Inspection on 06/06/06 for Stanton Manor

This inspection was carried out on 6th June 2006.

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

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

Other inspections for this house

Stanton Manor 21/11/08

Stanton Manor 03/12/07

Stanton Manor 13/06/07

Stanton Manor 10/10/05

Stanton Manor 23/06/05

Stanton Manor 28/09/04

Stanton Manor 13/05/04

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

CARE HOMES FOR OLDER PEOPLE Stanton Manor Piddocks Road Stanton Burton On Trent Staffordshire DE15 9TG Lead Inspector Jo Wright Key Unannounced Inspection 6th June 2006 09:00 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 Stanton Manor DS0000020098.V293456.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. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stanton Manor Address Piddocks Road Stanton Burton On Trent Staffordshire DE15 9TG (01283) 565447 01283 565447 STANTONMANOR@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) Mrs Pamela Mary Mycroft Mrs Pamela Mary Mycroft Care Home 28 Category(ies) of Dementia - over 65 years of age (28) registration, with number of places Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 places for service users under the age of 65 years as named in the notice of proposal. 10th October 2005 Date of last inspection Brief Description of the Service: Stanton Manor is a care home registered to provide personal care and accommodation for up to 28 people in the category of older persons with dementia. The home is situated in its own extensive and well maintained grounds. The nearest town is Burton on Trent, which is about 10 minutes drive from the home. Stanton Manor has both single and shared rooms, some of which have ensuite facilities. The home consists of two separate units, the main house and The Mews, which is located across the court yard. Bedrooms are situated on the ground and first floor. Information about the service is provided through the Statement of Purpose and Service User Guide. Information about the fees was included in the pre inspection questionnaire, which was received on 10/05/06. The fees for Stanton Manor are between £300 and £410 per week. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, carried out by one inspector, and lasted 8 hours. A review of the evidence available prior to site visit was undertaken, for example, the pre inspection questionnaire, notification of incidents and recorded complaints, and used to identify areas to be examined during the site visit. The information available was used to identify those residents whose care was to be cased tracked. Records such as care plans (as part of the case tracking process, which is used to help determine how the home meets the needs of individual residents) were examined in depth during this inspection. Time was spent taking with residents and staff on duty and observing the daily routine. A small selection of bedrooms was viewed during this visit. Other records such as medication records, staff files and service certificates were also examined. The registered manager was on duty during this visit and the findings of this site visit were discussed with her. What the service does well: What has improved since the last inspection? Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 6 The manager and staff have worked hard since the last inspection to deliver care that is resident centred and allows residents to make decisions, however limited, about their daily lives. This has been achieved through more detailed and specific care plans and risk assessments, staff training in specific areas such as communication and management of challenging behaviours, as well as training on safeguarding vulnerable adults. Individual staff practice was monitoring more closely through regular supervision, which enabled the manager to challenge poor practice more effectively. 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. Stanton Manor DS0000020098.V293456.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 Stanton Manor DS0000020098.V293456.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 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedures ensured that residents were assessed prior to and on admission, and the assessments provided staff with sufficient information to fully identify individuals’ needs and plan care. EVIDENCE: Relatives spoken with indicated that the staff looked after their family member well, and were able to meet their needs. Staff spoken with had a good understanding of the residents needs, and confirmed that they were able to meet the needs of all the residents currently living at Stanton Manor. Efforts had been made to improve the staff team’s knowledge and understanding of the needs of the resident group through training. Discussion with staff and the training records supported that training on communication and managing challenging behaviour had been provided. The effectiveness of this training was demonstrated by the way in which staff interacted and managed residents, and the reduction in recorded incidents of inappropriate restraint of residents. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 9 The care files for three residents were looked at in detail during this site visit. A comprehensive assessment of residents needs was carried out prior to and on admission to Stanton Manor. Information was gathered prior to admission from a variety of sources, including relatives and other health care professionals involved in the residents care, in order to assess whether the placement would be suitable. Generally, information recorded in the assessments reflected the person’s needs, abilities and preferences. The rights of those residents whose files were looked at were protected through contacts between the home and the funding authority, or contracts between the home and individual resident and/or representative. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 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, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care of residents was planned and given in a way that respected individuality and privacy. Administration of medications needs to improve in order to ensure that residents receive the medication that they are prescribed. EVIDENCE: Relatives spoken with considered that the staff working at the home were good, and that they were attentive to individuals’ privacy and dignity needs. Staff were observed routinely knocking on bedroom and toilet doors prior to entering. Dialogue from staff to residents was polite and respectful, and understanding of difficulties with communication and loss of memory. Relatives commented that they were satisfied with the care provided, and that they were kept informed about any changes about their family member. The files of three residents were looked at in depth during this inspection. Care plans recorded individuals needs, preferences and abilities, and were based on the information recorded in the assessments. The care plans had Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 11 been reviewed monthly, and any changes to the planned care were clearly identified. Information about day to day activities was recorded in the logs. Any accidents or unexplained injuries/bruising were investigated and the information recorded. This information was then reviewed by the manager and signed off when the appropriate action had been taken. Additional information about residents’ abilities and needs was gathered through risk assessments. The required risk assessments had been completed and updated monthly, and any identified risks had been appropriately planned for. Equipment to be used when assisting residents