Inspection on 11/04/07 for Teamcare Ltd t a Highcliffe Residential Home

This inspection was carried out on 11th April 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 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

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Teamcare Ltd t/a Highcliffe Residential Home T/A Highcliffe Residential Home 226 Preston Road Whittle Le Woods Chorley Lancashire PR6 7HW Lead Inspector Mrs Julie Playfer Unannounced Inspection 11th April 2007 09:30 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 Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.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. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Teamcare Ltd t/a Highcliffe Residential Home Address T/A Highcliffe Residential Home 226 Preston Road Whittle Le Woods Chorley Lancashire PR6 7HW 01257 265 198 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) Teamcare Limited Patricia Eskdale Care Home 24 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (24) of places Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 24 service users to include: *Up to 24 service users in the category of OP (Old age not falling within any category). *Up to 1 named female service user in the category of DE (E) (Dementia over 65 years of age). New Service Date of last inspection Brief Description of the Service: Highcliffe Residential Home is registered with the Commission for Social Care Inspection to provide personal care and accommodation for 24 Older People. The home is a detached property set in its own grounds, with outdoor seating areas. The home is located in a residential area in Whittle Le Woods, a small village on the outskirts of Chorley. Access to the home is via a private road off Preston Road. Accommodation is provided in 24 single bedrooms, 11 of which have an ensuite facility. Communal space is provided in two lounges and one dining room. There are 2 assisted bathrooms and one assisted shower. There are also three rooms, which can be used by visitors. At the time of the inspection, the scale of fees ranged from £320 - £360.50. Additional charges were made for hairdressing, private chiropody and personal magazines and newspapers. Information was made available to prospective residents by means of a statement of purpose and service users guide. The guide was usually given to prospective residents and/or their relatives on viewing the home or at the point of assessment. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Highcliffe Residential Home on 11th April 2007. At the time of the inspection there were 23 residents accommodated in the home. The inspection comprised of spending time with the residents, looking round the home, looking at residents’ care records and other documents and discussion with the staff and the registered manager. As part of the inspection process the inspector used “case tracking” as a means of gathering information. This process allows to the inspector to focus on a small group of people living at the home. Prior to the inspection the registered manager completed a questionnaire, which provided useful information and evidence for the inspection. Satisfaction questionnaires were sent to the home for residents and their relatives. 16 questionnaires were returned from relatives/visitors and 5 questionnaires were received from the residents. What the service does well: The admission procedures involved an assessment of peoples’ needs. This enabled the registered manager and prospective residents to determine whether or not the home could meet their needs. Residents spoken to felt they received a good standard of care and the staff respected their rights to privacy and dignity. The residents described the staff as “very nice and caring” and one person said “they’re really good to us here”. The activities were well managed and the residents were supported to pursue interests they enjoyed. The residents were provided with nutritious well presented meals, which they said were “very nice”. Visitors were welcome in the home at any time and residents were supported to maintain good contact with their family and friends. All the relatives and visitors who completed a questionnaire expressed satisfaction with the overall care provided. One person commented “I think the care home and staff are doing an excellent job and I would recommend them to anyone”. Residents had access to a complaints procedure and were confident any concerns would be listened to and acted upon. Residents were provided with clean and nicely decorated bedrooms, which were well-maintained. All residents spoken to said the home was always kept clean and was very comfortable. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 6 A high percentage of staff had achieved NVQ level 2 or above, this meant the staff had received the necessary training to enable them to carry out their caring role effectively. Good arrangements were in place for the supervision of staff, which ensured staff were given the opportunity to discuss their work and future training needs. 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. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.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 Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.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): 1, 2, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure was well managed. The residents had their needs properly assessed and they were provided with appropriate written information to enable them to make an informed choice about where to live. EVIDENCE: Written information was available for the residents in the form of a statement of purpose and service users guide. At the time of the inspection, both documents were in the process of being updated in line with changes in registration. Copies of the service users guide were seen during a tour of the home and one resident spoken to confirmed he had a copy in his room. All residents were issued with a statement of terms and conditions of residence or contract. It was noted the contract had been signed by the residents and/or Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 9 their representative and included information about the current level and payment of fees. The ‘case tracking’ process demonstrated the residents had their needs assessed prior to admission to the home by a social worker and/or the registered manager. Copies of the preadmission assessments were seen on the residents’ files. Prospective residents were actively encouraged to spend some time in the home prior to making the decision to move in. During the inspection, it was noted a prospective resident was visiting the home, the person was shown round the building and was introduced to the residents and staff. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.