Inspection on 21/09/05 for Rosewyn House

This inspection was carried out on 21st September 2005.

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

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

Other inspections for this house

Rosewyn House 29/10/09

Rosewyn House 19/03/09

Rosewyn House 28/03/07

Rosewyn House 14/02/06

Rosewyn House 18/11/04

Rosewyn House 11/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosewyn House Alverton Terrace Truro Cornwall TR1 1JE Lead Inspector Lynda Kirtland Announced Inspection 21st September 2005 09:30 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 Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosewyn House Address Alverton Terrace Truro Cornwall TR1 1JE 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) 01872 279107 01872 279107 Mr William Percival Dawes Mr Gregory Brian Murrell Mrs Jennifer Eileen Spargo Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th November 2004 Brief Description of the Service: Rosewyn House provides care and accommodation for up to twenty service users of either sex over the age of sixty-five years. Mr Dawes and Mr Murrell, the registered providers, own the home. Mrs Spargo is the registered manager of the home. Rosewyn is set within well-kept grounds, secluded and in walking distance of the centre of Truro. Rosewyn is a large old house, which has been extensively refurbished under the present ownership. The house has two floors with access to the first floor via a wide staircase or lift off the main entrance hall. Eighteen rooms are for single occupancy and there is one shared double room. None of the rooms have en-suite facilities although most of the single rooms are fitted with a washbasin. There are 9 toilets within the home conveniently situated for service users. There is a call alarm system in all rooms. Communal rooms are furnished and decorated to a high standard. The sitting room is large and divided into several areas, which is useful for service users who wish to sit quietly. The dining room is set out with small table to seat up to four people at each table. Service users are encouraged to continue their personal interests within and outside the home. Outings are arranged on a regular basis. Hairdressing is available for all service users within the home. Health services, including G.P., and Dentistry are arranged as required. Chiropody and hairdressing are both arranged on a regular basis. Visitors are welcomed at any time, suitable and convenient to service users. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited Rosewyn Residential Home on the 21 September 2005 and spent eight hours at the home. This was an announced visit. The purpose of the inspection was to gain an update on the progress of compliance to the requirements that were identified in the last inspection report dated18 November 2005. In addition the inspector focused on the following key areas of care: choice of home, care planning, health care, leisure, complaints, staffing and some management areas. On the day of inspection twenty service users were resident in the home. The methods used to undertake the inspection are to meet with a number of residents, staff, the registered manager and registered providers to gain their views on the services that Rosewyn offer. The registered manager also completed the pre inspection questionnaire, which is similar to a survey asking for information on what services/facilities the home provide. Completed comment cards from three relatives in gaining their views on the home were received and assisted in the inspection process. Rosewyn records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. What the service does well: Residents commented that Rosewyn provides good quality care and accommodation. Residents are provided with information to assist them in making an informed choice before making a decision to live at the home. An introduction to the home is planned with the resident. Residents commented that the welcome to the home was a positive experience and ‘relieved anxiety’ about moving into a care home. The home undertakes pre admission assessments and care plans ensuring that care needs are identified and plans how to address them. All residents said that they felt that they were consulted about their care needs which staff met. Residents commented that they have access to health care and felt that all their health needs were met to a ‘good’ standard. Residents confirmed that there was a varied and stimulating programme of activities that is provided by the home and local community. Activities are displayed to promote this service and encourage others to participate. Residents felt their visitors were welcomed to the home. Residents were satisfied with the quality and provision of food. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 6 Residents and staff stated that if there were any issues they felt able to approach the registered manager directly and that their ideas would be listened to and where appropriate acted on. Residents and staff commented that there are sufficient staffing levels on duty. The staff team have worked at the home for some length of time that has provided consistent care to residents. Residents made various comments about staff such as; they are ‘kind’ and ‘caring’. The registered manager ensured that all residents, relatives and staff were aware of the forthcoming inspection. She prepared relevant information to assist in the inspection process. The inspector felt welcomed to the home. What has improved since the last inspection? The last inspection identified two requirements and four recommendations. All of which have been complied with. The registered manager has ensured that all residents have a pre admission assessment before admission to the home. She has also ensured that medication is stored and recorded correctly