Inspection on 03/07/08 for The Old Vicarage

This inspection was carried out on 3rd July 2008.

CSCI found this care home to be providing an Excellent service.

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 Old Vicarage 17/04/07

The Old Vicarage 06/12/05

The Old Vicarage 12/05/05

The Old Vicarage 03/11/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE The Old Vicarage The Old Vicarage Ivy Bank Road Sharples Bolton BL1 7EQ Lead Inspector Grace Tarney Unannounced Inspection 3rd July 2008 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 Vicarage DS0000061207.V367840.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 Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address The Old Vicarage Ivy Bank Road Sharples Bolton BL1 7EQ 01204 594736 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) info@macdonaldcare.co.uk Macdonald Care Limited Mrs S G Macdonald Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered for a maximum of 19 service-users to include: Up to 19 service-users in the category of OP (Old Age not falling into any other category). That the service should at all times employ a suitably qualified and experienced Manager who is registered with CSCI. 17th April 2007 2. Date of last inspection Brief Description of the Service: The Old Vicarage is a privately owned care home offering residential care and support for up to 19 older people. One of the owners is responsible for the day to day management of the home. It is situated about two miles from the centre of Bolton, and is close to bus routes, shops, pubs and other amenities. There are two floors, with a lift to the first floor. The home has 13 single rooms and 3 shared rooms. 11 rooms have en-suite facilities. The grounds include a car park and large, well-maintained gardens. There is a dining room, a lounge and a conservatory on the ground floor. Toilets and bathrooms are provided on each floor. A copy of the latest inspection report is displayed in the entrance hall. The current weekly fees range from £408.00 to £449 00 per week depending on the type of room occupied. The only additional charge made is for the residents’ holidays. This information was received on the 3rd of July 2008. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. The home was not told that this inspection was to take place although many weeks before the inspection, questionnaires (comment cards) were sent out to the residents, their relatives and the staff. The questionnaires asked what people thought about the care and quality of the service provided. 7 were received from relatives and 5 from residents and 1 from a staff member. What they felt about the care and services provided is written in different sections throughout this report. Also before the inspection we (The Commission) asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they did at present, what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we do. We spent 8 hours at the home and during this time we examined care and medicine records to make sure that the health and care needs of the residents were being met. We also looked around the building at some of the bedrooms, bathrooms, toilets and sitting areas to check if they were clean, warm and well decorated. We also looked at the menus and looked at what the residents had for their breakfast, lunch and evening meal. We also checked how many staff were provided on each shift to make sure the residents needs were being met, and also looked at how management recruit and train their staff. We also looked at how management check that the care and services that they provide is what the residents and their relatives want, or expect. How the home manages the residents’ spending money was also looked at. In order to get further information about the home we also spent time talking to 3 residents, 1 visitor and 3 staff members. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Management need to continually check on the health and safety of the building to make sure that there are no hazards that could affect the safety of the residents. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed before they are admitted to the home and this gives an assurance to everybody, that a person is only admitted if the home can meet their needs. EVIDENCE: Before any resident was admitted to the home a senior member of staff from the home undertook an assessment of their needs. The assessment looks at what help and support the prospective resident needs in all aspects of daily life. The 2 assessments looked at were detailed and gave a clear indication of the residents’ needs and what they could and could not do for themselves. One relative told us that her mother, before making the decision about going to live there, made a visit to the home and spoke to some of the staff and the owner. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 10 Standard 6 does not apply. The home does not provide Intermediate Care. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 & 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service The care plans show what care needs the residents have and care practices ensure that their needs are met in a safe and very caring, dignified way. EVIDENCE: Individual care plans were in place for each resident. The care plans of 2 of the residents were looked at. They were detailed and gave clear instruction and guidance on how the care needs of the residents were to be met. They also provided a lot of information about the residents’ daily routine, their past life and their interests. The care plans were reviewed regularly so that any change in the residents’ condition could be identified and appropriate action taken. The care plans detailed the religious and cultural needs of the residents. At the time of the inspection there were no residents of any ethnic minority. Neither were there any residents who required special diets to meet their religious or cultural needs. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 12 The staff looked at whether or not there was any risk in relation to the residents developing pressure sores or if they were at risk of falling. They also looked at and they wrote down how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. We did not see an actual risk assessment document for assessing whether a resident was at risk due to problems with their diet or fluid intake. We discussed this with the manager who told us that the staff are guided by the dieticians and that they assessed a residents weight and their eating and drinking patterns’ firstly on admission and then it was an ongoing assessment. Any concerns or action needed were then entered onto their care plan. The manager did tell us however that she was looking at possibly introducing a new system for assessing a residents’ nutrition state. Inspection of the care files showed that the residents had access to health care professionals, such as dentists, opticians, district nurses and chiropodists. Whilst we were at the home we spoke with a visiting district nurse. She told us that her and other district nurses had: “Nothing but praise for the staff”. “Very good”. “Quick to alert us to any problems and always follow directions in relation to any care required”. Whilst we were at the home we also saw how quickly and efficiently the staff reacted to dealing with a resident who had become suddenly very ill. We saw how well the staff dealt