Inspection on 28/07/06 for Mount Pleasant

This inspection was carried out on 28th July 2006.

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

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

Other inspections for this house

Mount Pleasant 23/07/09

Mount Pleasant 16/05/07

Mount Pleasant 31/10/05

Mount Pleasant 14/04/05

Mount Pleasant 10/11/04

Mount Pleasant 11/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Mount Pleasant Finger Post Lane Norley Via Warrington Cheshire WA6 8LE Lead Inspector Sue Dolley Key Unannounced Inspection 28th July 2006 09:25 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 Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 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. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Mount Pleasant Address Finger Post Lane Norley Via Warrington Cheshire WA6 8LE 01928 787189 01928 787189 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) Pribreak Limited Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide care for a maximum of 25 residents within the category of OP (old age, not falling within any other category) 31st October 2005 Date of last inspection Brief Description of the Service: Mount Pleasant is a converted, extended care home registered to provide care and accommodation for twenty-five residents. It is in the village of Norley on the road from Frodsham to Cuddington. The home is set in large grounds, has attractive views across farmland, and provides a tranquil setting with adequate car parking facilities. The fees at Mount Pleasant are £360.00 per week. Residents are accommodated on two floors. Access between floors is via a stair lift or stairway. There are 21 single rooms and two shared bathrooms, all of which have wash hand basins. Communal space consists of two lounges, a large room and a small sitting area in the entrance hall. Mount Pleasant provides a well cared for, bright and welcoming environment. Throughout the building there are an adequate number of toilets and a variety of bathrooms available for residents. There are aids around the home to help residents and these include bath hoists, grab rails and an emergency call bell system. There is a large, attractive garden with a number of sitting areas and pathways available for service users. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process of Mount Pleasant included a site visit to the home which was unannounced and completed in one day. Time was spent sitting and talking with people who use the service and observing the day-to day routines of the home and care staff as they provided support. A tour of the building was undertaken to assess its suitability to provide a comfortable, homely and safe environment for service users and staff. The tour included several bedrooms, shared areas such as lounges and dining areas, bathrooms and toilets. Two members of the management contributed to the inspection process and four service users were spoken with, completed survey forms and commented on the services provided. What the service does well: What has improved since the last inspection? The acting manager has been in post since March 2006 and with the help of the deputy manager has developed her knowledge of the home, the staff and residents. She is currently completing the registered managers award. Staff members have enthusiastically completed a variety of training courses to build upon their skills and knowledge and to achieve qualification. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 6 The standard of recording in individual needs assessment and care plan information has been improved since the last inspection and accurately reflects, the care provided. The general home records and maintenance files have been thoroughly organised to aid retrieval of information. Improvements have been made to some bathroom and toilet areas. Two bedrooms have been completely redecorated and all fire doors have been fitted with new seals, hinges and automatic door closures. 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. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 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 Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6 Quality in this outcome area is good.This judgement has been made using available evidence including a visit to this service. The home provides exisitng and potential service users with accurate information about the service. Needs assessments prior to admission are thorough. People moving in, and their relatives, know what to expect and that their needs will be met at the home. Mount Pleasant does not provided intermediate care. EVIDENCE: The statement of purpose and service user guide, have been updated since the last site visit and now accurately describe the facilities and service provided. The information provides prospective residents with the necessary information to make an informed choice about where to live. The documents are lengthy and in places complex and should be written in a more user friendly style and format. See Recommendation 1. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 9 Four care files of residents recently admitted were checked. The care files provided comprehensive information about each resident and the reason for admission was clearly stated. Initial assessment documentation had been compiled with the help of social services representatives, hospital staff, staff at Mount Pleasant, residents and their relatives. The assessments had taken place in a variety of settings including the residents own home, in hospital or in another care establishment. This information had been built upon during the first weeks of care to enable care staff to provide individualised care and support and to meet the care needs and wishes of residents. Where possible prospective residents and their supporters had been encouraged to have introductory visits to assess the facilities and suitability of the home. The initial assessment information was recorded on a form entitled ‘Daily living and Needs Assessment’. Advice was given, as it was unclear from the title, of the document that the information gathered was the result of a first meeting and a basic assessment of need. During the course of the site visit staff members were observed to have the skills and experience to deliver the services and care which the home offers to provide. Staff members were seen to anticipate needs and to provide, friendly, prompt and courteous care and attention. Through their observed interactions they demonstrated that they had a good knowledge of the people in their care and had genuine concern for their welfare. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is adequate.This judgement has been made using available evidence including a visit to this service. Health and personal care needs are assessed, addressed and met and service users are referred to health professionals as appropriate. The recording of medication needs improvement to ensure service users receive their medication as prescribed. EVIDENCE: The four care files checked provided a wealth of information about residents with only a few gaps in recording. Each care plan had been generated from a comprehensive assessment agreed by the resident and set out in detail the action to be taken by care staff to ensure all identified needs were met. The care plans had been reviewed monthly or more frequently as necessary. Each file contained risk assessment documentation and other information to enable staff to provide individualised care and support. Three residents completed questionnaires with the inspector during the site visit about the care and support received. Many positive comments were received regarding the quality of care experienced. Each resident said that they had been treated with respect and that their privacy and dignity was protected. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 11 One resident said that staff members were ‘exceedingly good’. Other residents said that care staff provided prompt attention and that they were pleasant and respectful. Mount Pleasant had conducted its own quality assurance survey and the responses were read. The comments provided were very positive. Repeatedly residents said that the home was well presented, and provided a safe, friendly comfortable and well -maintained environment. Staff members were described as considerate and obliging. Residents and relatives said staff members showed a genuine interest in the people in their care and described Mount Pleasant as a home from home. In one sentence a respondent had tried to summarise the care and said, ‘loving care skills knowledge = wondrous results’. The care file documentation showed that there are positive working relationships between staff at Mount Pleasant and care professionals including general practitioners and community nursing staff. Each health care visit was fully recorded with action to be taken and outcome shown. Advice was given as one care file did not provide sufficient information about a residents’ medical history, one medical services visit was not recorded, their profile had not been completed and funeral arrangements had not been confirmed. Three other care files provided full and comprehensive information. The daily care notes were well written. They accurately recorded the care provided, were evidence of continuity of care and identified changing needs. Staff members were advised not to use abbreviations when completing accident records. All the medication administration records for July 2006 were checked. The home uses a monitored dosage system for medication administration and all staff members involved in the administration of medication have received medication refresher training to update their skills and knowledge. Four senior staff members have recently completed more advanced medication training. Despite this good practice the administration and recording of medication needs improvement. Controlled drugs had been well recorded and medication administration records contained photographs of residents to aid identification. Two records contained discrepancies regarding the amount of tablets on stock. Medication to be given ‘as and when required’ had been recorded in various ways by staff. The records indicated that eye drops had not been given as frequently as prescribed. It was later found that the frequency had been reduced but not recorded. The timing of one medication had been changed and this had not been recorded. There were several errors in recording and alterations to records, which were unclear and not explained. One medication to be given ‘as and when required’ was not recorded as such. See Requirement 1. Mount Pleasant does not have its own medication policy and procedure for staff to refer to. See Recommendation 1. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 12 Some residents, following assessment had been enabled to self-administer medication and had been provided with a lockable space in which to store it. Suitably trained, designated care staff could have access to the lockable space with the resident’s permission. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are opportunities for residents to take part in a wide range of activities’ to suit their preferences and capacities. Residents are enabled to exercise choice in relation to routines of daily living, are encouraged to keep contact with people important to them and are provided with a varied and wholesome range of foods, which they enjoy. EVIDENCE: Residents confirmed that they could choose to take part in activities as they wished. Details of the activities available are displayed on notice boards in the home. A range of entertainment and activities were recorded in an activities and entertainments file. Activities had included a cosmetic, gifts and jewellery party, sing –a- longs. Piano and organ afternoons had been arranged. A musical entertainer, a W.I. choir and a local primary school had also provided entertainment. Residents had enjoyed pub lunches and various in- house quizzes and games had been organised. Since the end of May 2006 there had been less arranged activity but residents had spent much time in the gardens enjoying the sunshine. