Inspection on 17/05/07 for Swarthmore

This inspection was carried out on 17th May 2007.

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

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

Other inspections for this house

Swarthmore 05/05/09

Swarthmore 13/02/06

Swarthmore 27/09/05

Swarthmore 02/03/05

Swarthmore 08/09/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Swarthmore Marsham Lane Gerrards Cross Bucks SL9 8HB Lead Inspector Joan Browne Unannounced Inspection 17th May 2007 11:45 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 Swarthmore DS0000023069.V333022.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. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swarthmore Address Marsham Lane Gerrards Cross Bucks SL9 8HB 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) 01753 885663 01753 891645 carehome@swarthmore.co.uk Swarthmore Housing Society Limited Mrs Janice Windle Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th February 2006 Brief Description of the Service: Swarthmore Residential Care Home is situated in Gerrards Cross, Buckinghamshire. The home was opened in 1947 and was founded by members of the Religious Society of Friends (Quakers). The home was originally opened for the accommodation of members of the Society of Friends, however the home happily accepts non-Quakers. Swarthmore is registered for 40 older persons, not falling into any other category and provides personal care. Service users are accommodated in one of the 37 rooms, which are found over three floors. The home has two dayrooms and one dining room. These communal areas provide space for receiving visitors and participation in activities. The home possesses two passenger lifts, which permit access to all levels of the home. There are grab rails in toilets, bathrooms and bedrooms. There are also hoisting equipment to facilitate safe moving and handling practice and a call bell system is in place. The home is situated close to all local amenities, which include, shops, pubs, library and cinema. Service users are able to access such amenities on foot, by car or use of the local bus service. The home has a local GP practice with the support of a district nurse team if needed. Service users are actively encouraged to use the services of a GP of their choice. Other healthcare services are also available by way of a referral through the GP, such services include, physiotherapists, occupational therapists and podiatry. The fees for this service range from £518.00 to £630.00 per week. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 11.45 am and was in the service for 6½ hours. It looked at how well the service was doing and took into account detailed information provided by the manager, and other information that the Commission had received about the service since the last inspection. The inspector asked the views of people who use the service and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. It was felt that the home was providing a good service to ensure that individuals’ cultural and diverse needs were being met. The inspector examined care plans and followed this by meeting with the individuals to see if the plan matched the assessed care needs. The medication system and accompanying records were examined along with other records required by regulation. Staff rosters were examined along with staff recruitment files, and training documentation. A tour of the premises was conducted. The inspector spent some time meeting with residents, staff and visitors. The inspector would like to thank everyone who assisted in this inspection in any way. What the service does well: No resident moves into the home without having his/her needs assessed to ensure that they would be met. Residents have detailed care plans, which are reflective of their personal preferences. The lifestyle in the home suits residents’ preferences, cultural religious and recreational needs. Residents receive a wholesome, appealing and balanced diet in pleasing surroundings. The home has a robust complaints procedure to ensure that complaints raised are taken seriously and acted upon. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 6 The home is well maintained thus ensuring that residents live in a comfortable and safe environment. Staff training is regularly updated to ensure that competent staff care for residents. The manager and the senior team are qualified and experienced. Thus ensuring that the home is run in the best interests of the residents. 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. Swarthmore DS0000023069.V333022.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 Swarthmore DS0000023069.V333022.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): 3 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home ensures that prospective people to use the service needs are assessed before taking up occupancy and they are assured that their identified needs will be met. EVIDENCE: Case tracking highlighted that residents’ needs are assessed before moving into the home. The assessment tool used formed the basis of the care plan. The manager explained the home’s assessment process. Prospective residents are invited to visit the home prior to admission to meet residents and staff. This may take the form of having lunch or afternoon tea if they wish to. The home’s staff will ask questions regarding individuals’ expectations and how they wish to be cared for. The manager or the deputy manager who are both responsible for the care provision carry out pre-admission assessments in residents’ homes or in hospital. