Inspection on 24/05/07 for The Croft Rest Home

This inspection was carried out on 24th May 2007.

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

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

Other inspections for this house

The Croft Rest Home 28/05/08

The Croft Rest Home 30/01/07

The Croft Rest Home 26/04/06

The Croft Rest Home 28/11/05

The Croft Rest Home 20/05/05

The Croft Rest Home 09/12/04

The Croft Rest Home 15/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Croft Rest Home 84 King Street Whalley Lancashire BB7 9SN Lead Inspector Mrs Lynn Mitton Unannounced Inspection 24th May 2007 10:00 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 The Croft Rest Home DS0000009432.V332298.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 Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Croft Rest Home Address 84 King Street Whalley Lancashire BB7 9SN 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) 01254 822821 Lancashire Nursing and Residential Homes Vacant post Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2007 Brief Description of the Service: The Croft is a detached property set within its own, well-maintained grounds. The home is within easy reach of the main street and facilities of Whalley, including shops, churches, post office, health centre and public houses. The Croft is registered to offer accommodation and personal care to 26 older people, aged 65 years and over. Accommodation is provided in 26 single bedrooms, some with en suite facilities, on the ground and 1st floor. There is a small lift to provide access to the 1st floor; however, this is not suitable for wheelchair users. A stair lift has recently been installed. There are various adaptations to assist service users with self- help and mobility. There are lounge areas on both floors, and a dining room on the ground floor. Smoking for residents is permitted in one lounge area. The garden has seating areas for service users and there is car parking space available. Fees per week range from £319.50 - £361.00. There was information available to potential residents advising them of the facilities and the care they could expect whilst living at The Croft. The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted on 24th May 2007. The recently appointed manager was due to leave her post on maternity leave and was not expected to return, this post was being advertised at the time of the inspection. The manager of the home completed a pre inspection questionnaire. The inspector spoke to residents, visitors to the home and to the care staff on duty at the time of the inspection. Throughout the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small representative group of residents. Records regarding these people were inspected. Two residents were case tracked, their file examined in detail and two care staff member’s files were also case tracked. 1 of the Commissions resident’s questionnaires was returned, and 2 health professionals questionnaires were returned. Comments and findings of these surveys are referred to throughout this report. The inspector conducted the inspection with the manager, the administrator and registered person. During the inspection a number of records, policies and procedures were also viewed. What the service does well: One resident’s relative wrote (on their behalf): “We are delighted with the care that mum has received since moving into the home”. One health professional commented, when asked what the care service did well: “Gives excellent personal care”. Resident’s independence was encouraged, and some had opportunities to maintain contact with the local community. Visitors were made welcome at The Croft, and could visit at any reasonable time. The attitude of the staff and management is to run the home around the needs and choices of the residents. The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 6 The general layout and décor of the home provided comfortable and clean surroundings, and was warm, tidy and clean, and mostly free from offensive odours. What has improved since the last inspection? What they could do better: Revision of The Croft’s protection from abuse policies and procedures, and staff awareness training would be of benefit in ensuring the safety of the residents, and give care staff clear guidelines. Staff do not have required accredited training to better meet the needs of residents. Recruitment and selection procedures do not fully protect residents. Health and safety training issues must be ensured in order to safeguard the health and safety of the residents and staff team. There continued to be vacancy for the registered managers post. The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 7 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 Croft Rest Home DS0000009432.V332298.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 Croft Rest Home DS0000009432.V332298.