked at were found to contain clear information on how to support and meet the individual needs of people and minimize any identified risks. The manager said that people are encouraged to be involved in the development of their plan of care and this was supported by way of signatures of relatives and or the people themselves showing that they Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 11 agreed with the plan of care. It was evident that information gathered to support individual care plans included the initial needs assessment, a life history and risk assessments that included for example, nutritional screening, pressure care and manual handling. The file of one person who had recently moved into the home some 10 days earlier was looked at, and was found to have no care plans. The daily records had been completed which showed what the staff had done with person. There were entries within the daily records that showed that this person had had physical problems after moving into the home, and the manager agreed that at least a brief care plan should have been put together so as to direct the staff in relation to how they should work with this person. As the need for a care plan for this person was seen to be a priority, an immediate requirement was left with the manager, requiring her to compile appropriate care plans for this person within 24 hours. The following day, the manager faxed to the Commission a series of care plans for this person, which were found to be satisfactory. The records showed that people have access to external health and social care services. One person living at the home said “The staff are very caring, if you are not well they get you a doctor”. The daily records were found to contain information relating to the daily life of the people living at the home. One staff member said that the daily records are good for quickly identifying changing needs. At the last inspection it was recommended that for the safety of everyone, the medicine trolley should be secured to a solid wall or stored in a locked room when not in use. A look at the medication trolley found that this had been actioned. The home has a written medication policy and procedure, and the records show that staff have had training in the area of medication administration and through discussion with some of them, showed that they have an awareness of the reasons for the giving of medication, and what to do if the wrong medication is given to the wrong person. One checking the qualities of medication held at the home against the medication administration records a number of discrepancies were found. These included two people having less medication then what they should have had; two people having more medication than what they should have had; a number of signatures missing from the medication records; and entries not being made when people had refused medication. It was explained to the manager that due to the high number of errors, outcomes for people in respect of medication were far from good. Staff were observed to treat people with dignity and respect by way of knocking on people’s doors before entering, and responding to people’s requests for assistance in a caring and pleasant manner. One person living at the home said, “the staff make sure personal care is done in private, they are not rude, we have male staff and they are as nice as the female staff”. Another Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 12 person said, “Staff help me with a bath, but they encourage me to do as much as I can”. Millreed Lodge DS0000057454.V368895.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 adequate. This judgement has been made using available evidence including a visit to this service. People are treated as individuals, and the service supports people to follow personal interests and activities, however, being more creative in relation to the provision of recreational and social interests would further enhance people’s day. People are able to keep in touch with family, friends and representatives, and they are provided with nutritious and attractive meals and snacks, at a time and place to suit them. EVIDENCE: Discussions with people about activities and lifestyle issues were difficult due to verbal abilities of some of the people living at the home, however, in general people gave the impressions that they were happy with their lifestyle and could choose to participate in activities or not, as the case maybe. Information contained within the records showed that the service provides activities such as nail care, conversation and bingo. Feedback from people who completed our survey indicated that people believe there needs to be a wider range of activities on offer. Observations on the day showed that some people Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 14 were watching TV, others were listening to music, and others were being supported to enjoy the grounds of the home, using the new garden area. One staff member said that visitors are always made welcome and relatives were seen to be coming and going throughout the day. One relative who was spoken with said, “the staff always make me feel welcome” and that “they are always happy to see people.” They added that people are always offered refreshments. One visitor that was spoken with said that mealtimes were always conducted in a relaxed manner, and that each person is given as much as they need to eat their meal. Observations of mealtimes supported this. A look at the menu indicated that the service offers a good choice of meals, and one staff members said that alternatives are offered if people don’t want the choices offered on the menu. The records show that special diets are catered for And staff who were spoken with indicated that they were aware of people’s needs and preferences. Observations made on the day indicated that assistance at mealtimes is offered to people discreetly. One person who was spoken with said there always a good choice on the menu. Millreed Lodge DS0000057454.V368895.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. If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. There are good systems in place that safeguard people from abuse and neglect. EVIDENCE: The Commission for Social Care Inspection has not received any complaint about this service since it was last inspected in August 2007. Feedback from people who completed our survey indicated that people know about the home’s complaint procedure, and would know who to speak to if they had concerns about the care and support being offered. One person living at the home said that they would be able to speak to any member of staff about concerns or worries they had about the care they were getting, and they added that they felt confident that the staff would look in their concerns and doing something about them. Discussions with two staff members showed that they are aware and have knowledge of local policies and procedures that are used to safeguard people, and are aware of the home’s whistle blowing policy. Information held within the staff training records show that staff have had training in the area of Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 16 safeguarding adults, and this was supported through discussions with some of the staff and the manager. Millreed Lodge DS0000057454.V368895.