with the GP and the district nurses who were attending to the resident. The staff were also quick to inform the residents’ relatives about her condition. The following were some of the comments made by residents and relatives: “Lovely staff. They look after me very well”. “I am very happy”. “Staff go out of their way to give support”. “The staff are excellent”. “They are always caring and sympathetic”. “They respond to the care and welfare of my relative at all times”. “The emotional needs of the residents are supported”. Overall a safe system of medication management was in place. The home does not have a separate medicine room. The medicine trolley is kept on a corridor and is secured to the wall when not in use. The keys were kept securely and identification photographs of each resident are kept with the medication administration records. Only staff trained in medication management deal with the medicines. Controlled drugs were being stored safely but not in a proper Controlled Drugs Cupboard. New legislation has been issued that now requires all Residential The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 13 Care Homes to have a Controlled Drugs Cupboard. Previously this was only a requirement for Care Homes with Nursing. The manager told us that she would arrange for a Controlled Drug Cupboard to be installed. The following things needed putting right: • Handwritten instructions (transcriptions) for some medicines were not signed, checked and countersigned. Signing and checking transcriptions reduces the risk of drug errors. • One resident had not been given her medication and nothing had been written on the medication administration sheet to say why it had not been given. A stock check of the medicines showed that the medicine had been omitted. Staff were discreet when providing assistance to the residents. They spoke to the residents in a quiet and respectful way. Staff confirmed that the importance of ensuring privacy, respect and dignity is part of their initial training. The residents looked clean and comfortable and were suitably dressed. Comments made were: “They are very kind to us”. “They treat residents with respect”. “I feel they are kind and considerate”. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choice and control over their lives as far as they are able and enjoy the activities available to them. Residents are given a choice of well-balanced and nutritional meals. EVIDENCE: The residents’ routines of daily living, such as when they go to bed and when they get up, plus their social interests were recorded in their care plans. Residents told us that they were free to come and go as they please. A part time activities person is employed at the home. She visits on a regular basis and does 1-1 sessions with the residents. This can be whatever they want it to be. Reminiscence sessions are also undertaken with trips down memory lane. The residents also have movement to music exercises every fortnight. A list of events showing what is “going on” is displayed in the reception hall. The home also regularly produces a newsletter that gives news items about the home, the staff and the residents. It also contains items of general interest. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 15 This September some of the residents are going on a holiday for 5 days to Southport. They will be accompanied by some of the care assistants. The manager told us that it is a really good hotel and it is suitably adapted for people with care needs. We spoke to one of the residents and she told us that she is really looking forward to going. The hairdresser was at the home during our visit and we were told that she visits every week. The care plans gave information about the residents’ religions and whether they practiced their faith. Staff told us that visiting clergy of different faiths visit the home and are always welcome. Comments received about the activities were: “My Mother is at times reluctant to take part in some activities, but once she has taken part she is so pleased that she has”. “There is always something for me to do”. “They have different activities for the residents that are stimulating for them. They are caring and do try to occupy the residents with activities and trips out”. Residents are encouraged to bring personal possessions into the home. Many of their bedrooms were personalised with pictures, photographs and ornaments. We saw relatives coming and going throughout the day and they seemed to know the staff very well. One relative told us that they are always made welcome and are able to visit at any reasonable time. We did not eat with the residents but saw what they were having for lunch. There is a very pleasant separate dining room that overlooks the garden. The tables were very well set with pretty tablecloths, napkins and cruets. The meal served was home cooked, plenty of it, and it looked appetising and nutritious. The residents have a choice of food at breakfast, lunch and teatime. They have the main meal at lunchtime and the lighter meal in the evening. Inspection of the menus and a discussion with the cook showed that there is always a choice of menu. Fresh fruit was available and hot and cold drinks were served throughout the day. Any cultural or dietary needs, likes and dislikes were looked at when a resident is first admitted to the home. Comments from relatives and residents were: “The meals are of good quality and there are plenty of choices”. “The food is very good”. “The cook is good. She knows what we like”. “The food is excellent”. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel able and know how to complain, and staff have a good knowledge and understanding of what abuse is, thereby reducing the possible risk of harm to residents. EVIDENCE: A complaints procedure was in place and was displayed in the reception area. The complaints procedure was also included in the Service User Guide. It does not however state that any complaints made will be responded to within 28 days. The Manager agreed to amend the form to put this right. No complaints have been made to us or to the home since the last inspection. We advised the manager to put a system in place to record any complaint that may be made and include details of the investigation and any action that would be taken. Comments from relatives and residents were: “I have never needed to complain but I would know how to”. “I have never had cause to complain but if I have needed to check on any issue, this has been addressed appropriately”. A discussion with the senior staff showed that they were very aware of the procedure to follow in the event of any allegation of abuse. Training in the protection of vulnerable adults has been undertaken by most of the staff and is ongoing. The manager also confirmed this in the AQAA form that was sent to The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 17 us. Records of training were kept on the training file and in the individual personnel files. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 18 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 24 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in suitably adapted, clean, comfortable and very pleasant surroundings. EVIDENCE: The home is a large detached and extended property set in lovely gardens. Accommodation is provided on two floors and can be reached either by a lift or stairs. Downstairs there is one large lounge, a large dining room and a conservatory. There is also a smaller sitting area for residents to sit in if they wish. There were enough toilets and bathrooms to meet the needs of the residents. Toilets were close by to bedrooms and lounge areas and most had aids and adaptations to assist the residents. Some of the bedrooms also have en-suite toilets. