Inspection on 24/04/06 for Selly Park Care Centre

This inspection was carried out on 24th April 2006.

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.

Other inspections for this house

Selly Park Care Centre 29/09/09

Selly Park Care Centre 18/09/07

Selly Park Care Centre 04/10/06

Selly Park Care Centre 27/10/05

Selly Park Care Centre 31/05/05

Selly Park Care Centre 13/10/04

Selly Park Care Centre 16/04/04

Selly Park Care Centre 16/01/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Selly Park Care Centre 95a Oakfield Road Selly Park Birmingham West Midlands B29 7HW Lead Inspector Kath Strong Unannounced Inspection 24th April 2006 09:10 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 Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Selly Park Care Centre Address 95a Oakfield Road Selly Park Birmingham West Midlands B29 7HW 0121 471 4244 0121 471 1107 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) Exceler Healthcare Services Limited Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 50 General nursing care. Males and females over the age of 65 years Date of last inspection 27/10/05 Brief Description of the Service: Selly Park Care Centre is a converted Victorian building that has been extended to offer 24 hour care for 50 older people with nursing needs. The home is built around two internal well maintained and attractive courtyard gardens that allow secure access for residents, visitors and staff. There is a car park to the side of the home, which can accommodate 11 vehicles. The Home is located in a pleasant residential area in Selly Park and is within easy access to main bus services from the City Centre. The home offers mainly single rooms with a small number of double occupancy rooms and there are also en suite rooms available. The bedrooms are situated on both the ground and first floors and there are two passenger lifts servicing both wings of the Home. There are three lounges and two dining areas available and a further small lounge is used for social events and activity sessions. The staff training room is situated on the first floor. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of this service for the year 2006/07 and is linked to the Commissions focus upon outcomes for residents. The unannounced inspection was undertaken over a long day. Information was gathered from in depth discussions with the manager and individual meetings with resident’s relatives/friends, a visiting professional and staff. All of the key standards were assessed as well as others determined to be necessary, progress made against the requirements generated from the last inspection was reviewed. Relevant documentation was examined including five care plans, one of which was case tracked in order to ensure that all identified needs were being fully met. Medication and staff practices were observed. A tour of the premises was carried out. At the conclusion of the visit verbal and written feedback was supplied to the manager. What the service does well: What has improved since the last inspection? A good proportion of the requirements generated from the last inspection have been addressed. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 6 The activities programme has been revised taking into account those residents with mental health illness. The home has a maintenance programme for redecoration of bedrooms. All communal areas and the exterior of the home have been redecorated. The home has not received any formal complaints since the last inspection. All bedrooms have been supplied with a copy of the service user guide. 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. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 The quality outcome in this area is adequate. Contracts of terms of residency are issued but do not include sufficient information. The pre-admission assessment tool is comprehensive and appropriately completed by senior staff. EVIDENCE: The contracts issued to residents do not include the fee rate. Although costs of services not included within the fee rate are outlined within the service user guide they are not detailed within the contract and terms of residency. The manager advised that new contracts were due to issued by head office at the beginning of April but they had not yet been circulated. The pre-admission assessment tool includes extra details such as spiritual needs and personal preferences. One assessment indicated that specialist equipment would be required before accepting a placement, this indicates good practice. Improvements were found in the recordings made by senior staff to ensure that all needs had been identified. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 9 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 The quality outcome in this area is poor. Care planning does not cover all aspects of care and the input of external professionals is encouraged but poorly documented. The system for medications is robust with comprehensive arrangements in place. Staff do not treat residents with dignity when assisting with meals. EVIDENCE: Five care plans were examined, one of which was case tracked. Advice was given that a new system of care planning was being introduced which had been utilised for the last admission to the home. The file will serve to improve the required recordings for residents and give greater clarity of how care should be delivered. The following concerns were found: • The care plan of the latest admission five days previously had not been completed • Inconsistencies in the standard of content of files • A resident