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, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, comfortable, well-maintained and homely environment. EVIDENCE: The building is accessible via a new ramp with handrails between the car park and the main entrance. The manager explained that there is an ongoing programme of re-decorating and maintaining the property. At the time of the visit, extensive building work was being carried out to one end of the property, and the manager explained that once completed, additional bedrooms will be created to allow twin rooms to become single rooms and other facilities such as the kitchen and laundry will be relocated. According to one staff member, the garden has been substantially improved, and this was seen to provide an attractive area to the front of the property, with accessible paths so that people can use it. At the last inspection, some of the doors are being held open Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 18 with wedges. This was not the case at this visit. The manager explained that the plans to replace the wedges with self-closures, which will shut the door automatically if the fire alarm goes off, had now been acted upon. Door closures were seen to have been fitted. The house was found to be clean and fresh and observations indicated that staff follow good hygiene practices, as part of the home’s infection control measures. Millreed Lodge DS0000057454.V368895.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 good. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent staff on duty at all times. They can have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. People’s needs are met and they are cared for by trained staff who get support from their manager, and this would be further enhanced if all the staff got relevant refresher training when they required it. EVIDENCE: A look at the staff rota confirmed that there should be enough staff on duty to meet the needs of the people who live at Millreed Lodge. One staff member explained that some people do need two staff to assist them from time to time, and they added that this can put pressure on the staff team. However, they added that they always make sure people are seen to as quickly as possible. People living at the home who were spoken with said that they had no worries complaints about the staff, and added that they are always there, ready to help. Feedback from people who completed our survey was mixed with some people saying there were enough staff and duty at all times, others disagreed. Information held within the staff records show that staff complete an application form and provide two written references. The manager confirmed Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 20 that Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained, and she added that new staff do not begin work until these checks have been completed satisfactorily. On checking the files, one or two pieces of information were found to be missing, and the manager explained that she would ensure that these were found and filed away correctly. She also added that due to the building work, her office had recently been re-located, and that this may account for some files being disorganized. The manager explained that new care staff follow the ‘Skills for Care’ induction and foundation training course and she added that the service has a system where experienced staff mentor new staff. One staff member confirmed this. The manager went onto to say that this basic training makes sure staff have a good understanding of their role and responsibilities, and provides a sound basis for NVQ study. The training records show that well over 50 of the care staff have a relevant National Vocational Qualification (NVQ) at level 2. The home’s training records are completed adequately. Information held within the training records show that the management team need to ensure that all the staff are offered up to date training in all the mandatory areas, including health and safety, moving and handling and adult protection as some gaps were noticed. Millreed Lodge DS0000057454.V368895.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 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People get the right support from the care staff because the manager runs the home appropriately with an open approach that makes them feel valued and respected. On the whole, the people staying at the home are safeguarded, however, errors in record keeping, and errors in the management of medication has put people at risk. EVIDENCE: The information held with the Commission shows that the manager is a registered, and as such is seen to have the skills and experience to manage the home. Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 22 The manager explained that she has some supernumerary time to carry out her management role and has support from an administrator. The remainder of her time is spent working as a nurse on shift, supporting and caring for people. The manager explained that she has a wide range of responsibilities, including arranging and delivering staff training, undertaking care assessments, attending meetings and offering staff supervision, and added that in an ideal world, she would have a lot more supernumerary time available to her. People living at the home, and staff at the home said that the manager promotes an open and inclusive atmosphere in relation to her management style. This was confirmed through observations of the manager involving people in decision-making processes, and valuing people’s view and comments. The manager explained that she carries out a quality assurance survey of people’s relatives, in order to gain their views on the quality of care and support provided, and this includes contacting health and social care professionals to obtain their views. Once this survey is completed, she said that findings are published and any actions that need to be taken to improve the service are considered. The confidential information relating to people living and working at the home is stored securely in locked filing cabinets, and any monies held by the service are also held securely. On checking some people’s monies, no discrepancies were found. The manager explained that there is a quality audit system in place, and some records relating to this were seen and found to be in order. Fire records show that the relevant tests are undertaken, and any remedial action taken in good time. It was explained to the manager that it was disappointing to find so many problems with the medication, despite that fact that regular management checks and audits are made. Millreed Lodge DS0000057454.V368895.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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 12(2)&(3) Requirement A plan of care that details how people’s health, social and welfare needs are to be met by the service, must be put together for people who move into the home in a timely fashion. Timescale for action 21/07/08 2 OP9 13 (2) Safe arrangements must be 30/09/08 made for the recording and administration of medication held in the home on behalf of the people living there. Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 25 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 The home’s management should explore ways of providing a wider range of interesting and stimulating activities, to meet the social and recreational wishes of the people who live at the home. The provision of refresher training for the staff, that is well planned and implemented in a timely fashion, would further enhance service provision, and ultimately the outcomes for people. The records show that required by regulation for the protection of people living at the home, and for the effective and efficient running of the business should be maintained. People’s health and well-being have been put at risk by poor practice in relation to the administration and recording of medication. The health, safety and well-being of people living at the home should be promoted and protected through the implementation of safe medication recording and administration practices and procedures. 2 OP30 3 OP37 4 5 OP38 OP12 Millreed Lodge DS0000057454.V368895.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Millreed Lodge DS0000057454.V368895.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!