Inspection on 03/07/06 for Snydale Care Home

This inspection was carried out on 3rd July 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 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

Snydale Care Home 28/11/06

Snydale Care Home 07/02/06

Snydale Care Home 18/07/05

Snydale Care Home 11/10/04

Snydale Care Home 30/07/04

Snydale Care Home 10/02/04

Similar services:

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Snydale Care Home New Road Old Snydale Pontefract West Yorks WF7 6HD Lead Inspector Mr Tony Brindle Unannounced Inspection 3rd July 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Snydale Care Home DS0000006217.V304003.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. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Snydale Care Home Address New Road Old Snydale Pontefract West Yorks WF7 6HD 01924 895517 01924 897482 traceyholroyd@aol.com 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) Mr S Holroyd Mrs T Holroyd, Mr A Westerman Mrs Diane S Rose Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability over 65 years of age of places (52) Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Can accommodate two named service users with physical disabilities under 65 years. Can accommodate one named service user under category Terminally Ill (TI(E)) Can accommodate up to two service users with physical disabilities who are aged 60 years or over on admission. 7th February 2006 Date of last inspection Brief Description of the Service: Snydale Nursing Home is registered as a care to provide care, including nursing, for up to fifty-two older people. It is located in the small village of Old Snydale, which is between Normanton and Featherstone. The accommodation is set out on two floors. The main sitting room and dining facilities are located on the ground floor. There is level access at the main entrance and hydraulic passenger lifts allows easy access to the first floor accommodation. The home provides well furnished and comfortable accommodation. Snydale Nursing Home is situated of the main road and is accessed via a long drive that leads up to the care home. There are off street parking facilities for visitors and a large garden at the back of the home provides a pleasant environment for service users to sit out in good weather. A local bus service passes right by the front entrance at the bottom of the drive every hour. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this full inspection a visit to the home took place. The inspectors, Tony Brindle and Gillian Walsh, visited the home unannounced from 1000hrs to 1900hrs. Whilst at the home, key documents such as care assessments, care plans, daily records and the home’s policies were looked at, and so were the rooms and garden. 4 members of staff were spoken with, along with the manager and proprietor. 11 service users were spoken with. The manager had been asked to complete a pre-inspection questionnaire. This was returned to the Commission prior to the visit taking place. Comment cards were sent to service users, their relatives, visiting professionals and GPs. 15 out of the 14 comment cards were returned (93 ). The current fees for July 2006 are £373 per week per person. The service provider ensures that information about the service is available to prospective service users and the current service users by way of the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. What the service does well: The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. Care plans are developed by the staff that set of the individual needs of people living at the home. Health care, social and emotional needs are assessed and recorded. People do feel respected. People receive a varied and wholesome diet in pleasing surroundings. The home’s policies and procedures for dealing with complaints or suspected abuse are satisfactory with appropriate record keeping and training taking place. The home is well maintained and people like the décor and surroundings. The home is keep clean. The home’s recruitment systems were found to be satisfactory, and protect the best interests of people living at the home. Staff receive satisfactory training. There are good systems in place that are to be used to monitor the quality of the care provided by the manager and staff. Service users financial interests are promoted by good systems. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 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 Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 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): 3 The home does not provide Intermediate Care (standard 6) The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: The manager said that admissions are not made to the home until a full needs assessment has been undertaken. The home then confirms that they can meet the needs of the individual through the service they deliver as detailed in the statement of purpose. For people whom are self funding and without a care management assessment the assessment is always undertaken by a skilled and experienced member of staff. The records show that assessments are conducted appropriately and has involved the family members or the representative of the person wanting to move into the home. Where the assessment has been undertaken through the local authority care management Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 9 arrangements, the manager obtains a summary of the assessment and a copy of the plan. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 ,9 and 10 The majority of care plans set out the needs of people, and the actions the staff are to take to meet these needs. Despite this, some major information is missing in some care plans, putting the needs of some service users at risk of not being met appropriately. Health care needs are assessed and recorded, however, some service user’s health care needs are at risk of not being met if care plans are not completely properly putting the best interests of the person at the centre of the process. On the whole, people feel that they are treated with the respect. Staff must ensure that they explain to people why they are sometimes left waiting to be supported and assisted.. The systems for the safe administration of medication should be strengthened so as to protect the best interests of people living at the home. Quality in this outcome area is poor. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 11 The majority of service users have written care plans that have recently been updated, giving details of how the staff are to meet the health, personal and social care needs people. The plans also include risk assessments. The manager and staff make sure that each person’s plan is reviewed regularly and if the person is willing and capable, they are asked to get involved in the review. Family members can also take part if agreed by the person. There is evidence to show that the plans are updated and the necessary action taken to respond to any changes. The home’s proprietor sees the plans as a working tool, and this was reflected by comments made by some of the staff. Despite this, some individual care plans were found to be inadequate, and did not contain sufficient detail relating to the needs of the person, and how the staff are to meet those needs. Specific examples relate to infection control measures, mental health issues. Service users are supported to access local healthcare services, and any contact such as this is recorded in people’s care plans and daily records. A wheelchair that had been used to transport a person from their bedroom to the lounge was seen to be in need of repair. People living at the home said that they have the choice to shower or bath, and that they are supported to be as independent as possible when washing and bathing. Some people living at the home said that there have been occasions when they have requested a bath, but due to the staff being busy with other people, this has not been possible, and they have had to wait until the next day. Some people said that the staff do not fully explain why they have to wait to be supported and assisted.. The arrangements for health and personal care ensure that service user’s privacy and dignity are respected, with the staff being heard to speak to people in respectful ways, and with service users themselves saying that the staff are kind, caring and very patience. The medication system was checked and some errors were found in the recording. Medication that had been prescribed to a person living at the home was not actually in stock at the home. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, Further work by the staff in relation to activities within the home, would ensure that the social and recreational needs of the service users would be more effectively met. People are encouraged and enabled to maintain contact with their family and relatives. People are supported to make choices, however, the staff need to spend more time talking with people, offering them explanations as to why it takes time to respond to their requests. People receive a varied and wholesome diet in pleasing surroundings. Attention should be paid to recording the temperature of the food supplied to the service users in order to ensure it is sufficiently hot. Quality in this outcome area is adequate. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: The routines of daily living and activities made available to service users were found to be flexible and service users said that they are varied to there needs, preferences and capabilities. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 13 The home currently does not have a daily activity schedule, however a staff member is currently receiving training in how to provide activities with a view to taking on the role of home activity organiser. The informal activities undertaken by people are recorded within individual care plans. Observations made on the day show that staff treat people politely and respect their individuality. Staff call people by their preferred name or title. Some people living at the home said that if they need help, their request is dealt with politely but sometimes they have to wait for sometimes. This is said to be due to the staff being busy with other people. Other people living at the home said that from time to time, they are not given any explanation as to why they have to wait until a staff member comes to help them. Service users spoke of friends and family being encouraged to visit at any time, and being made to feel very welcome. Several people said that they have a varied, appealing and wholesome diet, which was suited to their individual requirements. The menus confirmed this. Meals were seen presented in an attractive manner and in pleasant surroundings. The records show that personal preferences in relation to food are gathered and recorded. People confirmed that the catering staff respond to these requests. Some people said that the food is sometimes cool when they receive it. A discussion with the catering staff took place, who confirmed that they do check the temperature of the food before it is served, but this is not recorded. The home’s proprietor has applied to the local authority for an Environmental Health Award for the way food is prepared and served. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The home’s policies and procedures for dealing with complaints or suspected abuse were found to be satisfactory with appropriate record keeping and training taking place. Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: The service has a complaints procedure that is up to date, clearly written, and easy to understand. The complaints procedure is distributed throughout the home. The policies and procedures regarding protection of people are satisfactory. Training of staff in the area of protection is periodically arranged by the home; the training records supported this. People living at the home said that they are satisfied with the service provision, and that they feel safe. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 15 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, 22 and 26 The home is well maintained and people like the décor and surroundings. The home is keep clean, but despite there being good systems in place to prevent the spread of infection, greater attention needs to paid as to how these systems need to be followed when working with people at risk of picking up infections. The implementation of good care plans would assist in this area. People’s aids and equipment should be used correctly and risk assessments completed where necessary. Quality in this outcome area is adequate. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: The home has a well-maintained environment, which provides aids and equipment to meet the care needs of the people. However, one wheelchair was seen in a state of disrepair. On person’s care plan did not contain a risk assessment relating to the non-use of footplates, despite the fact that this person’s wheelchair did not have footplates on. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 16 People said that the home is pleasant and comfortable. The home’s proprietor said that people moving into the home would have a choice to bring small personal items of furniture with them. The shared areas provide a choice of communal space with opportunities for people to meet their relatives and friends, and if more privacy is required then people can go to their own rooms. There is a choice of bathing facilities, both assisted and unassisted, showers and baths and there are a number of toilets located around the home. People said that they are never without hot water and that the temperature in the home can be changed, on request. There are also temperature controls in people’s rooms. The home was well lit, clean and tidy and fresh smelling. The home has a good infection control policy. Despite this, one individual care plan did not contain sufficient information relating to very important infection control measures. All the windows at the home have recently been replaced. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Although people are supported by a sufficient number of staff, the manager and proprietor should ensure the numbers are kept under review so as to meet the needs of the people living within the home at all times. All staff involvement in manual handling with service users must receive satisfactory training so as to not the service user and themselves at risk of injury. NVQ training should continue so as to ensure that at least 50 of the care staff are appropriately qualified. The home’s recruitment systems were found to be satisfactory, and protect the best interests of people living at the home. Staff receive satisfactory training Quality in this outcome area is good. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: The rota showed that there is a satisfactory mix of qualified and unqualified staff working at the home, appropriate to the assessed needs of the service users, the size, layout and purpose of the home. However, some people living at the home living at the home said that there were not sufficient numbers of Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 18 staff on duty. This point was also highlighted in one of the relative’s comment cards received by the Commission. The home’s proprietor said that she keeps the staffing levels under constant review, and that only recently had the levels been increased. The rotas confirmed this. Domestic and catering staff are employed in sufficient numbers to ensure that standards relating to food, meals and nutrition are fully met, and the home is maintained in a clean and hygienic state. The records show that two written references are obtained before appointing a member of staff, and any gaps in employment records are explored. New staff are confirmed in post only following completion of a satisfactory CRB check, and satisfactory check of the Protection of Vulnerable Adults and NMC registers (where appropriate). The training records show that the staff training and development programme makes sure that the staff meet the changing needs of service users. Staff were very clear about their roles and responsibilities and understood the management and reporting structures for the home. Training records showed staff were up to date with all areas of mandatory training, and there was evidence of specific training linked to older people eg dementia care, palliative care. Manual handling training is offered to the staff team, however, it was clear by the way one staff member was working with the people living at the home, this person had not received manual handling training. The proprietor confirmed this. 25 of the care staff are at least NVQ II qualified. Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, 33, 35, 36 and 38 The manager should continue to develop her leadership and managerial skills so as to fully undertake her duties as a registered manager. There are good systems in place that are to be used to monitor the quality of the care provided by the manager and staff. Service users financial interests are promoted by good systems. On the whole, the health and welfare of people living and working at the home are promoted. Attention must be paid to the appropriate application of infection control measures when working with individuals. Quality in this outcome area is adequate. This judgement is based on evidence gathered both during and before the visit to this service. EVIDENCE: Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 20 The manager has the required qualifications and experience to run the home. It is clear from discussions with the manager that she is a very caring person, focused on the people living at the home. She is currently updating and developing her leadership skills, by way of external training and support from the home’s proprietor (who currently has a high level of input into the home on a daily basis). It is hoped that training such as this, will develop the manager’s skills, so that she can communicate a clear sense of direction and leadership to the staff and service users. The manager and staff make sure that so far as is reasonably practicable, the health, safety and welfare of service users and staff is promoted. This is done by way of staff training, fire safety system testing, risk assessment and safety system monitoring. Staff explained that they take part in fire drills, and have received fire safety training, along with health and safety training. The records supported this. Infection control measures were found to be lacking in relation to the care and support of one service user, and anyone who came into contact with this person. The home has satisfactory insurance cover, with certificates on display. The systems relating to the safekeeping of people’s monies and valuables were found to be in good order. The staff said that they receive formal supervision, and the records confirmed this. The proprietor explained that the company has developed a quality assurance scheme. This will involve obtaining feedback from service users, their families and professionals. Once feedback is received, than a report on the quality of care will be published with an accompanying action plan (if required). Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 1 X X X 1 STAFFING Standard No Score 27 2 28 2 29 X 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 X 3 3 X 1 Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? 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 OP8 OP22 OP26 Regulation 12 13 (3) 15 Requirement Timescale for action 13/08/06 2 OP9 13 (2) Individual care plans must set out in detail all areas of need and the action taken by the staff to meet that need. The registered person must ensure that proper provision is made to promote the health and welfare of all service users. Appropriate risk assessments must be put in place. Appropriate infection control measures must be put in place. The registered person shall make 03/09/06 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home. 03/09/06 The registered person shall having regard to the size of the care home and the number and needs of service users, consult service users about the programme of activities arranged by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of service users, activities in relation to DS0000006217.V304003.R01.S.doc Version 5.2 3 OP12 16(2)(n) Snydale Care Home Page 23 4 OP30 OP38 13(5) recreation, fitness and training. The registered person must ensure there are suitable arrangements to provide a safe system for moving and handling service users and all staff. 13/08/06 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 OP10 OP14 Good Practice Recommendations Service users right to having choice and control over their lives should be respected .The arrangements for health and personal care ensure that service users’ privacy and dignity are respected at all times, and with particular regard to responding to service users requests for bathing, washing and using the toilet or commode. The registered person should consider employing an activities co coordinator A record of food temperatures should be maintained. Staffing levels should be kept under review so as to meet the existing and changing needs of the service user group. NVQ training should continue so that at least 50 of the staff are at least NVQ II qualified. The manager should continue to develop her managerial skills so that she has the skills required to provide clear leadership and guidance to the staff team. The registered person should strengthen the system for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home. The registered person should ensure the quality assurance scheme is implemented over the next 12 months. 2 3 4 5 6 7 8 OP12 OP15 OP38 OP27 OP28 OP32 OP9 OP33 Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Snydale Care Home DS0000006217.V304003.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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