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Inspection on 12/04/07 for St Marys Nursing Home

Also see our care home review for St Marys Nursing Home for more information

This inspection was carried out on 12th April 2007.

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

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

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

BUPA is a nationwide provider of residential care and as such had developed comprehensive policies and procedures for the operation of its services. The corporate approach to the management of its services meant that managers at a local level had comprehensive written guidance and administrative systems to support them. That said, the manager at St Mary`s, who had been registered in her post since the last inspection, had effectively managed this home of her own account. Strategies were in place to consult with people who use the service and their families and to support and guide personnel. The home provided for people who predominantly were physically frail and required significant support with their day-to-day needs. The home, however, had managed to retain its homely look and atmosphere. Equipment and such like to meet peoples` clinical needs was unobtrusive. The daily business of the home was conducted in a relaxed way that was conducive to the well being of people who use the service. Members of staff were observed to treat people living in the home with kindness and sensitivity. Visitors to the home and those living there, who were able to contribute on the day of the inspection and to the survey, stated that the home was well run, members of staff were kind, caring and considerate, and that there was mostly enough to do. People remarked that they liked this informal atmosphere. Members of staff also mentioned the happy working atmosphere in the home and spoke of good teamwork. It was evident that the team had been well supported to work effectively with service users. There was evidence of training, regular staff meetings and individual supervision. Activities for stimulation and recreation, which had taen account of peoples` abilities and preferences, had had been provided.

What has improved since the last inspection?

Action had been taken on requirements from the previous inspection report: Record maintained for the administration of medicines had improved. The programme to replace adjustable beds throughout the home had been completed. Arrangements for privacy and dignity had improved. The system for staff handovers had been altered so that that confidential information was not discussed in the hearing of other people.

What the care home could do better:

The records for administration of controlled drugs must record the actual dosage to be given. Toilets and bathrooms must all be fitted with privacy locks. Files that contain information about the needs of people living in the home must not be accessible to unauthorised persons.