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): OP1, OP2, OP3 & OP6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Up to date and accurate information about the home was now available to potential residents and their supporters. There was clear information about the terms and conditions of residents stay at The Croft. The admission procedure ensures that sufficient information about residents care needs was always obtained before their arrival at The Croft. EVIDENCE: One health professional commented; “ one of my patients lives at this home and has settled in extremely well, after having had problems in previous care settings”. The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 10 One resident’s relative wrote (on their behalf): “The information provided about the home was very reassuring”. There was an up to date service user guide which contained information about the service in place. Information required by the Commission needed more detail. The statement of purpose however, required further attention. Contracts, explaining the terms and conditions of residents stay at The Croft had been implemented and were seen on files. There was evidence that assessments of need had been completed for the resident’s case tracked prior to their admission to the home. The information on the files was now in enough detail to fully identify resident’s needs. Prospective residents were encouraged to visit the home prior to their admission if this was possible. Intermediate care was not provided at The Croft. The Croft Rest Home DS0000009432.V332298.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): OP7, OP8 OP9 & OP10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans now fully document resident’s personal care and health needs, and demonstrated how they were to be met. Administration, recording and disposal of resident’s medication was largely in order to safe keep residents. EVIDENCE: One health professional commented, when asked what the care service did well: “Gives excellent personal care”. The inspector noted that the content and detail on the care plans case tracked had significantly improved. This included information identifying each resident’s health and care needs, and what support was needed in order to meet those needs. This care plan format had very recently been introduced so all care plan were up to date and had not been reviewed. The inspector was The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 12 advised that a system was in place to ensure that each care plan would be reviewed on a monthly basis. The care plans should demonstrate that the resident or their next of kin had been involved in their care plans. The care plans included details of visits by health care professionals, sight, hearing dental and podiatry needs. Nutritional assessments were in place so that any changes could be identified. Policies and practices for the safekeeping, recording, administration, storage and disposal of medication were in place. The pharmacist who supplied the medication to the home had visited in March to review the stock keeping and systems of the home. Medication was stored and administered via a blister pack system; there was no overstocking of non-blistered medication. The controlled drugs and register were in seen and in order. The medication fridge was seen and was in order; fridge temperatures were being recorded daily. Refrigerated medication had been dated on opening. Medication being returned to the pharmacist was correctly recorded and the pharmacist signed receipt of these drugs. The inspector advised that a “not given” code should be added to the Medication Administration Records to avoid a risk of error. A homely remedies policy and procedure had been developed and implemented. Residents spoken to told the inspector that they were spoken to and treat with dignity and respect and gave examples of this. The inspector observed positive, caring and respectful interaction between residents and care staff. The Croft Rest Home DS0000009432.V332298.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): OP12, OP13, OP14 & OP15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The programme of activities was in place so that residents had opportunities for their enjoyment, mental and physical stimulation. Resident’s independence was encouraged, and some had opportunities to maintain contact with the local community. Mealtimes were a social occasion and the food served was varied and enjoyed by the residents. Visitors were made welcome at The Croft, and could visit at any reasonable time. EVIDENCE: One resident’s relative wrote (on their behalf): “staff are always very helpful and give time to chat over problems without having you feel they are stopping their work. They are always busy, but I notice they always have time for the residents”. The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 14 One resident told the inspector; “its 100 out of 100 here”. One resident’s relative wrote (on their behalf): “Mum thoroughly enjoys her meals and has put on weight since moving into the home”. One resident’s relative wrote (on their behalf): “I am not sure what activities go on, mum hasn’t spoken of much”. The inspector was advised that records were kept of residents’ recreational activities. A notice was on display in a communal area of the home describing what activities were on offer each day. The inspector advised the importance of ensuring residents led fulfilling lifestyles. A singer was booked for residents, their supporters on June 22nd. Records of activities offered were seen, and these included dominoes and skittles. The inspector observed resident’s exercising choice and control over day-today elements of their lives. Care staff were seen to respect residents choices and opinions. The inspector was advised that clergy from the local Church’s visit residents on a regular basis. Communion had taken place with 4 residents the day before the inspection, and church visitors hold a service in the home once a month. There were a good number of visitors to the home on the day of the inspection. One resident was taken for a visit out of the home by a relative. A payphone was available and seen to be used by residents. One resident regularly went out into Whalley on her own and a risk assessment was in place. Information for relatives was on display on the foyer notice board. A newsletter had been developed and produced. Residents are encouraged to bring personal possessions to the home. The homes 3 weekly rotating menus were seen. Varied meals were offered to residents with different dietary needs. Choices of food were available for breakfast, tea and at suppertime. One resident told the inspector; “The food is good here”. The Croft Rest Home DS0000009432.V332298.