Inspection on 22/09/08 for Acorn Lodge Care Home

This inspection was carried out on 22nd September 2008.

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 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

Acorn Lodge Care Home 06/07/09

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

CARE HOMES FOR OLDER PEOPLE Old Forge Care Home Beazley End Braintree Essex CM7 5JH Lead Inspector June Humphreys Unannounced Inspection 22nd September 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Old Forge Care Home DS0000071782.V372351.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. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Forge Care Home Address Beazley End Braintree Essex CM7 5JH 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) 01371 850402 oldforgecarehome@btinternet.com Eden Health Care Care Home 20 Category(ies) of Dementia (20) registration, with number of places Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - Code DE The maximum number of service users who can be accommodated is 20 2. Date of last inspection Brief Description of the Service: The Old forge is a purpose built home for older people, situated in the rural setting of Beazley End, Braintree Essex. The new owners, Eden care have extensively refurbished and converted the home to provide 24 hour care for 20 older people, who may also suffer from dementia. Accommodation is all on one level and all single rooms have ensuite facilities. There is parking to the front of the home, and a large secluded garden, with a patio area available, to allow easy access for wheelchairs, and people who are less mobile. The current scale of charges, as notified to the CSCI at the inspection on the 22nd September 2008 is between £440.00 to £600.00 per week, with additional charges for personal items (toiletries, hairdresser, newspapers, chiropody, etc.). Old Forge Care Home DS0000071782.V372351.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 1 star. This means that people who use this service experience adequate quality outcomes. This was the first inspection of the home since registration with the Commission for Social Care Inspection (CSCI), and the focus was on the outcomes for residents, and their views of the service provided. We considered the provider’s capacity to meet regulatory requirements, minimum standards of practice; and as part of the report we have focused on aspects of service provision both positive, and those that need further development. Two inspectors conducted the unannounced visit, over a period of five hours, on the 22nd September 2008. Relevant records and documents were examined and observations of care practice formed part of the inspection, as did observation of staff and resident interaction. A number of surveys were also received from health professionals, relatives and staff, and a sample of information received will be included in the report. The Proprietor completed and returned the Annual Quality Assurance Assessment to the Commission, which is a self-assessment of how the service is doing; and information contained within this document will be reflected within the body of the report. What the service does well: The home has been completely refurbished to a very high standard by the new owners. The home was seen to be well maintained, with good quality domestic style furnishings, fittings and décor. Bathing and toilet facilities are good, with all bedrooms having ensuite facilities. Residents said they found the food to be appealing and wholesome, and that they were offered a range of choices. Relatives said that the staff are caring, the manager is always available and promptly refers any health problems to appropriate health professionals and keeps them well informed of any changes in the residents condition. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The service requires an experienced and qualified Manager to address a number of shortfalls identified in the report i.e. supervision of staff, assessments of residents, management of complaints etc; to ensure the continued well being of people who use the service. Initial assessment completed by the service need to clearly identify people’s needs, and the levels of support they require. All care plans should be updated in the new format to contain sufficient information on all aspects of the person’s health, personal and social care needs and describe how staff are to meet those needs. Staffing levels within the home whilst adequate, do not ensure that residents are supervised sufficiently at all times. The service must keep staffing levels under review to ensure that the numbers of experienced staff are available to meet the needs of residents of which they have a duty of care. Further stimulation and activity for the residents needs to be introduced. The medication policy in the home should reflect current practice. Please contact the provider for advice of actions taken in response to this Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 7 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. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are provided with an opportunity to visit the home prior to admission, and an adequate statement of purpose is available. But initial assessments do not clearly identify prospective residents individual needs prior to a placement being offered, which potentially could mean that people are inappropriately placed. EVIDENCE: The statement of purpose and service users guide was looked at as part of this inspection. A copy of the document is provided to all prospective residents. The document describes the needs of the people the home aims to meet, and the service that will be offered, including the facilities. The document did not include the name of the current manager, who is also the proprietor, and how to make a complaint, with the updated contact address of the CSCI. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 10 Each prospective resident is offered an initial day visit, where their family/relatives are encouraged to attend to help the person decide if they would like a trial period within the home. A contract is provided for each resident, and was in place for each of the three residents care files that were inspected. Terms and conditions of occupancy and a contract detailing the accommodation to be provided, the care the person will receive, and any other services available i.e. hairdressing and chiropody were included. Initial assessments were completed prior to admission, but relied heavily on the information provided from health professionals and social services. The home’s assessment did not clearly identify the person’s needs and the level of support, and subsequent staffing levels that would be required to care for them. There are currently six residents at the home, and the assessment process should be improved prior to the increase in numbers of people, to ensure new referrals have been assessed, and that their needs can be met. The home does provide respite care, but does not offer intermediate care. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 care needs of residents are appropriately monitored, but individual care plans do not consistently reflect the care that is provided, which means residents can not be assured of good quality care at all times. EVIDENCE: Three files were looked at in detail as part of the inspection. Despite preadmission assessment information being limited, one care plan seen provided detail on how the person’s care needs could be met. This included reference to outside professionals providing input on health care issues i.e. district nurses. The other two documents had not been updated, and there were gaps in essential parts of the forms. The manager advised that they were in the process of updating the care plans to ensure that information cross referenced with risk assessments, and had been reviewed to meet the current needs of each person. The daily notes were informative, and health related issues made reference to any health professionals visits. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 12 None of the current residents have pressure sores. One resident who preferred to spend time in their wheelchair, had been referred to the district nurse for assessment to ensure the most appropriate care was being provided; to try to prevent any future development of pressure sores. The home has appropriate procedures for administration of medication, and records were available to confirm that the necessary training to staff that administer medication had been completed. The current policy states that two staff should administer medication. This was not the case when observed, and the policy should be updated to reflect current practice. The staff member also signed the medication administration sheet prior to administering the medication, and was seen to administer several resident’s medication at the same time. The staff member was able to provide information relating to the drugs prescribed to each individual, but this is not good practice and could become hardzous has the number of residents increase, and there is greater amounts of medication to administer. The storage of medication is satisfactory, with separate storage for controlled drugs. The administration of Warfin was well recorded, with the dates of when blood tests were required, and the subsequent results written on the MAR sheet. Residents who were able to share their experiences of living in the home appeared satisfied with the level of care and support received. Residents are regularly spoken to and asked prior to any changes being made in routines, activities and menus. Staff were observed to be sensitive, and respectful of individuals privacy, when assisting with personal care, and two relatives surveys confirmed that “staff seem to be very caring, and supportive”. Old Forge Care Home DS0000071782.V372351.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home can expect to be offered a satisfactory quality, of well -presented meals that meets their dietary requirements; however the overall social needs are limited in relation to provision of activities due to the skills, and time available of current care staff. EVIDENCE: The staff try to offer a range of different activities each day and which match the needs and preferences of the residents. An activity plan was available, but this did not match the activities being offered on the day of inspection. There was one member of staff and also the manager who was seen to be working on shift to provide care and supervision for six residents. The member of staff was observed supporting residents to knit, and play a board game. The current ratio of staff makes it difficult for residents to be offered a regular varied programme of activities. The manager stated in the completed AQAA that it is the intention to appoint “an activity officer, who is knowledgable, and skilled at engaging people with Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 14 dementia in meaningful activties.” This would happen once the number of residents has increased. Visitors are encouraged to visit relatives at the home, and confirmed that they were able to visit whenever they wished. The home offers visitors the opportunity to share a meal with their relative should they wish to do so, and the manager said that a number of social activities were being offered to try to welcome, and encourage relatives to be involved with the home i.e. a barbecue had been organised in the Summer. The food tasted at lunchtime on the day of the inspection was well prepared, nutritious, and all seven residents were observed to enjoy the meal, and said that a choice was always offered. Old Forge Care Home DS0000071782.V372351.