Inspection on 06/11/07 for The Laurels

This inspection was carried out on 6th November 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 Laurels 28/02/07

The Laurels 23/03/06

The Laurels 06/07/05

The Laurels 07/10/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE The Laurels 10 Norfolk Road Carlisle Cumbria CA2 5PQ Lead Inspector Jenny Donnelly Unannounced Inspection 10:00 6 November 2007 th 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 Laurels DS0000022640.V351761.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 Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Laurels Address 10 Norfolk Road Carlisle Cumbria CA2 5PQ 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) 01228 527972 Mrs Kathreen Burns Mrs Kathreen Burns Care Home 29 Category(ies) of Dementia - over 65 years of age (8), Learning registration, with number disability over 65 years of age (3), Old age, not of places falling within any other category (18) The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 29 service users to include: up to 18 service users in the category of OP (Older people, not falling within any other category) up to 3 service users in the category of LD(E) (Learning disability over the age of 65 years of age) up to 8 service users in the category of DE(E) (Dementia over the age of 65 years of age) 28th February 2007 Date of last inspection Brief Description of the Service: The Laurels is a residential care home registered with the Commission for Social Care Inspection to provide personal care and accommodation for up to twenty-nine people. The home provides permanent accommodation and offers respite care when accommodation is available. The Laurels is owned by Mrs Kathreen Burns and Mr Wilson Briggs and Mrs Burns is the registered manager. The home is situated in a pleasant residential area approximately one mile from Carlisle city centre. The property is a large, extended older building, which has been adapted for use as a care home. Accommodation for residents is provided on the ground and first floors of the home. The home is equipped with a passenger lift and stair lift to assist residents to access accommodation on the first floor. Accommodation for residents is mostly in single rooms and there are two double bedrooms available for people who wish to share. All of the bedrooms have en-suite toilet and wash hand basin facilities. Five bedrooms also have an ensuite shower. The home provides shared accommodation in the form of two lounges and a dining room. There are accessible bathroom and toilet facilities close to all areas used by residents. Current Fees for the home are £373.00 to £434.00 per week, plus extra for the bedrooms with ensuite shower. Further information about the services and fees is available from the manager. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the main or “key” inspection of The Laurels. The homes’ last inspection took place in February 2007, and there have been not been any additional visits in the meantime. This inspection comprised of an unannounced visit by Jenny Donnelly regulatory inspector, on 6th November. We (the CSCI) spent from 10am until 3.30pm in the care home. During this time we toured the building, reviewed care, staffing and general records, and spoke with residents, visitors, staff and the manager. We also observed the lunchtime meal and attended a residents meeting. Prior to making our visits, the manager had completed and returned an Annual Quality Assurance Audit (AQAA) that we requested. The AQAA is a selfassessment that focuses on how well outcomes are being met for people using this service, and tells us about any improvements the service has made, or is planning. As part of our preparation for this inspection we sent out surveys to people living in the care home, and their relatives. The results of these surveys and our discussions with people on the day are reflected throughout this report. What the service does well: What has improved since the last inspection? Since the last inspection the manager had introduced some new record sheets into the peoples care plans. These included a new moving and handling assessment, a bed rail safety checklist, and coloured sheets for recording visits by the district nurse and doctor. These made a big improvement to the records. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 6 A lot of decoration had also taken place. The front lounge had been decorated and provided with a new fireplace and curtains. A new shower room/toilet with overhead tracking hoist had been provided just off the lounge. Bathrooms had been redecorated and tiled. A new extractor unit had been fitted in the kitchen and new kitchen flooring was on order. New carpets were due to be laid in the corridors and lounge and new armchairs were on order. The external patio had been made much larger by the removal of an old unkempt pond. Individual metal cabinets for medicines storage had been provided in ten bedrooms. The home has employed enough domestic staff to cover six days a week. This is a great improvement for residents as it allows care staff to concentrate on providing care rather than doing the cleaning. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures The Laurels can meet the needs of new residents and provides good support to new people and their families. EVIDENCE: The manager, Kathreen Burns, assesses all potential new residents prior to offering them a place in The Laurels. The assessments we saw were thorough and gave detailed descriptions of the persons needs. In this way, the manager could be certain that she and her staff could adequately provide for that person, and had the skills and equipment needed. People told us their admission arrangements had been more than satisfactory, and some people had been well enough to visit and see the home for themselves. We saw people being shown around the home and asking questions of the staff during our visit. When asked about choosing this care home people said: The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 9 • • • “I felt The Laurels offered the best all round care for what I needed”. “I came to visit with my family”. “(The manager) passed all expectations to have my mother admitted to the Laurels, she dropped everything to make the arrangements, I commend these people. I was given all the information I needed”. We judged that prospective residents and their families were given good information about The Laurels and were well supported by the manager during their admission period. The home does not provide intermediate care. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were very happy with their personal and healthcare support and the manager was looking to introduce better ways of monitoring and recording healthcare needs. EVIDENCE: Each person had an individual care plan in place, which set out their health, personal and social care needs. The plans were nicely detailed and included information about how each person liked to dress, what food they liked and any other specific wishes they had in relation to their care. Since the last inspection care plans had been improved to include a separate risk assessment for people’s moving and handling needs, and a safety assessment for the use of bed rails. There were also new colour coded sheets for recoding district nurse and doctors visits, which made it easier for staff to keep track of people’s health care. The manager was also planning to introduce detailed risk assessments for nutrition and skin care. These will be very beneficial in The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 11 helping staff to recognise when people need extra care or additional health interventions in advance of problems arising. People told us they felt very well looked after, got everything they needed, and that staff called the doctor for them if they felt unwell. Two doctors visited the home to see their patients during this inspection. The completed surveys we received told us: • “Staff always contact us if they have concerns, staff detect when (my relative) is having an ‘off day’ ”. • “The care and support is of a high standard”. • “The standard of care offered to my mother is of the highest order, without their kind, considerate attention for her wellbeing she would have died many years ago”. • “The staff have really put me back on my feet”. One person said they sometimes had to wait for the toilet. The manager thought this comment might be from a time that one toilet was out of use being upgraded. We observed people being attended quickly and kindly. People were able to lock their bedroom doors if they wished and confirmed that staff protected and upheld their privacy and dignity. The management of medicines was satisfactory. Staff had been trained in the use of the medicines system and the manager had acquired a copy of the latest guide for safe handling of medicines in care homes. Further to one incident of a controlled drug going missing, the controlled drugs were being stock checked regularly, which is good practice. Inspection of the medicines storage and records was satisfactory. There were a small number of occasions where staff had forgotten to sign for medicines administered, mainly creams, and the manager agreed to monitor this. Medicines prescribed for weekly or other intermittent use, were being carefully managed. Small individual metal medicine cabinets had been provided in ten bedrooms, either for people to look after their own medicines, or for staff to administer morning medicines in people’s bedrooms. It is recommended that the manager consult with people’s doctors to implement a homely remedies policy. This will enable staff to administer simple remedies for minor ailments such as mild pain, promptly and without the need to consult the doctor. It is also recommended as good practice to have a photograph of each resident with their medicines sheet to avoid the possibility of identification errors. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were enabled to have choices in how to spend their day and what food to eat. Staff encouraged people to express their views and used this information for future planning. EVIDENCE: The Laurels provided a regular and varied programme of activities. Residents told me that activities take place in one lounge after they had seen the one o’clock news, until about 4pm. The group activities included quizzes, games, word puzzles and film shows. The home had a ceiling projector with pull down screen for watching films and having photograph shows. A number of people arranged their own entertainment and grouped together to play dominoes. Several ladies liked reading and said a visiting library van came to the home regularly. In addition to group activities there were records showing individual events such as nail care and walks outside. One visitor said how impressed she was that “staff bothered to walk outside” with her mother every day. Another person said “some people seek attention on a regular basis at the The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 13 expense of others and carers should spend a little time each day talking to all residents, not just the chosen few”. The manager said she had been doing some training on equality with staff, and part of this was to raise awareness to provide all residents with equal opportunity to engage in leisure activities and enjoy some individual attention. A residents meeting took place during the inspection, and we listened in to this. The meeting was mainly about plans for Christmas. Residents were being involved in putting on a pantomime, taking parts and painting scenery. They made plans to bake Christmas cakes to sell, and discussed the Christmas menus. There was also discussion about how successful some recent outings and a party had been, along with plans for future outings and events. Throughout the meeting, residents were enabled to voice their opinions and these were taken notice of and appreciated by staff. It was evident that people’s suggestions were acted on. The home operates a resident’s fund, and money for this is gathered through various fund raising events and is spent with residents’ agreement on outings and celebrations. Visitors were seen being made welcome and were also included in the meeting if they wished. People were very complimentary about the catering arrangements, saying they enjoyed the meals very much. People’s dietary needs and preferences were recorded in the care plans and the cook was aware of these. There was a three-week menu in operation and printed menu cards were on the dining tables. Lunch consisted of three courses, with soup, a choice of two main dishes and a choice of desserts from a sweet trolley. The meal looked lovely and everyone was seen to enjoy it. There were home baked cakes and biscuits with afternoon tea and a hot evening meal. There was one person who said, “the food isn’t always to my liking, the girls are used to my refusing certain meals” and this person agreed there was very little they did like to eat. Other people told us, “The meals are excellent”. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People felt safe and were confident that any concern and complaint would be listened to and acted on. EVIDENCE: The home had a complaints procedure which people were aware of. People told us: • “I would speak to the manager (if I had a problem)”. • “We’ve never had reason to complain”. • “Any comments and suggestions are always welcomed”. The home received one complaint this year, which we were aware of, from an ex staff member. The manager investigated this under the homes’ grievance procedure and found no cause for further action. People we spoke to felt happy and safe living at The Laurels and thought the staff would always protect them. Visitors said they had confidence in the staff and felt their relatives were in a safe place. Staff had received some training in safeguarding vulnerable adults as part of their induction programme. Some staff had done further work in this area as part of their National Vocational Qualification (NVQ) in care. The manager attended various forums at the local hospital, and had received an update on safeguarding procedures. Issues around residents’ rights and freedom to choose were discussed with staff as part of their regular supervision. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 15 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, 20, 21, 22, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Laurels provides a very comfortable, warm and safe environment for people to live in. The provision of good quality furniture, fittings and equipment helps to meet people’s physical needs. EVIDENCE: The Laurels is a large converted property with 25 single and two double bedrooms. All bedrooms have ensuite toilet and hand basin, and five also have an ensuite shower. There are two large lounges and a dining room for communal use. There is one bath with a rising seat and three wet room showers. The home has a passenger lift and a stair lift to assist people in getting around safely. Since the last inspection much refurbishment and redecoration had taken place. The front lounge had been redecorated and provided with a new fireplace and curtains. New armchairs were on order. A new shower The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 16 room/toilet with overhead tracking hoist had been provided just off the lounge through a newly created archway that allows good access for wheelchairs and hoists. Bathrooms had also been redecorated and had new tiling. New carpets were to be laid in the corridors and lounge later in the week. A new extractor unit had been fitted in the kitchen and new kitchen flooring was also on order. The external patio had been made much larger by the removal of an old pond, and now gives much more seating space for residents. Residents bedrooms were all nicely decorated, clean and warm. People are invited to choose their own curtains, bedding and wall colours as redecoration takes place. The standard of furniture and fittings throughout the home was good. The home was well equipped for the needs of current residents, and had hospital type adjustable beds and a number of low-grade pressure reducing mattresses. The district nursing service provided high-grade mattresses as needed, and some people also had pressure reducing seat cushions. There is a small laundry, suitably equipped and well organised for laundering bedding, towels and residents clothing. People said the laundry service was good and their clothes were returned in good condition. The home was clean and fresh smelling throughout, and there were domestic staff on duty six days a week. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were cared for by properly vetted staff who had received training on how to support people, and there were enough staff to meet people’s current care needs. EVIDENCE: At the time of this unannounced inspection staff on duty comprised of the manager, four care staff, two domestics and two kitchen staff. Care staff reduces to three in the afternoon and there are two night staff. Further to the last inspection, the home has employed domestic staff who cover six days a week. This is a great improvement as it means care staff no longer are responsible for cleaning as well as providing care. Care staff continue to serve the evening meal, which is prepared by the cook before she goes off duty. The home has a core of long-standing staff, and apart from these, still experiences frequent staff turnover. The manager is implementing some new ideas to try and reduce this. The delivery of care was well organised with staff being allocated to work in certain “zones” of the building. Staff rotate around these zones and therefore get to know all residents well. Staff were seen to interact nicely with people and treat them with respect. The provision of staff training was satisfactory. The home uses the care sector alliance induction programme for new staff. There was support for care staff to gain a National Vocational Qualification (NVQ) in care at level 2, and 58 of The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 18 staff have achieved this, which is very good. All staff had completed infection control, food hygiene, moving and handling and fire safety training. The home has two staff who are qualified as fire wardens, and the manager is a qualified moving and handling trainer. Some staff had also received training in first aid and continence care. People were complimentary about the staff team, saying the “girls are lovely”, “the staff are so kind and helpful”, but we received some mixed comments in our surveys: • “Staff appear to be knowledgeable and experienced”. • “Staff are approachable and easy to talk to”. • “Could do with less staff turnover”. • “There never seems to be enough staff so residents have to wait for whatever they need”. • “The staff are a credit to themselves and the organisation”. Recruitment procedures were thorough with all staff undergoing criminal records bureau checks and having references taken up. This helps to prevent having potentially unsuitable people working in the care home. From our observation, we judged the staffing levels to be satisfactory. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from safe and consistent management, and are regularly consulted about their views and wishes. EVIDENCE: The registered manager, Kathreen Burns, is a registered nurse and has completed an NVQ 4 registered managers award. Regular residents meeting take place, and the minutes of these are circulated to people after the meeting. These meetings give people the opportunity to discuss all aspects of the home, especially menus and activities. At the meeting we attended, everyone was given an opportunity to speak and to raise any subject they wished to. People were asked to approve any spending from the residents fund, and the balance of funds was discussed. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 20 The home does not handle any resident’s personal money, and has a system of invoicing for any additional expenses such as hairdressing. There is a safe for the storage of valuables in every bedroom. The manager carries out a number of quality checks to ensure the service is being run as she intends. As well as residents meetings, there is an annual questionnaire to gain the views of residents and their relatives. The manager undertakes spot checks of the medicines records, and regularly works along side staff to monitor their performance. Staff receive regular documented supervision sessions, in which various aspects of the service are discussed, such as infection control and equal opportunities for residents. Through this process the manager is able to support staff and identity and plan for particular training needs. The manager provided information in our annual quality assurance audit (AQAA) document to demonstrate that service contracts and safety checks for the building are up to date. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 3 3 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 OP9 OP9 Good Practice Recommendations The manager should implement a homely remedies policy so that people can have simple remedies for minor ailments without the need to see a doctor. The manager should put named photographs of people with their medicine charts to assist staff in safely identifying people when administering medicines. The Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Laurels DS0000022640.V351761.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!