Inspection on 15/05/07 for The Knoll Private Residential Care Home

This inspection was carried out on 15th May 2007.

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 Knoll Private Residential... 27/11/05

The Knoll Private Residential... 03/06/05

The Knoll Private Residential... 18/11/04

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 Knoll Private Residential Care Home 109 Church Road Urmston Manchester M41 9FJ Lead Inspector Kath Oldham Unannounced Inspection 15th May 2007 08:10 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 Knoll Private Residential Care Home DS0000061011.V320420.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 Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Knoll Private Residential Care Home Address 109 Church Road Urmston Manchester M41 9FJ 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) 0161 755 3818 0161 747 2513 The Knoll Care Partnership Ltd Mrs Claire Louise Gardom Care Home 10 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 10 service users to include: up to 10 service users in the category of OP (Old age, not falling within any other category) up to 4 service users in the category of DE(E) (Dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 27th November 2005 2. Date of last inspection Brief Description of the Service: The Knoll is a residential care home that is registered to provide care for up to 10 residents whose primary care needs are due their old age, including four residents who may have a diagnosis of dementia. The Knoll is one of two care homes owned by the Knoll Care Partnership Limited, the other being The Fairways. Mrs Claire Gardom is the registered manager at the home. The home is situated in the Urmston area of Manchester and is within easy reach of local shops, public transport and the motorway network. Accommodation comprises of eight single occupancy bedrooms and one shared bedroom. None of the bedrooms have en suite facilities, however all bedrooms have a wash hand basin. Three bedrooms are situated on the ground floor and all others are on the first floor. There is an assisted bathroom on the first floor and a separate toilet on the ground floor. There is a large dining room at the front of the house, which also has a couple of lounge chairs in for people living at the home to use. This is situated on the ground floor. A large lounge and new sun room is at the back of the house which leads on to a new terrace area. A stair lift is available to assist people living at the home to their bedrooms on the first floor. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 5 There are gardens and car parking to the front and rear of the home. The home operates a no-smoking policy. The home has a statement of purpose and service user guide, which were reported to be given to people living at the home or their families. The fees for staying at the home were reported to be between £360 and £398.60 per week. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This site visit took place on 15th May 2007, commencing at 8:10am. The home was not told beforehand of the inspection visit. All key inspection standards were assessed at the site visit and information was gathered by observing care practices and talking with people who live at the home, management and other members of the staff team. The requirements of past inspections were also monitored to see how the home had developed. The focus of this inspection was predominantly how people living at the home felt about living at The Knoll and their views and opinions of life within a residential care setting. Comment cards were sent to the home at the latter end of 2006 for the home to distribute to people living at the home, six were returned. Additional comment cards were sent out to relatives and doctors and district nurses to ensure anyone who wanted to comment on the service had that opportunity. Comments received on the site visit and in comment cards are contained within this report. The case files of three service users were looked at in detail, looking at their experiences in the home from their time of admission to the present day. Lunch was taken with the people living at the home and a partial inspection of the premises was undertaken. Verbal feedback was given on conclusion of the site visit to one of the directors of the company, the manager of the company’s other home and the deputy. Nine people were living at the home on the site visit. What the service does well: All people living at the home that were spoken with said that they were well cared for and had no complaints. The Knoll provides a consistent staff team, which is well supported by the management team. Staff are said by service users to be friendly and supportive. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 7 Well over 50 of care staff are trained to at least NVQ level 2, which means that staff have the skills and knowledge to deliver a high standard of care The atmosphere of the home is relaxed and friendly. One relative said, “The Knoll is an excellent home. I imagine the fact that it is small it is easier to achieve an intimate family atmosphere in cosy, pleasing surroundings.” Another relative said. “Generally respect the dignity of the person in their care and provide a homely atmosphere”. People living at the home spoke positively about the food. A relative said, “The staff are kind, caring considerate people, who treat residents with respect and individuality”. What has improved since the last inspection? What they could do better: The medication administration needs to be improved upon to ensure that staff are signing when they give out medication. In addition the routine of handling medication needs to be discontinued as this has the potential to increase the risk of cross infection. In addition staff need to be reminded of the routines when administering eye drops, again to promote safe practice. Practical fire drills and practices need to be arranged so that all are aware of what to do in an emergency. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 8 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 Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 9 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 Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 & 5, Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ needs are assessed prior to them being accommodated at the home, and they are given written information as to what is provided at The Knoll. EVIDENCE: People living at the home said they had been given enough information before they decided to move in and they confirmed that the information they received had been accurate. One person living at the home said they told her lots of things when she first came into the home and gave her some papers which she was not sure what they were now. The statement of purpose and service user guide which contains all the information needed by people wanting to come to live at the home and their relatives or friends is in relatively small print, which for people with failing eyesight would be difficult to read. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 11 A contract for people who are funded by the local authority is in place in addition to a terms and conditions of residency for service users It was the practice of the home that service users were assessed prior to their admission. Assessments were obtained from social workers and health professionals if they had been involved in the admission. Three care files were looked at. Assessments had been obtained for all of them and they had been used to develop care plans to address their needs. Original assessments were kept separately to people’s main care files but all the necessary information had been transferred to the everyday working records. People living at the home said they had a trial visit when they were first admitted to The Knoll, which gave them an opportunity to see whether they liked the home, and if the home liked them. People living at the home felt that staff knew them well and understood what help they needed and what their preferred daily routines were. Staff were knowledgeable about the people they were caring for and were aware of any changes to people’s condition. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 &10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is offered in such a way as to promote and protect people’s privacy and dignity. Medication procedures are not completely safe. EVIDENCE: Care staff demonstrated a good understanding of service users’ care needs. Care plans included health needs, personal care needs, mobility, social interests and risk assessments and were reviewed on a monthly basis and any changes needed were included. A day and night report are written for each person living at the home which details how they spent their day and included the care, support and interventions provided. People living at the home said staff treated them well and they were very satisfied with the care they received. One person living at the home said, “They are so nice to you”. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 13 In response to the question, “What do you feel the care service does well, a relative responded, “everything. A first class residential home” Correspondence and daily records also confirmed that people living at the home are supported in accessing routine and specialist health intervention and advice such as dentistry, podiatry, influenza injection and eye and hearing tests. General practitioner comment cards were very positive about their experience of The Knoll identifying that communication between the home and health professionals is good, that staff follow instructions, service users’ privacy is respected, and remarking, ‘I have every confidence in the staff’. A relative said, “They are very good at calling doctor etc. if poorly” Observation of the routines and interaction between staff and people living at the home showed that rapport was good and staff were respectful at all times. The medication administration records examined were not complete; there were omissions in recording medicines given to people. Observation of medication administration identified that the senior took time and patience when giving out medication. The opportunity of the morning medication administration was also used by the senior to check how people were feeling and have one to one time with them. Medication was handled when administered and hand-washing routines were not evident prior to and after administering eye drops. This could increase the risk of cross infection. Medication administration details had been handwritten. These transcribed details had not been signed or dated or validated by an additional member of staff to confirm accuracy. Medication is administered by senior staff who have received training in the handling and administration of medication. There is no formal assessment of carer competency in medication administration. Records of medicines received at the home and returns to the pharmacist for destruction were kept. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 14 &15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have a flexible lifestyle and receive an appropriate diet. EVIDENCE: The information provided by the manager to the commission before the inspection identified several activities at the home. However the record of activities carried out did not illustrate this. In response to the question in comment cards, “Are there activities arranged by the home that you can take part in”, three people living at the home indicated “always”, one person indicated “usually” and two indicated “sometimes”. A further person said, “the activities are normally pub lunches, no other activities”. Another person at the home added,” not often enough, i.e. singers” A relative said, “feel that sometimes they might need some mental stimulation. But difficult with people in different mental stages”. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 15 People living at the home confirmed that routines in the home were flexible and they could rise or go to bed when they wished and the day was theirs to spend how they chose. One person said that they have breakfast in their room, which means they don’t have to rush in a morning to get washed and changed to come down for breakfast. There is a three-week menu plan. The menus do not indicate a choice of meal. People living at the home said the meals were always good and were home cooked. The lunch shared with people at the Knoll was home made and appetising. One person who lived at the home said, “You can always depend on the meals being good.” A relative said, “ she is very well fed, the food appears to be all home cooked”. A record of food served is not routinely kept by the home so, if necessary, an evaluation cannot be made of the nutritional content. This record could also be used in conjunction with other records if, for example, a person living at the home is losing weight. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are confident that complaints are dealt with appropriately and they are protected from abuse or exploitation through policies and procedures. EVIDENCE: A complaints procedure is in place and this is provided within the service users guide. As part of the homes quality assurance, comment cards were sent to people living at the home and to relatives some of whom responded that they were unclear of the complaints procedure. It was reported that in response a letter has been sent reminding people living at the home and their relatives of the homes’ complaints procedure. There had been no complaints recorded since the last inspection. People living at the home stated that they discussed their comments and complaints as they arise, and they are addressed by the home. Many of the staff have undertaken adult protection training through the local authority. The remaining staff group are scheduled to undertake this training in forthcoming months. A requirement of the last inspection was for all staff to be provided with training on the whistle blowing policy. It was reported that this had been undertaken although one staff member who was asked was unclear on the policy. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was clean, well maintained and equipped to meet the needs of the people living there. EVIDENCE: Since the last inspection some refurbishment has been undertaken at the home. A sun lounge has been added to the back of the house, which leads to a terraced area. Service users were seen sitting in the sun lounge and said they liked the feel of the room. The front lounge is now a dining room with two chairs and a television positioned in the bay window. This provides service users with an alternative area in which to sit. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 18 The room was clean and nicely decorated. Additional pictures and mirrors are to be purchased to personalise the room. There are nine bedrooms in the house. Three bedrooms are on the ground floor and six on the upper floor. One bedroom is a double room. The inspector looked round the home and viewed a number of bedrooms. All were clean and were, in the main, furnished by the service users themselves. Those seen had been personalised and people living at the home appeared to take a pride in their bedrooms and their belongings. A person living at the home said it had meant so much to her bringing her furniture, ornaments and personal items and she felt it had helped People living at the home said they were warm and comfortable and had everything they could possibly need in their rooms. People living at the home were offered a key to their bedroom so they can lock their rooms. The home was clean and tidy. Domestic routines keep the environment clean and odour free. Service users said the house is always clean. A relative said, “the care home has improved over the years. The décor is always clean and regularly keep up to date. My cared for service user bedroom was recently decorated. She had a say as to what wall covering she wanted and was allowed to choose her own carpet from a selection. Very impressed.” A new shower room has been built onto the back of the house and is near completion. The room will have a shower, toilet and wash hand basin which will provide people living at the home more comfort when having a shower due to the location on the ground floor. A chair lift is available to service users who have difficulties climbing the stairs. This was reported to be scheduled for replacement as it is a number of years old and maintenance checks have been increasing. All maintenance certificates seen for the building and equipment were up to date. A relative said, “The home is caring and just recently had building improvements. It is very nice”. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 &30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was sufficiently staffed with a staff group that was trained to undertake their duties, and recruitment procedure ensured that people living at the home were protected. EVIDENCE: Several staff had worked for many years in the home, with the continuity of care benefiting the people living there. Examination of the duty rota showed that staffing levels were maintained in line with the needs of the people living at the home. Rotas are managed well, with additional staff on duty at peak times of the day. Most people said that there were usually enough staff working at the home, although one person said that they wished staff had more time to stop and chat with them. All service users’ comments throughout the inspection were positive regarding the care, treatment and respect they received from staff. Staff said they received regular training and updates in techniques and felt that this benefited the service users at the home. Food hygiene, mental health, adult protection, dementia and health and safety training being some of the topics staff have received training in. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 20 80 of the current staff group held an NVQ qualification with the remaining staff group working towards NVQ level 2,3,or 4. Two staff personnel files were examined. Both contained all the information and documents needed to ensure that the necessary checks had been made before they started work at the home. Files also contained records of staff supervision and training and individual training plans had been developed for staff members. All new staff had completed a period of induction at the commencement of their employment and individual staff training files contained evidence of the induction programme. Advice was given to check that the induction programme meets sector skills specifications. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 &38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home are approachable and focus on meeting the needs of people living at the home. EVIDENCE: The registered manager was on maternity leave on the site visit. The Knoll partnership, which owns the home, is a family run business and each of the directors of the company are allocated particular tasks in relation to the organisation of the home. Mrs Madeline Callaghan was the previous registered manager and is overseeing the management of the home along with the registered manager of the other home owned by the company. The Knoll is a small home with experienced and The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 22 well-established staff that have received training and direction in most aspects of care. The temporary arrangements for the management of the home is overseen by the directorate. A deputy manager is also in place at the home. During the inspection no obvious risks to the health and safety of people living at the home were observed. Staff confirmed the availability of disposable gloves and aprons. The signatures in the fire drill training record were, in some cases, difficult to read and it would appear that not all staff had received an update to their fire drill training in the last six months. This training assists in the knowledge of staff and informs them of what they should do in an emergency situation. Accident reports are completed for accidents, incidents and occurrences, which are maintained on file. An analysis of these events is undertaken in an attempt to safeguard people living at the home and minimise the risk of injury or harm. Risk assessments are recorded and staff discuss and advise people living at the home about what they may do to minimise the risk when carrying out particular tasks. Advice was given to ensure people living at the home who may be at risk of falls have this detail within the risk assessment. Maintenance checks are undertaken and contractors contacted to ensure equipment is working correctly. The home does not handle the finances for any of the people living at the home, as they are all independent in this or are assisted by their families. Since the last inspection satisfaction surveys have been sent by the home to people living at the home, relatives and visiting GPs and district nurses. The feedback has been analysed and has assisted the home to further develop the service it provides. The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 Requirement Medication must be signed for on administration to the people living at the home and regular checks to the medication administration records are made to identify any omissions and the reasons for these. Timescale for action 15/05/07 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 2 Refer to Standard OP1 OP9 Good Practice Recommendations The size of the print in the statement of purpose and service users guide should be increased so people using the service are able to read the documents more easily Handwritten medication details on the medication administration records should be signed and dated and an additional member of staff should sign to validate the details. Staff should not handle medication and they must wash their hands before and after administering eye drops to reduce the risk of cross infection. DS0000061011.V320420.R01.S.doc Version 5.2 Page 25 3 OP9 The Knoll Private Residential Care Home 4 OP9 5 7 8 OP12 OP16 OP18 Carers with responsibility for medication administration should be assessed regularly to ensure that staff are following the correct procedures and know what they are doing. There should be some discussions with people living at the Knoll about activities they would like to take part in and these should be provided where possible. The complaints book, should be a record of complaints, concerns and issues and include the outcome to assist in the development of the service provided. Staff should be aware of the whistle blowing policy and of their responsibilities with regard to reporting abuse and poor practice. All staff should attend practical fire drills/training at least every six months and staff should sign the fire safety log after their printed name to confirm attendance. 9 OP38 The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 26 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Knoll Private Residential Care Home DS0000061011.V320420.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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