CARE HOMES FOR OLDER PEOPLE St Marys Nursing Home 19 Dunstable Road Luton Bedfordshire LU1 1BE Lead Inspector Leonorah Milton Unannounced Inspection 12th April 2007 10.45 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 St Marys Nursing Home DS0000017693.V335194.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. St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Marys Nursing Home Address 19 Dunstable Road Luton Bedfordshire LU1 1BE 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) 01582 438200 01582 484116 basyed@bupa.com www.bupa.com BUPA Care Homes (CFH Care) Limited Jacqueline Williams Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users admitted prior to 01/06/05 may have a diagnosis of dementia. Up to 10 service users can be admitted under the age of 65. Date of last inspection 6th June 2006 Brief Description of the Service: St Mary’s Care Home is a purpose built nursing home situated in central Luton on the site of an old hospital. The home provides single bedroom accommodation for service users over the age of 65years. The original building has been extended to provide 60 bedrooms on two floors accessed by a shaft lift. There is an open courtyard area with seating where in the summer plants provide interest and colour. The bedrooms are varied; some in the older part of the building have retained their original features. A number of communal rooms provide service users with a choice of seating areas. There is adequate staff and visitor car parking space. Staff are divided into two teams to deliver care, each team covering one floor. The staff teams are made up of qualified nurses, carers and senior carers supported by teams of housekeeping and administrative staff. Fees for this service start at £507.00 per week for those funded by Social Services, and private rates start at £735.00 per week. These rates then vary depending on the individual needs required. St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report sets out the significant evidence that has been collated by the Commission for Social Care (CSCI) since the last visit to and public report on, the home’s service provision in June 2006. Reports from the home, other statutory agencies, and information gathered at the site visit to the home were taken into account. The Commission had also received 21 responses to a service user questionnaire. These responses have also been taken into account. The visit to the home included a review of the case files for three people who use the service, conversations with five service users, three visitors to the home, four members of staff and the manager. Much of the time was spent with service users in two lounges, where the daily lifestyle was observed. A partial tour of the building was carried out and other records were reviewed. What the service does well: BUPA is a nationwide provider of residential care and as such had developed comprehensive policies and procedures for the operation of its services. The corporate approach to the management of its services meant that managers at a local level had comprehensive written guidance and administrative systems to support them. That said, the manager at St Mary’s, who had been registered in her post since the last inspection, had effectively managed this home of her own account. Strategies were in place to consult with people who use the service and their families and to support and guide personnel. The home provided for people who predominantly were physically frail and required significant support with their day-to-day needs. The home, however, had managed to retain its homely look and atmosphere. Equipment and such like to meet peoples’ clinical needs was unobtrusive. The daily business of the home was conducted in a relaxed way that was conducive to the well being of people who use the service. Members of staff were observed to treat people living in the home with kindness and sensitivity. Visitors to the home and those living there, who were able to contribute on the day of the inspection and to the survey, stated that the home was well run, members of staff were kind, caring and considerate, and that there was mostly enough to do. People remarked that they liked this informal atmosphere. Members of staff also mentioned the happy working atmosphere in the home and spoke of good St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 6 teamwork. It was evident that the team had been well supported to work effectively with service users. There was evidence of training, regular staff meetings and individual supervision. Activities for stimulation and recreation, which had taen account of peoples’ abilities and preferences, had had been provided. 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. The summary of this inspection report can be made available in other formats on request. St Marys Nursing Home DS0000017693.V335194.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 St Marys Nursing Home DS0000017693.V335194.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission assessments of need had been carried out to ensure that the home could properly care for anyone admitted to the home. EVIDENCE: Whilst people spoken to were not able to remember how they came to live in the home, the case files assessed showed that admission procedures were satisfactory. A visitor recalled discussing their relative’s needs with the home before admission. Three case files were assessed at this inspection. Each contained through assessments of need carried out prior to admission to the home. Placing authorities and healthcare facilities had forwarded information. The home had also carried out pre-admission assessments that followed the guidance of the National Minimum Standards. St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 9 The home did not provide an intermediate care service. St Marys Nursing Home DS0000017693.V335194.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had been properly supported with their personal care and healthcare needs. EVIDENCE: Care planning arrangements were thorough. Three plans were seen and showed thorough guides to individual need. Documents showed that comprehensive assessments of need had been carried out and reviewed at regular intervals. Healthcare needs had been given particular priority; plans demonstrated that nutritional needs had been taken into account as had, tissue viability, manual handling and pain control. Plans were seen in relation to the treatment of pressure areas that included pressure relieving equipment, specialist bandages, and turning programmes to relieve pressure points. St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 11 Records indicated that the home had liaised with healthcare specialists as need be. One service user’s case file indicated that they had been taking a soft diet prior to admission but there had been no referral to a speech and language specialist. The home had arranged such