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 19 One of the bathrooms has recently been refurbished and a specialised adapted bath has been installed. This is a very pleasant facility for the residents. We looked at all the bedrooms. They were clean and warm and were decorated and furnished to a very high standard. We saw that the bedrooms were without locks on the doors. We discussed this issue with management and it was agreed that on admission, a resident would be asked if they would like an overriding safety door lock with a key. We saw that 3 of the upstairs windows had window restrictors on that were broken. This puts the residents at risk of harm. Management agreed to fix new restrictors on as a matter of urgency and we received confirmation that this had been done within the week. Most of the radiators throughout the home were suitably covered except for two in the downstairs toilets and one in the newly fitted bathroom. To reduce the risk of residents being harmed by hot radiators they need to be protected. The manager told us that a guard had been ordered for the radiator in the new bathroom and she agreed to fit guards to the downstairs toilets as soon as possible. The home was clean and free from offensive odours. Hand washing facilities were in place in bedrooms, bathrooms and toilets. This is to reduce the spread of infection. The new bath had a specialised cleaning system installed that also helps to reduce the spread of infection. The laundry, although small, looked well organised. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 20 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. Residents’ needs are met by experienced staff that are suitably trained and safely recruited. EVIDENCE: Inspection of the duty rotas and a discussion with staff and residents showed that there was enough staff on duty over a 24-hour period to meet the needs of the residents living at the home. Residents and relatives told us: “They are always there to help. They don’t keep me waiting if I need anything”. “The staff go beyond what is required of them to ensure the residents are cared for properly”. The information from the AQAA document sent to us, and the information that we looked at in the training file showed that 67 of the staff had obtained their NVQ level 2 or above in care. This is very good progress. The personnel files of 2 staff members were inspected. All were in order and these staff had been properly and safely employed. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 21 Induction training is provided for all newly employed staff. This is to make sure that they understand what is expected of them and that people are cared for properly and safely. The information received from the AQAA document also told us about the training that the staff received. From a discussion with the manager and inspection of the records we saw that a wide range of appropriate and ongoing training in moving and handling, dementia care, basic food hygiene, fire safety, health and safety, medicine management and other relevant topics are provided to staff at the home. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and this ensures that the welfare of the residents is protected. EVIDENCE: The Registered Manager of the home is a qualified nurse and has several years experience of management and working in the field of caring for older people. She is a co owner of the home and is presently studying for a management qualification. She keeps herself regularly updated with training, both in management and care issues. Staff and relatives spoke positively about her. Staff told us that she was“Open and approachable and always wants to do things right”. “Open door policy here”. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 23 A relative commented: “There is direct hands-on presence from the owne”. Management have developed their own quality assurance system within the home so that they can regularly check on the care and facilities they provide. The manager is responsible for checking on lots of things within the home such as the medication system, training and staff files. We discussed the possibility of widening this to include other areas within the home. Management also send out survey forms every year to residents, relatives, local doctors and district nurses asking what they think of the services and facilities that they provide. They also have the Investors in People award. The system for the safekeeping of residents’ money was good. Management only handle any “spending money” brought in by relatives. Individual records are made of all transactions and balances. Receipts are held for any purchases made and receipts are given to relatives when they deposit any money for their relative. Information received from the AQAA sent to us and from random checking of the servicing records for the gas, fire equipment and electrical installation, showed that the homes’ fixtures, fitting and equipment are properly maintained and regularly serviced. We saw that regular weekly checking and testing of fire detection system, fire exits and emergency lights was undertaken and documented. The only issue of concern in relation to the health and safety of the residents was in relation to the unguarded radiators in the toilets and the broken window restrictors. Management assured us that the window restrictors would be fixed as a matter of urgency and we were informed within the week that they were. They also told us that the radiators would be covered as soon as the radiator covers could be delivered. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 24 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 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 x x 3 2 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 2 x 3 x 3 x x 2 The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 25 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 1 OP9 13(2) 2 3 OP9 OP25 13(2) 13(4)(a) Staff must indicate and sign on 03/07/08 the medication sheet whether a medication has been given or not. Failure to sign could result in medicine mistakes being made and this could affect the safety and wellbeing of the resident. To ensure the safe storage of 31/10/08 Controlled Drugs, a Controlled Drug Cupboard must be provided To protect the health and safety 31/08/08 of the residents, management must make sure that the radiators in the toilets are guarded. 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 If staff need to handwrite a prescription they should sign DS0000061207.V367840.R01.S.doc Version 5.2 Page 26 The Old Vicarage the handwritten prescription and make sure that another staff member checks that what they have written is correct and then countersign. This will ensure the safety of the residents by reducing the risk of medication errors. The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Old Vicarage DS0000061207.V367840.R01.S.doc Version 5.2 Page 28 - 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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