Inspection on 27/02/08 for The Beeches (Wath)

This inspection was carried out on 27th February 2008.

CSCI found this care home to be providing an Adequate service.

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

The Beeches (Wath) 17/03/09

The Beeches (Wath) 06/11/07

The Beeches (Wath) 13/09/06

The Beeches (Wath) 02/02/06

The Beeches (Wath) 13/09/05

The Beeches (Wath) 14/12/04

The Beeches (Wath) 18/05/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE The Beeches (Wath) The Beeches Residential Care Home Carr Road Wath-Upon-Dearne ROTHERHAM South Yorkshire S63 7AA Lead Inspector Janet McBride Key Unannounced Inspection 31st March 2008 08:45 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 The Beeches (Wath) DS0000055216.V360845.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. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Beeches (Wath) Address The Beeches Residential Care Home Carr Road Wath-Upon-Dearne ROTHERHAM South Yorkshire S63 7AA 01709 761803 01709 761804 paulhulbert@ntlworld.com www.winniecare.co.uk Winnie Care (Highgrove) Ltd 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) Julie Morgan Care Home 44 Category(ies) of Dementia - over 65 years of age (44) registration, with number of places The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit four persons 60 years of age and over. Date of last inspection 6th November 2007 Brief Description of the Service: The Beeches is registered to provide residential care and accommodation for up to forty-four older people with dementia. The home is purpose built and is located on the main road in the town of Wath Upon Dearne area of Rotherham. There are community amenities close by which includes local shops. The Beeches is owned by Winnie Care (Highgrove Ltd), who also own other homes in the surrounding area. The home is built on two floors with access via a passenger lift or stairs, and accommodation is provided in two units, each with its own lounge and dining room. Both units have twenty-two single bedrooms, each with en-suite facilities. Two of the single bedrooms have adjoining doors in order to provide two double rooms if they are requested. There are assisted baths, which helps people with physical limitations to bathe more easily. There are also showers on each unit. There is a small, enclosed garden with a patio area for people to use and car parking spaces are provided at the side of the building. Fees are £ 385:00 per week, as at November 2007. Additional charges are made for hairdressing, chiropody and taxis. For further information contact the home. Information about the service was available for people and their families in the Statement of Purpose and the Service User Guide. This information was available in the reception area including the last published inspection report. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience Adequate quality outcomes. We carried out a Key Unannounced Inspection, which started on the 27th February2008, further visit on the 4th march 2008 and the 12th March 2008. The inspector’s manager was present on the 27th February visit. A follow up unannounced visit took place on the 4th March 2008 this included a pharmacy inspector who checked all aspects of medication. A further unannounced visit on the 12th march 2008 where the inspector attended a relatives meeting that evening. A further follow up visit by pharmacy inspector on the 31st March 2008. These inspections have reassessed the home against all the national minimum standards. Pre-inspection work was carried out on the information received and other relevant documentation, for example analysis of statutory notifications and complaint records. During the inspection, documentation and records were examined, for example medication, complaints, accident records, staff rotas and staff training files. Five care plans were cross-referenced with other relevant documentation relating to those people who use the service, to evaluate how well their care needs were met. A tour of the premises and direct observation of staff interaction with people who use the service was carried out throughout the visit. Information was gathered from as many different individuals as possible that had contact with people within the home, including individual interviews with management of the organisation and seven members of staff. We sent out surveys prior to the inspection, twenty were sent to relatives, families and friends of people living at the home. Sixteen were received back. Due to the nature of the people living at the home, it is difficult to obtain information directly from some people receiving services. Some judgements about quality of life and choices were taken from discussions with relatives, feedback on surveys, observations on the visits, followed by discussion with staff and examination of records held at the home. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 6 This service has been the subject of an adult safeguarding enquiry that received considerable publicity in the national media. The outcome of this investigation was that there had been some failings in the standard of care provided to one named individual. A number of relatives voiced their opinions about the recent negative publicity about the home and said “This was not their impression and perception of the home and care provided from their regular visits”. We would like to thank all the relatives for their views either on the surveys or at the relative’s meeting. People receiving services within the home management and staff for their co-operation in the inspection process. What the service does well: What has improved since the last inspection? The company had addressed most of the issues raised either at the last inspection or on these visits. • A full environmental audit of the premises and a total maintenance and cleaning programme had taken place this refurbishment as improved communal areas. • Cleaning and domestic hours had been increased to ensure that the home is clean at all times of the day. • Arranged an activities management course for the activities co-ordinator in April 2008. • Improvement in the recording and documentation in care plans. • Some progress has been achieved in the management of medication and systems have been put in place to monitor the practice. