Inspection on 20/12/05 for The Chaseley Trust

This inspection was carried out on 20th December 2005.

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

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

Other inspections for this house

The Chaseley Trust 01/07/05

The Chaseley Trust 07/01/05

The Chaseley Trust 07/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Chaseley South Cliff Eastbourne East Sussex BN20 7JH Lead Inspector Debbie Calveley Unannounced Inspection 20th December 2005 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 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. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chaseley Address South Cliff Eastbourne East Sussex BN20 7JH 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) 01323-744200 01323-744208 helenb@chaseleytrust.org The Trustees of the Chaseley Trust Helena Barrow Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55), Physical disability (55) of places Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is fiftyfive (55). The service users will be sixty-five (65) years or over on admission. That service users with a physical disability must be aged eighteen (18) years and over on admission. That a maximum of eight (8) day care service users can receive rehabilitive care. 7th July 2005 Date of last inspection Brief Description of the Service: Chaseley is a care home registered to provide nursing and supporting care for fifty-five service users, who meet the registration category of elderly and physically disabled. It provides nursing care and support for a wide range of disabilities including spinal injuries, acquired brain injuries and neurological conditions. Chaseley is a large detached victorian property situated on Eastbourne seafront, which has been extended and adapted extensively to provide an environment where severely physically disabled residents can live and receive nursing care. Chaseley provides further facilities for day care and specialist services including physiotherapy and occupational therapy. The accomomdation consists of ample communal areas, an activity suite, a physiotherapy/sensory room, large lounge areas and a dining area. There are forty-five single bedrooms without an ensuite facility, four with ensuite, two double bedrooms without an ensuite and one double with an ensuite. There are lifts that provide level access to all areas of the home. The home has been designed and upgraded with equipment that enables residents to be independent as possible. There are ample disabled bathing facilities in the home to meet the specialised needs of the residents. Eastbourne town centre is approximately 2 miles from the home and Meads Village with its shops and amenities is approximately ¾ mile. A regular bus service runs from Meads to Eastbourne, passing near the home. There is a parking facility for residents and staff to the rear of the home and parking for approximately eight vehicles is available at the front. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 20 December 2005 at 1:00 pm. There were fifty-five residents living in the home and six day care residents visiting the home. The methodology of the inspection performed by two inspectors, included a tour of the building, inspection of documentation and records, the delivery of care for eleven residents and informal interviews with fifteen residents, three relatives and six members of staff. It was a positive inspection where it was found that the standard of care has been maintained to a high standard. The feedback from residents, their relatives and the staff on duty was open and honest and the inspector would like to thank them for their time and their insight in to life at Chaseley. What the service does well: What has improved since the last inspection? Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 6 The requirements and recommendations from the previous inspection have been met or continue to be monitored. The medication audit is proving beneficial in ensuring that the policies and procedures in place are followed which protects the residents from possible harm. The call bells were answered promptly throughout the inspection, and there were no concerns raised from residents about having had to wait for assistance. All cleaning fluids were found appropriately stored. 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. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 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 Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. The homes Statement of Purpose and Service Users guide are comprehensive, providing residents and prospective residents with details of the services the home provides, thus enabling an informed decision about admission to the home. A contract/statement of terms and conditions is given to all residents on admission, which confirms the facilities offered and care agreed. A pre-admission assessment is undertaken on all prospective residents before admission to ensure the home can offer them the care they require. EVIDENCE: The Statement of Purpose and Service Users Guide were viewed, it was found to be up to date and contained information that prospective service users need to make an informed choice of where to live. All residents spoken with had a copy of the Service Users Guide that they refer to when needed. Two residents said, “ It is helpful to have so we do not have to keep asking staff things”. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 9 There is a written contract/statement of terms and conditions that all residents receive on admission to the home. This contract is confirmation of the room booked, the type of admission, either respite or permanent and the fees to be paid. Chaseley Trust use an assessment tool, which covers all the needs as defined in standard 3.3. Eight pre-admission assessments were viewed, which were found fully completed and informative. The assessment takes place at the prospective residents’ place of residence, and involve the relatives whenever possible and input from other relevant professionals is sought when required. Evidence was seen of multi-agency input for several residents. Five residents spoken with said they remembered someone from the home coming to see them before moving to Chaseley and felt it had been beneficial to have met someone from the home before they arrived. Three care plans had evidence of family or other professional’s input. The pre-admission assessment identifies the specific needs of the prospective resident and these can then be discussed with the resident and their representative to ensure that the home can meet their needs. The Statement of Purpose also gives information regarding the services they provide. Prospective residents can visit the home to meet the residents, to look at rooms that are available and the facilities provided before they make any decision regarding accepting a place. These visits can be a day or a weekend if it is preferred. One resident said, “ He had been here a few times for the odd weekend before making the decision to move in full time. One resident spoken with was at Chaseley for respite care. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. All residents have an individual care plan, which meets their health, social and recreational needs. The medication systems in place are well-managed promoting good health and the safety of the residents. The residents are treated with respect and courtesy in all aspects of their care. EVIDENCE: Fourteen care plans were viewed, and were found to be informative. All were found to have a plan of care, which is generated from the initial pre-admission assessment. The care plans clearly identify the specific health, personal and social care needs of the individual residents. There were some care plans seen that were overdue for a review; this was due to illness of the key nurse. The risk assessments were clear and evidence was seen of regular review. All residents have their vital signs, weight and urine tested on a monthly basis, which due to the complexity of their illness/disability is beneficial in monitoring their health needs. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 11 There is evidence of resident/representative consultation in individual plans. Eight residents said they had been involved in the discussions regarding their care plan, one said that “ could not remember being consulted, but I know that if I ask any of the staff about my care they will sit and talk to me about it” The care plans also evidenced the formal six monthly reviews which are attended by the resident, a relative or other key person. From the information gathered from the care plans and then meeting those residents, it was found that the health needs of the residents were met. Specialist equipment was found in place where required, e.g. air mattresses, cushions and various hoists with different slings. All the bathrooms have shower tables or an assisted bath. One resident said, “Staff were wonderful”. Another said that she felt the care was very good and “was well looked after”. Other comments were, “ The care is great and I would not want to be any where else”, “I have lived here for five years and am pleased with the care”, “the care could not be better” if I have to be somewhere I’m glad it’ s Chaseley”. Five residents were able only to communicate by signals but were able to respond to open questions and indicated by sign that they were happy in the home and that they had no concerns. Two residents said that they were not always very happy and these residents were given the opportunity to complete a questionnaire in confidence. The clinical rooms were found clean and tidy, the equipment well-maintained. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication. The temperature of the fridge and room are recorded daily and are of an acceptable temperature to maintain dressings and medications. The medicine administration charts are continued to be audited by a senior nurse, on a weekly basis, and any gaps are identified and followed up. Tippex, however was found on an administration chart and this was identified to the manager during the inspection. A recommendation of good practice is that controlled medications are checked randomly and documented on a regular basis. Residents are registered with a G.P surgery and are referred to other health professionals as and when required. It was noted again that the relationship between staff and residents is friendly and relaxed and throughout the inspection it was observed that residents were treated with friendship, dignity and respect. One visitor said, “ The staff are always respectful and helpful to residents”. A resident said, “The staff respected his disabilities and were always kind”. A resident said, “ I need some very particular care which could be embarrassing but the staff are very discreet and down to earth”. Good practice was observed throughout the inspection in respect of administering personal care and staff were seen assisting residents with their meal in a calm and dignified manner. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. The residents are enabled to exercise the choice and control of their every day life. For the majority of service users, the lifestyle experienced in the home matches service users expectations and preferences and the activity programme in place meets their social, religious and recreational needs. The dietary needs of residents are well catered for and offer a balanced and varied selection of food that has been updated in line with the personal likes and choices of residents. EVIDENCE: Chaseley continue to promote independence and freedom of choice, and residents spoken confirmed that they are enabled to choose their daily schedule including their meal times and venue. They also said that they were assisted in choosing activities in and outside of the home environment. Residents are also encouraged and supported to go out visiting friends and family. One resident was excited about going home to spend the weekend with his family whilst another had been on a trip abroad. There is an activities programme that demonstrates a wide variety of activities, in the home and outside of the home to suit all residents. The day care Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 13 residents mix well with the residents of the home and enjoy the services provided. The Cas Bar continues to be popular. Residents spoke positively about the variety of activities and about events that were happening. One resident proudly showed her art work that she had recently completed, and said that it was an achievement that she had not expected to accomplish due to her disability. Not all residents wish to participate in activities, and they were seen visiting other residents in their room or enjoying the privacy of their own room, where they use computers, watch television and listen to music. One resident said that “his room has all the comforts of home and he could not wish for more”. Residents are encouraged to make choices about all aspects of their lives and are supported if they wish to make changes to their daily routine. Residents are encouraged and facilitated to personalise their bedrooms and bring in items of their own furniture. The majority of rooms have been individualised and many residents have their own fridges and electrical items that allow them independence within a risk assessment framework. Residents’ artwork is displayed in rooms and corridors throughout the building. An advocacy policy is in place and there is information regarding how to access this service in the service users guide. There is open visiting, with relatives and friends able to visit at any time with the agreement of the residents. Residents, relatives and friends spoke positively of the care and support provided at Chaseley. They feel that the management team are approachable and that their opinions are taken seriously. The dining area is spacious with natural light, pleasantly decorated with tables of varying heights to allow wheelchair dependent service users to choose where they sit. The food is displayed in a servery, which enables residents to choose their meal and mix and match with what takes their fancy. There are dispensers in place for soft drinks, hot drinks and soup which service users can help themselves, thus promoting their independence. Lunchtime servings are divided in that the more heavily dependent use the dining area first followed by the more abled and the dining room is open from 1200-1330. The feedback from the residents regarding the meals provided was positive and two residents complained that the food was too good and that they have put on weight since coming to live at Chaseley. One resident said “ her choice was sometimes limited as they ran out occasionally”. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The complaint procedure in place enables residents and their families to share their concerns formally and confidentially. There are systems in place to protect residents from abuse. EVIDENCE: There are policies and procedures in place regarding complaints and it was confirmed by the management team that these are followed when investigating any concerns raised at the home. Three of the residents referred to their information folder when asked if they knew how to make a complaint, whilst three residents said they would bring it to the attention of the senior nurse on duty. Two residents said that they usually brought any concerns up at the residents meetings and felt that it was then dealt with. One resident said she would rather talk to her social worker. There have been no complaints received by the CSCI since the last inspection. The Adult Protection policy in the home is found in the nurses’ station and was found to be up to date. Staff interviewed were knowledgeable about the systems in place to protect vulnerable service users. There is on-going training for all staff in adult protection. The staff in the home are very aware of how vulnerable the residents of Chaseley are, especially as a key part of the care is Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 15 promoting independence and encouraging them to lead active lives inside and out of the home. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Chaseley provides a comfortable, clean and safe environment for those living there and those visiting. There is specialist equipment in the home for residents’ use to maximise their independence. All areas of the home are clean and hygienic with satisfactory infection control systems in place to protect residents and staff. EVIDENCE: Chaseley Trust provides a comfortable, homely and well-equipped environment for the residents. There is wide range of communal areas for the use of the residents and their visitors; and these include a dining room, sun terrace, bar and function area and three other quiet areas. There were some areas of maintenance that need attention and these were discussed at the feedback session with the manager. Residents are enabled to smoke following an individual risk assessment, and the bar area is an allocated smoking area. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 17 There are attractive garden areas that have sea views and fully disabled access. The home has been designed and modified to meet the needs of its nonambulant service users who have complex needs. There is assured accessibility to service users both internally and externally. Large lifts provide level access to all floors. There is an on-going upgrading and refurbishment programme in place which will enhance the facilities offered. The internal redecoration continues to be on going. Individual rooms are decorated to the service users specific colour choices. The rooms viewed were seen to be personalised with the resident’s own furniture, pictures and equipment, such as fridges and computers. Chaseley’s Statement of Purpose promotes the facilities available to meet the needs of residents with severe physical disability and promote their independence. There is continual fund raising to purchase equipment to enhance the lives of those with disabilities. There is a Physiotherapy and Occupational Therapy unit on site and the input from the staff is discussed regularly as part of a multi disciplinary team to discuss the on-going needs of the residents. All the bedrooms are equipped with the needs of the individual resident in mind, the necessary adaptations have been made to ensure that the rooms are easily accessible, comfortable and provide as much privacy as the residents require. The doors are opened and closed by the use of a touch pad. The size of the rooms is beneficial for those who use an electrical wheelchair, encouraging independence. There are separate facilities provided to store and recharge the wheelchairs on the ground floor. The cleanliness of the home has been maintained to a good standard, and there are systems in place to prevent the spread of infection. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29. Staffing levels were adequate to meet the assessed needs of the residents. EVIDENCE: Staffing levels are assessed according to the dependency levels of the residents. On the day of the inspection, the staffing levels were seen as adequate for the needs of the residents. The response to call bells was seen to be prompt on this visit. A selection of staff recruitment files were examined and were found to have all the necessary information in place. However it was noted that a reference from a family member had been accepted, and this is not considered good practice. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. Residents benefit from a Manager who is competent and runs the home efficiently and effectively. The ethos of the home is open and transparent enabling residents to participate in the running of the home, should they wish to. All aspects of resident’s health, safety and welfare are protected and promoted. EVIDENCE: The manager is a registered level 1 general nurse and has completed a Diploma in Management CM1. The manager informed the inspector that she regularly attends training sessions to update her skills and knowledge. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 20 The atmosphere of the home on this unannounced inspection was positive, calm and inclusive. The staff were observed doing their work competently and showing respect to their colleagues and the residents. The residents and relatives spoken to were appreciative of the manager and her staff. Regular staff meetings and supervision sessions encourage the staff to communicate their views and if appropriate acted on. Relative and resident meetings are held regularly and are well attended and beneficial. Handover sessions at every shift are greatly valued by the staff and enable staff to be brought up to date on any changes or problems. A quality assurance system is in place and has proved beneficial in the running of the home. The home has a comprehensive set of policies and procedures, which govern the running of the home. Staff are supported by the manager on a daily basis and more formally through supervision. They receive regular supervision and annual appraisals, which are in a written format and copies are kept in the staff files. It was confirmed by the training manager and from staff interviews that the staff are kept updated on the Health and Safety policies, the manual is available to all and clearly defined. Staff are issued with certificates for Manual Handling, Fire Safety and Food and Hygiene. All relevant legislation and procedures are in place and in accordance with Standard 38. The records required by regulation for the protection of the residents are in place and accurate. Individual records and home records are kept secure and up to date and are maintained in accordance with the Data Protection Act 1998. The manager is very organised and has a thorough understanding of the National Minimum Standards and the accompanying regulations. Good practice was observed throughout the inspection in respect of health and safety. The first aid boxes are checked regularly, all fire exits were found clearly marked and free from obstruction. The equipment used for residents are regularly serviced and kept in good condition. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? 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 OP19 Regulation 23(2) (b) Requirement That all areas of the home are maintained to an acceptable level. Timescale for action 20/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP9 OP9 OP29 Good Practice Recommendations That tippex is not used on the Medication administration charts. That controlled medications are checked on a regular basis. That references are not accepted from family members. Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Chaseley DS0000013972.V254606.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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