Inspection on 03/12/09 for The Manor Care Home

This inspection was carried out on 3rd December 2009.

CQC 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 CQC 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 Manor Care Home 28/07/09

The Manor Care Home 07/08/08

Extracts from inspection reports are licensed from CQC, this page was updated on 14/03/2010.

Key inspection report CARE HOMES FOR OLDER PEOPLE The Manor Care Home The Manor Care Home Greendale Drive Manor Park Middlewich Cheshire CW10 0PH Lead Inspector Joan Adam Key Unannounced Inspection 3 December 2009 10:00 DS0000071371.V378601.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Manor Care Home Address The Manor Care Home Greendale Drive Manor Park Middlewich Cheshire CW10 0PH 01606 833 236 01606 833 324 ahussa22@googlemail.com 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) Manor Care Home Ltd Manager post vacant Care Home 44 Category(ies) of Dementia (11), Old age, not falling within any registration, with number other category (44) of places The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP Dementia - Code DE The maximum number of people who can be accommodated is: 44 Date of last inspection 28 July 2009 Brief Description of the Service: The Manor is a privately owned 44 bedded care home, providing personal care, to residents over the age of sixty five years set in four and a half acres of land close to the town of Middlewich. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is one star. This means that the people who use the service experience adequate quality outcomes. This unannounced visit to The Manor was carried out on 3 December 2009 by two inspectors and a pharmacist inspector. During the visit we spoke to some residents and relatives, the proprietor, manager and some staff members. We walked round the home, and looked at records, policies and procedures to check how the home was being run and on the care being provided for the people living there. At our last main inspection of this home on 28 July 2009, we found that the medicines were not being managed well, so a pharmacist inspector carried out a short, focused inspection at the home on 21 September to look in more detail at the systems for managing residents’ medications. What the service does well: Staff from The Manor carry out a check of each person’s needs before they move into the home so when people move in they know their needs can be met there. All the people who live at the home have an individual care plan in place so that staff know what they need to do for each person to make sure their needs are met in the way they prefer. There are enough staff on duty on each shift so that people living in the home receive the support they need, are not rushed and their independence is maintained. Visitors are made welcome and people spoken with said I am always made welcome and if it is a meal time I am always offered a meal the home is fantastic , it couldn’t be better the home has improved a lot the staff always have time for you. The food provided at the home is varied and wholesome and people living in the home we spoke with during our visit told us, the food is good. At our visit, we saw a good standard of hygiene throughout the home which helps to make sure that people living there do so in comfortable and safe surroundings. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.2 Page 6 All staff receive regular training to improve their skills and to help make sure they can provide competent support and care for the people living in the home. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. The Manor Care Home DS0000071371.V378601.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 Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given good information about The Manor and their needs a fully checked before they move there so they know those needs can be met at the home. EVIDENCE: At this visit to The Manor, we found that the new manager checked people’s needs before they moved into the home. She is experienced in looking after people with dementia and so has the skills needed to carry out these checks. The checks, called assessments, mean that people wishing to move to The Manor, their relatives, the manager and the staff know that the person’s needs can be met at the home. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 9 We looked at the care plans of two people who had moved into The Manor shortly before our visit there. These contained good, detailed assessments that had been done using newly developed paperwork. This helped to make sure that a thorough check of needs was carried out and that these needs could be met at the home. The assessments had been done before each person moved into the home and the information gathered was used to write up a plan of care so staff would know what the person’s needs were and what should be done to meet those needs. The Manor does not provide intermediate care. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at The Manor have their health, personal and social needs met in a way that maintains their dignity and privacy but improvements are needed to the management of the medicines to make sure people receive their medications safely as their doctors have prescribed. EVIDENCE: We found that the new manager had introduced new care planning documents which, when fully completed, were more person centred. We saw that each person living at The Manor had a plan of care that had been completed using the new documents. These covered each person’s unique and individual needs and provided guidance for staff on how to provide care in a way that the person preferred. All plans of care were reviewed each month and any changes needed were made. This meant that all staff would know what those The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 11 changes were and could continue to provide appropriate care. A moving and handling assessment had been completed on each resident so that staff would know how to move them safely, without risk of injuring the person or themselves. A nutritional assessment had been done so that staff would know if residents were at risk of losing weight. People’s weights were recorded weekly or monthly so it was possible to track whether people were losing/ gaining weight and take appropriate action. The care plans we saw had records of what people’s choices and preferences were. This included when they liked to get up, where they spent their day and how their spiritual needs were met. This helped staff to make sure the support and care each person received was appropriate for them. Visits from health care professionals such as GPs, nursing home co-ordinators and district nurses were recorded so staff would know when these visits had taken place and why. The daily records were detailed so that all staff would know what had taken place during the shift. Some care plans we looked at needed more detail to give a more complete picture of the needs of some people and this was discussed with the manager at the time of our visit. The home had a warm and friendly atmosphere and staff interaction with the people in their care was good. Staff we spoke with during our visit were aware of people’s needs and how they liked to be looked after. People who live in the home told us, it is a very nice home, I like it here, the staff are