who has a poor appetite has been prescribed food supplements three times per day. The fluid balance chart indicated that on some occasions only two had been provided • Consistent failure of staff to document the rationale and outcome of the involvement of external professionals Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 10 • • • Lack of formal reviews with the resident, relatives or other professionals being invited to attend Lack of care planning for short term problems such as chest infection or urinary tract infection The healed wound of a resident had been photographed and monitored but did not include the size and depth. A discussion was held with a PCT officer who was ensuring that case management was fully in place and had also assisted the manager in carrying out a review of dependency levels. She said, “Staff have been absolutely brilliant, very accommodating”. Records indicated a pro-active approach to the involvement of other professionals. This included assessment by a GP and dietician of a resident with a poor appetite. She advised the inspector that she did not intend to eat lunch and said, “If I want something in particular, I ask for it and get it”. Another resident reported, “I like living here, staff are very kind and helpful”. A friend of a resident advised, “he has been in three other homes where he complained but no complaints made here”. During discussions with staff they demonstrated a good knowledge of residents needs. The methods for the administration of medications were found to be comprehensive. An administration round on the ground floor was observed, no concerns were raised. A trained nurse has the responsibility for overseeing the medications. Spot checks are carried out against the numbers in stock and the manager carries out a monthly random audit. Staff were observed using the preferred term of address and personal care was being provided in the privacy of a bathroom or the residents own room. The observed practices of a member of staff assisting a resident to eat lunch failed to ensure that his dignity and enjoyment of the meal was maintained. Numerous residents remained in armchairs during lunchtime. The manager advised that residents have requested this, however the care plans did not include documentation to confirm individual’s preferences. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 11 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, 15 The quality outcome in this area is good. Although in-house activities have improved insufficient external activities are offered to ensure residents have a varied lifestyle. Residents are encouraged to influence the day to day running of the home. Meals provided offer both choice and variety and special dietary needs are met. EVIDENCE: The recently reviewed seven day activities programme was seen. Residents are offered interesting and varied activities, which include a suitable range for those with mental health problems. Each resident has a file consisting of social history; close relatives, medical history, hobbies and interests as well as special needs. Each file includes a chart to record the resident’s participation for both mornings and afternoons. One resident goes out unaccompanied and has a keen interest in gardening. The home has supplied him with a greenhouse for growing tomatoes and he is given a small monthly salary for managing the courtyard flower boxes. This is viewed as being good practice. Residents are offered infrequent outings such as visiting a pub for lunch. The manager confirmed her awareness that outings offered need to be more frequent and varied. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 12 Regular residents meetings are held with minutes collated and distributed accordingly. The manager operates an open door policy for residents or relatives to discuss issues. The inspector was supplied with a sample copy of one week of the four week rotating menu and a list of resident’s choices for the pervious day. Residents are offered a varied and wholesome diet. The main meal of the day is served at lunchtime offering two choices for the main course, as well as the dessert yoghurt and ice cream is always available. The evening meal consists of soup, a light meal and a dessert. During mid-morning and afternoon staff were observed serving hot drinks with biscuits or cake. The pre-inspection questionnaire indicates that snacks are available during the evening for those who request them. Cooked meals are served from heated serving trolleys, a carer was noted giving guidance to others regarding residents preferences such as likes/dislikes and portion sizes. Meals were well presented including pureed foods. Staff were observed being courteous and helpful. One resident said, “Food is excellent”. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 13 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, 18 The quality in this area is good. The complaints process is good, with evidence that resident’s opinions are listened to and handled objectively. The arrangements for protection of residents from harm or abuse are satisfactory. EVIDENCE: The home has not received any formal complaints since the last inspection. The log of pervious complaints includes details, investigation, outcome and any necessary follow up. The manager advised that she holds a ‘surgery’ every Wednesday evening for staff and residents to raise any concerns. The complaints procedure was on display in the reception area, it was noted to require a minor amendment. The document should include a timescale for resolution of not more than 28 days. The home has policies regarding adult protection, whistle blowing and use of restraint, which were found to be satisfactory. The training matrix indicated that all staff have received training in this aspect of care but does not provide details of length and content of the training. The manager is recommended to maintain written information on the course content, which is provided inhouse. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 14 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): 19, 20, 21, 22, 24, 25, 26 The quality in this area is adequate. Residents are provided with homely and comfortable accommodation. Generally the hygiene levels are satisfactory but the management of mal odour is inadequate. EVIDENCE: The interior of the home provides a warm and pleasing environment. All communal rooms and corridors have been redecorated since the last inspection and the home has a maintenance programme for redecoration of bedrooms. The home utilises contractors for major works and employs a maintenance operative for twenty hours per week to carry out smaller ongoing tasks. The gardens are attractive and well maintained. Residents have a total of three lounges to choose from situated on the ground floor and the separate dining room as well as the lounge/dining room. There is a room on the first floor, which may be used as a quiet area or for resident’s activities. There is a room for use by visitors. Ceiling tiles needed replacing in a few corridor areas. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 15 The home has an adequate supply of moving and handling aids and the PCT reviewing officer had provided individual equipment where any gaps had been identified. There are communal toilets, assisted baths and showers located strategically throughout the home. Bedrooms consist of 34 single rooms, three have en-suite facilities and 8 shared rooms, one of which has en-suite facilities. Bedside lamps have been purchased and lockable facilities are made available. The manager reported that a quotation was being sought for the installation of suited door locks. The rooms visited were found to be personalised to the extent of preference of the occupant. The temperature on the day of inspection was comfortable. Random testing and recordings of findings are carried out on hot water outlets that residents come into contact with. The home was generally clean and tidy. All necessary cleaning and storage systems were in place in the kitchen and the laundry room was well organised. There was however a mal odour in the dining area of the lounge/dining room and a strong mal odour in the smaller lounge was noted during the time that lunch was being served to residents. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 16 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 The quality in this area is adequate. The staffing compliment is sufficient to meet the needs of the current client group. The homes recruitment practices are robust thus protecting residents from harm. Staff training is not adequate to provide them with the skills to meet resident’s needs. EVIDENCE: Four recent weeks of the staff rota were supplied; these appeared to provide sufficient staff for each shift. The home has a policy of not using agency staff in order to ensure continuity of care. There is a minimum of two staff working in the kitchen and further ancillary staff are employed for the laundry and housekeeping tasks. There are currently staff vacancies for an activities organiser and a full time carer. The manager advised that the home was working towards filling the vacancies. Only two care staff have completed training in respect of NVQ level 2, a further eleven carers were due to commence training. Two housekeeping staff also possess NVQ level 2 in cleaning. Four staff files were examined and found to be satisfactory in respect of recruitment and necessary checks had been carried out prior to employment commencing. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 17 The home has its own induction programme, the manager advised that it takes approximately one day to complete. This needs to be further developed to encompass all of the elements contained within the Skills for Care programme. Although the training matrix indicates 100 compliance of mandatory staff training; accredited trainers had not supplied these courses. During discussion with the manager and staff their knowledge regarding moving and handling was found to be inadequate. Staff training for Fire Safety, Moving and Handling, Health and Safety and Food Hygiene must be supplied by an accredited trainer. The matrix stated that 86 of staff have received training in dementia care. Other training relevant to the needs of residents had also been undertaken by some staff such as, pressure ulcer care, nutrition and infection control. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 18 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, 33, 35, 36, 38 The quality outcome in this area is adequate. The manager is supported by senior staff in providing clear leadership and in ensuring staff lines of accountability. The process for ensuring quality assurance and the health and safety welfare of residents are good. EVIDENCE: The manager has completed her application to the Commission to become the registered manager and is awaiting one check prior to confirmation of the post. A full time care manager supports her. The home has a formal on call management system in place. Both senior staff meet regularly as well as on a day to day basis and staff meetings are held every six weeks. Interviews carried out with three staff indicated that good professional relationships exist between all disciplines. The organisation is currently improving the process of quality assurance. Residents and relatives have been issued with questionnaires and the manager Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 19 advised that she is awaiting their return. Monthly audits are carried out and recorded for: • Accidents • The premises • Staff files • Medication • Care Plans • CSCI requirements • Weights of residents • Pressure wounds of residents • Use of bedrails • Deaths • Enquiry management • Complaints • The homes finance • Staff training • The social activity programme for residents. Information was given that the organisation will compile a report and share the findings with residents and staff. The system for the safekeeping and financial transactions of resident’s personal monies was examined and found to be comprehensive. Examination of documentation in relation to formal staff supervisory meetings revealed that these are not adequate. The meetings must be held at least six times a year with each individual and the content of the meetings should be more specific. Accident records are well maintained and all aspects of health and safety checks were found to be valid and up to date. Weekly fire alarm testing and regular fire drills were being carried out. The emergency lighting has been tested every month. As discussed previously staff training regarding Fire Safety and Moving and Handling was not adequate. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 20 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 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 2 3 3 X 2 3 2 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 X 2 Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 21 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 OP2 Regulation 5(1)(b) Requirement Timescale for action 30/06/06 2. OP7 15(1) 3. OP7 15(1)(2) (a-d) The Organisation must ensure that the contract of terms and conditions of residency includes the fee rate and details of extra charges for services that are not included in the fee rate. Care plans must be initiated 20/05/06 within 24 hours and fully completed within four days of admission of residents. Care plans must provide comprehensive and consistent information and reflect the actual care afforded. Documentation regarding the involvement of external professionals must include rationale and outcome. Care plans must be developed when short term problems arise. Regular formal reviews must be carried out with the resident, family and relevant others being invited to participate. The care planning system must include full details in respect of DS0000024886.V290437.R01.S.doc 20/05/06 4. OP8 15(1)(2) 17(3) 20/05/06 Selly Park Care Centre Version 5.1 Page 22 pressure ulcers. Staff must ensure food supplements are provided as prescribed. The dignity of residents must be ensured whilst assisting with meals. Staff must ensure that residents have meals in their preferred location and deviations from the norm documented and regularly reviewed. Timescale - 20/05/06 Residents must be offered a key for their bedroom door unless their individual risk assessment states otherwise. N.B. The home has received a quotation for these works. Staff must undertake training in respect of death and dying. N.B. Not assessed on this occasion therefore carried forward. The home must improve the variety and frequency of outings for residents. The written complaints procedure must include the timescale for resolution. The Organisation must ensure that repair works are carried out to ceiling tiles within corridors. Suited bedroom door locks must be fitted that may be overridden in an emergency. All areas of the Home must be fresh smelling. The Organisation must ensure that plans are in place for the care staff to work towards the NVQ Level 2 qualification in care. N.B. The home has commenced working towards this. Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 23 5. OP10 12(4)(a) 28/04/06 6. OP10 12(4)(a) 31/07/06 7. OP11 18(1) 15/07/06 8. 9. 10. 11. 12. 13. OP13 OP16 OP20 OP24 OP26 OP28 16(2)(m) 22(4) 23(2)(b) 12(4)(a) 23(2)(d) 18(1) 30/06/06 30/06/06 15/07/06 31/07/06 30/05/06 31/08/06 14. 15. OP30 OP38OP30 18(1) 18(1) 16. OP36 18(2) The care staff induction programme must reflect the contents of Skills for Care. Staff must receive mandatory training by an accredited trainer for Health and Safety, Moving and Handling, Food Hygiene and Fire Safety. All care staff must receive formal supervision at least six times per year. The content of the supervisory meetings must be more specific and documented accordingly. 15/07/06 31/08/06 15/07/06 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 Staff drug audits before and after a drug round must be undertaken to confirm staff competence in medicine administration The medication policies should be rewritten to reflect the good practice within the home and be personal to the Home It is recommended that a written record of any notes made during prospective staff interviews be kept. A current certificate of employer’s liability insurance should be on display in the Home It is recommended that receipts of personal items purchased out of residents’ money are numbered for ease of auditing. 2. OP9 3. 4. 5. OP29 OP34 OP35 Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Selly Park Care Centre DS0000024886.V290437.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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