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): OP16 & OP18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The complaints policies now contained information, which ensures that complaints will be dealt with in an effective and timely fashion. Revision of The Croft’s protection from abuse policies and procedures, and staff awareness training would be of benefit in ensuring the safety of the residents, and give care staff clear guidelines. EVIDENCE: There had been no recorded complaints to the home since the previous inspection; however, the Commission had received 2 complaints. The inspector was satisfied that these had been dealt with in accordance with the homes policies and procedures. The complaints procedure was on display in the communal areas. The inspector advised that the complaint policy needed up to date details of the Commission. The inspector noted that there was now a complaints record book and this included recording the outcome of the complaint, ensuring that they had been investigated thoroughly and satisfactorily resolved. The resident survey form returned to the Commission indicated that they did know how to make a complaint. The inspector noted there was a protection of vulnerable adults policy – this had been further developed since the last inspection, however The inspector advised that further amendments were required, for example to include The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 16 reference to the POVA (Protection of Vulnerable Adults) Register, and to separate the policy from the procedure to give greater clarity as to what action needs to be taken should an allegation of abuse be made. A whistle blowing policy was in place and had good content. 9 out of 15 care staff had undertaken prevention of abuse training within the last 12 months. The inspector was advised that further training had been identified and booked. The inspector advised that this matter should be given high priority. The Croft Rest Home DS0000009432.V332298.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): OP19 & OP26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The general layout and décor of the home provided comfortable and clean surroundings, and was warm, tidy and clean, and mostly free from offensive odours. There were aids, adaptations and equipment in place to meet resident’s needs. EVIDENCE: Following a tour of the communal areas of the home, it was noted that a new stair lift had been installed. This meant that the passenger lift did not have to be used by residents, as those residents who were wheelchair users had a ground floor bedroom. There were 12 bedrooms on the ground floor. Resident’s rooms seen were furbished with their own belongings and were seen to be homely and personalised. The home was clean and tidy, ensuring a The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 18 pleasant environment for people living at The Croft. The garden was attractive and well maintained. The inspector noted that the ground floor double bedroom had now been changed into a single bedroom and a hairdressing room, and that that the 1st floor lounge had also been split to make one bedroom and a smaller lounge, and that this lounge was now being used more frequently by residents and visitors. Since the previous inspection, the fire officer had been consulted with regards to an assessment regarding means of escape and suitability of equipment, and action had been taken on these matters. One bathroom was temporarily out of commission due to the floor collapsing. The inspector was advised it was anticipated that the floor would replaced and the bathroom back in use within two weeks. A small number of double-glazing seals were no longer effective, this meant that it was difficult for residents to see out of their bedroom window. Three bedrooms were odorous and one bedroom carpet was in need of cleaning. The inspector was advised that these carpets were cleaned before the end of the inspection. The laundry room was clean and tidy, and hand-washing facilities were now in place. The Croft Rest Home DS0000009432.V332298.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): OP27, OP28 OP29 & OP30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were sufficient staff members on duty to meet service users needs. Recruitment and selection procedures do not fully protect residents. Staff do not have required accredited training to better meet the needs of residents. EVIDENCE: One resident’s relative wrote (on their behalf): “Staff have gone out of their way to be available”. The staffing rota was examined and it demonstrated that there were 3 care staff on duty between 7.30am and 10pm, plus management team, usually 9 – 5pm Monday to Friday. There were 2 wake and watch night staff between 10pm and 7.30am. Cleaners were employed for 33.5 hours per week, and cooks employed for a total of 42 hours per week. A handyman and an administrator also worked full time. There were no staff employed under the age of 18 and no senior care staff aged under 21 years. A task rota was in place, ensuring that care tasks are completed for all residents. The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 