Inspection on 02/08/07 for The Orchards

This inspection was carried out on 2nd August 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Orchards 15/08/06

The Orchards 05/01/06

The Orchards 21/09/05

The Orchards 13/10/04

The Orchards 15/06/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE The Orchards 1 Wilmer Drive Heaton Bradford West Yorkshire BD9 4AR Lead Inspector Paula McCloy Key Unannounced Inspection 2nd August 2007 10:00 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 Orchards DS0000001167.V341261.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 Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Orchards Address 1 Wilmer Drive Heaton Bradford West Yorkshire BD9 4AR 01274 547086 01274 548776 orchardcare@btconnect.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) Baybury Limited Mrs Susan Davies Care Home 24 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (19), of places Physical disability over 65 years of age (2) The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th August 2006 Brief Description of the Service: The Orchards is a detached property set in its own grounds and located adjacent to Lister Park and close to local shops, churches and the city bus route. Accommodation is provided on the ground, first and second floors. The majority of rooms are singles. A passenger lift provides easy access to the first and second floors. People using the service regularly use the well-kept garden but access is restricted, as steps have to be negotiated at both entrances to the home. The providers have plans to ramp the side entrance. The home is registered predominately for older people. A small number may have mental health needs and/or physical disabilities. The current weekly charges range from £329 – £364.70. Additional charges are made for hairdressing, chiropody and newspapers. The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection of the home took place on 15 August 2006. We have not made any visits to the home since then. This inspection was carried out to assess the quality of care provided to people living at the home. I carried out the inspection over one day and spent approximately 8 hours in the home. During the visit I spoke to 5 people who live in the home, 4 staff and the manager. I observed care staff delivering care, looked at various records and looked around the home. The home completed a self-assessment form and the information provided has been used in this report. Comment cards were sent to 8 people living at the home, 8 relatives and 2 GPs; these cards provide an opportunity for people to share their views of the service with us. Information received in this way is shared with the home without identifying who has provided it. Three people living at the home, three relatives and one GP wrote to us with their comments. Their comments received have been used in this report. What the service does well: The Orchards is a friendly, well managed home that is run in the best interests of the people living there. Anyone thinking of moving into The Orchards can go and look around and get written information about the home, in the service user guide. If they decide to move in staff from the home will carry out an assessment to make sure that they can meet that person’s needs and arrange a day for admission. Each person has an individual care plan that sets out what care and support they require from staff. Staff involve doctors and other specialists for advice when necessary. People look well cared for. All the people who live in the home spoke well of staff and they felt that they were kind and caring. One relative said ‘they look after and maintain the support of residents. Cheerful, friendly service.’ The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 6 People can follow their own routines and relatives and friends are welcome to visit at any time. People living at the home and relatives all said that the food was good. If people living at the home and/or relatives are not happy about the service they are getting there is a complaints procedure. People were aware of the procedure and said that they would be able to raise any concerns and that they felt any problems would be resolved. The home is clean, tidy, comfortable, and well maintained. People living at the home and their relatives all said that the home was kept fresh and clean. The staff are friendly and well trained. Staff enjoy working at the home and feel they work well as a team. What has improved since the last inspection? What they could do better: The manager needs to make sure that everyone living in the home gets a contract of residence, this will mean that they are given information about their rights and obligations. The manager needs to get a medication trolley so that medication can be stored properly. It will also mean that medication can be given out directly from the trolley to people without staff having to go to the medication cupboard in the basement. This will make the system safe. Please contact the provider for advice of actions taken in response to this The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 7 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 Orchards DS0000001167.V341261.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 Orchards DS0000001167.V341261.