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Inspection on 03/09/07 for Scalford Court Care Home

Also see our care home review for Scalford Court Care Home for more information

This inspection was carried out on 3rd September 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

The home is comfortable, clean and spacious providing a good level of comfort and choice of lounge, recreation and meeting areas for residents and their visitors. There are no restrictions on visiting, and residents are assisted out to the local village to church and to vote. Complaints are recorded and acted on appropriately. Staff have a good awareness of the protection of adults information and how to act on this appropriately. The home is well decorated and comfortable, Staff also showed a good awareness of cross contamination and cross infection.

What has improved since the last inspection?

All residents now have a written contract or statement of terms with the home, some of these are signed and a copy placed on the file. Residents are assessed prior to stays commencing, care plans are completed and reviewed accordingly and include healthcare monitoring. The administration of medication has improved with more monitoring of staff, resulting in an overall improvement. Residents` pastimes are better organised, and recorded appropriately. Menus have been revised and are now backed up by pictorial choices giving residents a greater visual choice of meals provided. Many positive comments were received about the food "the meals are good" "the food is very good" but all residents agreed that the food was "better when the cook`s here." The complaints policy and procedure have now been amended, and these are available in the foyer of the home. Staff training has improved with a number of courses being organised and recording of those completed. The manager has been registered in post with the Commission for Social Care Inspection and continues to make improvements throughout the home. Staff supervision has commenced with a number of staff meeting on a regular basis.

What the care home could do better:

Some gaps and discrepancies still exist in the medication records and there was a lack of detail and information in risk assessments and care plans to ensure medication was administered appropriately. Privacy and dignity of some residents remains in question with some toilet and bathroom door locks either not being in place or not locking properly. The plan of refurbishment has yet to be produced, so improvements can be monitored, as a number of areas require to be improved. The recruitment of new staff still causes issues with the process not being followed and omissions in files. Care staffing numbers and availability of staff at hand over times continues to cause concern with a large number of residents remaining in their rooms, and the needs those residents present. Quality assurance is not well executed with no new questionnaires being sent, and no further development of quality issues within the Statement of Purpose, or Service User Guide.