20 The inspector was advised that four out of fifteen care staff had obtained NVQ2 qualification. A further 6 care staff were due to sign up to undertake this training in the near future. Two staff recruitment files were case tracked and one was found to have shortfalls in the documentation required by legislation, for example, one staff member’s CRB check could not be located. One staff member did not have evidence of previous training certificates. Records demonstrated that there had been only one staff meeting since the previous inspection. Of the two care staff case tracked, one had received regular 1:1 support meetings. Handover meetings are held at the end of each shift. A significant number of staff training needs had been identified, including moving and handling, 1st aid, food hygiene, infection control and fire prevention/evacuation procedures. The inspector was advised that arrangements had been made to ensure that these training needs would be met in the near future. A training matrix was in place, which demonstrated which staff had completed training. The inspector advised that induction training must comply with Skills for Care induction and foundation training. One new staff member case tracked had recently begun induction training. The Croft Rest Home DS0000009432.V332298.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): OP31, OP33, OP35 & OP38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There continued to be vacancy for the registered managers post. The views of residents and about the running of the home had been sought recently. Resident’s finances were dealt with in a satisfactory manner. Health and safety issues were routinely checked and maintained in order to safeguard the health and safety of the residents and staff team. Some health and safety training for staff was outstanding. The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 22 EVIDENCE: The new manager had been in post since November 2006, however she was due to leave in the very near future on maternity leave and was not expecting to return. The post had been advertised at a number of locations; however, a suitable applicant has not yet been found. The registered person assured the inspector that he was endeavouring to appoint a new manager as soon as a suitable applicant was found. There was a 3 year business plan in place, dated April 2007. A resident’s quality assurance survey had been conducted in May 2007. These results had not yet been collated or published. The inspector advised that surveys should be sent out to residents and their regular visitors (family, friends and visiting professionals) at least once a year, and the response collated and published. The inspector suggested that informal residents meetings were a good way of obtaining residents views and could take place on a 6 weekly basis, and that minutes should take place of these meetings. The registered person advised he was not appointee for any residents; however the administrator did have involvement in 19 resident’s personal allowances. Some health and safety training issues were outstanding. For example, not all staff had completed fire safety training, moving and handling training, 1st Aid, health and safety training, basic food hygiene training and infection control training. Records regarding the prevention of fire, and routine maintenance records of the gas and electrical supplies and appliances were seen and found to be in good order. The Croft Rest Home DS0000009432.V332298.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 2 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 2 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation Schedule 1 13(6) Requirement The statement of purpose should contain all relevant information advising the commission of the homes intentions. The protection of abuse policy and procedures must give clear information as to how to proceed should an allegation be made. All care staff must undertake staff training about the prevention of abuse. This requirement has been outstanding since 20th May 2005 It must be ensured that a minimum of 50 of care staff have achieved the NVQ 2 in Care award. This requirement has been outstanding since 19th December 2005 It must be ensured that a thorough recruitment process at all times. This requirement has been outstanding since 20th May 2005 Persons working in the care home must receive NVQ training appropriate to the work they perform. DS0000009432.V332298.R01.S.doc Timescale for action 28/09/07 2. OP18 27/07/07 3. OP28 18 (1a&c) 28/12/07 4. OP29 19 Schedule 2 12, 18 1(a&c) &19 27/07/07 5. OP30 28/09/07 The Croft Rest Home Version 5.2 Page 25 6. OP31 8 7. OP38 13 This requirement has been outstanding since 20th May 2005 A registered manager must be 28/09/07 appointed, as this is a condition of registration with the Commission. This requirement has been outstanding since 19th December 2005 The registered person must 28/09/07 ensure that any activities undertaken by residents are so far as is practicable free from avoidable risks. This requirement has been outstanding since 19th December 2005 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 OP26 OP33 Good Practice Recommendations A “not given” code should be added to the Medication Administration Records to reduce the risk of error. The home should be kept odour free. Regular consultation should take place with residents, their supporters and visiting professionals. The Croft Rest Home DS0000009432.V332298.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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