CARE HOME ADULTS 18-65
The Coppice 51 Wellington Road Altrincham Cheshire WA15 7RQ Lead Inspector
Sylvia Brown Unannounced Inspection 13th April 2007 8.30am The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 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 Coppice DS0000005606.V335396.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 Adults 18-65. 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 Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Coppice Address 51 Wellington Road Altrincham Cheshire WA15 7RQ 0161 929 4178 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) www.efitzroy.org.uk Elizabeth Fitzroy Support vacant post Care Home 7 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. One named individual currently accommodated has a learning disability and is also over pensionable age. Date of last inspection Brief Description of the Service: The Coppice is a detached brick built property and is in keeping with others in the road. The home provides accommodation with personal care for 7 people with a learning disability. It is situated near to a local school and there are traffic calming measures in the area. The house is divided into two properties with an inter-connecting door. The main body of the house provides accommodation for five residents. There is a semi-independent living arrangement for two male residents in the annex. There are large secluded rear gardens and parking. The laundry facilities for the home are situated in the detached garage at the rear of the property. The home has its own minibus, which affords the residents access to day care, local colleges, recreational facilities, and places of interest. Fees are calculated on an individual basis based on individual’s needs. Currently the lowest fee is £1,104 per week and the highest is £1,221. The home has a service users guide and statement of purpose both of which are available to perspective service users upon request. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced key inspection of The Coppice took place over two days. On the first day the inspector spent time with the people who used the service before they went out for their daytime activities, observed care practice and support, spoke with staff and looked at records. The second day was spent looking at more records which related to the management and running of the home. Time was also spent talking with the manager and assistant manger about the running of the home. Overall the inspection was positive. People who used the service appeared happy and contented in their home and were observed being relaxed in the company of staff and visiting support workers. As part of the inspection process the home completed a pre-inspection questionnaire. Comment cards were provided to people who used the service relatives and staff. At the time of writing the report three comment cards had been returned from relatives. Where appropriate and applicable comments and information received have been included within this report. A summary of this report has also been made available to people who use the service in a format suitable to their needs and understanding. What the service does well:
The Coppice provides people who use the service with a well maintained, homely and inviting environment. The home was clean and tidy but ‘lived’ in. The home maintains a high standard in regard to seeking the views of users on their like, needs , dreams and aspirations. People who use the service are consulted with about their individual choices and about how the home is run. From information looked at and action taken by the home it is evident that The Coppice is home and that people have a say on how it is run. Opinions of users were valued, requests and ideas for changes in routines and or practices had been thought about by the management team and were actioned where possible. Advocacy services are routinely provided to support people living at the home. The care planning process was good. Information was in a format suitable to the users understanding and there was clear information to show that they had been consulted about their care needs and support programmes. Plans reflected individuality and a variety of care practise and approaches. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 6 Staff are recruited and selected appropriately and are skilled in communicating with people who have profound learning difficulties. They are trained and supported well by the homes systems of staff meetings and supervisions. Throughout the inspection people who use the service were observed using parts of the home as they wished. They appeared to be happy and contented. There were plenty of stimulating activities, such as magazines, books, radio and television to hand. Peoples own rooms identified that they are supported well to maintain their individual hobbies and interests all of which supports them to lead their preferred chosen lifestyle. The organisation completes regulation 26 visits each month. These visits are thorough and identify that the organisation monitors and observes the conduct of the home, consults with users and staff and takes action where it is identified development is required. What has improved since the last inspection? What they could do better:
Call points should be near the peoples bed and within easy reach to esnure they can get support as they need it during the night The duty rotas should be displayed for people to know who is coming on duty. Care plans should explicitly detail where restrictions are placed on people who use services and the actions to be taken by staff to ensure their safety. The home should demonstrate that service users receive a well balanced and nutritious diet. Care plans failed to fully record service users special diets. Fluid intake was not correctly recorded where required and weights were not well monitored. Systems need developing which clearly guide staff about the importance of recording accurately nutritional intake and the action to be taken if concerns about weight loss are identified. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 7 Medication administration records should clearly record if pre scribed food supplements are administered or no longer provided. To aid staff providing direct support to service users, a system should be in place which enables them to report when staff do not turn up for duty. Once reported the person receiving the information should take responsibility to obtain additional staff. This frees the staff on duty to continue to support service users whilst additional staff are sought. Rotas should clearly identify the full names of staff, their positions and hours worked. Bank and relief staff should also be identified. The organisation must ensure that the manager of the home put forward for registration. The manager must also complete appropriate training to NVQ level 4 and achieve the registered managers award. For the safety and benefit of service users, action should be taken to ensure that all hot water outlets within the home are maintained to a safe temperature. During the inspection the water from two hot water taps appeared to be excessively hot. 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 Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 & 4 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. People receive the information they require about the home and are able to visit before making any decisions to move in. They have their care needs assessed. EVIDENCE: There have been no new admissions since the last inspection. Everyone living at The Coppice was lived there for some considerable time. Should a vacancy arise, then a prospective resident and their family would receive information about the home and services offered. They would be invited to look around the home, observe the daily routines and meet those who live and work there. One relatives comment card indicated that the home provides enough information enabling them to make informed choices and decisions. People who use the service have their needs assessed prior to being admitted to the home, those assessments are ongoing which ensures that service users care needs are kept up to date and are known to those providing support.
