Inspection on 05/12/06 for The Old Rectory

This inspection was carried out on 5th December 2006.

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

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

Other inspections for this house

The Old Rectory 24/01/06

The Old Rectory 26/09/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Old Rectory Sturton Road Saxilby Lincoln Lincs LN1 2PG Lead Inspector Elisabeth Pinder Key Unannounced Inspection 5th December 2006 09:30 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 Old Rectory DS0000064006.V322163.R02.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 Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Rectory Address Sturton Road Saxilby Lincoln Lincs LN1 2PG 01522 702346 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) M & M Care Ltd Post Vacant Care Home 24 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (24) of places The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No one falling within the category OP should be admitted into The Old Rectory when there are 24 persons already accommodated within the home No one falling within the category DE(E) should be admitted into The Old Rectory when there are 6 persons already accommodated within the home The approved training on Dementia from the Alzheimer`s Society is given to all members of staff in The Old Rectory as soon as it is possible to do so. The maximum number of persons to be accommodated at The Old Rectory is 24 24 January 2006 Date of last inspection Brief Description of the Service: The Old Rectory cares for older people in a detached property situated on the edge of the village of Saxilby. The home is approximately five miles from the historic city of Lincoln. The property is a converted rectory and stands back from the road in it’s own grounds and gardens with car parking facilities to the rear of the building. The home has two floors and there is a stair lift to the bedrooms on the first floor. There are a variety of aids and adaptations around the building to allow residents to move around the home more independently. Eighteen of the bedrooms are single, three bedrooms have an en-suite toilet. There are seven communal toilets and three communal bathroom/shower rooms. The current weekly fee range is £360.00 - £430.00. Additional costs are made for hairdressing, newspapers, and chiropody, these are all private arrangements and costs are met by individual residents. Some residents are also contributing to a Christmas pantomime. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and formed part of a key inspection and thematic probe. The visit lasted six hours and took into account previous information held by The Commission for Social Care Inspection (CSCI) including the homes preinspection questionnaire, previous inspection reports, their service history, records of any incidents that had been notified to the CSCI since the last inspection and any correspondence. After the visit a telephone conversation was held with three relatives and a telephone call was made to the district nursing team. No residents ‘Have your say about’ questionnaires were received, however, one completed by a relative was received after the visit and comments have been included in this report. The site inspection consisted of case tracking a sample of three residents’ records, talking to them and assessing their care. Some policies and procedures were seen together with some records concerning the safety of the home. A period of observation was undertaken whilst medication was being administered during the lunch time period and a general conversation was held with residents. Two staff members were spoken to, one being the acting manager. The site visit focussed on key standards and checking whether issues raised at the previous inspection had been addressed. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service users guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: Staff show kindness and sensitivity towards the residents living in this home and residents made many positive comments about the home during the inspection; one resident said ‘I only came for a holiday but decided to stay’. Residents also said that the staff offered them choices such as, what they preferred to eat, the time they preferred to get up and go to bed and felt staff respected their privacy if they wanted to stay in their own rooms. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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 Old Rectory DS0000064006.V322163.R02.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 Old Rectory DS0000064006.V322163.R02.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): 1,2 & 3, standard 6 is not applicable Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information about this home is not up to date and insufficient information is obtained prior to admission to ensure residents needs will be met. EVIDENCE: The statement of purpose and service user guide was amended in July 2006, however, both documents need to include information about dementia care and amendments are needed regarding the organisational structure and staffing arrangements. Three residents whose care was ‘case tracked’ were spoken to and were unaware of these documents. However, subsequent telephone conversations were held with three relatives and all confirmed that they have been given copies of these documents. Relatives also said that they had been to look around the home and were made welcome and found the manager very friendly and helpful. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 9 Pre-admission assessments had been carried out but information gathered was limited and there was no evidence to show who was involved other than the resident. Relatives spoken to all said they had been given contracts/statement of terms and conditions detailing the amount of fees payable. The Old Rectory DS0000064006.V322163.R02.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 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is lack of detail in the recording of evaluations of both care plans and risk assessments, therefore, it is uncertain if and how the current care is still appropriate and if residents have been consulted about their review of care. EVIDENCE: Care plans have improved in content since the acting manager has been employed and new care plans are currently being written. However, further work must be done to ensure all risks are identified and clear actions are documented to minimise the risk. Reviews of care plans must be improved to include details of any changes required to the current care given and these should show that residents and/or their representatives have been given the opportunity to be involved. On examining residents files it was noted that information gathered prior to admission is not always used in the current plan of care. For example, one pre-admission assessment identified that a resident was registered blind but there was no mention of this in the current care plan. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 11 Another identified the religious belief and needs of a resident but no mention was made in their care plan. Care plans do not identify arrangements and residents agreement to receive medication. Staff handling medication have undertaken a distance learning course in Safe Handling of Medicines and administration of medication being given during lunch was observed and this was carried out using safe procedures. However, one of the medication record sheets examined had been hand written with no signatures or dates of what medication had been received or carried over from previous records. Recording procedures were discussed with the acting manager who said she would ensure the correct procedures are carried out. The district nursing team was contacted and confirmed that they visit frequently and there are no concerns with the care provided in the home. Currently there are no residents who self-administer their medication, however, polices and procedures are available should this change. Photographs of residents are now held on medication record sheets. Staff members were observed carrying out their duties with kindness and sensitivity towards the residents, especially when attending to their personal needs. The Old Rectory DS0000064006.V322163.R02.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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents interests are generally accommodated and this has improved since the last inspection. Meals provided are well balanced and nutritional but must take into account individual preferences regarding size of portion. Visitors are made welcome in this home and residents have choices as to how they lead their lives. EVIDENCE: Since the previous visit the provision of activities has improved and a new activity worker has been employed to work sixteen hours each week. One resident said how much she enjoyed the quizzes each Wednesday afternoon as she was unable to join in with movement to music. Another resident who said she likes to spend a lot of time in her room spoke about enjoying painting Christmas pots. During the visit the acting manager was observed talking to residents and seeking their opinion about future activities and it is recommended that these discussions are recorded along with activities undertaken. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 13 One resident confirmed that she has communion each week, although, as previously highlighted that was not recorded in her care plan. Other residents said that the staff offered them choices such as, what they preferred to eat, the time they preferred to get up and go to bed and felt staff respected their privacy if they wanted to stay in their own rooms. Menus seen showed that a varied, well balanced diet is offered, a new menu is drawn up every month and although no specific meeting is held with residents to discuss these, staff were observed talking to residents and completing a record of their likes and dislikes. Residents spoken to said they enjoyed the meals although one specific comment was ‘the meals are very small’ and the size of meal should be taken into consideration together with residents likes/dislikes. Tables were nicely laid with tablecloths/napkins and condiments. Although no visitors were seen during the day, residents said that their visitors are always made to feel welcome and relatives spoken to by telephone confirmed this. The Old Rectory DS0000064006.V322163.R02.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The home’s philosophy of care includes the rights of residents and although those spoken to said they had not received any written information telling them how to make a complaint, they confirmed that they would speak to their key-worker or the acting manager if they had any concerns. One complaint has been received by the CSCI since the last inspection and this was passed to the provider to investigate. A full investigation was carried out and a member of staff was dismissed. Information was given to the provider about the Commission’s procedures for reporting complaints and the address and telephone number was given for the Central Registration and Compliance team (CRCT) There is a safeguarding adults procedure in place and this is covered as part of National Vocational Qualification (NVQ) training. The acting manager is also organising staff training regarding safeguarding adults. Since the previous inspection there has not been any safeguarding adult referrals made. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 15 Relatives spoken to all confirmed that they had been given written information explaining what they should do if they wish to make a complaint. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. This home is clean and tidy with a pleasant smell throughout. However, there are insufficient measures to ensure residents are protected from cross infection. EVIDENCE: This service provides a homely atmosphere and is generally well maintained. Bedrooms of residents traced were seen and these had been personalised by themselves or their families with photographs, mementoes and small items of furniture. A comment written in the ‘have your say about’ questionnaire received after the visit read ‘residents are allowed to use the staff cloak room for the purpose of smoking, this should not be permitted, staff clothing is The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 17 therefore contaminated’. This has been brought to the attention of the acting manager who will look into this. Since the previous visit alterations have been made to the top of the stairs giving better access to bedrooms on the first floor and a new stair lift has been fitted. There are one or two areas that pose a potential risk to residents, for example, unused equipment left on the corridors and the use of communal soap and towels in the bathrooms and toilets. A risk assessment should also be written for residents with dementia care needs wandering into the kitchen. During a general conversation with residents one said that the water in her ensuite shower room was not hot. A subsequent telephone conversation was held with the acting manager who said that a plumber has been and this issue is being addressed. Other residents said they felt cold especially in the dining room and conservatory, a recommendation was made during the previous visit for regular checks to be made of the temperature in the home and in residents bedrooms. This has not been addressed. The Environmental Health Officer (EHO) visited on 12/10/06 and swabs were taken, these have been analysed and found to be satisfactory. Fly screening has been fitted to a window in the kitchen, however, this was torn and therefore is a potential health and safety risk to residents. Priority must be given to the laundry room to ensure suitable flooring is laid and the walls and woodwork are clean. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 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. 