really good, the home is really nice and “I get looked after but not fussed. I can make my own decisions which is important to me”. During this inspection, a pharmacist inspector from the commission looked at the management of the medicines at the home. This was because there had been concerns at the previous inspection that medicines were not always handled safely or properly at the home. The medications are stored in locked cupboards and trolleys in a locked room in the home. At the time of our visit, nobody living there was prescribed any drugs that could be misused, which are known as controlled drugs. We were told that a special cabinet for storing controlled drugs in line with current legislation had been ordered. We received information that this cupboard had been delivered and installed shortly after our visit to the home. We found that a small number of medications were being wrongly stored in the refrigerator. It is important that medicines are stored at the correct temperature to make sure they continue to be effective. We looked at the medicines records and found there were still problems with recording that meant it was difficult to account for all medicines. Not all medication was recorded on the medication record sheets when it was received into the home and the records for medicines returned to the pharmacy for destruction were not complete. We found errors on the medication administration records where medication had been given and not signed for, The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 12 signed for and apparently not given and instances where it was not clear whether medicines had been given or not. Since our last inspection at The Manor improvements have been made to the information recorded about using creams and medicines that are prescribed “as required” for people living in the home. However, this needs further improvement to make sure that staff have proper guidance to enable them to give medication safely and consistently to all the people who live in the home, especially those who have moved in recently. We also found that some medicines, mainly creams, were being stored in people’s bedrooms and people were managing these medications themselves. There were no risk assessments on file to show that it was safe for people to do this and to store the medications in their own rooms. We found that there had been periods when five people who had moved into the home shortly before our visit had not been given their medicine because it had run out. In one case, this was for up to ten days. We were told that there had been delays in obtaining the new prescriptions and in the pharmacy supplying the medicines needed but there was nothing to show what staff at the home had done to remedy this situation. Since our visit, the manager of the home has told us that arrangements have been made to change the pharmacy that supplies the home and for prescriptions to be provided directly from the surgery to the pharmacy to help make sure that medicines do not run out in future. It is important that effective action is taken by the home to make sure this situation does not happen again, as people’s health and wellbeing could be put at risk if their medicines are not provided as prescribed. The manager told us that since our last inspection at the home, all staff who handle medications have been assessed as competent to do so safely by an external company. After this, the manager found that two members of staff had not given medicines properly. As a result, she had taken steps to make sure that staff know the importance of giving medicines properly and safely. However, this had not been followed up and no checks had been made to ensure that staff were putting the information into practice. Regular management checks of the medicines should be carried out to make sure that they are being given properly and safely and that staff continue to do this competently. This will help to make sure that people living in the home receive their medicines safely as prescribed by their doctors. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at The Manor are able to take part in a range of activities to keep them socially active and mealtimes were a positive experience so they could enjoy a variety of nutritious food to help them keep as healthy as possible. . EVIDENCE: We found a varied activities programme was on offer each day for people to join in if they wished. The programme included coffee afternoons for relatives and clothing parties so that people who are unable to go out can choose and purchase their own clothes. A talent show had been arranged for people to take part in and during our visit, books from the library were being delivered to people living in the home. One person who lives at the home had been helping with some aspects of gardening, which they said they really enjoyed. There were plans for the raised flower beds to be installed in the garden so that more people can plant flowers or vegetables if they wish. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 14 Records are kept of which activities each person attends so they, their relatives and the staff can see what people enjoy taking part in. People living in the home we spoke with during our visit told us, “I can join in if I wish to”, “there are more things happening now”, “we enjoy making things” and “I like the film shows”. The menu we saw showed that the food is varied, with choices available, and what we saw on the day of our visit looked good. Picture menus have been made and placed on the dining room tables to help people choose what they would like to eat at each meal. There are also written menus and these are available in large print so they are easier for people to read. During our visit, we saw staff helping people with their food. This was done in a considerate and calm way so that people did not feel rushed and their dignity was maintained. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints procedure for The Manor is clear so people living there are confident their concerns will be listened to and acted upon. Staff have received training so they know what to do to protect people living at the home from abuse and harm. EVIDENCE: People living at the home who we spoke with during our visit told us they knew how to make a complaint or raise a concern if they were not happy with something at the home. They told us, I would speak to the manager, or a staff member. The complaints procedure for The Manor was clear so that people living there and their relatives could be confident that their complaints would be listened to and acted upon. There were also clear procedures on safeguarding the people who live at The Manor and on whistle blowing. The procedures provided guidance for staff and they had also received training on safeguarding adults from abuse so they know what to do to protect people who live at the home from harm. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Manor is well maintained so that it is safe and comfortable for the people who live there. EVIDENCE: We walked round the home and looked at all communal areas, bathrooms and some bedrooms. The home was cleaned to a good standard on the day of our visit. People who live there told us, “my room is always cleaned” and “the home is always kept lovely and clean”. We found that bathrooms and toilets had large signs on the doors so that people who live at the home can find the toilet more easily. Each bedroom The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 17 also had a personalised sign on the door, with the person’s name and sometimes photographs. This helps people to recognise their own bedroom so they do not go into other rooms by mistake. We saw that each bedroom had liquid soap and paper towels, following advice from the infection control nurse, to help prevent cross infection. We also saw that there were gloves and aprons available for staff to use to prevent cross infection. The home was decorated to a good standard throughout. We looked at the laundry and were told that new washing machines and dryers were due to be obtained within six months of our visit. At the time of our visit, the flooring in the laundry needed replacing and the owner told us that this was due to be completed within the next twelve months when the laundry was refurbished. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Thorough checks are carried out when staff are recruited and they receive training so they know how to provide safe care and people living in the home can be sure that the staff are suitable to work with them. EVIDENCE: Since our last main inspection of The Manor, the staffing numbers have been increased. The rotas we saw showed there were now enough staff on duty to meet people’s needs. People living in the home told us they thought there were enough staff available. We saw that some of the staff working in the home have achieved a national vocational qualification in care. This shows that staff have had formal training to carry out their roles. These qualifications are nationally recognised qualifications for staff working in care and show they have been judged to be competent to provide good quality care. Other staff members are working towards achieving their qualifications. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 19 Since our last main inspection, a new manager has been appointed and she has undertaken an audit of all staff training to make sure they have all received their mandatory training and have the skills to provide safe care for people living in the home. At the time of this visit, she was working on a programme to make sure that staff would receive all the up to date training they needed, and had produced a chart to show which member of staff had done/was due to do what training. Staff we spoke with during this visit confirmed that they had undertaken training since our last main inspection. All new staff working at the home have received a detailed structured induction programme so they have the knowledge to provide safe care. In addition, all staff have completed and appraisal and formal staff supervision had started. This helps to make sure that staff have the opportunity to discuss their practice with and receive guidance from senior staff. We looked at staff files and saw that recruitment processes used are thorough. All the necessary checks had been obtained to make sure that staff were suitable to work with the people who live in the home. We advised that notes of all issues discussed at staff recruitment interviews should be kept. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The new manager had made improvements to the way the home is run and there are systems to make sure that it is run in the best interests of the people who live there. EVIDENCE: Since our last main inspection of The Manor in July 2009, a new manager has been appointed. She is an experienced manager, has obtained the relevant management qualifications and was due to apply to the Care Quality The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 21 Commission for registration, as is required of all persons who run or manage care homes. Staff we spoke to during our visit told us that they felt supported by the management of the home and that they receive good training. They said, The manager is very supportive, the home has improved a lot, the home runs well, the manager is very approachable” and “we work as a team. People who live in the home and their relatives said they had seen an improvement in the home since the appointment of the new manager. The told us, “the home is more orderly” and “the manager is very good”. We looked at how the people who live at the home and their relatives are consulted about the service. Regular meetings with the manager are held with the people who live at the home and their families. This means they have the chance to say what they think about the home, to raise any concerns they have, and to have a say in how it is being run. We looked at how the health and safety of the people who live at the home is protected and found that there are regular checks on all equipment and installations to make sure that it is still safe. We also saw that necessary checks are carried out to the services of the building. There is a system of management checks to make sure that the care and support being provided continues to meet people’s needs. The audit system for the medicines needs to be improved so that problems with the management of the medicines are picked up quickly and dealt with effectively. This will help to make sure that people living in the home are not at risk of not receiving their medicines safely and as prescribed. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 22 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 3 9 1 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 23 Are there any outstanding requirements from the last inspection? Yes No Standard Regulation Required Action Timescale for action 1 OP9 13 Records about medication 03/12/09 must be clear and accurate to show medicines are being administered as prescribed and that all medication can be accounted for. This is to make sure that the people living in the home receive their medicines safely as prescribed by their doctors. The previous timescale of 22/09/2009 has not been met. 2 OP9 13 All medication must be administered to people as prescribed by their doctors to maintain their health and well being. The previous timescale of 22/09/09 has not been met. 03/12/09 3 OP9 13 Effective systems must be 03/12/09 put into place to make sure that people’s medicines do not run out. This is to make sure that they can continue to receive their medicines as prescribed to maintain their health and wellbeing. The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Care should be taken to make sure that all medicines such as eye drops and ear drops are stored at the correct temperature. This is to ensure that they continue to be effective. Risk assessments should be done and recorded for all circumstances where people manage their own medicine and to show that storage in a person’s own room is safe. This is to make sure that any risks presented by people managing their own medicines have been taken into account in helping people to retain their independence. A thorough audit of the management of medicines in the home should be done regularly. This is to make sure that any problems are picked up quickly and resolved so that people receive their medicines safely. 2 OP9 3 OP9 The Manor Care Home DS0000071371.V378601.R01.S.doc Version 5.3 Page 25 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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