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): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care received by the residents was based on their individual needs. However, the care planning process could be improved with more detailed information about the residents’ healthcare needs and ongoing consultation with the residents. EVIDENCE: From the case files seen, it was evident each resident had a plan of care, based on their assessment of needs. The plans were supported by records of personal care, which provided information on changing needs and any recurring difficulties. All records seen described the residents’ needs in respectful terms. However, it was noted from viewing the records of personal care that not all changing needs had been transferred to the care plan. This meant some staff may not have been aware of a person’s changing condition. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 11 Whilst a relative confirmed his father had been present at a care plan review, none of the residents spoken to could recall discussing their care needs with a member of staff and there was no documentary evidence to indicate the residents had been involved in the care planning process. Risk assessments had been incorporated into the care planning documentation. However, an inconsistency was noted on one person’s file between the moving and handling risk assessment and the care plan. It was also noted risk assessments had not been undertaken to respond to the specific needs of one resident. Health care needs were listed within the care plan and there was evidence to indicate the residents accessed NHS services and received specialist support as necessary. The District Nursing team and two Doctors visited the home on the day of the visit. However, there was little guidance for staff within the care plan on how best to monitor and meet the residents’ healthcare needs. The residents spoken to felt the staff respected their right to privacy and all made complimentary remarks about the staff, for instance one resident said the staff were “grand – they are always good to me”. The residents who completed the questionnaires prior to the inspection, also made positive comments about the staff for instance one person said “there’s always staff around to help”. The staff were observed to interact with the residents in a positive manner and they referred to the residents in their preferred term of address. The home operated a monitored dosage system for the administration of medication, which was dispensed into blister packs. Policies and procedures were available to cover all aspects of managing medication in the home. Appropriate records were in place to record the receipt, administration and disposal of medication. However, it was noted there were several omissions on the medication administration records (MAR), some entries using a “key symbol” on the MAR chart had not been clearly defined, a prescribed cream had not been recorded on the MAR chart and medication belonging to a resident no longer accommodated at the home was stored in current stock and had not been returned to Pharmacy. Staff and managers designated to administer medication had completed an accredited training course in the management of medication. Staff spoken to confirmed this was a useful and informative course, which had a good practical application. Appropriate arrangements were in place for the storage, receipt and administration of controlled drugs. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were able to exercise choice and control over their lives and maintained good contact with their family and friends. The residents were provided with a nutritious diet according to their assessed requirement and choice. EVIDENCE: The residents’ preferences in respect of social activities had been recorded as part of the assessment. The home employed an activities coordinator for three days a week, who took responsibility for arranging activities and outings. On the days the activity coordinator was not working in the home, a local artist came in one day to provide painting sessions and the hairdresser visited on the other day. The residents spoken to said they participated in the activities, when they wished to. One person particularly enjoyed the dominoes on a Wednesday afternoon and another person said she had enjoyed trips to Southport and the Lake District. Other residents said they liked to have a rest in the afternoon and preferred to pursue their own interests such as reading. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 13 The routines in the home were well established and residents had a choice in the times they went to bed and got up in the morning. One person said “it’s up to me when I go to bed” and another person said “I get up when I like”. There were no restrictions placed on visiting and residents were able to entertain their guests in the privacy of their bedrooms. All the relatives and visitors who returned questionnaires said they felt welcome in the home and all were satisfied with the level of care provided. One person commented that the home was “fully supportive of user need, with continuous liaison with family re care. A warm, welcoming environment”. The residents were served three main meals a day, with drinks and snacks served throughout the day and night. Residents spoken to described the meals as “very good” and “lovely”. They also said there was always plenty to eat and the food was a good quality. Whilst the record of actual meals served indicated the residents were provided with a variety of different meals, two of the residents spoken to felt the menu was a little repetitive. The meal looked appetising and well presented on the day of inspection. The daily menu was displayed in the dining room. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems were in place to ensure any concerns of residents would be acted upon. Policies and procedures were in place to respond effectively to any allegations or suspicions of abuse. EVIDENCE: The complaints procedure was incorporated in the service users guide. The procedure contained the necessary information should a resident wish to raise a concern with the home or direct to the Commission. The home had received one complaint, which was being investigated by the registered manager. The complaint had been clearly recorded in the complaints record. All the residents spoken to said they had no complaints, but they knew whom to speak to if they had a concern. There was a copy of “No Secrets in Lancashire” (The Joint Strategy for the Protection of Vulnerable Adults) and an adult protection procedure specific to the home. The procedure set out the appropriate response in the event of any allegation, suspicion or evidence of abuse. The staff had access to a whistle blowing procedure and had received training on safeguarding vulnerable people. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were provided with a clean, comfortable and well- maintained environment. EVIDENCE: Highcliffe Residential Home is a mature detached property set in its own grounds, with a purpose built extension. A large patio area had recently been constructed at the rear of the building for the residents’ use in fine weather. Accommodation is provided in twenty-four single bedrooms, with eleven of the rooms having an ensuite facility. Communal space is provided in two lounges and a dining room. There are also three rooms, which can be used by visitors. On a tour of the premises, it was evident the residents had personalised their bedrooms with their own belongings and decoration was good throughout. The Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 16 residents said their rooms were comfortable and warm. One person also said “my room is lovely, I really like the colour of the walls and carpet”. The bedroom doors had been fitted with appropriate locks and keys had been distributed to the residents. Radiators had been fitted with guards. To prevent scalding all water outlets had been fitted with a preset valve to guarantee water was delivered close to 43 degrees Celsius. A call system with an accessible alarm was placed in every room. Two people made comments on the questionnaires about the arrangements in place to manage the laundry in the home. However, none of the residents spoken to on the day of the inspection had experienced any problems with the laundering of their clothes. The home was clean and hygienic on all areas seen during the visit. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. 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. The residents’ benefited from well-trained and competent staff. However, the recruitment procedure was not robust to ensure the full protection of the residents. EVIDENCE: The registered persons maintained a staff rota, which indicated which staff were on duty at any time on a particular day. All staff providing personal care were aged over 18 and all staff left in charge of the building were aged over 21. The number of staff on duty was sufficient for the number of residents living in the home. The files of four members of staff, who had recently commenced work in the home, were examined. All staff had completed an application form and had attended the home for a face-to-face interview. Appropriate police checks had been sought and received prior to the staff commencing work in the home. However, it was noted that one applicant had not provided a full working history and only one written reference and a verbal reference had been received for two people prior to employment. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 18 Documentation seen during the inspection demonstrated all new employees undertook an in house induction programme. The home also carried out monitoring of the person’s performance during the induction period, whereby the new member of staff was shadowed by an established staff member. At the time of inspection the equivalent of 81 of the care staff were trained to NVQ level 2 or above and a further member of staff was working towards this qualification. Staff also attended both internal and external training courses and had at least three paid days training a year. Staff training was planned and monitored by the means a training matrix. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. 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. The management approach promoted positive relationships between the staff and the residents and the overall atmosphere was open and friendly. Systems were in place to monitor the quality of the service and staff received training on all aspects of health and safety. EVIDENCE: The registered manager had worked in various care settings for 25 years and had achieved the Registered Manager’s Award and the NVQ level 4 in Care. The registered manager had updated her knowledge and skills and had recently completed an accredited medication course. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 20 Relationships within the home were good and staff spoke about the residents with respect. The residents valued the help and support they received from the staff, who they described as “very good” and “caring”. There was a programme in place for staff supervision and the topics discussed during supervision were recorded on a suitable format. In addition to supervision, staff were given an appraisal of their work performance, which was reviewed and spot checks were carried out on a regular basis by the management team. The management team had developed a quality assurance system to monitor the quality of the service received by the residents. A newsletter was distributed monthly to the residents and their relatives and information was posted on a notice board. Satisfaction questionnaires had been distributed to the residents, their relatives/representatives and visiting professional staff in February 2007. The results of the questionnaires had not been collated at the time of the inspection. However, the results from the questionnaires last year had been collated and appended to the service users guide. An annual development plan had been produced, but this had not been updated in line with the home’s objectives for 2007/08. At the time of the inspection the registered manager was not handling any money on behalf of the residents. Detailed records were maintained in respect to the amount of fees charged and received. There was a set of health and safety procedures available, which included the safe storage of hazardous substances. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. The registered manager and the staff had also completed an infection control course. Documentation seen during the inspection and information contained in the pre inspection questionnaire indicated the electrical, gas and fire systems were serviced at regular intervals. The fire log demonstrated the staff and residents were involved in fire drills and had received instruction about the fire procures during their induction. Comprehensive risk assessments had been carried out in respect to safe working practice topics. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 4 X 3 Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15 (1) (2) Timescale for action The care plan must be kept up to 15/05/07 date at all times, hence any changing needs must be added to the plan, along with guidance for staff on how best to meet the needs. The residents must be consulted and participate in the care planning process wherever possible. The care plans must include 15/05/07 clear guidance for staff about how the residents’ healthcare needs are to be met. Risk assessments must be 15/05/07 carried out in respect to any risks identified to the resident or other people in the home. The risk assessments must include management strategies to control, reduce or eliminate the identified risks. The medication administration 18/04/07 records (MAR) must be signed contemporaneously to avoid omissions on the records. All prescribed medication must be entered onto the MAR chart. The use of “key symbols” on the MAR chart must be clearly recorded. DS0000068445.V330495.R01.S.doc Version 5.2 Page 23 Requirement 2 OP8 15 (1) 3 OP8 13 (4) (c) 4 OP9 13 (2) Teamcare Ltd t/a Highcliffe Residential Home 5 OP29 19, Schedule 2 (as amended) Medication prescribed for people no longer living in the home must be returned to Pharmacy for disposal. Staff must not commence work at the home until all the necessary recruitment checks have been made. 11/04/07 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 OP33 Good Practice Recommendations The annual development plan should be updated to reflect the home’s objectives and planned developments of service for 2007/08. Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Teamcare Ltd t/a Highcliffe Residential Home DS0000068445.V330495.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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