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home has systems in place to ensure that support with health and personal care is based on individual needs. However, shortfalls identified in the home’s medication practice have the potential to put people at risk and would need to be addressed. EVIDENCE: Care plans seen detailed how all aspects of individuals’ health, personal and social care needs were being met. They contained risk assessments relating to moving and handling, prevention of falls, tissue viability and selfadministration of medication. There was evidence that plans were being reviewed monthly to reflect changes and individuals’ needs relating to health and personal care. Entries in individuals’ daily log seen referred to personal care provided, dietary intake and their participation in daily activities. There was also a multidisciplinary sheet in the care plan to record health care professionals’ visits. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 10 Some inconsistency in staff practice when using the sheet was noted. This was discussed with the manager during the inspection. Staff spoken to were knowledgeable about individuals’ care needs and were confident that a high standard of care was being delivered to meet residents’ diverse and changing needs. Residents have the option to keep their general practitioner (GP) providing the GP is willing to keep them on or they can register with the GP that visits the home weekly. There was evidence that the district nursing services as well as other health care professionals such as the occupational therapist, physiotherapist, chiropodist and the continence adviser was supporting the home. Residents also have access to the dentist and optician and National Health Service treatment could be accessed via the general practitioner. The home uses a monitored dosage medication system, which overall was in satisfacory order. The medication administration record (MAR) sheets were examined and three gaps were noted. The head of care was aware of two gaps and had made a note to discuss them with the persons concerned. It was noted that a particular resident had been prescribed a course of antibiotic. The tablets in the packet were checked and it became apparent that the number of signatures recorded for the administration of the antibiotic were not consistent with the quantity supplied. It was evident that a tablet had not been signed for. Examination of the controlled drug register highlighted that it did not tally with the MAR sheet for a particular resident. This was for a Fentanyly patch, which is given for pain. It was administerd and signed for on the MAR sheet but it was not recorded in the controlled drug register. It is recommended that staff involved in the administration of medication should be made aware of the need to ensure that records are maintained appropriately. The home strongly promotes independence and twelve residents had been assessed as being able to self-medicate. It was noted that only three residents were provided with lockable storage place. The manager was made aware that in order to comply fully with the national minimum standards and best practice by the Royal Pharmaceutical Society guidelines. All residents that selfadminister must be provided with a lockable space in which to store medication. A requirement will be made for lockable storage cupboards to be provided for residents to store their medication. It was noted that the controlled drug cupboard was being used to store residents’ money. The home should ensure that items of value such as jewellery or money are not stored in the control drug register to comply with the Royal Pharmaceutical best practice guidelines. Staff’s practice was observed assisting residents in their activities of daily living and it was noted that they treated the residents with dignity and respect. Residents were called by their preferred form of address, and staff always Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 11 knocked on bedroom doors before entering. Residents spoken to said that staff respected their privacy and dignity. Swarthmore DS0000023069.V333022.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): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home ensures that the activities provided in the home are varied to suit people who use the service lifestyle. Wholesome nutritious meals are served in pleasing surroundings. EVIDENCE: The home provides daily activities such as, car rides, art group, library, communion, and exercise and literature classes for those residents who wish to partake. Other entertainment such as, outings to the theatre, variety shows, Quaker meetings and social events such as cheese and wine parties and summer parties are also organised. Residents who responded to the Commission’s comment cards said that there were ‘always activities arranged in the home that they can take part in. Those spoken to said that the lifestyle experienced in the home matched their expectation. The following additional comments were noted: ‘I can choose to take part in organised activities; I can be out or stay in my room. I am completely free to do as I please.’ ‘Apart from the weekend there is some entertainment every day. One is never bored here.’ ‘There are stimulating groups to go to, e.g. literature, discussion, art, exercise, music, etc. All are open to everyone and give a structure to the day.’ Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 13 Family and friends are able to visit the home at anytime and are provided with refreshments. Lunch is provided at a small charge. The hairdresser visits most days of the week. Staff support residents to exercise choice and control over their lives. The manager said that residents are encouraged to make choices and to be involved and participate in meetings to discuss any aspect of the day-to-day running of the home. Information submitted on the pre-inspection questionnaire indicated that relatives were acting as advocates for some residents. Residents are made aware that they can move in with personal possessions such as items of furniture if they wished t o. The home provides three meals a day, which are freshly prepared on site and caters for vegetarians, diabetics and other dietary needs. Tea and coffee are provided through the day. The inspector joined the residents for lunch in the dining room and enjoyed a well presented meal. Lunch consisted of lamb chops roast potatoes, parsnips and cabbage. There was also a vegetarian choice. The tables were appropriately laid. Residents spoken to said that the meals provided were always tasty and cooked to a high standard. Swarthmore DS0000023069.V333022.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): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a robust complaints procedure to ensure that concerns raised by people who use the service are listened to taken seriously and acted upon. There is an adult protection and prevention of abuse policy in place, which should ensure that people who use the service are protected from any potential abuse. EVIDENCE: Information submitted on the pre-inspection questionnaire indicated that the home had received one complaint about the service since the last inspection. This was investigated by the home and was partially substantiated. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Residents who responded to the Commission’s comment cards said that they were aware who to speak to if they were not happy and how to make a complaint. They also said that they were extremely satisfied with the service and felt safe and well supported by the staff team. Staff members spoken to were fully aware of the importance of taking the views of residents seriously and responding to their concerns appropriately. The Commission has not received any information concerning any suspicion or evidence of abuse or neglect made to the service since the last inspection. Staff spoken to were aware of what action should be taken if they suspected or witnessed an incident of abuse. The home has an adult protection and Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 15 prevention of abuse policy, which staff are expected to be familiar with. Information submitted on the pre-inspection questionnaire indicated that staff were continuously updating their knowledge and skills in the safeguarding of vulnerable adults. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The physical layout of the home enables people who use the service to live in a safe well-maintained environment that meets their diverse needs. EVIDENCE: The premises are suitable for its stated purpose it is accessible, safe and well – maintained and decorated to meet residents’ individual and collective needs and comply with the current building regulations. On the day of the inspection the home was bright, clean and free from offensive odours. The grounds and garden were tidy and looked well –maintained providing a delightful area for residents and visitors to enjoy. Information recorded on the pre-inspection questionnaire indicated that the requirements and recommendations from the recent fire services inspection had been acted on. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 17 The home has several laundry facilities situated away from where food is prepared and are equipped with washing machines with the specified programming ability to meet disinfection standards. The walls and floors were clean and free from dust. The sluice rooms seen were well maintained. Bedrooms seen were clean and tidy with pictures and ornaments to reflect individuals’ characters. Bathrooms and toilets were fitted with the appropriate aids and equipment to maximise residents’ independence. It was noted that there were some radiators in the main sitting area, dining room and library that were not covered. This was discussed with the manager during the inspection and she said that the radiators were not normally turned on. It is recommended that the manager risk assess the radiators in these areas detailing how any potential risk to residents would be managed. The area where clinical and general waste is stored was securely enclosed. It was noted that staff regularly update their knowledge in the prevention of cross infection. Residents and relatives who responded to the Commission’s comment cards said that the home was ‘always’ fresh and clean. The following additional comments were noted: ‘There is a difficulty with the plumbing too hot/too cold. This has been looked into by the care home but apparently is impossible to mend.’ ‘The hill is too steep in the garden for wheelchairs.’ Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 29 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home ensures that there are sufficient staff provided who are trained to meet the diverse needs of people who use the service. The home’s recruitment procedure needs to be reviewed to ensure that volunteers and other personnel who come into contact with people who use the service are vetted. EVIDENCE: The staffing rotas examined found that sufficient numbers and skill mix of staff were on duty at all times. The following comments were noted from residents and relatives who responded to the Commission’s comment cards: ‘Staff were always helpful and understanding.’ ‘Staff are very patient and caring with the residents.’ ‘Staff are always helpful and caring. I am very well looked after.’ Information on the pre-inspection questionnaire indicated that staff training and development was well established in the home. It was noted that 50 of care staff had achieved the national vocational qualification (NVQ) level 2 or 3 in direct care. Staff recruitment files for the five recently appointed staff members were examined and found to have two references, terms and conditions of Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 19 employment and PoVA first and criminal record bureau (CRB) clearances. However, there were no recent phtographs of individuals to confirm proof of identification. It is recommended that there should be a recent photograph on individuals’ files to confirm proof of identity. It was also noted that the home employs a hairdresser, volunteers and maintenance persons. However, CRB clearances had not been obtained for these personnel. The home must ensure that criminal record bureau clearances are obtained to comply with current legislations. The home has its own training facilitator who has a dual role as a trainer and senior carer. The staff induction programme seen was comprehensive and each member of staff is allocated a mentor to work with them in the initial training period. There is a training and development matrix for all staff that showed all the training given and planned for individuals, which was up to date. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home is well managed, thus ensuring it is run in the best interests of people who use the service. Health and safety practice in the home would need to be reviewed to protect people who use the service from any potential harm. EVIDENCE: The manager has several years experience working at the home. She is a registered nurse and holds the registered manager’s awards certificate. The deputy manager is also a registered nurse and has also achieved the registered manager’s awards. They are supported by senior carers and carers. Evidence of good teamwork amongst all staff was noted and clear line of accountability. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 21 The manager was complimentary about the staff team and said that ‘staff do a wonderful job.’ Residents, relatives and staff were also complimentary about the manager and said that she was approachable and operated an open door policy. The management team was continuously working to improve the service and provide an increased quality of life for residents focusing on equality and diversity issues. Regular meetings are held with staff, residents and the residents subcommittee group to discuss the day- to- day operation of the home. The inspector was told that the home was currently reviewing its policies and procedures. The home also encourages the residents to give their own individual views and opinions concerning the way their care and support is delivered, which is achieved through the regular care plan reviews. The home keeps a small amount of money for residents, which is used to purchase small items and pay for hairdressing and chiropody. Written records of transactions are maintained. Two residents’ money was checked and money held corresponded with the records. The system for recording incoming and outgoing payments was not very clear. This was discussed with the manager who has agreed to review the current system. Information submitted in the pre-inspection questionnaire indicated that the home has good systems in place for the regular maintenance of equipment such as the fire, central heating, hoists and passenger lifts. The fire panel is checked weekly and regular fire drills are carried out. All staff receive mandatory training in fire safety, moving and handling and food hygiene. Cleaning solutions were seen in some bathrooms and pose a potential risk to residents. Arrangements must be made for them to be stored in a locked storage cupboard. Gloves and pads were on view in some toilets. It is recommended that they are stored more discreetly to ensure residents’ dignity and safety are upheld Swarthmore DS0000023069.V333022.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 2 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement All people using the service that self-medicate must have a lockable storage space in which to store medication to ensure safety. The home must obtain criminal record bureau clearances for the hairdresser, volunteers and maintenance persons to ensure that people using the service are protected from any potential risk of harm Hazardous cleaning solutions must be kept in locked storage cupboard to ensure that people using the service safety and welfare are protected. Timescale for action 31/07/07 2 OP29 19(1) 30/06/07 3 OP38 12(a) 30/06/07 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 Staff involved in the administration of medication should DS0000023069.V333022.R01.S.doc Version 5.2 Page 24 Swarthmore 2 OP19 3 4 OP29 OP38 maintain the record appropriately to ensure that people who use the service safety is protected. The radiators in the communal areas that are not covered should be risk assessed for the risk they present to the people using the service and action taken to minimise any identified risk. There should be a recent picture on staff members’ file to confirm proof of identity. Gloves and pads in toilets should be stored discreetly to promote people using the service dignity and safety. Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Swarthmore DS0000023069.V333022.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!