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 14 Residents confirmed that they are able to have visitors at any time convenient to them. The visitors throughout the day of the site visit were observed to be warmly welcomed by staff members and were made to feel at home. Relatives and friends of residents are encouraged to attend social events and entertainment evenings within the home. Church representatives visit residents on a regular basis and a few residents keep their interests in the local community by attending bowls meetings, church events and an older persons club nearby. Residents spoken with were complimentary about the standard of food provided and several residents said that their appetites had improved since entering the home. A nutritious range of wholesome food is provided .The cooks discusses meal choices every day with each resident. One resident spoken with commented that the food wasn’t always as hot as they would like it to be and wished that the plates could be warmed. Another resident with sight difficulties suggested ways in which the staff could help them appreciate and enjoy the meals presented. Residents’ individual food preferences and dislikes are well known and alternatives are always offered and provided. Relatives are able to dine with residents by request. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No complaints had been received since the last site visit. Staff members are alert and aware regarding the protection of vulnerable adults and know how to safeguard residents. EVIDENCE: No complaints had been received since the last site visit in October 2005. There is a robust and well -advertised complaints procedure for use in the home to enable residents to make a complaint if necessary. Staff members are encouraged to assist residents to make their feelings known. The acting manager and deputy manager are available to discuss any problems and to assist with queries. In addition a Quality Standards process invites people to make comments about the standard of care provided and welcomes both positive and negative comments to help improve services. All the care staff and the two cooks have received adult protection training. Staff are aware and alert to safeguard residents and the home has a copy of the Department of Health guidance ‘No Secrets’ to refer to. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Cypress House is well maintained, clean and decorated and furnished to a good standard, which helps to create a comfortable and welcoming environment for the benefit of residents. EVIDENCE: The communal areas, lounges and dining room, four bedrooms, the bathrooms and toilets were checked and were all well presented, fresh and clean. There is a routine programme of maintenance; redecoration and renewal to ensure all areas in the home are kept clean, cared for and comfortable. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 17 Since the last site visit a number of improvements have been made. One bedroom has had a door lock fitted and two of the bedrooms, have been completely redecorated. A replacement toilet has been fitted to one bathroom area. One bathroom has had a new carpet fitted. Small hand -wash basins have been provided in toilet areas and paper towels and waste paper bins have been provided in shared bathrooms and toilets. There are sufficient bathrooms and toilets throughout the home and these are provided with equipment to aid mobility. Residents are individually assessed for specialist equipment to aid mobility whenever necessary. There is a call alarm system available throughout the home and a stair lift enables less mobile residents to have access to the first floor of the premises. All fire doors have been fitted with new smoke seals, hinges and automatic door closures. The bedrooms are of various shapes and sizes are furnished to a good standard, are clean and personalised. Residents are encouraged to bring along small personal items to make their rooms, homely and comfortable, the bedroom furniture has been arranged to suit individual needs and to enable personal care and assistance. The grounds are extremely well maintained, attractive and accessible to residents and provide a peaceful and colourful setting in which to relax. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are generous and experienced care staff continue to undertake training to achieve qualification and to extend their knowledge and skills for the benefit of residents. EVIDENCE: The staff rotas were checked and the staffing complement was discussed and is as follows. 2 seniors are on duty from 8.00am to 7.00pm each day. 2 carers are on duty from 8.00am to 7.00pm each day 1 cook is on duty from 8.00am to 7.00pm each day. There is a twilight shift from 6.00pm to 9.00pm when 2 additional staff members are on duty, 1 of these is a senior. At night- time between 9.00pm and 8.00am 2 members of night staff are on duty. At least one of these staff members is a senior. Occasionally both night staff members are seniors. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 19 The staffing levels are generous and residents’ needs are met by an experienced team of care staff who have worked within the home for a considerable length of time. There is a loyal and committed staff team, all staff absences are covered from within the existing staff team and staff turnover is very low. 46 of the staff team have now achieved qualification to NVQ level 2 or above. This is a commendable achievement in a short space of time and shows the level of staff commitment. Staff members show an interest in the range of staff roles and sometimes undertake training beyond their own role. Some staff members have trained independently to further their own knowledge and to again understanding. In addition to training previously mentioned, all staff received fire training and moving and handling training in May 2006. Six staff members completed continence awareness training and there is an appointed first aid person. Future training is to include health and safety training for the acting manager and deputy and this training will be cascaded to all staff. In house basic food hygiene training is also to be provided to all staff in the coming months A recruitment file was checked and provided evidence of a thorough recruitment and selection process in operation. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are clear lines of accountability and the proprietors and managers are approachable. Residents and their relatives know that they will be listened to and appropriate care and support will be provided. Health and safety matters are carefully considered and acted upon to promote the health, safety and welfare of residents and staff. EVIDENCE: The deputy manager has in excess of twenty years experience in providing care and the acting manager is working towards attaining the Registered Managers Award and hopes to complete by September 2006. The registered managers position is currently vacant. An application for registered manager is awaited by, the Commission for Social Care Inspection. See Requirement 2. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 21 Both managers have a good knowledge of residents and staff. Residents, benefit from their combined knowledge, skills and experience in delivering individualised care. Their management approach is clear. The managers, lead by example and work alongside care staff at various times during the week to ensure they are familiar with the changing needs of residents and with staff members approach to care provision. The proprietors and managers are approachable and accessible and are involved in the running of the home on a daily basis to share the responsibilities. Annual quality standards questionnaires have recently been circulated to residents and their relatives to seek their views regarding the standard of care provided. The comments received were read during the site visit and provided evidence of good quality care and support and of a high level of satisfaction. The responses are yet to be collated and should be published for existing and potential residents. See Recommendation 3. Residents or their relatives manage residents’ finances. However, the management team do help to manage some residents’ personal allowances. Four examples of residents’ personal allowance balances were checked. The balances and records kept were accurate with receipts kept for all purchases. Management staff members check all personal allowances and related records regularly. Residents’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. All records are securely kept and up to date and care plans are regularly reviewed. The general home records and maintenance files have recently been thoroughly organised to aid retrieval of information. All necessary maintenance information and monitoring checks are conveniently stored in one file. The fire precautions information and accident records were well maintained and risk assessments had been undertaken to identify and reduce risks to residents and staff and to maintain a safe environment. The acting manager was unaware of the need to make notifications to the Commission relating to the death of service users, illness or other events affecting their wellbeing. Consequently during the last twelve months 8 deaths and 2 admissions to hospital had not been notified. This information is to be supplied retrospectively. See Requirement 3. Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 22 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 2 X 3 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 4 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 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X 1 3 Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 Requirement The registered provider must make arrangements for the recording, handling and safe administration of medicines received into the care home. The registered provider must appoint an individual to manage the care home where there is no registered manager in respect of the care home and must give notice to the Commission for social Care Inspection of the name of the person and the date on which the appointment is to take effect. This requirement was also made at the previous site visit on 31st October 2005. The home must give notice in writing to the Commission without delay of the occurrence of death, illness or any other event affecting the wellbeing of residents Timescale for action 31/08/06 2 OP31 8 31/10/06 3 OP37 37 31/08/06 Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 24 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 OP1 Good Practice Recommendations Ensure that the statement of purpose and service user guide, are produced in a user- friendly style and format. The home should ensure that there is a medication policy and staff adhere to procedures, for the receipt, recording, storage, handling, administration and disposal of medicines Publish the results of the annual internal quality assurance survey. To provide useful information to existing residents and their relatives, to prospective service users and to stakeholders. 2 OP9 3. OP33 Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Mount Pleasant DS0000006622.V294071.R01.S.doc Version 5.1 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. 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