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): 1, 2, 3, 4 & 5 (standard 6 does not apply) People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People receive information about the home before they move in and can visit to see for themselves if they think the service can meet their needs. Staff make sure that anyone thinking of moving in is fully assessed. This makes sure that staff are confident they can meet people’s needs before they move into the home. EVIDENCE: The statement of purpose and service user guide is available from the home. These documents give people a lot of information about the home and the service they offer. Both of these documents have been updated recently. The two people living at the home that completed a survey said that they had received enough information about the home before they moved in. One person said they had looked around the home before they decided to move in. The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 10 One person living at the home, who completed a survey, said that they had a contract and that it was reviewed each year. One person said they did not have a contract. This was discussed with the manager. At the moment only the people living at the home who pay for their care themselves are given a contract. The manager agreed that she would give people whose care is paid for in other ways a terms and conditions of residence so that they too are fully aware of their rights and responsibilities. Individual records are kept for people living at the home. The records for one of the people who had moved into the home recently showed that staff had completed the necessary assessment before she was admitted. This means that staff are sure they can meet people’s needs before they move into the home. Staff said that they encourage people to come and have a look around the home, although sometimes the relatives do this. This gives people the opportunity to see the home for themselves and decide if it is suitable for them. One person living at the home said that they had looked around the home before they decided to move in. The home does not provide intermediate care. The Orchards DS0000001167.V341261.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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The health care needs of people are being met with health care professionals being involved as necessary. The medication system is not well managed. This is leaving people at risk of getting their medication. Personal support in this home is given in a way that promotes and protects people’s privacy and dignity. EVIDENCE: I looked in detail at four care plans. It wasn’t easy to find the relevant information quickly as there are documents in various different files. There were care plans in place for people that gave staff some information about what they needed to do in order to meet that person’s needs. Staff need to continue to develop the care plans and make them more detailed. Care plans The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 12 are being reviewed on a monthly basis. Some people have signed their care plans and have been consulted about their care and support. At the moment staff are not writing daily records on each individual. They only record things that are ‘out of the ordinary’. Staff need to write these reports on a daily basis and comment on, for example, the care and support that has been given and activities that the person has enjoyed. These daily records can then be used at the review to see if the care plan is effective or if it needs to be changed. The three people living in the home, who completed a survey, confirmed that they get the right care and support and the medical help they need. Although one person said that ‘sometimes staff need prompting to call the nurse or doctor.’ The three relatives that completed a survey said that that they are kept up to date regarding their relatives well being and that the home meets the needs of their relatives. One relative said ‘the home caters for the needs of residents.’ Another relative said ‘the care home always rings me when they need to about my aunt’s welfare.’ People’s health care needs are being met. There was clear evidence in the care plans of people being seen by GPs, district nurses and other health care professionals. Staff had also involved the speech and language therapist for one person who was experiencing some difficulty with eating. They also made sure that her treatment was reviewed, which meant that the person is now able to enjoy a normal diet. The manager does need to look at the recording systems for visits to individual people. The district nurse visits are written in one file, the GP visits in another and chiropody visits somewhere else. This makes it very difficult to try and find out when people were last seen. For example a number of people have their own teeth, but I could not find out when they last saw a dentist. One GP who completed a survey felt that the home usually met people’s health care needs and acted upon advice they gave. I spoke to one of the visiting nurses who said that staff were always very helpful and always make sure that people are treated in their own rooms. This means that people’s privacy and dignity is respected. All of the necessary risk assessments had been completed and showed what staff need to do to make sure risks to people using the service are minimised. For example one person was identified at being at risk of developing pressure sores. A specialist mattress and cushion for her to sit on was then obtained in order to reduce this risk. The medication system is not well managed. This means that people are at risk of not getting their medication. The medication cupboard is in the basement. Staff are putting the cassettes that contain people’ medication in the ‘dumb waiter’ and then put any medication that is not in the cassettes into medicine pots. They are also leaving medication in medicine pots for the night staff to give out. This is very unsafe practice as staff are giving out tablets The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 13 that they have not dispensed from the original containers. The night staff must be trained to give out medication and dispense it from the cassettes or original containers. The home does not have a medicine trolley, which means that the medication cannot be transported safely around the home. This was discussed with the manager who agreed to provide a trolley. The medication administration records showed that medication is not being booked in when it arrives. This needs to be done to make sure the correct amount has been received. Staff are not using a brought forward system for the ‘as required’ medication. Without this there is no way of finding out exactly how much medication is being held or to check that no medication is ‘missing’. Staff are not signing the medication administration records to show that they have applied creams and lotions. They need to do this to show that the treatment the GP has prescribed has been given. One person had been prescribed antibiotics. Twenty-one tablets had been received and staff had signed the medication administration record 15 times to indicate that the medication had been given. There were six ‘blank’ spaces on the form when staff had not signed it. The course of medication finished on time, so it would appear that staff gave the medication on those six occasions but did not sign the record. Staff must sign the medication administration records contemporaneously. The Orchards DS0000001167.V341261.