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 7 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. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 8 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 The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 9 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. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People who use the service had information about the home and services provided. People were individually assessed prior to admission to ensure their needs could be met. EVIDENCE: Residential and respite care is provided but not intermediate care. All surveys received confirmed that people who use the service were provided with sufficient information before moving into the home, and that they had the opportunity to visit and stay prior to admission. It was also confirmed in surveys that people in the home had been issued with contracts/statement of terms and conditions. The scale of charges was discussed with the manager, any extras that people pay for, are documented on page 5 of this report. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 10 Records showed that people who use the service were fully assessed prior to moving into the home, with other professionals involved if required. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 11 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 Adequate outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Care plans provided staff with sufficient information to meet the needs of people who use the service. People were assisted and supported by staff to make decisions and choices about all daily living needs. However people may be at risk of not always receiving their medication safely as prescribed affects this outcome. EVIDENCE: Five care plans were checked these set out in detail healthcare, personal and social care needs in an individual plan of care. All contained up to date information that reflected people’s needs as detailed in their assessments. This ensured that staff know the care required and that peoples needs were identified and met. People were nutritional assessed and a record of food they had consumed was The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 12 recorded and fluid intake monitoring charts were completed. People were weighed on a regular basis, and when weight loss had been highlighted they been referred to a dietician. Risk assessments had been completed based on individual needs, these were incorporated into each persons care plans. Records showed that people had been assessed for pressure care, and fall risks. This helps to safeguard their health and safety. Good health records were maintained and it was evident that people within the home were registered with a GP and had access to health care facilities. This included specialist health services such as consultant psychiatrist and mental health services. GP and health professional’s visits were recorded. The majority of people receiving services had a diagnosis of dementia, therefore a number of people could not make some decisions. It was documented in care plans when relatives, advocates and multi disciplinary teams were involved in decision making. Staff were able to describe the care needs of people within the home, they knew which people were able to make independent choices. However they said all were encouraged to make everyday choices, for example what to eat and what to wear. This promoted the choices and dignity of people living at the home. Feedback from relatives, visitors and observation on the days of the visits showed that staff treat people with respect and dignity. Typical comments included: “ My relative has been at the home a number of years and can be very difficult and staff do their up most to care for them, they are always clean and tidy when I visit”. “Mum has been here for some years and we can’t fault the place, wonderful staff, odd time we have concerns they sort it out straight away.” “ The Home has gone out of their way to make my aunt comfortable.” Pharmacy inspector from Commission for Social Care Inspection checked all aspects of medication. The systems in the home for the checking, recording and storage of medicines need to be improved. Evidence found on the days of this visit show that people may be at risk of not always receiving their medication safely as prescribed. Since the inspection visit, the home has begun to address these concerns by updating medication procedures, providing further staff training, improving medication storage arrangements, and carrying out checks of staff practice and record keeping. These improvements should help to reduce the risk of medication errors. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 13 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 outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People were provided with some stimulation and activities during the day. They were offered a wholesome and appealing balanced diet with a varied selection of food available reflecting people’s tastes and choices. EVIDENCE: There was a new activities co-ordinator in post who said she had organised entertainers to come into the home and that she had ensured that a programme of activities was advertised on the homes notice board. This was seen and examples of activities available were bingo and light exercise with balloons. The company were supporting the activities co-coordinator to develop her skills, they have arranged an activities management course in April 2008. Two relatives said they were happy with what they saw being offered in the way of activities for their relative, they also said the home had provided a birthday party in February 2008 which was very good. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 14 Relatives said they could visit at any reasonably time and, that people had the opportunity to maintain some links with the local community by visiting local shops with either their family or members of staff. Menus were discussed with the cook, who confirmed the food budget was sufficient and that food and drinks were available at all times. The lunchtime meal was observed. The menu was displayed and the cook served the meal with staff assisting. Dining tables were set with tablecloths, cutlery and plate guards were being used, this assists people to eat their meal independly. People were offered seasoning and a choice of drinks. People made very positive comments about the food and all surveys received back from relatives said they thought the home offered good food. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 15 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 outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The complaints procedure was accessible and displayed within the home. Policies and procedures were in place on adult protection, this promoted and protected people who use the service. EVIDENCE: There was a comprehensive complaints procedure, which was on display. Complaint records showed that all complaints had been recorded, responded and investigated in an efficient and thorough manner. All surveys confirmed that relatives were aware of the complaint procedure and knew how to make a complaint. Relatives were asked if they had raised concerns to the home and whether they had they responded appropriately, most people said they had. Some comments were made, for example “The management do monitor visitors and make special time to enquire if relatives have any worries or concerns”. If I need to complain I would see the manager or area manager and sort any problem out with them”. Policies and procedures were in place regarding the protection of vulnerable adults. Staff confirmed they were aware of abuse polices and procedures, they were able to describe the action they would take on receiving any allegations. Management had been proactive in referring any allegations or incidents to adult protection, these were followed up promptly and had been investigated The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 16 and responded to in a satisfactory manner. The home always keeps the Commission for Social Care Inspection informed of any issues. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 17 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): 19,21,24 &26. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Refurbishment has improved communal areas this ensures people who use the service live in a comfortable environment. Comments from people who use the service and relatives thought the home was a comfortable and accessible environment. EVIDENCE: A tour of the premises on our first visit found unpleasant odours around the home, no domestic staff was present when we first arrived. A number of issues were raised for example, a number of carpets were soiled and stained and some were sticky underfoot in places. The floor was badly stained in a communal toilet. A brief visual inspection of problem areas with the manager and operations manager took place, both agreed these standards were unacceptable. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 18 Both agreed to complete, a full environmental audit of the premises and a total maintenance and cleaning programme would be implemented without delay. An action plan was received from the operations manager regarding the full audit of the premises and work required. Communal space is available, which includes various lounge and dining areas. A tour of the premises on our visit of 4th March 2008 showed a considerably difference the premises were neat and tidy with no unpleasant odours noticed. All carpets throughout the home had been thoroughly cleaned and action plans in place with timescales to renew certain floor coverings and carpets throughout the home. Bedrooms seen confirmed people could bring personal furnishings with them on admission, some were found to be homely or personalised by individual people. All bedrooms seen were clean and tidy those that had been identified as requiring a new carpet had been fitted. The home had a call system in each bedroom, call cords were available to ensure people could summon help when required. There are assisted baths and showers on each unit. A tour of these areas Confirmed they were satisfactory, with all toiletries and prescribed ointments kept in locked cupboards. New floor coverings had been fitted in the toilets provided for communal use. Cleaning and domestic hours had been increased to ensure that the home is kept clean at all times of the day. Laundry facilities at the home were satisfactory, the clean laundry cupboard was found to contain spare linen, for example towels, face clothes, sheets and pillows. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 19 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 &30. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Staff had the skills and knowledge to fulfil their roles within the home; a stable staff group ensured continuity of care for people who use the service. Recruitment policies were followed promoting the safety and protection of people who live at the home. EVIDENCE: Staffing was discussed with the manager and the duty rota examined, this clearly identified staff within the home and their role, gave a clear line of accountability of management and ancillary staff. There were both male and female care staff, this enabled a choice of carer for intimate tasks. Observation on the days of inspection and checking of duty rotas confirmed there were sufficient staff to meet the needs of people who use the service. Since the visit of 27th February 2008 domestic hours had been reassessed and increased to keep the home clean at all times of the day. There were robust recruitment and selection procedures including an equal opportunities policy. New staff recruitment files were examined, these confirmed that all the required employment checks had been undertaken prior to staff being employed, including Criminal Record Bureau (CRB) Protection Of The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 20 Vulnerable Adults (POVA) checks. This ensured people who use the service were safe and protected. Training and development of staff was discussed with the manager and staff, who confirmed what training had been completed. Training records indicated that a number of the staff team had accessed various courses since the last inspection, for example dementia, abuse, moving and handling and basic first aid course. Development of staff was evident by 50 of staff achieving National Vocational Qualification (NVQ) level 2 or 3 in care with other members of staff continuing to work towards attaining this qualification. Comments received from relatives on surveys and those spoken to during the visits confirmed that they were happy with staff saying “As I am a nurse I would not have placed my relative in this home if I had felt the staff did not have the appropriate skills, experience and ongoing training.” The staff seem very pleasant and caring my friend is happy and well attended to “. “Staff always seem to care for the residents and are very helpful from the manager to the care staff”. “The staff always responds to any questions I have regarding my relative”. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 21 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 &38. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Good policies and procedures were in place to protect and safeguard people who use the service. Plans were in place to make improvement in the provision of services to ensure effective outcomes for people at the home. However the manager needs to develop a more structured approach in her leadership, where she has a more directive management style. EVIDENCE: Management structure at the home consisted of a registered manager, a deputy manager and an administrator. Although the manager has the experience to run the home she needs a more structured and assertive approach to monitor the day-to-day running of the home. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 22 The company’s operations manager had spent a lot of time at the home recently monitor the quality of care and services within the home. She had recently carried out a full audit of the premises and work required to ensure it meets minimum standards. She continues to carry out her monthly monitoring visits, and completes regulation 26 reports, which state what she found during her visit and who she spoke to, these were available to examine. The home had recently sent out surveys to gain the views of relatives about the care and services provided, these are waiting to be collated for the results. However surveys sent out by CSCI to gain views of relatives were found to be very positive, with most relatives being happy with the home and care provided. A number of meetings had been held since the last inspection, for example staff meetings, resident and relative meetings, these covered a variety of topics all had minutes taken to record peoples views. This gives an opportunity for people living at the home and their loved ones to influence the care provided. Staff said they received supervision on a regular basis either from the deputy manager or the manager. Finances and financial recording were discussed with the homes administrator, there were no changes since the last inspection. When records and balances were checked and found correct. They were stored separately with accurate recording of transactions and receipts kept. Maintenance and service records were examined, these were up to date with current certificates. The required health and safety policies and procedures and the relevant notices were displayed throughout the home. Fire safety procedures were in place, records examined showed they were current and up to date. This keeps people living and working at the home safe. The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 23 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 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 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 3 X 3 The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 24 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) Requirement Staff must sign all medication records when prescribed medicines as been given. (Timescale of 06/11/07 not met) The home must have an up to date medication policy and set of procedures to ensure all staff know exactly what is expected of them when handling and administering medicines. Additional training that reflects best practice guidelines must be provided to all staff involved in the administration of medication. Their practice should be checked to make sure that it follows current guidance. Having well trained competent staff helps to reduce the risk of medication errors. Medication must be stored securely and safely at temperatures recommended by the manufacturer. A system must be in place to check expiry dates of medicines and to add the date of opening when necessary. This makes sure DS0000055216.V360845.R01.S.doc Timescale for action 30/04/08 2 OP9 13(2) 30/04/08 3 OP9 18 30/04/08 4 OP9 13(2) 31/03/08 The Beeches (Wath) Version 5.2 Page 25 medication is safe to administer. 5 OP9 13(2) The receipt, administration and 31/03/08 disposal of all Controlled Drugs must be made in a timely and accurate manner in the Controlled Drugs register to provide the additional security needed for this type of medicine. The manager must develop a 31/03/08 more structured approach in her leadership, and demonstrate a sound management and effective leadership to ensure that the home is run in the best interest of people living at the home. Where necessary the operations manager must put arrangements in place to monitor and support effective management of the home. 6 OP31 9(2)(b)(i) 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 A system should be in place to record all medication received in to the home and medication carried over from the previous month. This helps to confirm that medication is being given as prescribed and when checking stock levels. Handwritten entries and changes to MAR charts should must be accurately recorded and detailed. This makes sure that the correct information is recorded so a person receives their medication as prescribed. 2 OP9 The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 26 3 OP9 Regular, monthly prescriptions should be seen before sending to the pharmacy. This makes sure a check can be made that all the medicines required have been listed and prevents people from being without. The temperature of the medication storeroom should be regularly monitored. This makes sure that medicines are being stored at the temperature recommended by the manufacturers and are safe to use. The operations manager should send a copy of the regulation 26 visit report to the Commission for Social Inspection. 4 OP9 5 OP31 The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 The Beeches (Wath) DS0000055216.V360845.R01.S.doc Version 5.2 Page 28 - 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!