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Inspection on 15/08/05 for Norwood Residential Home

Also see our care home review for Norwood Residential Home for more information

This inspection was carried out on 15th August 2005.

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

The home is well managed and the residents receive a good quality of care. Staff are appropriately trained and supported. A group of residents were involved in a "keep fit" session which one of the inspectors joined. It was evident that the Activities Co-ordinator has established positive relationships with residents and was observed to encouraging residents to participate within their abilities. Residents spoken with commented favourably on the care they receive. A resident commented that the Activities Co- Co-ordinator "asks me what I would like to join in with", "I enjoy keep fit but also like scrabble". Another resident said "the home provides me with the freedom to plan my own routines but are always available to help". When asked about staff respecting their privacy all residents spoken with confirmed that "staff always knock before entering my room" and another resident said that when they bathe staff let me do as much as I can and then help with the difficult bits that I cannot reach". Residents are assessed before moving into the home and individual care plans focus on how each residents needs will be met. The environment is well maintained, comfortable, clean and hygienic and the gardens are fully accessible and well looked after. On the day of this inspection the weather was warm and several residents were sitting outside enjoying their morning coffee. One resident said "staff are very good about helping me and know I like to come outside in the warmer weather" "the gardens are beautifully kept". Another resident confirmed that they liked to go for a walk each day during the better weather and said "it may be a walk to the post box or a walk around the grounds" Systems are in place to protect residents and the health, safety and welfare of residents and staff are promoted and protected.

What has improved since the last inspection?

There were no recommendations or requirements following the previous inspection. Norwood continues to provide a good quality of care in a safe and pleasant environment.

What the care home could do better:

There were three recommendations relating to records and policies following this inspection. The recommendations include developing medication recording practices and recording regular individual and group supervisions for all staff. It is also recommended that the home`s abuse policy incorporates the guidelines set out in the Suffolk inter agency protocol, procedures and guidelines for the protection of vulnerable adults.