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s preferences in relation to the routines of daily living are respected. Some activities are provided to keep people stimulated. Relatives and friends feel welcome to visit at any time. The meals at the home are good. EVIDENCE: The care plans do not contain any information about people’s life history of their preferred routines. It is important that this information is written down as it will help staff to make conversation with people and make sure that they continue to live their day to day life as they want to. The people I spoke to said that they could get up and go to bed when they wanted, stay in their room if they wished or use the lounges. There was information written down about people’s preferences, hobbies and interests and their religious needs. Staff need to use this information in the care plans. This will make sure that people’s social and religious needs are met. For example one person is a roman catholic. There was nothing in her care plan about whether or not she wanted to see a priest or go to church. Two people told me that they go out to church on a regular basis. The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 15 At the moment the care staff arrange some activities in the afternoons. People said that bingo and games take place. On Saturday nights there is a film evening with snacks and drinks. Staff said that people had enjoyed ‘Singing in the Rain’ but weren’t keen on ‘West Side Story’. The next film planned is ‘Gone with the Wind.’ People living at the home are asked about what activities they would like at residents meetings. Recently people have asked for card making and drawing. The manager is hoping to recruit an activities organiser to work 5 days per week. This would mean that more activities would be available for people. Some people living at the home enjoy sitting outside in the nice weather. After lunch those people that wished to go outside were assisted to do so by staff. Staff said that relatives are welcome to visit at any time. Some people go out regularly with their relatives. People are able to bring their own possessions with them when they move into the home. All of the bedrooms I saw were very personal with various pictures and ornamentation. The people I spoke to all liked their bedrooms and were very comfortable. There is a choice of food available for every meal. In the mornings the cook goes round and tells people what the choice is for lunchtime and they order what they want. With one exception everyone said that the food was good and that they enjoyed the meals. People can have their meals in the dining room, lounge or their bedroom. One person said that she had enjoyed the special tea that had been made for her birthday recently. The Orchards DS0000001167.V341261.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home’s complaints procedure is well publicised and people are confident that that any concerns will be listened to, taken seriously and acted upon. Staff have a good understanding of adult protection issues which means people are protected from any abuse. EVIDENCE: The complaints procedure is well publicised. It is in the service user guide and on display in the home. The manager is aware that she needs to record any complaints that are received. This record needs to detail the date, the complaint, the action taken by staff to resolve the complaint and the outcome. This will make sure that that staff check that any complaints are resolved to the person’s satisfaction. The three people that completed surveys said that they knew about the complaints procedure and who to speak to if they were unhappy about anything. They also said that staff listen to them and act on what they say. All three relatives that completed a survey said that they knew about the complaints procedure and that if they had raised any concerns these had been dealt with appropriately. The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 17 Since the last inspection there has been an adult protection issue at the home regarding a member of staff. The appropriate action was taken to make sure that people are kept safe. Some staff have recently completed adult protection training and other staff have been booked on a course. All of the staff I spoke to were able to talk about what they would do if they felt there were any practices in the home that were not in the best interests of the people living there. The Orchards DS0000001167.V341261.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 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a clean, safe, comfortable, well maintained home. EVIDENCE: The Orchards is a detached property set in its own grounds and is close to Lister Park, local shops, churches and the city bus route. There is a sitting area outside for people to use in fine weather. At the moment there is no ramped access to and from the building. The manager said that there are plans to put a ramp in at the back of the building to make it easier for people to use the garden. Environmental health completed an inspection earlier this year and following this visit a fan has been installed in the kitchen. The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 19 There is a redecoration and refurbishment programme in place. There are plans to provide two more bedrooms with en-suite toilet facilities this year. The home was clean and tidy on the day of the inspection. The three people living at the home who completed a survey said that the home is always fresh and clean. One relative said ‘the home is kept very clean.’ Staff at the home have completed infection control training. There have been no outbreaks of any infectious diseases since the last inspection. The bathroom and toilet on the first floor did not have a liquid soap dispenser in place. This was discussed with the manager who said that the home had the dispensers and she will make sure that the handy person fits these. The Orchards DS0000001167.V341261.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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are enough staff on duty to meet people’s needs. Staff are well trained and competent to look after the people living in the home. The manager must make sure that all new staff are checked properly to make sure they are suitable and safe to work with older people. EVIDENCE: There are 19 people living at The Orchards. At the moment there are two care assistants on duty throughout the day and evening. There is a domestic that works 5 days per week and there is a cook every day. The staff I spoke to felt that the staffing levels were adequate at the moment to meet the needs of the people living there. The three people living in the home that completed surveys said that staff are always available. The manager is trying to recruit a permanent weekend domestic and cook. The manager is aware that she needs to keep the staffing levels under review as people’s needs change or if the number of people living in the home increases. There are 16 care staff working at the home. Five are qualified to NVQ (National Vocational Qualification) level 2 in caring for older people and there The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 21 are five more staff in the process of doing this training. People living in the home said that they liked the staff and that they were kind and caring. I looked at the recruitment files for the four newest members of staff. Three contained all of the necessary checks and references. One member of staff had worked at the home before and then left. Although there was an application form on the file this related to her last period of employment at the home. There was also no criminal records bureau check in place. This was discussed with the manager. A new application form must be completed and a criminal records bureau check taken up, to make sure that this person is still suitable and safe to work with older people. The Orchards DS0000001167.V341261.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is run in the best interests of the people living there. People are involved in the running of the home and consulted about their care and support. Practices in the home promote the health, safety and welfare of the people living there and staff. EVIDENCE: The manager is in the process of completing her registered manager award. She works supernumerary to the rota. People are consulted about the running of the home through the quality assurance questionnaires and through residents meetings. The manager is The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 23 aware that she needs to publish the results of the most recent quality assurance survey and make it available to people living in the home and their relatives. This will mean that people know what the home does well and what improvements they think could be made. Issues that are brought up by people at residents’ meetings tend to be addressed straight away. For example at the last meeting one person said that they could do with new mugs. These have been ordered. The registered proprietor is not completing monthly reports on the home. Formal visits to the home need to be completed every month. This will make sure that he can check that the home is being managed properly and find out the views of people living there, relatives and staff. The registered manager only holds money for some people living at the home and a written record of all income and expenditure is kept. The records seen were up to date and accurate with receipts available for all purchases. There is a written Health and Safety policy. Staff receive moving and handling, health and safety, food hygiene, fire safety, first aid and infection control training. The fire alarms are tested weekly. The service reports for the passenger lift and bath hoist were seen and were up to date. The portable hoist service is overdue. Staff said that they have made arrangements for this to be serviced. The Orchards DS0000001167.V341261.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 3 3 3 3 3 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 2 29 2 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 Orchards DS0000001167.V341261.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. 1 Standard OP9 Regulation 13 Requirement The manager must get a medication trolley so that medication can be taken to people safely and in its original container. This will mean that medication is managed safely. All medication received must be booked in giving details of the amount of medication, date received and the signature of the person who has received it. A brought forward system must be introduce for the ‘as required medication.’ This will mean that the balances of medication held at the home can easily be checked to make sure the medication records are accurate. The night staff must be trained to give out medication directly from the cupboard or trolley. This will make sure that staff know exactly what medication they are giving. Any new member of staff must have a criminal records bureau check in place. This will make sure that people are suitable and safe to work with older people. DS0000001167.V341261.R01.S.doc Timescale for action 01/09/07 2 OP9 13 01/09/07 3 OP9 13 01/09/07 4 OP29 19 01/09/07 The Orchards Version 5.2 Page 26 5 OP38 26 The registered provider must 01/09/07 visit the home every month and write a report about the conduct of the home. This will make sure that they know that the home is being run properly. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Orchards DS0000001167.V341261.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Orchards DS0000001167.V341261.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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