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Inspection on 19/05/06 for Park House, Little Knowle

Also see our care home review for Park House, Little Knowle for more information

This inspection was carried out on 19th May 2006.

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

Staff treat residents as individuals aiming to make their lives as independent and fulfilling as they can. All residents spoken with praised the care they received from the staff and said they were very happy living at the home. One said "They look after us all very well". Staff are keen to ensure the well being and comfort of the residents and treat them with respect and kindness. A resident praised all the staff at the home saying " the best thing about living here is that I`m waited on hand foot and finger" The home works hard to meet residents` individual needs. For example a resident has expressed their choice to be assisted by a male carer and the manager is currently recruiting a male, another resident`s religious beliefs and observances have been met.

What has improved since the last inspection?

Management and staff have worked hard and a number of improvements have been made since the last inspection. Information about residents` health and social needs are now well recorded ensuring that all staff are aware of how residents will be cared for. Residents are protected by the robust procedures in place relating to residents medication, staff recruitment, staff training and health and safety. Extensive redecoration has been undertaken; three residents` rooms and the outside of the building have been refurbished since the last inspection.

What the care home could do better:

The home should ensure that policies and procedures relating to some issues of medication, care of some residents, maintenance of the cleanliness of the laundry and the duty roster are up to date and relate to current practice at the home.