at all times. Liaison with health colleagues has meant that all residents have been referred for an annual medical consultation. Policies in the event registered accessible respect of managing residents when their health deteriorates or in of their death was present at the home and were appropriate. The manager has also ensured that the quality assurance system is for residents and their representatives. The registered provider and deputy manager continue to access training for staff to update their care practices. Their induction and foundation programme is more in depth and staff supervision occurs on a regular bases. Since the previous inspection the registered providers have financially invested in the homes décor and furnishings both internally and externally. New carpets, furnishings and kitchen equipment have been purchased. What they could do better: From this inspection three requirements were identified as follows: Paper towels must be installed in the staff toilets to minimise infection control: All staff must have recruitment checks undertaken by POVA and Criminal Records Bureau before they can commence employment. After gaining the POVA check, no staff member is to be employed unsupervised until relevant CRB checks are in place: All records must adhere to the Data Protection Act - it is acknowledged that the majority of records do met this standard but some need further work in this area. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 7 Four recommendations were identified as follows: All medication should be signed for after administration and individual medication pots should be used for residents to minimise cross contamination of medication: The adult protection policy should be amended to show staff what process to take when a allegation of abuse has been received: A minimum of 50 of staff should be trained to at least NVQ level 2, it is acknowledged that this is the homes target and they are all working hard to achieve this: All staff should have a copy of the GSCC Code of Professional Conduct. Residents and staff could not think of any improvements that Rosewyn could make. Overall this inspection highlighted that Rosewyn provides a good standard of care to residents. The inspector would like to thank the residents, staff and management team for their assistance during this inspection process. 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. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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 Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5, Rosewyn has detailed information, which informs service users and their representatives about the services that they provide. The home completes an assessment of prospective residents to make sure they are able to meet the person’s needs. Rosewyn provides a planned trial period of stay at the home. Staff are experienced and competent to meet resident’s needs. EVIDENCE: Rosewyn home Statement of Purpose and Residents Guide has not needed to be amended since the last inspection as the services the home provides has not altered. Financial expectations and accountability are clearly stated in the residents contract with the home, which has been signed, by the resident or their representatives and the home, or referring local authority. From discussion with residents they confirmed that they were consulted about their care needs prior to admission to the home, in some cases this was Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 10 recorded on their files. From inspection of three residents files it was evident that pre admission assessments occur. Care needs identified by the referring professional assessments were incorporated in the assessment process and transferred to care plans. This assessment identifies the residents individual physical, emotional, social, educational and leisure needs and how the home would aim to address them. A month’s trial period is offered to all new residents after which a review is held with all parties present to consider if the placement is appropriate and if so a long-term placement will be provided. From records inspected and in discussion with residents they commented that the preadmission and ‘moving in period’ are carried out sensitively by staff and could not see how this process could be improved. They also stated that this was undertaken with their participation and that their care needs were identified accurately. From observations of staff, plus inspection of forthcoming training programme and records it was evident that the staff team are experienced in the area of older peoples care and receive training to update their knowledge in this area. Throughout the inspection the inspector observed staff that displayed great skill in communicating and providing personal and emotional care to residents. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Residents and their representatives are consulted in the implementation and subsequent reviews of their individual care plans. Health care needs are met to a good standard. Medication is administered and stored safely. The staff at the home builds positive relationships with residents that are based upon the residents dignity and privacy. EVIDENCE: From discussion with residents, staff and inspection of documentation it was evident that individual care needs are identified appropriately. From inspection of residents files, and in discussions it is evident that Rosewyn encourage residents to express their views in the formation of their care plans. The care plans clearly identify service users care needs and from this specifies what actions staff should take to ensure that the care need is approached in a consistent manner. The inspector recommended that the home also consider what current skills residents display and promote this in the home. The care plan is reviewed every three months. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 12 Residents commented that health needs are met by the staff at the home and by external professionals to a high standard. Detailed records of all health professional visits to individual residents further evidenced this. Equipment to assist in the residents medical care such as pressure mattresses, slide sheets and a variety of grab rails were seen in the home. All staff receive regular training in the moving and handling of residents in the home. Medication was inspected in detail at the last inspection. However some issues were identified and so only these parts were inspected. It was noted that designated staff are all trained to intermediate level of safe handling of medication. The home has a contract with the local pharmacist to ensure that medications are ordered, administered, stored, disposed of correctly, and will provide a audit of their practice. From inspection of the medication, storage was satisfactory. From observations of the medication round the inspector noted a tablet count cross-referenced with documentation. The controlled drugs were all accounted for, stored appropriately and records completed accurately. The medication sheets were completed satisfactory. Staff were aware of what medication should be stored in the fridge. Permission from residents is sought in the administration and storage of their medication. The inspector observed that medication was signed for before it was administered and that the same medication pot was used on several occasions when distributing differing medications to residents. This was raised with the registered manager who was aware that these practices were incorrect and would address this. All residents spoken with stated that staff display a high standard of respect in their daily interactions. Residents stated that staff ensure that their privacy and dignity is maintained and could not see how this area of care could be improved. The inspector noted that the atmosphere of the home and residents appeared to be relaxed. Residents commented staff were ‘kind’. Residents confirmed that they have a choice as to when to rise/ retire to bed, receive their mail unopened, have access to a private phone and can receive visitors in private. In addition the inspector observed staff interacting with residents in a professional manner at all times, alongside a sense of humour when appropriate. Rosewyn has an appropriate policy in respect of a resident’s health deteriorating or in the event of their death. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 Rosewyn provides a programme of activities to promote and encourage the pursuit of residents social, educational and leisure needs. Flexible visiting arrangements are in place and visitors are welcomed at the home. EVIDENCE: From discussions with residents the majority commented that there is ‘enough to do’ during the day. The inspector noted on the day of inspection a variety of activities taking place; socialising, music, hairdressing, and receiving visitors. Activities are displayed so that residents can choose if they want to participate. Some residents commented that they prefer to spend time in their own company and this is respected. Residents were able to recall a list of activities that occur such as exercises, monthly communion, games, and outings to name a few. Individual interests are recorded in service user pre admission information. There is a flexible visiting policy and residents determine where they meet with their guests. Residents felt their visitors were welcomed to the home positively and could not think of improvements in this area. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 14 Residents confirmed that they were aware of advocacy groups and could access age concern, solicitors, family or ask the home staff for advise. Residents made positive comments to the inspector in the variety and quality of food provided. They confirmed that choices of meal are offered. This standard was not inspected on this occasion and will be assessed on the next visit. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Rosewyn has an appropriate complaints and whistle blowing policy. Residents, their representatives and staff are confident to raise any concerns. Residents are aware of advocacy groups to ensure that their legal rights are protected. Staff have good knowledge of adult protection issues, the written policy needs to reflect this. EVIDENCE: Rosewyn has completed policies in respect of the complaints procedures. Rosewyn and CSCI have not received any complaints about the home. From the inspectors discussions with residents all stated that they had no concerns about the care or facilities that were provided by the home. Staff likewise commented they had no current concerns. The majority felt able to approach the management team if they had any concerns. Resident names are placed on the electoral role in order that they can participate in the political process, if they wish. Residents are aware of independent advocacy groups, solicitors or may use family members to represent them if they wish. Rosewyn has an adult protection policy. Further amendments to this document are needed and were discussed with the registered manager. The homes adult protection policy needs to be amended to set out the process of what staff should do if an allegation of abuse is received ensuring that the correct process is followed. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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): EVIDENCE: This section was not inspected. However the inspector noted that the home was clean, tidy and odour free. The inspector recommended that paper towels should be installed in the staff toilet area to promote infection control. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Suitable trained and experienced staffs are employed in sufficient numbers at all times to meet residents care needs. Recruitment procedures must be more robust to ensure that residents are protected in the home. The level of training in the home has increased to ensure staff are trained to undertake their work. EVIDENCE: On the day of inspection five care staff, an assistant manager, domestics, handyperson, kitchen staff, laundress and registered manager were on duty. In the afternoons the ratio of carers reduces to two but with the same level of management cover. The registered manager stated that the staffing ratio during waking hours is aimed to be 1:7. At night there are one waking night staff plus a member of staff sleeping in and the registered manager on call. The registered manager stated that the home have never used agency workers and there are no staff vacancies. Residents were satisfied with the level of staffing in the home and all were complimentary about the care and approach they receive from the staff team. From discussion with staff they all commented that they felt that there is sufficient staff on duty and that they ‘work as a team’. The inspector observed staffs that were competent in their work. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 18 Twenty five percent of staff has achieved a minimum of NVQ level 2 or above. Some staff are currently aiming to complete their NVQ level 2 by the end of 2005. When this has occurred the staff team will have reached the target of 50 of the staff group gaining NVQ qualifications. Some staff has completed first aid training. The assistant manager has liaised with local colleges to assist in the training of the staff team. This programme was inspected and is up to date with recent legislation and in line with TOPPS and the national minimum standards. This process has just commenced with all staff. From inspection of recently recruited staff files they evidenced that in the main appropriate employment checks have been completed. However the registered manager was informed that all recently recruited staff from July 2004 must have an up to date CRB and POVA check. This has not occurred as she thought that the CRB was transferable between jobs. New guidance was given to the registered manager and she agreed to ensure that all staff has relevant POVA and CRB checks. The registered manager was informed that staff cannot work unsupervised until these checks have been made. Rosewyn recruitment policies were not inspected on this occasion. Information on gaining the General Social Care Councils Code of Professional Conduct was also given to the registered manager for her to obtain copies for all staff in the home. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32,34,36,37 The registered manager is competent in her role to manage the home. The management approach creates an open, positive and inclusive atmosphere for residents and staff. Financial accounts are maintained to ensure viability of the home. Staff receive satisfactory induction, supervision and training to ensure good working practices in the home. EVIDENCE: The registered manager has experience in social care setting for 39 years. She has undertaken relevant training to update her knowledge in the area of older persons care. The assistant manager is undertaking her Registered Managers Award. The staff team and residents spoke positively regarding the accessibility of the manager to voice any ideas as to how to improve/change the service. The registered providers visit the home daily to ensure that all that is needed for the home is in place. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 20 Staff stated that they meet with the management team approximately 3 monthly and minutes confirmed this. Resident’s views are sought individually and they felt this was sufficient. The registered providers confirmed that Rosewyn is financially viable and has relevant insurance in place. The registered manager, confirmed by records and discussion with some staff stated that all staff receives at least six supervision sessions per year. Records held by the home are stored in a confidential manner and in the main are in line with the Data protection Act. Following discussion with the registered manager the handover book must be reviewed to ensure that it is in line with the Data Protection Act. Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 X X X X X X x 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x 3 X 3 2 x Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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. 1 2 Standard OP26 OP29 Regulation 13(3) 18 Requirement Paper towels must be installed in the staff toilets to minimise infection control All staff must have recruitment checks undertaken by POVA and Criminal Records Bureau before they can commence employment. After gaining the POVA check, no staff member is to be employed unsupervised until relevant CRB checks are in place. All records must adhere to the Data Protection Act Timescale for action 31/12/05 31/12/05 3 OP37 17 31/12/05 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 Refer to Standard OP9 OP18 Good Practice Recommendations All medication should be signed for after administration and individual medication pots should be used for service users The adult protection policy should be amended to show DS0000009132.V251140.R01.S.doc Version 5.0 Page 23 Rosewyn House 3 4 OP28 OP30 staff what process to take when an allegation of abuse has been received. A minimum of 50 of staff should be trained to at least NVQ level 2. All staff should have a copy of the GSCC Code of Professional Conduct Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Rosewyn House DS0000009132.V251140.R01.S.doc Version 5.0 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. 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!