CARE HOMES FOR OLDER PEOPLE Scalford Court Care Home Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB Lead Inspector Keith Williamson Unannounced Inspection 3rd 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 Scalford Court Care Home DS0000054020.V350067.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. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Scalford Court Care Home Address Melton Road Scalford Melton Mowbray Leicestershire LE14 4UB 01664 444696 01664 444499 brenda@scalfordcourt.co.uk 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) V & L Corporation Limited Mrs Brenda Grant Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (40) Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. To be able to admit the named person in category PD into Scalford Court Care Home as identified in correspondence with the previous registration authority dated 12th April 2004 No-one under the age of 55 years maybe admitted into Scalford Court Care Home To be able to admit the named person into Scalford Court Care Home within the category PD under 55 years as identified in correspondence dated 20th October 2003. No one falling within the category OP may be admitted into Scalford Court Care Home where there are 40 persons already accommodated in the home No one falling within the category PD(E) may be admitted into Scalford Court Care Home where there are 40 persons already accommodated in the home No one falling within the category DE(E) may be admitted into Scalford Court Care Home where there are 10 persons already accommodated in the home The maximum number of persons accommodated within Scalford Court Care Home is 40 3rd May 2007 Date of last inspection Brief Description of the Service: Scalford Court is registered for 40 older people. It is registered to provide a service for older people with physical disabilities and for up to ten older people with dementia. The home is situated in its own grounds between the market town of Melton Mowbray and the village of Scalford and is mostly surrounded by farmland although there is a Conference Centre nearby. Public transport is limited but the home has its own minibus for the use of residents. The home is a converted and extended stable block with all rooms used by the residents being on the ground floor. Staff facilities and the Proprietors accommodation is located on the first floor. The main lounge/dining area has views of an internal courtyard that is well maintained with plenty of flowers and shrubs. This courtyard has seating and is used by the residents during the warmer months. There is a further lounge and a conservatory that overlooks another attractive internal courtyard. The home currently has 24 single and 8 double rooms although there is an ongoing improvement plan of developing an area to the back of the home to provide further single en suite bedroom accommodation. Currently eleven of the single rooms and six of the double rooms have en-suite facilities. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 5 The current fees charged weekly fall between £319 and £450 per week, there are additional charges for hairdressing. A copy of the latest Commission for Social Care Inspection, inspection report is available from the home. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections is on outcomes for residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting a sample number of clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation, in this case four residents were chosen. This inspection took place over one day, commencing at 9.00am and took seven and one half hours to complete. One inspector conducted the inspection (or site visit). An opportunity was taken to look around the home, view records, policies and care plans and to talk to residents and staff. Information was gathered prior to the site visit from sources such as residents, their relatives and staff comment cards; the pre inspection questionnaire from the acting manager and in some cases complaint information. Twelve of residents were seen and three spoken with during the inspection process, though due to the frailty of the resident group, few comments were made. An interpreter was used at the inspection. What the service does well: What has improved since the last inspection? Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 7 All residents now have a written contract or statement of terms with the home, some of these are signed and a copy placed on the file. Residents are assessed prior to stays commencing, care plans are completed and reviewed accordingly and include healthcare monitoring. The administration of medication has improved with more monitoring of staff, resulting in an overall improvement. Residents’ pastimes are better organised, and recorded appropriately. Menus have been revised and are now backed up by pictorial choices giving residents a greater visual choice of meals provided. Many positive comments were received about the food “the meals are good” “the food is very good” but all residents agreed that the food was “better when the cook’s here.” The complaints policy and procedure have now been amended, and these are available in the foyer of the home. Staff training has improved with a number of courses being organised and recording of those completed. The manager has been registered in post with the Commission for Social Care Inspection and continues to make improvements throughout the home. Staff supervision has commenced with a number of staff meeting on a regular basis. What they could do better: Some gaps and discrepancies still exist in the medication records and there was a lack of detail and information in risk assessments and care plans to ensure medication was administered appropriately. Privacy and dignity of some residents remains in question with some toilet and bathroom door locks either not being in place or not locking properly. The plan of refurbishment has yet to be produced, so improvements can be monitored, as a number of areas require to be improved. The recruitment of new staff still causes issues with the process not being followed and omissions in files. Care staffing numbers and availability of staff at hand over times continues to cause concern with a large number of residents remaining in their rooms, and the needs those residents present. Quality assurance is not well executed with no new questionnaires being sent, and no further development of quality issues within the Statement of Purpose, or Service User Guide. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 8 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. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 9 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 Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 10 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 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process for residents is now more detailed; resulting in accurate and detailed information for staff to ensure care needs shall be met. EVIDENCE: Of the residents’ files that were viewed on this occasion, all had a contract or statement of terms and conditions in place. These were issued for both long and short stay residents, and signed by the resident or a representative. Assessment information for the residents was viewed. The information gathered by the staff has increased in detail, and was adequate from which a plan of care could be developed. The home does not provide facilities for intermediate care. Scalford Court Care Home DS0000054020.V350067.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. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Medication records are generally up to date for medication received, administered and disposed of however evidence showed that staff were not always able to respond to changing circumstances such as new equipment and changes to medication or health needs appropriately and proactively. EVIDENCE: Care plans and risk assessments have improved with all three care plans being detailed enough to assist staff in the care of the resident. One plan was reviewed and accompanied by risk assesments adequate to cover the needs of the resident concerned. Health care monitoring is in place with a number of issues being monitored over a period of time. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 12 The way that medicines are looked after and administered has improved following inspections from a Commission for Social Care Inspection Pharmacist inspector who made requirements on the way that medication was given, recorded and stored. The registered manager and senior staff now carry out regular checks of records and watch staff administering medication to make sure that medicines are given safely and that policies are followed. Where staff have been found not to be competent in handling medicines training has been given or they have been moved to alternative duties. Some gaps and discrepancies were seen in medication records and there was a lack of detail and information in risk assessments and care plans to ensure that medicines were used correctly and safely as part of the overall care of residents. Where residents are taking their own medication and where creams are being applied and kept in residents rooms records do not show that the creams are still being used regularly or how much medication has always been given to residents to look after themselves. Medicines are stored properly although staff were found to be not using the thermometer on the new fridge to take reading correctly even though there were full instructions on the fridge door and there was a broken door on one of the storage cupboards. The registered manager said that a deputy manager is to be recruited with specific duties to ensure that medication is managed properly, that records are kept up to date and that staff are aware how to give medicines safely and correctly to meet the changing health needs of residents, this should help to ensure that the improvements already made continue. The privacy and dignity of residents’ remains in question with two residents indicating they had to wait for some time to access assistance to the toilet, and indicated this was due to “staff taking their breaks together”. Staff spoken to on the day indicated the workload was “heavy at times”, and indicated they took breaks together, but in pairs. Adjustments to some of the doors in the home have also yet to be completed, this is covered later in the report. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 & 15. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents enjoy, experience and participate in activities and interests, and are supported to maintain their preferred individual daily routines and choice of lifestyle. EVIDENCE: Social and recreation care has increased in availability and is provided for the majority of residents in the home. Recording of social events takes place on individual residents files. Menu records showed that a good range of ‘traditional English’ food is served reflecting the cultural heritage of the resident group. Dietary needs, preferences and allergies are recorded in care plans and discussion with residents suggested that these were accurately recorded. The choice of meals has been enhanced by a file with photographic prompts, assisting the residents to freely choose from the daily menu. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 14 Many positive comments were received about the food “the meals are good” “the food is very good” but all residents agreed that the food was “better when the cook’s here.” Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents’ are protected by appropriate complaints and adult protection policies and practices. EVIDENCE: The complaints policy and procedure have now been amended, and these are still available in the foyer of the home. The complaints records were viewed with no further complaints being recorded since the Inspectors last visit, and no complaints being made to the Commission for Social Care Inspection. Staff showed a good awareness of whistleblowing and adult protection strategies. Residents spoken with indicated they were happy to speak to staff regarding any worries they had. The protection policies and procedures were not seen on this visit, these shall be seen on the next visit of the service. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 & 26 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and clean environment, however a lack of bathing facilities and plan of refurbishment detracts from the overall good level of facilities. EVIDENCE: The carpets to the main corridor have been replaced, and this has improved the conditions underfoot for residents. The handy person has almost completed the replacement of bedroom door locks, though the locks to the toilet and bathroom doors still require further adjustment to ensure adequate privacy for residents. Two of the bathing facilities were out of order, one bath requiring a repair, the other with no hot water and a large patch of damp to the wall. There were other areas in the home with damp patches to the wall. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 17 All these areas require urgent attention, to ensure adequate numbers of bathing facilities, and privacy whilst using them and the toilets. There was no plan of refurbishment in place, and this is necessary to ensure that outstanding work is prioritised, and dealt with in a timely manor. Staff training in cross contamination and cross infection is nearly complete, and staff showed a good awareness of these issues. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 & 30 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. Poor recruitment practices continues to place residents and staff at risk in the home. EVIDENCE: There are still no built in “handover” times for staff. Residents were seen to be assisted into the dining room, though now at a more appropriate times. Prior to lunch the residents sitting in the dining room stated they were there at their own request. There continues to be a large number of residents in their bedrooms throughout the day. On the day of the visit over 50 of the residents remained in their bedroom. The numbers of care staff required to assist this number of residents shall need to increase to ensure the safety of residents and staff in the home. The recruitment process continues to be poorly managed, with three members of staff commencing since the last visit, there was evidence of a completed application forms, copies of other documentation and Criminal Records Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 19 Bureaux checks being in place. However there were no references on file, for a newly appointed member of care staff. Staff training has improved with a number of statutory and additional training courses taking place since the last visit. The Registered Provider has identified a number of other training initiatives to assist the staff group. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 36 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The management approach does not promote effective quality assurance practice in the home, and does not assist the development of the home through these means. EVIDENCE: The current manager has recently completed a successful interview with the Commission for Social Care Inspection and has therefore become the registered manager. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 21 The position of establishing quality assurance within the home has not changed with no recent quality assurance questionnaires have been distributed to residents or their relatives. There has been no further quality assurance information added to the Service User Guide. Staff supervision has commenced, but due to being early in the process the inspector could not ascertain how effective this process shall be. Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X 1 X X X X 3 STAFFING Standard No Score 27 1 28 X 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X X 3 X X Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? yes 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 OP9 Regulation 13 (2) Requirement There must be an accurate record of all medication received, administered and disposed of by the service including: Defined codes for any nonadministration Quantity administered where a variable dose is prescribed Quantity and date of any medication given to residents for self administration Quantities received and balances carried forward from the previous month. (This requirement with an original timescale for action of 28/02/07 and 28/06/07 still remains unmet) Where medication is prescribed as required or when necessary there must be sufficient information on the medication administration record or in care plans to ensure that staff know how much to give, when to give and why it is to be given. (This requirement with an original timescale for action of 05/04/07 remains unmet) DS0000054020.V350067.R01.S.doc Timescale for action 01/12/07 2 OP9 18 (1) (c) 01/12/07 Scalford Court Care Home Version 5.2 Page 24 3 OP19 23 There was no plan of refurbishment in place, this is necessary to ensure that outstanding work is prioritised, and dealt with in a timely manor. 01/12/07 4 OP21 23 Two of the bathing facilities were 01/12/07 out of order, these must be repaired and the minimum amount of bathing or showering facilities be made available for residents, in close proximity to their bedrooms. This would assist in residents’ privacy and dignity in the home. The numbers of care staff must reflect the needs of the resident group. This would ensure staff have the appropriate time to care for residents. Staff must not be employed unless the required checks have been carried out. These include • PovaFirst/CRB checks • References • Full employment history • Suitability to work with vulnerable adults This would ensure residents and staff are safe in the home. 01/12/07 5 OP27 18 6 OP29 19 01/12/07 7 OP33 24 Effective quality monitoring 01/12/07 systems must be put in place, to ensure the development of the home is continual, and is to the benefit of residents. This would ensure that residents could comment on, and influence the development of the home. (This requirement with an original timescale for action of 05/04/07 remains unmet) Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 25 8 OP33 24 The outcome of any quality assurance exercise is used to inform any prospective residents to the home. This would provide prospective residents with the information to make an informed choice regarding a stay in the home. (This requirement with an original timescale for action of 05/04/07 remains unmet) 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations The acting manager and senior staff should continue with regular audits of medication records and administration to check that improvements in medication administration continue and are sustained. Staff who are responsible for medication should receive training so that they know how to record maximum/minimum fridge temperatures properly. 2. OP9 Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 26 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 Scalford Court Care Home DS0000054020.V350067.R01.S.doc Version 5.2 Page 27 - 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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