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 adequate. This judgement has been made using available evidence including a visit to this service. The complaints procedure, and safeguarding procedures are clearly written and accessible, however residents need to be confident that concerns are listened to, and recorded at all times. EVIDENCE: An adequate company complaints procedure is in place. Staff spoken with had basic awareness of the whistle blowing policy, and this is part of the induction programme. Several service users were asked if they knew how to complain and they said they would tell ‘the manager’ or the relative who visited them. Several relatives also completed surveys and said that the home had made them aware of the complaints procedure as part of the admission procedure. One person said, “We have had so concerns so far, but would complain if necessary”. Another person said “I can’t see that I would need to complain as the care seems to me to be good, and also the food”. CSCI has received one complaint since the home was registered to the new providers. No complaints were recorded in the complaints log. The Manager stated that none had been made. When discussing the complaint, the manager advised that this had been resolved, and that any issues of discontent are dealt with very quickly and therefore formal complaints are not common practice. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 16 The service must adhere to the complaints policy in place and provide evidence that complaints made have been actively listened to, recorded and responded to. One safeguarding referral has been made to Essex County Council, relating to staffing levels, which has been addressed in the staffing section of this report. Several staff had completed safeguarding training, and the manager evidenced that the remainder of staff would be attending training in the near future. Old Forge Care Home DS0000071782.V372351.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): Quality in this outcome area is good. 19 and 26 This judgement has been made using available evidence including a visit to this service. The home provides a safe, comfortable and well-maintained environment; well suited to met the resident’s needs. EVIDENCE: The home has been completely refurbished to a very high standard by the new owners, Eden care. The home was seen to be well maintained, with good quality domestic style furnishings, fittings and décor. The lounge and dining room are smart and comfortable. Residents’ bedrooms seen were nicely decorated and personalised with many items such as pictures, electrical equipment, and furniture. Sky T.V has been installed in all bedrooms, and several residents were pleased that they could watch a range of sport, which they said they enjoyed. There is large plasma T.V in the lounge, which again is appropriate for older people whose vision or hearing may be impaired. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 18 Bathing and toilet facilities are good, with all bedrooms having ensuite facilities. Paper hand towels and liquid soap dispensers are in each toilet, and bathroom facility as part of infection control. Staff are aware of good infection control procedures and have attended training. The laundry is well equipped to cope with the workload of the possibility of twenty residents. The garden is fully accessible and provides a pleasant alternative environment, which can be used by all residents who choose to. All areas seen were clean, tidy, and hygienic. Residents said they “liked their bedrooms, and the facilities in the home, and that they were comfortable and at ease in their surroundings.” Old Forge Care Home DS0000071782.V372351.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): Quality in this outcome area is adequate. 27, 28, 29 and 30 This judgement has been made using available evidence including a visit to this service. The residents at the ‘Old Forge’ can not be assured that the standard, or consistency of care will be the same at all times, due to the basic levels of staff employed within the home. EVIDENCE: At the time of inspection there was two members of staff working with six residents. One member of staff was the Proprietor, who is currently acting as the manager. The rota confirmed that two staff are currently on shift at all times, with one waking night staff, and one staff member sleeping in. The rota identified that the current manager is working most days on shift, and on several occasions all day. The manager advised that this is a temporary situation, and once the numbers of residents has increased, the staffing levels will be reviewed, and further staff employed to ensure the needs of the residents continues to be met. The current staff are all qualified N.V.Q 2/3 except one member of staff who is currently about to start the training. Several of the staff are new employees who are undertaking the induction process, and the manager advised that this is why she is currently working on shift to support, and coach new staff. The six residents were observed through the lunch period. Only one resident required any prompting to eat and none required assistance. Several residents Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 20 were able to function independent of staff for example got up and spoke to the cook with regard to the choice of desserts. The Manager stated in the AQAA that” three residents currently suffer with dementia”. Whilst the current staffing levels are satisfactory to meet the needs of the current resident group, an increase in dependency, or numbers of people would make it essential for the ratio of staff to be reviewed. An anonymous complaint has been made to Essex County Council regarding the staffing levels at the home. The quality monitoring team are involved with the home, and again have suggested that staffing levels are continually reviewed. Two care staff, the cook and the manager were interviewed as part of the inspection. The cook had been working at the home for only a few days. The cook was very experienced and was in the process of putting a new menu in place, and kept a monitoring chart of what people had eaten and enjoyed. An individual card system was in the process of being completed to advise care staff on what each resident preferred for breakfast. There was no evidence that staff have received regular supervision. An annual appraisal system is the process of being introduced. Both staff spoken with stated that the manager provided a good level of support, and was available when needed. The records relating to staff recruited since April 2008 evidenced that this process had been thoroughly carried out with the required checks made and copies of supporting documents seen on file. Old Forge Care Home DS0000071782.V372351.