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. Minimum staffing levels are being met. The procedures for the recruitment of staff are robust and therefore offer protection for people living at the home. All staff must be trained to carry out their roles. EVIDENCE: A system is in place to monitor the dependency levels of residents living in the home and current staffing levels exceed the minimum levels laid down in the Residents Forum Guidance. When the registration of the home was changed to include dementia care the provider agreed to increase staffing levels at night to always ensure two staff are on wakeful nights and this is being adhered to. Staff spoken to said that there are usually enough staff on duty to meet the needs of residents although they feel this can vary and occasionally they have to ask a resident to wait until they have finished attending to another. Residents said all the staff are very kind and helpful and they like the new acting manager. There has been a large turnover of staff since the home changed ownership and since the last inspection ten staff have left. There are currently three staff The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 19 vacancies, however, during a subsequent telephone conversation the acting manager said these have been filled. A robust recruitment procedure is in place and written references and C.R.B. (Criminal Record Bureau) checks are made before potential staff are offered employment ensuring they are suitable to care for the people living at the home. The files for two members of staff contained all the necessary documentation to show that the procedure had been followed. The provider has been using a tick box procedure for induction training, however, this does not show how staff are supervised or whether they can request additional supervisory shifts until they feel competent to carry out their tasks. This was discussed with the acting manager who said she is planning to use the ‘Skills for Care’ induction programme for all new staff. All new staff are given a copy of The General Social Care Council (GSCC) code of conduct. The acting manager has only been in post since August 2006 and is currently developing a training plan to ensure all staff undertake statutory and specialist training. However, all staff have recently undertaken training in dementia care from the Alzheimers Society. Information supplied in the pre-inspection questionnaire showed that 36 of care staff have achieved, or are working towards, achieving the National Vocational Qualification (NVQ) at Level 2. It is recommended that 50 of staff achieve NVQ training and the acting manager said that plans are in place for more staff to commence this training. No specific training has been undertaken regarding equality and diversity and this was also discussed with the acting manager. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This service does not have a registered manager in post, which may place residents at risk. There are inadequate systems in place to monitor the quality of care provided, however, the health and welfare of residents are promoted. EVIDENCE: The acting manager has been in post since August of this year, she has numerous years experience in care and is currently undertaking the Registered Managers Award (RMA). The importance of registration was discussed and it was agreed that a manager application would be submitted by the end of January 2007. Residents said that although there have been many changes in The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 21 staff and management recently they really like the new acting manager and find her very capable, friendly and kind. Regular staff meetings are held and minutes are taken. Although residents don’t have formal meetings they said that since the acting manager has been in post they regularly have the opportunity to contribute to the day to day running of the home. Monthly reports of visits by a representative of the organisation monitoring the service must now be undertaken as the provider is not in day to day charge of the home. Maintenance records are kept and there are a range of policies and procedures available relating to fire safety and fire risk assessments. Residents currently living in the home all have family who deal with their financial matters. A discussion was held regarding using advocates should a resident be admitted into the home without family or representatives. A robust system must be in place to assess and review the quality of care provided at the home. Since the previous inspection the home’s registration has changed to include dementia care and the views of residents who do not have dementia, and their families should be consulted to ensure they are happy with the change in registration. Quality assurance systems should seek the views of all people involved in the service, for example; residents, relatives/representatives, General Practitioners (GP’s), district nurses and social workers. The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 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 2 3 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X 2 3 The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4&5 Requirement The statement of purpose and service user guide must be kept up to date. Care plans must show that all risks are identified and clear actions are documented to minimise the risk. Reviews of care plans must be improved to include details of any changes required to the current care given and these should show that residents and/or their representatives have the opportunity to be involved. Care plans should identify the arrangements and residents agreement to receive medication. Timescale of 28/02/06 not met Priority must be given to the environment to: • prevent the risk of cross infection • ensure all parts of the home which residents have access are free from DS0000064006.V322163.R02.S.doc Timescale for action 31/01/07 2. OP7 15 31/01/07 3. OP19 OP26 13[3 & 4] 31/01/07 The Old Rectory Version 5.2 Page 24 • hazards to their safety unnecessary risks to the health and safety of residents are eliminated. 28/02/07 4. OP30 OP18 18[1][c] 5. OP31 8 All staff must be adequately trained to carry out their roles. Training should include all statutory training and specialist training regarding safeguarding adults and equality and diversity An application for the registration of the manager must be received by the Commission. A system must be in place to assess and review the quality of care provided at the home. Monthly reports of visits by a representative of the company monitoring the service must now be undertaken as the provider is not in day to day charge of the home. 31/01/07 6. 7. OP33 OP37 24 26 28/02/07 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP3 Good Practice Recommendations Pre-admission assessments should be in enough detail to ensure residents coming into the home will have their needs met. Information should be gathered from all people involved in caring for the resident. Information gathered prior to admission should always be used in the current care plan 2. 3. OP7 OP7 Care plans should identify arrangements and residents agreement to receive medication. Hand written Mar sheets should clearly record tablets DS0000064006.V322163.R02.S.doc Version 5.2 Page 25 The Old Rectory received into the home and those carried over onto a new sheet. 4. OP15 Residents should be involved in the planning of new menus. The size of meals should also be taken into consideration together with residents likes/dislikes. A risk assessment should be written for residents with dementia care needs wandering into the kitchen. Regular checks should be made and records maintained of the temperature in the home and in resident’s bedrooms. 5. OP26 The Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Old Rectory DS0000064006.V322163.R02.S.doc Version 5.2 Page 27 - 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. 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