Inspection on 03/06/08 for Old Vicarage, (The)

This inspection was carried out on 3rd June 2008.

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

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

Other inspections for this house

Old Vicarage, (The) 18/07/07

Old Vicarage, (The) 07/04/06

Old Vicarage, (The) 19/12/05

Old Vicarage, (The) 26/10/04

Old Vicarage, (The) 17/05/04

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Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Old Vicarage, (The) Yeld Road Bakewell Derbyshire DE45 1FJ Lead Inspector Brian Marks Unannounced Inspection 3rd June 2008 09:00 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 Vicarage, (The) DS0000052437.V365614.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 Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Vicarage, (The) Address Yeld Road Bakewell Derbyshire DE45 1FJ 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) 01629 814659 01629 814330 Info@Westwickgroup.com The Westwick Group of Businesses Limited Vacant Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2007 Brief Description of the Service: The Old Vicarage is a well-established residential care home in the town of Bakewell that is registered to look after up to 25 older people with personal care needs. There is access to local facilities including shops, parks, library, cafes and public houses. Service user accommodation comprises of 23 single rooms and 1 double room, which are accessed by shaft lift and staircase. Nineteen of the bedrooms are equipped with en suite facilities. There are a variety of communal areas, including a conservatory at the rear of the building. Car parking space is provided at the front of the home and the home is set within well-maintained gardens with outside seating. At the time of inspection the weekly fee at The Old Vicarage was £525. Items not covered by this fee include hairdresser, chiropody, newspapers/magazines and optical treatment. Further information regarding the home and the current scale of charges can be obtained by contacting the home directly by telephone or email. The providers website also has information about the home along with photographs and the most recently published inspection report. Old Vicarage, (The) DS0000052437.V365614.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 2 star. This means the people who use this service experience good quality outcomes. This was a Key unannounced inspection that took place at the home over one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, records held by us and the written Annual Quality Assurance Assessment document (AQAA), which was returned before the inspection. Written surveys from two staff and two people living at the home were returned and all of the above material assisted with the preparation of a structured plan for the inspection. At the home, apart from examining documents, care files and records, time was spent with the manager of the home, who was in charge during the visit, and the visiting regional manager from the company. We also talked to seven of the staff working on the day shifts. The care records of three people who live at the home were examined in detail and these were interviewed along with eight others. Two relatives who were at the home on the day of the inspection were also spoken to and a local care professional, involved with people living at the home, was spoken to afterwards. No other inspection visits have been made to the home since the last Key unannounced inspection on 18 July 2007 and the assessment was made against the key National Minimum Standards (NMS) identified at the beginning of each section of this report, as well as other Standards that were felt to be most relevant What the service does well: The Old Vicarage is a well maintained home, which provides a comfortable, homely environment for the people that live there. A new manager has been appointed and she has worked hard with the home’s staff to create an atmosphere of ‘improvement and change’. Staff training has been made a priority and good numbers have completed the National Vocational Qualification. The people living at the home spoken to on the day of the inspection were complimentary regarding the care and support provided and the positive relationship they have with management and staff. They said that ‘staff couldn’t be pleasanter and are always very obliging’, ‘because of my situation the staff are my life’ and ‘staff are terrific and friendly’. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 6 Similarly family members spoken to said ‘she’s very comfortable and looked after very well’, ‘we’re very happy with her at this home’, and ‘the manager and staff always communicate very well, its much more of a dialogue’. Observation made during the visit of staff working and being with residents appeared relaxed, friendly and respectful. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do not come to live at the home without the care they need being properly identified. EVIDENCE: The new manager has upgraded and improved the care records in use at the home and all those looked at were completed to the same standard, although the file of somebody who came to live at the home three weeks before the inspection was still in the process of preparation. They all contain an assessment, completed by the manager before people move in, and this is then supplemented by further information obtained as they move in. In this way staff are given a picture of the person and the problems they are facing. The records of the more established people have additional assessments of the general risks facing them, as well as specific areas of risk that are relevant to them individually, such as safe moving and handling, skin breakdown and pressure sores, falls and nutrition. The record of the new resident, referred to above, contained only a personal handling assessment and no general risk assessment, even though it was indicated that she had experienced falls before Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 9 moving to the home. Where there has been specific involvement of Healthcare or Social Services people, their assessments are also included in care records. The comments of the local professional spoken to after the inspection were of particular relevance as the category of registration of the home does not include people whose primary description of need is a diagnosis of dementia. Only one of the records looked at contain a ‘life history’ that had been provided by her son, and this described her life in terms of positive achievements rather than just the problems she is facing at the present. All of the files looked at had a record that indicated a visit by the person or their representative had been made before deciding to move in, and the people spoken to said that their needs are met and that ‘they have been able to learn about how to look after me and to use all the equipment properly’. The home does not provide intermediate care so Standard 6 does not apply. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessment records promote safety and consistency, and they encourage staff to work in ways that respect individuality, privacy and dignity. EVIDENCE: As noted above, the care records looked at contain clear and comprehensive descriptions of the areas where people need help or where they experience risk, as well as the areas in which they are independent. Care activities to be carried out by staff are identified, although there is not a detailed background history that would complete the picture, even though there is a section in each care plan that indicates the social and leisure needs of the person. The care plans are looked at regularly to make sure that all information is correct and up-to-date, and all indicate that the person or their representative has been involved in creating the care plan. The AQAA indicates how the ‘keyworker’ system ensures that somebody is responsible for making sure that everything is recorded properly, and staff spoken to described how the documentation is routinely used by them and also that ‘communication is very good here and the daily handover and diaries make sure everything gets done’. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 11 The care records looked at confirmed that contact with external healthcare services is good, particularly the local doctors and district nurses, and a number of specialist healthcare services, such as the professionals at the local cottage hospital, are also currently involved with people living at the home or were directly involved with them coming to the home. From the written records and direct comments from people, the staff at the home work hard to care in sensitive and dignified ways, and to keep them as independent as possible: ‘I’ve got my own telephone in my room that I can use at any time’. ‘Although I have very poor eyesight they have helped me get used to the building and the hand rails are very useful’. ‘I go to the British Legion every month and there’s an outing to Sheffield for a few of us next month’. ‘They’ve had to cope with something out of the ordinary in my case and have worked very well to learn new techniques for moving me’. ‘Staff are very careful and if it wasn’t excellent I’d be screaming out’. Examination of the arrangements for the receipt, storage and administration of medicines indicated these to be generally satisfactory and all entries in the written records had been made properly. Medication is stored securely and the home uses a Monitored Dosage System for administration. The manager regularly carries out an audit of medicines herself and brings any deficiencies to the notice of relevant staff. There are a number of people living at the home who are using controlled drugs and storage and administration arrangements for these are satisfactory. One person manages her own medication and she has been assessed as being able to do this properly and signed a declaration to that effect. There are also a number of medicines for ‘occasional use’ (PRN) but specific instructions for their administration were not included in the records. The requirement made at the last inspection to properly record the temperature of the storage refrigerator has been carried out. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 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. 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 at the home enjoy lifestyles and routines that suit them and have the opportunity to take part in organised leisure and social activities. EVIDENCE: The people spoken to confirmed that they are generally happy with life at the home and they are able to do very much what they like. Whilst some people were seen to spend a lot of time in their rooms – one person spoken to is confined to her bed – most of the residents spend at least part of their day in either the drawing room or conservatory. Whilst most take their meals in the dining room, a small number have their meals separately as well. Staff encourage structured things for people to do and have arranged outings – one is planned shortly to Sheffield – and professional entertainers as well as things arranged within the home such as games, quizzes and reminiscence. A local voluntary group – First Taste – who promote art, craft and musical activities visits the home weekly and another provides a fortnightly ‘music and movement’ exercise session. Two of the care staff have been attending training with the first of these so that they can extend the availability of this activity. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 13 Contact with families and friends is encouraged and three people went out for to Bakewell with relatives during the morning of the inspection. The family members spoken to talked about the welcome they always receive from the staff: ‘they’re very friendly and communicate with us very well, keeping us informed about any changes and problems’. Whilst some rooms are too small for big family gatherings the drawing room is frequently available, and one resident was in a very large room that ‘allows for all the grandchildren to visit and still be private from everybody else’. The AQAA described how the manager intended to develop the availability of a newsletter so that everybody, particularly distant relatives, are kept informed about activities at the home. There are regular visits by the hairdresser to the home and a monthly service given by somebody from the local church. Because the latter is local, people living at the home can get to services there without too much difficulty in making arrangements. A brief visit was made to the kitchen and the assistant cook described current arrangements. Good standards in the catering service have continued, and a regular 4-week menu is being followed, which is now displayed daily on each table in the dining room. There is a choice at the main meals of the day and a hot option being available for breakfast and teatime, and people spoken to confirmed that supper is available for those that want it: ‘there is a genuine choice at all main meals and the chef is a nice chap who pops in to see us every day to see how things are’. Everybody spoken to shared this positive view of the meals at the home and one said that ‘it was the home cooking that sold it for me and convinced me about living here’. The cook makes arrangements for people with special dietary needs, and in the past these have included diabetic, low salt and gluten-free. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect them from harm. EVIDENCE: The home has a complaints procedure, which is available to residents and their friends and relatives. The AQAA indicated that the home’s management has recorded one formal complaint since the last inspection and records indicated that these were satisfactorily dealt with and quickly resolved. In addition one complaint was referred to the Commission after the last inspection and was passed to the home’s provider who gave a satisfactory response. Records also indicated that verbal complaints are now included in the record system, as required at the last inspection. All the people spoken to were clear about getting problems resolved and confident that they would be listened to: ‘If we have a problem we go to staff or the boss and they sort things out’. Staff records and the AQAA indicate that the manager has arranged for staff to receive training in their responsibilities to safeguard the vulnerable people living at the home and this programme will be complete a week after this inspection. The regional manager is an approved trainer with the local Social Services Department. The policies and procedures in place from the company are in line with the statutory procedure on safeguarding adults. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a clean comfortable and well-maintained home. EVIDENCE: The layout of the home is suitable for its stated purpose and all communal and private areas are accessible to the residents, including the grounds. As its name implies The Old Vicarage was once used as by the adjacent local church for ecclesiastical purposes and was designed on a classical and luxurious scale; it has been well maintained during its current use and its original features are still in place along with a modern extension containing bedrooms on the ground floor. A homely and comfortable environment for the residents is maintained, with views that overlook well-kept and attractive gardens as well as the town of Bakewell. People spoken to were very positive about the physical appearance of the home and they said that the bedrooms are ‘excellent with plenty of room for visitors’ and that ‘I was able to bring my own furniture and things in with me to make it more my home’. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 16 Since the last inspection the drawing room has been completely refurbished, with the provision of new furniture and furnishings. The home employs a maintenance person who makes sure that faults in the building are quickly dealt with and rooms decorated as required. The AQAA indicates that the home and its staff are becoming more ‘environmentally conscious’ and addressing this issue on a more routine basis. Housekeepers are employed to undertake laundry and domestic duties and are on duty seven days a week. On the day of the inspection the home was clean, tidy and free from odours and the residents spoken to had no complaints about the laundry service; all residents observed in the home wore clean and well-presented clothing. The issue of the use of hoists to assist mobility and handling people was discussed with the staff and manager and they confirmed that there is nobody in the home at present who requires such assistance. The care records looked at as part of this inspection also indicated this to be the case, including the person who is cared for in bed; she confirmed that her levels of pain deny her the use of such equipment. The manager said that all senior carers have been trained and have the experience to use the equipment if the need arose in the future. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. 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. The home provides an adequate level of staffing that supports a safe environment in which people live and work and staff have received training that helps them do their jobs in more professional ways. EVIDENCE: The AQAA indicates a 50 turnover of care staff in the past twelve months but none of the staff spoken to felt that this had impacted on their ability as a group to provide appropriate levels of care and meet the needs of the people living at the home. Whilst most care staff complete at least one long shift (12 hours) during a week’s duty, nobody found this caused them any difficulties and all felt that the workload they were given was satisfactory: ‘teamwork is good here and the management get us to work together’. Examination of the duty roster and information provided in the AQAA indicated satisfactory levels of care staff on duty during the week of the inspection, although some of people living at the home felt that at times ‘sometimes staffing is a bit light’ whilst others said that ‘there always people around when you need them’. The AQAA indicates that the numbers of care staff achieving or currently undertaking the National Vocational Qualification (NVQ) level 2 has been increased and the manager conformed that since that document had been completed the national target of 50 staff qualified had been achieved. Additionally the three senior carers have all achieved NVQ level 3. Records indicate that good achievements have been made across the board for the Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 18 training of care staff; the staff spoken to confirmed that the manager has been very good for them in this respect: ‘I’ve never had so much training’. Recently appointed staff all indicated that they had received an extended induction programme of basic training using a workbook that is provided through a training agency soon after starting work at the home. Similarly, recently appointed care staff spoken to described how a proper recruitment system had been followed before they started work, and two staff files looked at contained evidence of the proper checks being carried including two written references and a check by the Criminal Records Bureaus. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a well-managed and safe environment in which to live and work. EVIDENCE: The manager has been confirmed in post since the last inspection and has recently applied for registration with the Commission. The regional manager is in regular contact with the home and offers additional management support and monitoring of the home’s services. People spoken to were positive about the impact the manager has had on the home and how she ‘is always available if there are any difficulties’ and that ‘the home’s systems are working very well now and she knows my mother-in-law very well’. Staff also said that the ‘office door is always open’ but, although the system for planned meetings between manager and staff had been revived, the arrangements in place are not yet occurring on a regular enough to meet the National Standard. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 20 The AQAA indicates that the manager has carried out a survey of the views of people living at the home and their relatives in 2007 and the results of this information was made available to residents, relatives and staff and reported back through the company’s regular newsletter. The regional manager regularly completes the monthly visit to the home that is required by law, and samples of the above documents were seen on file. The manager and regional manager between them carry out a number of internal audits of activity at the home covering such areas as catering, medication and the completion of care plans. The systems for the safe keeping of residents’ personal spending money have been retained and these are satisfactory. The AQAA indicates good standards of health and safety activity and regular servicing of equipment, and the home’s handyman makes sure that any problems are dealt with quickly. Observations made around the building and a sample of fire safety and servicing records indicated the home is hazard free. Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard OP9 Good Practice Recommendations There should be a detailed description of the procedure to be followed for the administering of individual ‘occasional use’ (PRN) medicines to help staff carry this out safely and consistently. Residents should be consulted about their social interests and arrangements made to enable them to engage in local, social and community activities. A lockable facility should be provided in resident’s private accommodation unless the reason for not doing so is explained in the care plan. Staff supervision should take place every two months and include career development needs, and philosophy of care in the home. 2. 3. 4. OP12 OP24 OP36 Old Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 23 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 Vicarage, (The) DS0000052437.V365614.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!