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): Quality in this outcome area is adequate. 31, 33, 35, 36 and 38 This judgement has been made using available evidence including a visit to this service. Residents cannot be assured that their changing needs are assessed and met, and that the home is meeting its expressed aims and objectives. EVIDENCE: This is the first inspection of the service since the new owners Eden care were registered. The home is registered for twenty residents, and at the time of inspection only six permanent residents, and one respite person were living in the home. A manager had been appointed in April 2008, and had remained working in the home for a short period of time. One of the Proprietors is currently undertaking the role until a new manager is appointed. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 22 The Proprietor confirmed that it is not her intention to undertake this role, other then on a temporary basis. The AQAA was completed by the Proprietor/ manager, and submitted on time. The Proprietor demonstrated that that there is a commitment to provide high standards of care in the home and is currently working long hours to support staff and residents personally. Much of her time appears to be actually spent providing direct care, and therefore management tasks of supervision, and team meetings are yet to be put in place. Currently there is no deputy manager to provide back up support to her on a day- today basis, and despite her continued hard work, the service would benefit from a more experienced and qualified manager to move the service forward. The service has in place policies and procedures for recruitment of staff, health and safety, infection control, care planning and risk assessments. However a number of identified practices and procedures are not being fully adhered to, as identified within the report i.e. supervision of staff, initial assessments and management of complaints. The service is relatively new and still developing but there is a need to ensure that procedures and practices are followed, and recorded so that there is evidence that the home is run in the best interests of the people living there. Two residents finances were examined and these were seen to be well managed, and to tally with the recorded information. The home has a robust policy and procedure for the recruitment of staff. Employees do not start work until POVA 1st checks and CRB checks have been received, and also two supporting references. A range of health and safety documents were examined and these were up to date. The home had fire risk assessments in place, and evidence of fire drills and fire alarm tests. Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 1 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 1 X 3 Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 25 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 OP3 Regulation 14 Requirement All prospective residents can expect to have their needs assessed prior to being admitted to the home, to ensure appropriate safe care will be offered to them. All residents care plans should be updated to the new format to provide sufficient detail to guide staff on the actions to be taken to meet the health and well being of the residents. The manager should ensure that the current medication policy reflects current safe practices within the home, to ensure staff follow good practice and keep residents safe. (Relates to one person administering medication rather then two as stated.) Residents must be provided with regular opportunities to participate in social and recreational activities, which meet their needs both in, and outside the home, to ensure Information of activities and outcomes for residents must be clearly recorded. Staffing levels must be reviewed and maintained so as to ensure that residents’ needs are met. Timescale for action 31/10/08 2. OP7 15 01/12/08 3. OP9 13 31/10/08 4. OP12 16 01/01/09 5. OP27 18 31/10/08 6. Old Forge Care Home OP36 18 The registered person shall 31/10/08 DS0000071782.V372351.R01.S.doc Page 26 ensure, that staff working at Version 5.2 the home are appropriately supervised 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 OP9 Good Practice Recommendations Medication must be recorded accurately to ensure the correct amount of medication has been administered to each resident at all times. (Relates to staff administering medication to more then one resident at the same time. The proprietor should continue to promote an ethos that encourages people to express any complaints and concerns, and responds to these positively. The recording of complaints should clearly show the stages and timescales of the process. All complaints should be recorded. A permanent experienced manager should be appointed to review and develop the service. The manager should apply for registration with the commission 2. OP16 3. OP31 Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Old Forge Care Home DS0000071782.V372351.R01.S.doc Version 5.2 Page 28 - 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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