to transfer was clearly identified in the files. The files supported that attention was paid to individual’s health care needs and referrals were made to the community nursing services for help and advice as required. Information about the personal wishes of the residents at the time of severe illness or post death was recorded in the files. Senior care staff had taken on the responsibility for maintaining the care files, and overseeing that the key workers were recording information appropriately. The manager also audited the files, and made comments/suggestions when additional information was required, or the information required updating. Product information sheets for medication prescribed for residents were available for staff to refer to. Efforts have been made since the last inspection to improve the standard of administration of medication. Although staff responsible for the administration of medication have received training, the manager reported they have requested additional training, to further update their knowledge. A review of the medication and the medication records for the residents whose care was case tracked supported that they received their medication as prescribed. It was noted that the actual amount given when the medication dose was variable was not always being recorded. However, a medication error was noted during this site visit. The hand written information recorded on the medication record for one resident did not match the information recorded on the dispensing label on the medication. As the morning dose of the medication had been given, it would suggest that staff were not checking the dispensing label against the medication record prior to giving the medication. This was bought to the attention of the manager. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable activities were being provided, which met the leisure and recreational interests of residents. The meals were good offering both choice and variety and catering for any special dietary needs. EVIDENCE: The routine at Stanton Manor was observed to be flexible and residents were spending their time as they wished, and making use of all areas of the home. Residents, where able, were accompanied outside of the home by their families, and one resident attended activities outside of the home on a regular basis. Staff organised suitable activities for the resident group on a day to day basis, although it was acknowledged that not all residents wished to, or were able to, join in with all activities. The manager reported that she had recently sent a questionnaire to residents/relatives asking about suggestions for activities, and residents had requested a trip to the zoo and to a garden centre. A communion service was held in the home, and it was reported that residents appeared to enjoy this. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 13 Visitors spoken with said that they were made to feel welcome, and they were kept informed of any changes in the condition of their family member. Although some restrictions of visiting times were in place, visitors commented that this did not cause any difficulties for them. Residents and relatives were encouraged to personalise their bedrooms where possible, with their own possessions. Access to advocacy services was facilitated as required. The manager reported that residents were placed on the electoral register and given the opportunity to take part in political processes if they wished. A new four weekly menu has been introduced since the last inspection. This supported that residents were offered a choice and variety of meals. Catering staff had a good knowledge of the residents likes and dislikes and the individual dietary needs of residents. Although the menu did not include a written choice, discussion with staff supported that alternatives were available. Staff provided support and assistance for residents at meal times as required. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 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 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure was in place with some evidence that people felt that their views were listened to and acted up. Staff had a good knowledge and understanding of adult protection issues which protects residents from harm. EVIDENCE: Several complaints received by the Commission had been passed to the owner/manager for investigation. The written responses received from the owner/manager supported that these had been dealt with appropriately. Discussion with relatives supported that they felt able to raise concerns and that issues were dealt with appropriately. No internal complaints have been received since the last inspection in October 2005, and there was no evidence in the daily logs that concerns had been raised and not recognised. The Commission has not received any complaints about the care and services provided at Stanton Manor since February 2006. Information provided in the pre-inspection questionnaire indicated that policies and procedures relating to safeguarding vulnerable adults were in place. The manager attended a two day training course on Protection of Vulnerable Adults procedure in October 2005, and has disseminated the information to staff through training sessions. All established staff have received this training, and this was supported by comments from staff and training records. The manager was aware that newly appointed staff had not yet received this training. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 15 However, the whistle blowing policy was included in the induction. Staff spoken with who had received the training had a good understanding of the protection of vulnerable adults procedure and action to take. The staff team had changed their approach to the delivery of care, and understood the need to walk away if a resident chose not to receive care at a particular time, and this was supported by information recorded in the daily logs. No referrals have been made through the safe guarding vulnerable adults procedures since the last inspection. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment was good providing residents with an attractive and homely place to live. EVIDENCE: Stanton Manor was clean and tidy at the time of this site visit. All areas of the home were well maintained and decorated, with evidence to support that systems were in place for ongoing maintenance and redecoration. The rooms of the residents whose care was case tracked were viewed, and found to be satisfactory. Staff were attentive to the privacy of needs of residents, as privacy screening was being used in shared room for a resident who was cared for in bed. Bedrooms had been personalised and families encouraged to bring in personal possessions. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 17 Residents made good use of the communal areas in the home, all of which were homely and well decorated. Residents had access to a well maintained garden area. This site visit took place on a hot sunny day, and staff were aware of need for sun hats and sunscreen for those residents who chose to go outside. The ground floor bathroom had still not been upgraded, and was in need of decorating. Discussion with the manager indicated that she was seeking advice from a specialist bathroom fitter in order to make best use of this area and provide the most appropriate bathing facility. Residents had access to other suitable bathing facilities in the home. The records indicated that the hot water temperatures had not been checked for a number of months, although the temperatures were satisfactory when last checked. Residents independence was supported and assisted by suitable aids and adaptations around the building. Staff had access to equipment to assist with moving and transferring residents. The laundry area was situated in the main building. Laundry equipment was in good working order. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home were cared for by staff who were trained and competent to do their jobs. However, inconsistent recruitment practices did not provide safe guards to offer protection to people living in the home. EVIDENCE: Staff spoken with commented that the staffing levels provided were sufficient to meet the needs of the current resident group. The manager reported that she aims to provide staffing levels of 5 carers in the morning and 4 carers in the afternoon, and the duty rota provided prior to this site visit supported this. Information supplied prior to the site visit indicated that agency staff were used to cover shortfalls, and this was confirmed in discussions with staff. The home continues to experience a high turnover of staff, which has the potential to affect the continuity and quality of care provided to the residents. Since the last inspection in October 2005, 8 members of care staff have left. This issue was discussed with manager and senior care staff, who both felt that this had had a positive effect on the home, and the new staff that had been recruited had fitted in well and worked better within the staff team. Relatives spoken with expressed no concerns over staffing levels, or about turnover of staff, other than it takes time for the residents and new staff to get to know each other. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 19 Despite the turnover of staff, the home has managed to maintain a staff team where 50 of care staff have achieved NVQ Level 2 or equivalent. Discussion with staff indicated that some staff were currently undertaking this training, and other staff were to due to start in September 06. Staff reported that they were encouraged and supported to develop their skills and knowledge and a range of training opportunities were made available for them. The manager stated that she had carried out a full audit of the staff files following the recent change in the management team, which had highlighted issues around the recruitment and selection of staff. The manager reported that this audit indicated that not all of the required information and safeguards had been obtained for all staff. The manager had developed a matrix, which indicated what information had been obtained, and what information was outstanding. The files for three staff members were looked at during this site visit, and as expected, not all required information had been obtained. The manager stated that she was in the process of obtaining the outstanding information. Staff spoken with confirmed that they worked through a structured induction programme and copies of these were available on file. A system for monitoring staff training had been developed, and training records were kept on file. In order to assist with identifying training needs, the manager had developed a training matrix for mandatory training, which was going to be computerised. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 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 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This is a well managed home, which benefits from formal quality assurance and quality monitoring systems. The manager was supported well by the staff team, and provided clear leadership throughout the home. EVIDENCE: The owner/manager is an experienced general nurse with a management qualification, and has managed Stanton Manor for a number of years. Relatives and staff spoken with confirmed that manager approachable and provides support and guidance as required. Staff reported that they were encouraged to develop their skills and knowledge and senior staff reported that the manager was encouraging them to work towards a management qualification. Records and discussion with staff supported that individual training needs and performance were discussed during regular supervision Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 21 sessions. Both the manager and staff reported that introduction of regular supervision sessions has been useful and constructive. As part of the supervision sessions, staff carry out a self assessment, which is then discussed with the manager. The manager reported that following the recent changes in staffing structure, the senior staff team has grown in confidence. Senior staff were recognising areas where improvements needed to be made, for example, communication between staff, and taking action, such as detailed handover between shifts, and a good standard of record keeping. The members of the senior staff team had decided to meet regularly once a month with the manager, to assist their development and ensure consistency within the staff team. Systems were in place for safeguarding residents money. Individual records were available for all residents whose money was kept in safe keeping within the home. An audit of the records against the money held in safe keeping was not undertaken as part of this site visit. Formal quality assurance and quality-monitoring systems were in place, which actively sought the views of residents and relatives, in order to inform the running and development of the service. The manager reported that she had recently carried out a survey with residents/relatives on what activities they would like, although the results of this survey had not been made available. Other quality audits in place included audits of care plans, accidents and incidents. As previously stated, an audit of staff files had been carried. Staff were up to date with their mandatory training, and fire and manual handling training was being provided during the week of this site visit. The manager reported that all new staff will be attending this training. A sample of service/maintenance records was examined (including equipment, gas and electricity services) and there was confirmation that equipment and services are properly maintained. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 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 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) 17(1)(a) Sch3 Requirement All hand written entries on the medication records must include the name, strength and dose of the medication and administration instructions, as detailed on the dispensing label. All newly appointed staff must attend training on recognising abuse and the protection of vulnerable adults (including the local authority procedure). All information and safeguards missing from staff files must be obtained. Timescale for action 31/07/06 2 OP18 13(6) 18(1)(a) (c) 19(1)(b) (4)(b) 31/08/06 3 OP29 31/08/06 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 2 Refer to Standard OP9 OP9 Good Practice Recommendations Hand written entries on the medication records should be checked and countered signed by a second member of staff. Staff should receive instruction on the safe administration DS0000020098.V293456.R01.S.doc Version 5.1 Page 24 Stanton Manor 3 4 OP18 OP25 of medication, for example checking the information recorded on the medication chart against the information recorded on the dispensing label prior to administration of the medication. Staff should receive instruction on the safe guarding vulnerable adults as part of their induction. The temperature of the hot water should be checked and recorded on a monthly basis. Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Stanton Manor DS0000020098.V293456.R01.S.doc Version 5.1 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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