a referral speedily. Systems for the administration of medicines were reviewed. These were seen to be stored securely in lockable cupboards on each floor of the home and administered from lockable mobile trolleys. Qualified nursing staff only administered medicines. Records seen for the 3 people who were case tracked had been properly maintained. Other documents showed that medicines were properly recorded when received by the home and for destruction if not required. The controlled drugs register showed that the name and strength of the prescription had been entered on each record but not the actual dosage to be administered. The Commission had been notified about missing medication. Investigation by the home was inconclusive but suggested that an error may have been made when disposing of unwanted medication. Members of staff administering medication have subsequently been required to sign for stocks of medication. It was noted that the home’s document that recorded the disposal of medicines had a section for two signatures. Those maintained and seen at the inspection only had one signature. St Marys Nursing Home DS0000017693.V335194.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home had been supported to achieve a lifestyle that met their expectations within the limits of their abilities and frailties. EVIDENCE: People living in the home who were spoken to and who responded to the survey indicated that they were satisfied with the arrangements for daily routines and for stimulating activities. “There are activities if you want to join in”. “ I can do what I want, there are no rules”. “ I can go to bed when I want”. The activity organiser explained that one to one activity sessions or just conversations took place with less able people. Activities included arts and crafts, board games, bingo, assistance to read and similar. It was evident that recreational activities had been provided for people of varying abilities and needs. Visitors to the home passed many positive comments about the service and said that they had been made welcome in the home. They remarked on the friendliness of personnel and confirmed that they had been informed about St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 13 changes to their relative’s care needs. One relative confirmed that the home held regular meetings for relatives and although these were not well attended it did afford those who did attend with opportunities to discuss issues common to all of those living in the home. People living in the home and their relatives indicated that personnel had treated them with kindness and respect. “They are very good to me.” Records indicated the preferred name that people living in the home wished to be known as. Personnel had received instruction on the home’s policies for staff conduct via induction procedures. Personnel on duty were observed to approach people living in the home in friendly ways that were respectful and also sensitive to those who had communication difficulties. Menus submitted to the Commission showed a varied and nutritious choice and stated that special diets were catered for. Feedback on the day of the inspection and via the surveys showed that people who lived in the home were predominantly satisfied with their meals. The food is nice and there is plenty of it”. “ Can’t fault the food.” “ We get lots to eat and drink.” The system in operation was for a light meal of soup sandwiches and similar to be served at midday and a more substantial meal toward the evening. The manager stated that this was under review because it was felt that some people wished to go to bed shortly early and it wasn’t in their best interests to eat a large meal just beforehand. Care plans detailed special dietary needs and individual preferences. These were advertised on notices in the dining room. St Marys Nursing Home DS0000017693.V335194.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had taken action to enable people using the service to raise concerns and on allegations of neglect to ensure people were protected from further abuse. EVIDENCE: Previous reports have established that the home has robust written complaints and protection procedures. Records seen at this inspection and information forwarded from the home and from the Local Authority’s Adult protection Team demonstrated that the home had taken action on complaints and protection issues. The majority of people living in the home who contributed to the inspection indicated that they felt able to raise concerns about the service. “I would talk to the ladies here, I think they would listen”. “ I would talk to staff if I was worried but I haven’t had to.” “ Staff are friendly, I can talk to them about things.” The central complaints log was assessed and showed that appropriate investigation and response had been made to issues raised. St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 15 The home had notified the Commission about allegations against a member of staff for neglect of their duty to report deterioration of a person’s skin. Subsequent investigation had substantiated the allegations and the member of staff who had been suspended from duty during the investigation was dismissed. Personnel files seen at this inspection showed that robust employment procedures had been followed to ensure that staff of the right calibre cared for people using the service. References and a check via the Criminal Records Bureau had been obtained before employment had commenced. St Marys Nursing Home DS0000017693.V335194.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): Standards 19, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home had been provided with a clean, safe and comfortable environment that was suitable to their needs. EVIDENCE: Areas of the building seen at this inspection were well decorated and furnished to a good standard. These areas were clean and orderly. The overall appearance was of a well-adapted environment that was comfortable and suitable for the needs of those living in the home. People living in the home and their visitors passed positive comments about the environment. “Its always lovely and clean here.” “ I like staying in my room, the staff keep it nice and clean.” “ I am comfortable living here.” Documents provided by the home on the pre-inspection questionnaire showed that equipment and safety systems in the home had been regularly monitored St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 17 and serviced. Visual checks on equipment during the visit to the home confirmed that equipment had been services regularly. The organisation monitored the operation of the service through a comprehensive quality assurance document. This process incorporated an aidmemoir for the manager to assess the management of health and safety, including infection control throughout the home. During the tour of the building the inspector noted that door to a toilet was not fitted with a lock. The manager was evidently surprised about this and agreed to make arrangements for the fitting of a lock without delay. St Marys Nursing Home DS0000017693.V335194.