The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 10 Records demonstrated that people who use the service were consulted about choices and personal dreams and aspirations. The ‘Look at Me’ document provides views on all aspects of their life, how they want to be treated and what they want to change. Life histories were in place which informed the reader of the users life before admission to the home, such documents enables the reader to appreciate what the person’s life experiences were before being accommodated at the Coppice. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. People who use the service are as far as possible supported to make individual choices and decisions for themselves. They are consulted and supported to live as they desire. EVIDENCE: Everyone living at The Coppice have profound learning disabilities, many use non verbal communication to make their wishes, feelings and views known. Recorded information identified that they had been fully consulted about their care needs. Their care plans were complex and included specialised requirements and support services. Staff were observed to have the appropriate skills to communicate well with the people using the service and positive relationships were evident. The preinspection questionnaire identified that the main form of communication used
The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 12 is Makaton and that the home is looking at other communication tools to enable people to have choices which meet their individual skills and understanding. One relative commented they (staff) know when to stand aside or help when its needed. Risk assessments identified where restrictions may have to be applied in order to keep people safe. Full consultations with family and professionals were in place where restrictions and or control measures were in place. The home should ensure that where restrictions are evident within care plans, guidance is explicitly detailed as to the actions required by staff. A relatives comment card indicated that they always feel that their respective relative receives the care and attention they require, and that the home always keeps in touch and keeps them informed about any developments about their relative. Advocacy services were being sought for one person at the home who had minimal contact with their family. The home was also in the process of securing volunteers, who could become befrienders of some people ensuring that they receive visitors and have additional friends. There was evidence that care plans were under review and that information was being updated to ensure information was current and relevant. The home has found that group meetings do not work best, as a consequence people are consulted individually about matters which are important to them. Quality assurance information identified that people who use the service are able to express their views and are listened to. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 &17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are encouraged and supported to live their desired life styles. EVIDENCE: People who use the service receive additional support to have everyday experiences. They have leisure and learning opportunities and attended lots of places of interest within the community. They are able to meet with others who may or may not have a disability. Some residents are semi independent and are able to leave the home without staff escorts, prepare light snacks and drinks for themselves and take responsibility for their own personal care. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 14 People who use the service have holidays and times away from the home. They are able to visit friends and family and are supported to do so by staff. One relatives comment card indicated that the staff have the right skills to care for the people accommodated and that they always meet the differing needs of individuals within the home. Another commented on the support their respective relatives receives and that the person ‘can make up their own mind and Makes their own decisions Meals and meal times are flexible arrangements; people who use the service have been consulted on what their favoured meals are and are able to change meal choices at short notice. Some people have specialised diets which were not detailed within their records, furthermore records of food served were not sufficient to demonstrate food intake or confirm that they were receiving a nutritious diet. There were no plans in place to record intake of prescribed food supplements or action taken when they were repeatedly refused. People’s weights were not routinely recorded. However it is accepted that the home was awaiting delivery of correct scales that will enable more accurate. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health care needs are recognised and met. EVIDENCE: Records confirmed that people’s health care needs are kept under review. And that they are able to access full community health care and are supported to meet appointments and receive treatments. Chiropody treatments are periodically undertaken in line with National Health Guidance, however for some additional services are privately secured. People who use the service are individually consulted regarding their personal health care needs and are able to say who supports them. Individual preferences were recorded and personal preferences were observed to be carried out during the inspection. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 16 Staff assist people with medication. Staff are trained and monitored by the manager to ensure continued competency. Records were maintained appropriately apart from prescribed food supplements. Sample signatures of those staff with responsibility to administer medication were not evident. Also updated confirmation is required to evidence that staff are aware and have read policies and procedures regarding medication procedures. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users appear satisfied with the services provided and feel safe. EVIDENCE: The completed pre inspection recorded stated that there had been no complaints raised since the last inspection. Senior managers visit and monitor the homes conduct each month and monitor if any complaints have been raised. The detailed records confirmed that there have been no complaints. One relatives comment card stated that they were aware of the complaints procedure and that if they had a complaint they felt it would be responded to appropriately. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home which is suited to their needs and offers a homely environment. EVIDENCE: At the home a considerable amount of up grading has been undertaken. New kitchens have been put in which have been adapted and people with physical disability to make drinks and snacks for themselves. New flooring has been fitted in both kitchens and one dining area which provides smooth access for those who need to use a wheelchair. Redecoration has been completed and new carpeting in many parts of the home has been fitted. Upgrading continues with plans for the redecoration of all bedrooms and new furniture for three. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 19 The home was observed to be homely and inviting, offering people comfort and security. All parts of the home are personalised, particularly bedrooms. Each one was observed to be individual and reflected the preferences of its occupant. The rooms have enough space to ensure people have tables and equipment to pursue their chosen hobby and eat meals in their room when they desire. It was observed that due to beds being moved from their regional designated place, call points/cords could not be reached by people when in bed. Action should be taken to have the call points and in cords within reach at these times to enable people to summon the assistance of staff should they need it. The home has assessed the long term needs of people living there and have planned to purchase a specialised bath within 2007. Such bathing facilities will assist in meeting the needs of people with a physical disability. The home was clean and free from unpleasant odours. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 &36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support from staff who are recruited and trained appropriately. EVIDENCE: On the day of the inspection one staff had not turned up for work due to sickness. Dispite the shortage of staff everyone apperaed calm and relaxed. People were in various stages of receiving their breakfast and preparing for their individual daytime activities. Staff were observed to interact well with people living at the home and positive relationships were evident. The staffing rota indicated that most of the times three staff were on duty, this is necessary to meet the needs and dependancy of the people or the home. Staff on the day of the inspection stated they had not had time to find staffing cover as they needed to attend to the needs of the peole using the service. Arangements should be in place and clear to enable staff to report shortfalls in
The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 21 staffing level to a manager/nominated person, who should then find relacement staff. The rota needs some ammendments to ensure that the full name of staff are in place, also bank staff should be clearly identified as should the additional hours worked by contracted staff. Information looked at idenified that service users have requested a pictoral rota to enable them to know who is going to be on duty. This had not been done. Because of people’s reluctance to have support from strangers staff are introduced through the shadowing syatem, ensuring they are introduced to users of the service who then have time to become familiare with them before personal care is delivered. Bank staff are ex employees and or people who have been recruted for periodical work at the home. They are the same consistant work force who are known and acepted by people using the service. Agency staff are not used. The pre-inspection qestionnaire identifed that approximatley 45 of staff Have NVQ training at level 2 or above. 10 staff hold first aid certificates. Two staff files were looked at. Both staff had been recruited appropriately. All documents were in place including statutory checks. People who live at the home are invloved in staff recruitement and sit on interview pannels. Staff induction procedures were evident and found to be in accordance with Skills for Care standards. Staff training files and plans idenified appropriate training was in place which promoted safe working practices. Staff are provided with the organisations code of conduct and arrangements wrer in place to ensure all staff had received the General Social care Councils Code of Conduct (GSCC). Though staff had not received the required amount of one to one personal supervision in 2006, supervision arrangements have improved. Supervision systems are in place and sessions planned for in 2007 to ensure staff receive supervision at least 6 times per year. Staff also attend staff meetings which collectively informs and seeks the opinions of staff.
The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 22 The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 & 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Coppice is a well managed and run home, where the views and health and safety of people who use the service are taken seriously. EVIDENCE: The manager has been at the home for approximately nine years, after being a support worker and assistant manager, she became the actual manager in 2004. The manager has yet to complete the registration process with the CSCI and NVQ level 4 and the Registered managers Award (RMA) The manager continues with her training and has completed other management training. The deputy/assistant manager has completed NVQ 4 training and the RMA.
The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 24 A senior manager from the organisation visits the home each month and completes a Regulation 26 visits, which assess satisfaction with the service, staff opinions on the home and records are checked. Issues and matters arising are discussed with the manager and support and supervision provided. The reports of these visits are detailed and clearly evidence that such visits are through and people using the service are consulted. Quality assurance procedures have been partially completed in 2006. People using the service had been consulted at length about their satisfaction with service provision, their life within the home and opportunities to influence how the home is run. The report of the quality assurance process recorded the action taken to meet all shortfalls in the service. There did not appear to be a full quality assurance procedure which included consultation with everyone involved with the home. Such a procedure should be undertaken to gather a full view of the service. Health and safety checks are routinely completed; nominated staff have responsibility for checks. During the inspection it was noted that hot water was rather hot and there was a possibility of scalding. The manager stated that correct safeguards were not in place and that the home has recently secured the services of a plumber who would look into the matter immediately. Staff confirmed they had access to polices and procedures and were made aware of up to date guidance. The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 4 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 2 X 2 3 3 X x 2 3 The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 26 no 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 YA37 Regulation 8,8 &10 Requirement The manager must apply for registration with the Commission. Timescale for action 01/07/07 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 YA6 Good Practice Recommendations Where restrictions are in place to safeguard people using the service, care plans and guidance should explicitly detail all issues and the actions required by staff to minimise risk. Systems should be in place to evidence that people using the service are receiving a well balanced diet and that that weight gain and loss is monitored. All prescribed medicine including food supplements should be recorded when administered and that where not required details are recorded. An up to date list of signatures of those with responsibility to administer medicines should be maintained. People should have access to their call systems at night time. Arrangements should be in place to enable staff to report
DS0000005606.V335396.R01.S.doc Version 5.2 Page 27 2 3 4 5 6 YA17 YA20 YA20 YA29 YA33 The Coppice shortfalls in staffing levels, with the person receiving the report taking responsibility to find replacement staff. 7 8 YA33 YA37 A pictorial rota as requested by service users should be provided. The manager of the home should have training at NVQ 4 or equivalent and complete the Registered Managers Award. All hot water outlets should deliver water at a safe temperature. 9 YA42 The Coppice DS0000005606.V335396.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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
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