CARE HOMES FOR OLDER PEOPLE Norwood Residential Home 14 Park Road Ipswich Suffolk IP1 3ST Lead Inspector Tina Burns Unannounced 15 August 2005 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 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. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Norwood Residential Home Address 14 Park Road Ipswich Suffolk IP1 3ST 01473 257502 01473 216697 N/A Methodist Homes for the Aged Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Nicola Cantwell Care Home 39 Category(ies) of OP Old Age (39) registration, with number of places Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14th April 2005 Brief Description of the Service: Norwood is a care home providing personal care and accommodation to 39 older people. It is owned by Methodist Homes for the Aged, a charitable organisation that has a number of homes throughout the country. The organisation does not restrict its care provision to Methodists or those who follow any religious persuasion. The home is situated in a residential area of Ipswich town, overlooking Christchurch park and close to the town centre and associated facilities. The property consists of the original building (formerly a Bishops palace) and a modern purpose built extension. All bedrooms have en-suite facilities. There are 37 single bedrooms and one twin room to accommodate 39 residents. The home has three floors with a passenger shaft lift giving access to the first floor and a chair lift to the second. The extensive gardens are well maintained, accessible to all and are one of the outstanding features of the home. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection carried out by Tina Burns and Anna Rogers. The inspection took place over five and half hours on a weekday. The manager, Nicola Cantwell, was present and fully contributed to the inspection process. Ten residents and three staff were spoken with during the inspection. An inspector joined the morning “keep fit” session and an inspector also joined residents for lunch. Four residents care plans and four staff files were examined as well as a variety of policies and documents including rotas, menus, resident and staff meeting minutes and health and safety records. What the service does well: The home is well managed and the residents receive a good quality of care. Staff are appropriately trained and supported. A group of residents were involved in a “keep fit” session which one of the inspectors joined. It was evident that the Activities Co-ordinator has established positive relationships with residents and was observed to encouraging residents to participate within their abilities. Residents spoken with commented favourably on the care they receive. A resident commented that the Activities Co- Co-ordinator “asks me what I would like to join in with”, “I enjoy keep fit but also like scrabble”. Another resident said “the home provides me with the freedom to plan my own routines but are always available to help”. When asked about staff respecting their privacy all residents spoken with confirmed that “staff always knock before entering my room” and another resident said that when they bathe staff let me do as much as I can and then help with the difficult bits that I cannot reach”. Residents are assessed before moving into the home and individual care plans focus on how each residents needs will be met. The environment is well maintained, comfortable, clean and hygienic and the gardens are fully accessible and well looked after. On the day of this inspection the weather was warm and several residents were sitting outside enjoying their morning coffee. One resident said “staff are very good about helping me and know I like to come outside in the warmer weather” “the gardens are beautifully kept”. Another resident confirmed that they liked to go for a walk each day during the better weather and said “it may be a walk to the post box or a walk around the grounds” Systems are in place to protect residents and the health, safety and welfare of residents and staff are promoted and protected. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 6 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. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 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 standard(s) 1, 2 & 3 Prospective residents can expect to have the information they need to make an informed choice about living at Norwood. New residents can expect to have a written agreement detailing terms and conditions with the home. Residents can also expect to have their needs assessed prior to admission and be assured that their needs will be met. EVIDENCE: During the inspection the inspectors were given a residents ‘Welcome Pack’ which included an up to date statement of purpose and service user guide. The statement of purpose set out the aims and objectives of the home, philosophy of care, services and facilities and terms and conditions of the home. The welcome pack also included a clear and comprehensive guide for new and potential residents giving good information about the care, facilities and accommodation that can be expected at Norwood. On the day of inspection four residents files were examined. Each contained an individual Residential Care Agreement detailing terms and conditions and Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 9 including areas such as assessments, care plans, accommodation, fees and finance, insurance, termination of contract and confidentiality. Resident’s files also included individual home assessments, carried out by the home’s manager before admission. These covered personal, physical and emotional needs. The manager confirmed that other professionals, for example Occupational Therapists and Nutritionists, are consulted where specialist needs are identified. The information gathered from the home assessments had been used to produce individuals care plans. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 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 standard(s) 7, 8 & 9 Residents can expect to have detailed, individual care plans and have their health care needs met but medication procedures could be developed further to ensure residents safety is further promoted. EVIDENCE: Four residents care plans were examined during the inspection; each was very detailed and covered a wide range of health, personal and social care needs. Resident’s plans clearly set out the action to be undertaken by care staff to meet individual needs. All of the care plans seen had been reviewed and updated monthly. Each resident had also had personal and environmental risk assessments undertaken and these were seen to be thorough and up to date. The care plans seen all covered physical and health needs and included areas such as personal and oral hygiene, pressure care, continence and nutrition. There were also records of medical diagnosis and ongoing health and medical treatment. Details relating to health professionals involved in the care of the residents were clearly recorded and included GP’S and Community Nurses. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 11 The homes Medication Policy is comprehensive and includes procedures for the supply, storage, disposal, administration and recording of medication. The manager confirmed that all of the staff responsible for administering medication have been trained to do so and residents that self administer have had risk assessments completed and keep their medication in locked storage in their rooms. On the day of inspection observations were made during the administration of lunchtime medication to residents in the dining area. The medication was transported appropriately in a locked, metal trolley and was administered by the Assistant Manager on duty. The contents of the trolley were well organised into floor areas, each floor area was then in alphabetical order, and the majority of medication had been supplied in blister packs. The staff administering the medication dispensed each persons appropriately and individually. Medication records were detailed and clear, no errors were identified. However, staff confirmed that medication given to residents is signed for after it is given rather than when taken. Consequently, at times staff have signed for medication that they have not seen the resident take. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 15 Residents can expect to have their social, religious and recreational needs met. A varied and balanced diet is provided and residents have a choice of meals. EVIDENCE: On the day of inspection the resident’s notice board included details of forthcoming events, an activity programme and details of visiting ministers and religious services. Planned events included a visiting speaker, musician and mobile clothes shop. The manager explained that residents meetings had highlighted the fact that residents were requesting more activities within the home, rather than organised trips out. The home employs an Activities co-ordinator to arrange daily and regular activities for residents. During the inspection 6 residents were seen to be enjoying a ‘keep fit session’, they indicated that they were not pressured to participate in group activities but could remain independent and join in activities of their choice. Other activities and passtimes referred to throughout the inspection included play reading, quizzes, card and board games, garden parties and rides in the park in the homes ‘park mobile’. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 13 The home has its own chapel, but the manager confirmed that most of the visiting ministers meet with residents in the large, and more comfortable lounge, and that services are available weekly and communion monthly. During the inspection residents were observed throughout the building and grounds, and generally seemed to be spending their time as they wished. There are large and small communal areas and tea bars throughout the building, including a conservatory looking out onto the park. Some residents were using these areas; others were in their own rooms. One resident said “Norwood provides me with the freedom to plan my own time but helps me when I need it”. Conversations with the manager, staff and residents indicated that the home works closely with resident’s relatives and that visitors are made to feel welcome at Norwood. Methodist Homes uses a catering company to provide meals at Norwood. Residents indicated that they felt that the food was good, but not to the same standard as when managed in-house. The manager confirmed that it had taken some time to work effectively with the catering company but felt that this had now been achieved. There was a four weekly rotating menu in place. The menu choices offered a sufficient choice of meals and were chosen by residents via residents meetings. Kitchen staff were informed about special requirements and produced meals accordingly. On the day of inspection the lunchtime menu consisted of homemade chicken and mushroom pie, new or mashed potatoes, and fresh vegetables. Alternatives were available such as poached eggs, omelettes, jacket potatoes and salads and choice of desserts included Apple crumble and custard, ice cream, yoghurts and jelly. The evening meal planned was macaroni cheese or assorted sandwiches and cheese and biscuits. Tea, coffee and cold drinks were available with the meal and are available mid morning and afternoon. Each floor has its own ‘tea bar’ for residents wishing to make their own drinks independently. The dining room was spacious, clean and hygienic and residents sat in places of their choice for meals. The manager confirmed that breakfast times are flexible with set times for dinner and tea although alternatives can be arranged if residents are unwell or out for the day. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 There are systems in place to enable residents to express their concerns and protect them from abuse. EVIDENCE: The home’s complaints procedure was examined and found to provide clear information about the stages and timescales of the complaint process. The home’s statement of purpose and service user guide also includes a summary of the complaints procedure. There were no complaints recorded since the previous inspection but the home had received 4 thank you cards and letters, which had been recorded as compliments. Residents spoken to throughout the day confirmed that they were happy with their care and had “no complaints”. The home also had a protection of vulnerable adults policy, detailing the procedures to follow to safeguard residents from abuse, a whistle blowing policy and “No Secrets Here” leaflet. The home did not have a copy of the Suffolk protection of vulnerable adults inter agency policy, procedures and guidelines for staff. The home also has policies and procedures in place in relation to physical intervention, service users finances and gifts and legacies to staff. Staff induction records included protection of vulnerable adults and the four staff files that were examined all contained evidence of satisfactory enhanced criminal record bureau checks. Staff training and development records included abuse training and the manager confirmed that all staff have had basic training in this area. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 23, 24 & 26 Residents can expect to live in a clean, safe and well maintained environment. They can also expect their own room to be personal, comfortable and meet their own needs. EVIDENCE: The accommodation is well maintained and looks well cared for. The manager confirmed that those residents identified as having high needs are admitted as a priority to the ground floor and that risk assessments are undertaken for all residents to determine their needs in relation to the environment. During a tour of the building the manager demonstrated a clear knowledge of the homes maintenance and renewal plan and explained that most of the carpets had been replaced this year and internal and external decoration had been carried out throughout the building. Next years plan includes refurbishment of the tearooms and the kitchen is also scheduled for Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 16 refurbishment. The grounds are well maintained and attractive and easily accessed by residents. The homes last fire inspection took place on 7th April 2004, the fire equipment is inspected every three months by a specialist company and staff induction and training includes fire safety. Norwood has one twin bedroom, the rest all being single. However on the day of inspection all rooms were of single occupancy. The manager confirmed that residents are able to provide their own furnishings for their rooms but alternatively they can be provided for by the home. All bedrooms are of sufficient size and have fitted wardrobes and en-suites with a WC and hand basin. The bedrooms seen on the day of inspection were pleasantly carpeted and furnished with appropriate fixtures and fittings and many personal affects. Each bedroom had a call system in place and one resident confirmed that staff have responded quickly when they have used it. All areas seen during the inspection were clean, hygienic and odour free. The manager confirmed that the home has two domestic staff on duty each day and a laundry assistant on weekdays. The laundry room was well equipped with high standards of infection control systems in place. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 Residents can expect their needs to be met be appropriately trained and competent staff. EVIDENCE: Staff rotas confirmed that there are a minimum of four care staff and one duty manager on each day shift. At night there are two waking night staff on duty. There is also the full time manager, an activities co coordinator, a part time administrative assistant, four part time domestic staff and a laundry assistant. There is also a full time and a part time maintenance worker. The registered manager has a diploma in management of care services and registered managers award. Training and development plans and records demonstrated the homes commitment in enabling staff to achieve national vocational qualifications and core training such as health and safety, fire safety, first aid and manual handling. Recruitment records for four staff were examined and contained evidence of satisfactory criminal record bureau checks, references, personal identification, medical clearances and employment records. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36, 37 and 38 Residents can expect their rights and best interests to be safeguarded by the homes record keeping, policies and procedures. The home has good health and safety systems in place to protect staff and residents. EVIDENCE: The home has twice yearly quality audit days, the most recent having taken place in May 2005. The residents and relatives had been invited to participate and feedback on focused areas. The last audit included: Independence, choice, rights, communication, resting and sleeping, worshipping ones faith, security systems, supervision, corporate clothing, household remedies, key working and care planning. Results were later discussed at a residents meeting and Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 19 residents were then able to contribute to an action plan. The outcome of the survey and the action plan was displayed on the resident’s notice board. The manager confirmed that resident’s feedback is also actively sought through satisfaction questionnaires and the complaints, compliments and comments procedures. The home has induction, training and supervision arrangements in place. The manager and staff confirmed that they have regular supervision and annual appraisals, however this was not reflected in two of the staff files examined. Records relating to four residents were examined and were clear, up to date and in good order. The organisations access to records procedures were detailed and written in accordance with the Data Protection Act 1998. The home operates an open file policy and actively informs residents of their rights to read their personal records. One resident spoken with confirmed that they had been supported by the home to read their personal records. Training and development records confirm that the home has a rolling programme of health and safety training for manual handling, fire safety, first aid and infection control. Records and documents examined during the inspection were comprehensive and up to date and evidenced that the home has good systems in place to maintain a safe and healthy environment for staff and residents. Records seen included manual handling assessments, environmental, generic and personal risk assessments, fire safety records, health and safety inspections, accident records, COSHH records and Infection control guidelines. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x 3 3 3 Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 21 None 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 9 18 36 Good Practice Recommendations Staff should record the administration of medication when residents have actually taken medication rather then when they have given the medication. The homes Abuse Policy should reflect the guidelines set out in the Suffolk Interagency Procedures for the Protection Of Vulnerable Adults. Individual and group supervision records should reflect that it is taking place, for all staff, at least six times yearly. Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 5th Floor St Vincent House Cutler Street Ipswich IP1 1UQ 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 Norwood Residential Home I54 - I04 S24461 Norwood V244783 050815 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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