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): Standards 27,28,29,30 Standards Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home had been cared for by a knowledgeable team that had been properly supported to work effectively. EVIDENCE: People living in the home and their families were most complimentary about personnel. “ Staff are very attentive and kind to me. “ Staff are friendly and nice.” “I have confidence in the ability of the team to care for my relative”. A visitor stated during their frequent visits to the home that they had observed and heard staff caring for people. They said that the staff had “treated people kindly and were always cheerful.” Rotas submitted to the Commission demonstrated that sufficient qualified nurses and care staff had been scheduled to care for those living in the home. The home also deployed a large ancillary team comprising administrative, catering, domestic, laundry, activity organiser and maintenance personnel. Staff who contributed to the inspection showed a commitment to people using the service and the team as a whole. They described the home as a good place to work in and said that they felt supported to carry out their roles. They were able to describe service users’ needs and how these were to be met. St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 19 A team member described BUPA’s induction processes as through and helpful. The manager confirmed that these had been recently introduced for all new starters. Information forwarded to the Commission indicated that personnel had received a basic level of training that was then built upon as staff progressed in their length of time with the organisation and which was commensurate with their level of responsibility. Information provided to the Commission showed that the home had checked that its nursing staff had maintained their registration to practice. Information also showed that the homes’ quota of qualified staff (nursing and care staff with a National Vocational Qualification (NVQ)) was just below 50 . 5 members of staff were working towards an NVQ, the achievement of which will mean that the home will exceed the National Minimum Standard in this area. Personnel files assessed showed that recruitment procedures, as indicated in section 4, had been robust for the protection of those using the service. The records showed that equal opportunities recruitment practice had been followed. Examples of interview processes were seen on files. St Marys Nursing Home DS0000017693.V335194.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): Standards 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had been managed in the best interests of people living in the home with the exception of access to their personal records. There were risks that unauthorised persons could access confidential information about those living in the home. EVIDENCE: The manager had been registered by the Commission to manage the home since the last inspection. The registration process had determined that she was sufficiently qualified and experienced to manage the service. Her nursing background had enabled the manager to have an overview of the clinical input required to meet some service users’ needs. Feedback from service users and their families indicated that they were satisfied with the management of the St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 21 home. “ The home is well run”. “I am happy to have my relative living here”. “ I don’t want to live anywhere else.” St Mary’s is a large home and as such there needs to be formal systems of communication, consultation in place. This was seen to be well organised. Minutes of meetings were seen and showed that meetings were held with people living in the home every other month and with their relatives on a quarterly basis. An annual quality review involving the people who lived in the home had been carried out and report and action plan compiled from the results. Communication with staff had been via supervision and general meetings. The inspector was informed that a meeting with care staff was held six weekly and with heads of departments on a monthly basis. BUPA’s systems to manage monies held on behalf of service users are thorough. Records for three people were seen small sums of money were held on site. Most purchases were for services such as hairdressing chiropody treatment, newspapers and similar. Records showed that transactions for income and expenditure had been properly signed for and substantiated by receipt. Documents that set out the needs of those living in the home and how these were to be met had not been stored securely. During the tour of the building it was noted on the upper floor that part of a corridor had been used as an office area, there being a desk and case files and other documents for the dayto-a series of day running of the home in this area. The case files for the people living in the home were stored on shelving above the desk and could be accessed by anyone passing by. Health and safety arrangements had been well managed. As previously described, the organisation had comprehensive quality assurance systems that ensured regular monitoring of health and safety systems were carried out. Training for staff had covered the basic safety aspects of their role, manual handling, food hygiene, fire safety, hazardous substances, infection control and universal safety precautions. Visual checks on equipment during the inspection confirmed that regular maintenance had been carried out with the exception of one fire blanket in a small kitchenette. Given that the fire log book showed that other fire fighting equipment had been regularly serviced, this blanket would seem to have been an oversight. St Marys Nursing Home DS0000017693.V335194.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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x 2 3 St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 23 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 OP37 Regulation 17(1)(b) Requirement The registered person must ensure that records about people living in the home are stored securely so that unauthorised persons cannot access personal information. Timescale for action 31/05/07 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 It is recommended that the document to record the disposal of medicines is signed by two persons, as is indicated in its format. St Marys Nursing Home DS0000017693.V335194.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 St Marys Nursing Home DS0000017693.V335194.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. Re-publishing this information is in breach of the terms of use of that website. 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