CARE HOMES FOR OLDER PEOPLE Park House, Little Knowle 11 Park Lane Little Knowle Budleigh Salterton Devon EX9 6QT Lead Inspector Michelle Oliver Unannounced Inspection 19th May 2006 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 Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park House, Little Knowle Address 11 Park Lane Little Knowle Budleigh Salterton Devon EX9 6QT 01395 443303 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) Mrs Mabel Eileen Lily Perry Mrs Suzanne Lily Mary Pilkington Mrs Mabel Eileen Lily Perry Care Home 27 Category(ies) of Dementia - over 65 years of age (27), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (27), Old age, not falling within any other category (27), Physical disability over 65 years of age (27) Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: Park House is a large detached property situated in a large garden approximately half a mile from Budleigh Salterton town centre. Bedroom accommodation is provided on the ground and first floors. The first floor bedrooms can be reached by a chair lift. The home provides personal care for up to 27 older people who may have physical needs or dementia. A comprehensive statement of purpose and service user guide is available at the home which includes details about the philosophy of the home and details about living at the home. This is made available to all potential residents before they make a decision about living at Park House. A copy of the most recent inspection report is available on request. Information received from the home indicates that the current fees are £400 weekly. Services not included in this fee are chiropody, hairdressing and newspapers.. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on Friday 19th May 2006 over a period of 8 hours. The manager, who is also one of the providers and the deputy manager were present throughout most of the inspection. Some positive informative discussion and exchange of information took place. Three members of staff and twelve residents were observed, consulted with and their views on the home discussed. A number of questionnaires, seeking peoples views about the home were sent out by the inspector before the visit. Seven questionnaires completed by residents, four from GP’s, one from a health care professional and four from members of staff were returned. A tour of the building was made and a number of records were inspected. This included resident plans of care, fire log book and staff recruitment files. Since the last inspection the Commission has met with the providers of the home and the manager to discuss their concerns relating to issues raised at the previous inspection. An unannounced visit was made to the home following a complaint made to the Commission which raised concerns about some issues of care at the home. The providers have been co operative, have provided some training and submitted a plan of improvement for the home to the Commission. What the service does well: What has improved since the last inspection? Management and staff have worked hard and a number of improvements have been made since the last inspection. Information about residents’ health and social needs are now well recorded ensuring that all staff are aware of how residents will be cared for. Residents are protected by the robust procedures in Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 6 place relating to residents medication, staff recruitment, staff training and health and safety. Extensive redecoration has been undertaken; three residents’ rooms and the outside of the building have been refurbished 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. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Op3 & 6. Quality in this outcome are good. This judgement has been made using available evidence including a visit to this service Residents benefit from good admission and assessment practice which ensures that the home is able to meet their needs. EVIDENCE: Residents said that a member of staff had visited them before they decided to make Park House their home. Some were unable to remember their move to the home but were sure that their family had checked that it was “alright”. The manager and staff said that family members and potential residents were welcome to visit the home, ask any questions, meet the other residents, if they are agreeable, and have a meal if they wished. None of the current residents spoken to could recall being shown the home’s statement of purpose or service user guide, which includes comprehensive information about the home, but said they were very happy living at Park House. Three residents plans of care were looked at; all included a comprehensive assessment of the health, welfare and social care needs carried out by a Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 9 member of staff at the home before a person decides to move to Park House. The assessment ensures that people’s individual needs are known and that potential residents can be assured that they can be fully met at Park House before deciding to live there. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 7, 8, 9, & 10. Quality in this outcome are good. This judgement has been made using available evidence including a visit to this service Individual care plans have been developed and all aspects of health; personal and social care needs are identified or planned for. Medication is generally managed well. Residents are treated with respect and their dignity and privacy is maintained. EVIDENCE: The management and staff are to be commended for the work that has been undertaken to improve the care plans at the home. They are comprehensive and provide information to enable staff to meet residents identified care needs. The manager continues to develop the information to include details of individualised care so that staff know just how residents want everyday needs carried out, for example, bathing, dressing. This will further ensure that individual, person centred care is a priority at the home. Staff were aware of the details of residents individual preferences and residents said that they were satisfied with the care. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 11 None of the residents currently look after their own medication. Staff said that resident’s ability and wishes are assessed before moving to the home and if they wish to look after the own medicines they would be encouraged and supported by the staff. None of the residents spoken to want to do so and one said, “it’s one less thing I have to worry about”. Lockable medicine cabinets have been fitted to all residents’ rooms since the last inspection. The manager said this had been done in the interest of both safety and to maintain residents’ privacy. Records of medicines when given to residents are kept in individual cabinets to ensure that the correct procedure for administration is followed and that staff sign to record that the medicine has been given, or no, to protect residents’ safety. The inspector discussed the procedure for taking medication to residents who may not be in their rooms. The member of staff described, and the inspector saw, a satisfactory method of giving medicines to residents not in their rooms. Without actually going to individual cabinets and checking whether residents are due to be given medication, which is time consuming, no procedure was in place to inform staff the time residents needed medicines, this was dependent on staff knowledge. It was agreed that a list of residents with the times medicines were due would be kept, easily available to all staff, as a checklist. It was also agreed that the medication policy would be updated to include the current procedures at the home. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 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 the following standard(s): Op 12, 13, 14 & 15. Quality in this outcome are good. This judgement has been made using available evidence including a visit to this service Social needs and meals are generally well managed. A varied balanced diet is provided served in a pleasant atmosphere. Residents are encouraged to maintain contact with their families or friends as they wish and to take control of their lives whilst living at Park House. EVIDENCE: The daily routine, including getting up and going to bed and mealtimes, appeared to be flexible. Several residents had been served breakfast in their rooms and had chosen to go back to bed. Some residents were waiting to be bathed and said that if they chose to have a bath at any other time of day they were sure they could. They said that all staff were very kind and helpful. None of the residents spoken to were involved in local social or community activities. Residents’ interests and preferences had been recorded in their care plans. During the visit no recreational activities were planned or provided but this was because the previous afternoon an entertainer had visited the home. Several of the residents said how much the enjoyed “ a sing song” but wanted “ a bit of a rest this afternoon”. Staff spent time with residents, chatting and assisting them generally and encouraged and supported some to undertake Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 13 their individual interests. One of the residents enjoys knitting; another chooses to stay in their room as they enjoyed watching TV and is an avid reader. Books are changed regularly at the home by the “travelling library”. Staff spoke about the residents’ love of reading. Many were seen enjoying watching TV or listening to music. Residents are supported to maintain their religious beliefs by staff at the home and a record of individual wishes is recorded in their plans of care. Communion is brought to the home for those who wish. Visitors are welcome to come to the home whenever they wish. The home has a comfortable homely atmosphere, which the residents enjoy. A relative came to the home during this visit. They were made welcome, knew all the staff and said that the atmosphere at Park House is always homely and comfortable. All residents spoken to said they enjoyed meals and mealtimes at Park House. Residents are given the choice of where they have their meal but many choose to go to the home’s comfortable dining room. On the day of the visit meals were served individually to residents and were hot. Staff helped residents, who needed assistance with eating, discreetly. The cook is well qualified having worked in a convalescent home before coming to Park House. She was aware of specialist diets such as vegetarian and diabetic requirements. A record is kept not only of the meal served but also of what individual residents actually eat. This ensures that a good level of nutrition is maintained for all residents. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 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 the following standard(s): Quality in this outcome are good. This judgement has been made using available evidence including a visit to this service The home has a satisfactory complaints process. Staff have a good knowledge and understanding of the forms of abuse thereby ensuring that residents are protected at the home. EVIDENCE: Records of incidents recorded indicate that all issues are taken seriously and dealt with promptly. Residents confirmed that they feel comfortable discussing any concerns with staff at Park House. Since the last inspection one complaint has been made to the Commission about the home. An unannounced visit was made to the home to look at some of the issues raised . The complaint was discussed with the manager and her deputy and the provider was asked to look into some aspects of the complaint and to send a report of the findings to the Commission. This was undertaken. All requirements or recommendations that were made as a result of the complaint have been met. There was nothing to suggest that residents are anything other than well cared for at Park House. Residents said that they “always felt safe” and that “staff were very kind and gentle”. Staff have undertaken Adult Protection training since the last inspection and were able to discuss different forms of abuse. They all said that they would not hesitate to report any suspicion of poor practice. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 15 Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 19, 22,& 26. Quality in this outcome are good. This judgement has been made using available evidence including a visit to this service Procedures are in place to ensure that a safe environment is maintained. Improvement is needed in recording procedures to be carried out to ensure residents are kept safe. EVIDENCE: Park House is well maintained, with homely and comfortable accommodation including two lounges and a dining room. Decoration is ongoing at the home, many of the residents’ rooms and the outside of the house, have been decorated since the last inspection. The home was clean and free from offensive odours throughout. The laundry facilities were generally well organised. A domestic is employed to take care of residents’ laundry and the cleanliness of the room. This person was not available on the day of the visit. The inspector told the manager that handwashing facilities were currently inadequate and that various items and dust were behind the washing machines, which increases the risk of fire. This was Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 17 attended to immediately. Following a recent incident a notice is displayed in the laundry room reminding all staff that it is essential that correct procedures are carried out when caring for residents’ personal clothing and to take great care when washing “ delicates”, these should be hand washed. Some items that had been dry cleaned for a resident were brought to the home during this visit. All residents were well dressed at the time of this visit and several said that their clothes are well looked after. Whilst walking around home it was noted that several residents did not have a bell to call for assistance when they needed it. The inspector asked staff how these residents were assured that they could get assistance when they wanted. Although calls bells were not available. suitable arrangements had been made for residents to access staff; staff were seen visiting the rooms frequently