Inspection on 19/09/07 for Rylands Care Home

This inspection was carried out on 19th September 2007.

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

Rylands Care Home 27/09/06

Rylands Care Home 04/10/05

Rylands Care Home 23/09/04

Rylands Care Home 24/06/04

Similar services:

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rylands Care Home 9-11 Meadow Road Beeston Nottingham NG9 1JP Lead Inspector Richard Ramsden Unannounced Inspection 19th September 2007 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 Rylands Care Home DS0000008795.V341817.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. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rylands Care Home Address 9-11 Meadow Road Beeston Nottingham NG9 1JP 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) 0115 9436247 F/P 0115 9436247 Mr Vijay Mehan Mrs Mandy Jeannette Wilkinson Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2006 Brief Description of the Service: Rylands Care Home is situated close to the centre of Beeston, which provides a good variety of local facilities and amenities. The accommodation is sited over three floors, with the service users accommodation on the ground and first floor. There is a passenger lift providing access to all levels. The home is comfortably furnished and has been decorated and maintained to a very good standard. The rear garden has been redesigned and now provides a private and very pleasant environment for service users. The inspector was informed that the homes accommodation charges were between £325 and £355 per week at the time of this visit. A copy of the most recent inspection report is available in the home. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced visit over one day it took approximately 7 .5 hours. It included the inspection of care and other records, a discussion with the manager, the team leader and a member of care staff. The inspector spoke with three residents and one relative. A partial tour of the building was also completed as part of this visit. Two residents were Case tracked, which means that their care plans were examined against the actual care they receive. The inspector also discussed the commission for social care inspections proposals to reduce some of the restrictions placed on the homes registration categories. However having examined the homes registration certificate it seems unlikely that any changes will be necessary. Prior to completing this visit the inspector assessed the home service history, the Pre-inspection information provided by the homes manager and the last inspection report. What the service does well: The people living at the Rylands Care Home and their representatives are generally very satisfied with the services provided by the home. The home is well managed and run in the best interests of the residents. Residents and staff spoken with during the inspection confirmed that they have confidence in the managers abilities and that they are involved in the decisionmaking within the home. Residents meetings and frequent discussions with the care manager also helps to ensure that people living at the Rylands are able to voice their opinion about the way in which the home is run. People said that they are very satisfied with their bedrooms and confirm that they had been encouraged to personalise them with small items of furniture photographs etc. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 6 The care staff are well trained and some have worked in the home for some considerable time. This experience and training helps to provide continuity and stability for the residents. Residents said that they are very satisfied with the programme of activities and entertainment provided by the home. One person said how much she enjoys “ the birdie man” who provides entertainment at the home twice a month. Care plans are comprehensive and reviewed frequently enough to ensure that staff always know what assistance and support each resident requires. Healthcare records are generally well maintained. Residents said that staff are always friendly and respectful and ensure that their privacy and dignity is maintained at all times. Two people said that staff are always busy but still find time to socialise with the residents. The observed in traction between staff and residents was of a very good standard. There were aspects of good practice highlighted throughout the main body of this report. What has improved since the last inspection? The manager is ensuring that they can meet the needs of prospective residents by obtaining preadmissions assessments. Staff are recording the temperature in the rooms were medication is stored. 50 of the staff have received training on ensuring that residents are protected from abuse. The rest of the staff are due to complete this training later in the year. Staff records show that the manager is always obtaining Criminal Records Bureau clearance before staff are allowed to commence employment, this helps to protect residents from potential abuse. Residents records are now being kept securely and other records that the home is required to keep are available for inspection at all times. Some areas of the home has been refurbished since the last inspection and the laundry room door is kept locked when there are no staff in situ to ensure that Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 7 residents do not have access to the laundry equipment and potentially soiled or infected linen. 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. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3. The staff are ensuring that they can meet residents needs by always obtaining preadmission assessments. Residents are provided with written contract/terms and conditions of residence document. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents records were assessed as part of this inspection. Both of the records contained preadmission assessments one of which had been completed by a social worker the other by the homes registered manager. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 10 Terms and conditions of residence documents, which had been signed by the residents or their representatives, were available on each of the files reviewed during this visit. The home does not provide intermediate care. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Residents individual care plans contain sufficient information and are reviewed regularly enough to ensure that staff are always aware of what support and assistance each resident requires. The homes medication is generally well managed and residents believe that they are treated with respect. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents care plans were viewed as part of this visit. The care plans contain sufficient information and were reviewed frequently enough to ensure that staff have up-to-date information about the care and support each resident requires. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 12 The individual residents had each signed the care plans to confirm their involvement in the care planning and review process. (This is good practice). None of the care plans viewed during the visit-contained photographs of the individual residents. Photographs would help staff to identify, which residents are care plans referred to. One resident’s daily report stated that they needed to be seen by their GP about their swollen feet, however the individual care records did not show that the GP had been contacted. A senior member of staff stated that the GP had been contacted and that he had advised that the staff monitor the situation and contacts him again if the residents’ feet got worse. This information had been recorded in the homes diary but not transferred to the residents care plan. Generally the records show the residents health care needs are being appropriately met, this was confirmed by three of the residents and one visited who were spoken with during this inspection. The homes medication systems have generally been well maintained. None of the current residents had been assessed as safe to administer their own medication. The home has clear policy guidelines for staff to follow should a resident wish to administer their own medication. The manager stated that a comprehensive risk assessment would always be completed with any residents who wished to administer their own medication. All medication administration records had been appropriately signed each time the medication is given to the resident for whom it is prescribed. It was however noted that some of the medication administration records did not have a photograph of the individual resident attached to them. Photographs will help staff to ensure that they are administering the medication to the correct resident. The records of receipt and disposal of medication had been well maintained and the medication is stored securely. Staff have started to record the temperature in the rooms in which medication is stored. It is important that staff monitor the temperature in the rooms in which medication is stored as it can deteriorate and become less effective if it is stored at a higher temperature than those recommended by the manufacturers. The home did not have any controlled medication at the time of this visit however appropriate storage facilities were available. The homes policies and procedures regarding the administration of medication were checked at random. The policies were generally comprehensive however it was noted that the policy that staff should follow if they administer the Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 13 wrong medication to a resident did not inform them that this incident must be reported to the Commission for Social Care Inspection under Regulation 37. All of the resident spoken with said that the staff are friendly and respectful and ensure that their privacy and dignity is maintained at all times. The visitor spoken with during the inspection also confirmed this. The observed interaction between staff and residents was of a very good standard. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 14 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): 12,13,14,15. The lifestyle experienced in the home appears to match the residents’ expectations and preferences. People are encouraged to maintain contact with family and friends and residents are satisfied with the food provided. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager was able to demonstrate that the home provides a good range of activities and entertainment to stimulate the residents. Although she stated that she believes there is “still room for improvement” and is trying to obtain a member of staff or a volunteer to take specific responsibility for the organisation of activities and entertainment. The programme of activities is displayed in the main lounge. Residents were playing bingo during the inspection. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 15 The residents spoken with confirmed that the home does provide a variety of activities although one person stated that they choose not to participate, as they prefer to spend their time in their bedroom watching their television. One person said how much they enjoyed “ the birdie man” who visits twice months to entertain them. Residents and a visitor confirm that visitors are made welcome in the home at any time and the refreshments are always provided. The visitor stated that she visits her mother in the home on a regular basis. Individual residents care plans give details of how residents can be encouraged to make decisions about their daily lives. (This is good practice). There are also residents meetings, which are chaired by a member of staff from Age Concern, where people are encouraged to express their opinions about the way in which the home is run. (This is good practice). All of the residents spoken with said that they are very satisfied with the meals provided by the home and that alternatives will be provided if they do not want the food suggested on the menu. The meal on the day of inspection was well balanced and appeared appetising. Residents were asked if they would like additional helpings of the main meal. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. The home has an accessible complaints procedure and staff are taking appropriate action to try to protect residents from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is displayed in the main reception area and in the literature supplied to all residents. The homes complaints records show that there has only been one complaint since the last inspection. This complaint resulted in a Safeguarding Adults investigation. The records indicate that the home dealt with the complaint and the subsequent investigation appropriately and the member of staff concerned was referred for inclusion on the protection of vulnerable adults lists (POVA). One of the residents who was involved in the safeguarding adults investigation said that they would speak to ‘Mandy’ (the registered manager) if they had any Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 17 concerns or complaints. She confirmed that the manager is very approachable and that she fell confident that any concerns would be dealt with appropriately. 50 of the staff have received training in safeguarding adults the remaining staff have been booked to attend this training. (This is good practice). The home has an appropriate Whistle blowing procedure. The member of staff spoken with during the inspection was clear about her responsibility to report any possible abuse she may observe. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 18 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): 19,26. The accommodation is maintained to a very good standard and at the time of this inspection the premises were pleasant and hygienic. The water temperature in the wash hand basins in the residents’ bedrooms was extremely hot and some residents may be at risk of scolding themselves. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: When the inspector arrived at the home, there were no staff in the main entrance area. After a short time he managed to locate a member of staff in the residents dining room. The inspector expressed concern that any member Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 19 of the public could have entered the home and have had access to residents’ bedrooms without being challenged by staff. This is potentially putting residents and their property at risk. The manager stated that she had already identified this potential risk and that the main entrance was being locked in the afternoons when staff are busy providing activities with the residents. She stated that she is considering having a digital lock fitted, so that friends and families can gain access to the home but the members of the public cannot. The inspector commended this as good practice but reminded the manager that she would need to check with the fire service to see whether the lock needed to be wired into the fire alarm system. A partial tour of the premises was completed as part of this visit. The accommodation has been maintained to a very good standard. The residents bedrooms viewed during this visit were comfortably furnished and people had clearly been encouraged to personalise the rooms with photographs, ornaments and small items of furniture. The water temperature in the wash hand basin in one of the bedrooms was tested and the water was being delivered at 67°C. This is extremely hot and some residents could be at risk of scolding themselves. The manager has placed notices above all the taps stating that the water temperature is very high and that people could be at risk of scolding themselves. The manager was advised that risk assessment should be completed with the individual residents to identify any one who may be at risk of scolding themselves so that appropriate action can be taken to reduce the risk. All of the residents spoken with stated that they liked their bedrooms and confirmed that they can use them at any time. One person said that they choose to spend the majority of their time in their bedroom. All of the residents and the visitor spoken with during the inspection confirmed that the home is always clean and hygienic. The gardens are well maintained and accessible to residents. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 20 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): 27,28,29,30. There are sufficient, competent and qualified staff to support the residents. The homes recruitment policies and practices are supporting in protecting residents, the registered person was able to demonstrate a commitment to staff training and development. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The rota provided for the week of this inspection showed that adequate staffing levels are being provided to meet the assessed needs of the residents. Residents stated that although staff are always busy they do find time to socialise and ensure that residents individual needs are always met. The personal records of two members of staff were assessed as part of this visit. The records each contained two satisfactory references and appropriate criminal records bureau clearance forms. However neither of the records viewed contained a statement by the person as to his/her mental and physical health. The staff that were on duty at the time of this inspection completed a Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 21 health declaration while the inspector was still on the premises and this information was put in their individual personal files. One of the staff files did not contain any proof of identity. Although the member of staff stated that they had brought their passport into the home and that this information had been photocopied and placed on their file. The proof of identity must remain on the individual Staff files and be available for inspection at all times. The information provided by the manager shows that out of a total of 12 care staff nine have completed NVQ level 2 or above and a further one person was completing this training at the time of the visit. (This commitment to staff training is good practice). Staff training records observed during this visit show that a considerable amount of training has been provided. The member of care staff spoken with during the inspection confirmed this. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 22 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): 31,33,35,37,38. The home is well managed and run in the best interests of the residents. Where checked the health and safety residents and staff is promoted and protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is well qualified and very experienced. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 23 Resident’s staff and visitors said that the manager is very approachable and that she seeks their views about the way in which the home is run. Quality monitoring systems are in place and the manager stated in the information provided prior to this inspection that she intends to use the information gathered to produce an annual development plan for the home. The home has also obtained Investors in People accreditation. Staff to do not manage any residents personal money. Resident’s records were being stored securely in a locked filing cabinet at the time of this visit and staff have received training on data protection. The manager is now ensuring that all required records are available for inspection at all times. The laundry door was locked at the time of this inspection ensuring that residents health and safety is not put at risk by them gaining access to industrial machinery and potentially soiled or infected clothing. Nottinghamshire County Council completed a health and safety assessment at the home, in January 2006 there were no requirements made following this inspection. The manager stated that following the last inspection she has contacted the environmental health officer who confirmed that as the home has enclosed water tanks (report seen to confirm this) it is acceptable that they only test the water temperatures where the water is stored once each month. However the manager has instituted a program to ensure that the water temperature in the water tanks and residents’ bathrooms are being tested once each week. It was noted that the water temperatures in the wash hand basins in resident’s bedrooms is not being tested. Following advice from the environmental health officer the manager has placed notices above all the hot taps in the residents bedrooms stating that the water is hot and that there is a possibility that people may scold themselves. The inspector tested the water temperature in one of the bedrooms and it was 67°C. The inspector advised the manager to complete risk assessments and ensure that residents are not at risk of scolding themselves, as the water temperatures are extremely high and could potentially be dangerous to the residents. The homes Fire records were checked and had generally been well maintained however the records showed that the fire equipment had not been tested since 05/09/07. The manager stated that the fire equipment had been tested since that date but that the handyperson must have forgotten to record the details of the tests. This was confirmed by the handyperson who was reminded that Fire records must be kept up-to-date at all times. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 24 Regulations 37 When the home service history was checked, prior to this inspection no residents’ deaths or admissions to the Accident and Emergency Department had been reported to the Commission for Social Care Inspection in the last 12 months. However the information provided by the manager prior to this inspection stated that there had been two deaths at the home and two people had been admitted to Accident and Emergency Departments in the last 12 months. The manager stated that the deaths had been reported to the Commission for Social Care Inspection but she was unable to provide copies of the reports. She stated that she was not aware that admissions to Accident and Emergency Departments needed to be reported under regulations 37. The inspector discussed the incidents that need to be reported under this regulation and confirmed that copies of all the reports must be kept at the home. Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 25 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 X X 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 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X N/A X 3 3 Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 26 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. Standard OP7 Regulation 15 Requirement All health care appointments/ contacts must be accurately recorded in the individual residents care plans. The registered person must ensure that members of the public do not have unrestricted access to residents & their property. This will help to ensure the safety of the residents & their property. Proof of identity must be included in each member of staff’s personal files. The registered person must inform CSCI without delay of any incidents listed in Regulation 37. A copy of the report must be kept in the home available for inspection. Timescale for action 19/09/07 2. OP19 4 (a) 05/11/07 3. 4. OP29 *RQN 17& Schedule 4 (6) 37 & Schedule 2 (12) 19/09/07 19/09/07 Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 27 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 OP7 Good Practice Recommendations A photograph of each resident should be included in their individual care plans to help staff identify which resident the care plan refers to. The policy that staff follow if they make a mistake when administering medication should inform staff that these incidents must be reported to CSCI under regulation 37. A photograph of the individual residents should be attached to the medication administration records to help staff ensure that they are administering the medication to the correct person. Steps should be taken to ensure that residents are not at risk of scolding themselves from the hot water in the wash hand basins in their bedrooms 2. 3. OP9 OP9 4. OP19 Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 28 And Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Rylands Care Home DS0000008795.V341817.R01.S.doc Version 5.2 Page 29 - 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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