before residents went to the lounge and when residents called out staff were quickly available. However, the procedures to be followed during the day and night were not recorded in care plans and an assessment of the potential risks to residents had not been carried out. This potentially puts residents at risk Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 27, 28, 29 & 30. Quality in this outcome are good. This judgement has been made using available evidence including a visit to this service The number of staff on duty throughout the day and night meets residents’ personal and health needs. EVIDENCE: The number of staff on duty on the day of the inspection was sufficient to meet residents’ needs. The manager aims to have 5 carers on duty between 8am2pm, 3 carers between 2pm-8pm and 2 carer between 8pm-8am. The manager, or the deputy manager, is also available at the home between 9am5pm. The manager is considering increasing the number of staff on duty at peak times e.g. early morning, late evening when residents may benefit from more staff being available to meet their needs. The home employs a cook to work until 2pm daily therefore care staff are sometimes responsible for preparing residents’ evening meals. When feasible the evening meal is prepared by the cook during the morning so that care staff have to serve the meal. Residents spoken with confirmed that their needs were met in a timely way. The inspector saw staff responding to residents’ bells swiftly throughout the day. Residents and relatives confirmed that staff were kind and helpful. Information received from the manager, prior to the inspection, indicates that 25 of the current staff have completed National Vocational Training at level 2 Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 19 or above. This will protect residents by ensuring that they are cared for by competent staff. The home is committed to providing training and since the last inspection training undertaken includes medication, fire safety, manual handling, risk assessment and Protection of Vulnerable Adults. Individual records are kept of training undertaken by staff ensuring that updates or gaps in training can be easily identified. Staff at the home are eager to undertake training and were able to highlight their individual needs during this visit. Three staff recruitment files were looked at during this visit. The documentation was consistent with evidence of a safe and robust recruitment process being carried out before a person is employed at Park House. This protects residents, as only people who have undergone this robust procedure will be employed to work at their home. All newly employed staff undergo a period of training when they start working at the home. The time taken to complete this training will depend on past experience and individual ability. Three staff induction training records were looked at, all of which included the input of individual staff. Training is not considered to have been completed unless the staff member agrees that they understand and have received enough information to allow them to carry out their duties. One member of staff described her induction training, which she considered to be comprehensive. She said “ if you’re unsure of anything there is always a senior member of staff around that you can ask, Matron is very helpful” A resident has expressed their wish that a male carer be employed at the home. This was discussed with the manager who said that she was aware of this. She had discussed it with the resident, advertised a vacancy and will be interviewing some applicants soon.. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 31,32, 33, 35 & 38. Quality in this outcome are good. This judgement has been made using available evidence including a visit to this service. Training, development and supervision of staff is consistent and staff benefit from clear leadership. Residents are protected by the homes’ safety procedures and staff training. EVIDENCE: The owner of the home is the registered manager. Since the last inspection the roles of the deputy manager and manager have been clearly defined. More time has been spent on “ paper work” which has achieved a far more consistent record of care, recruitment, safety and quality assurance. Both the manager and her deputy give clear direction and leadership to the staff at Park House. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 21 The home has a comprehensive system to monitor the quality of care and enable residents and their families to have an input to the running of the home. This ensures that standards of health, social care and welfare needs will be maintained and a programme of continuing improvement developed at the home. Residents will benefit by being assured that the home is working towards delivering high standards of care. The quality assurance system includes residents feedback from meetings, an audit of complaints, minutes of staff meetings, records of staff supervision and an audit of staff training needs, risk assessments for the building and an audit of accidents and incidents at the home. The manager said that residents are also consulted daily about the running of the home. Some radiators in hallways are not guarded however, assessments have been undertaken to minimise the risk of scalds to residents. This was discussed with the provider who said that some of the unguarded radiators are due to be removed. The home does not look after any residents’ monies. Those who might choose to look after their own would be encouraged and supported to do so. A record is kept of any bills paid on behalf of a resident and a monthly account is sent to whoever deals with their finances. This may be a relative, solicitor or financial advisor. Residents’ records are securely stored and would be made available to them, or their representative with their consent. Records show that staff undertake regular training in the prevention of fire, fire alarms and emergency lighting are regularly checked. An assessment of identified hazards and associated risk relating to the environment has been undertaken which contribute towards ensuring that Park House is a safe place to live. . Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 23 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. 2. 3. 4. 5. Refer to Standard OP9 OP9 OP22 OP26 OP30 Good Practice Recommendations The medication policy should be updated to include recent changes to the medication procedures at the home. A written procedure for ensuring that all residents are given medication at the correct time should be undertaken. Call systems with an accessible alarm facility should be provided in every room. Arrangements should be made to ensure that when staff are absent their work should be undertaken by other staff.[this relates to the cleanliness of the laundry] The duty roster should include details of the duties worked by the manager and deputy manager. Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Park House, Little Knowle DS0000022001.V289731.R01.S.doc Version 5.1 Page 25 - 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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