CARE HOMES FOR OLDER PEOPLE
The Poplars Nursing Home 66 South Road Smethwick West Midlands B67 7BP Lead Inspector
Mrs Jean Edwards Unannounced Inspection 23rd February 2006 07:55 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 Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 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 Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service The Poplars Nursing Home Address 66 South Road Smethwick West Midlands B67 7BP 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) 0121 558 0962 0121 558 4128 Mr A Billingham Gillian Williams Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. One service user identified in the variation report dated 29.12.04 may be accommodated at the home in the category of PD. This will remain until such time that the service users placement is terminated or until the home can continue to meet the service users needs. Date of last inspection 04/07/2005 Brief Description of the Service: The Poplars Nursing Home is a substantially extended property, currently registered for 35 older people requiring nursing care. The premises were originally two Edwardian houses, which were converted to provide the accommodation. The home is located close to Smethwick town centre and within easy access to local amenities including public transport. The property stands in its own grounds, with ample car parking at the front, with two tiered gardens to the rear. The communal accommodation is provided on the first floor and comprises: lounge, dining room, conservatory and quiet room. Laundry and catering are on the ground floor with a maintenance area in the basement. The service users’ bedrooms are located on the ground and first second floors. There are 21 single rooms, of which 7 are en-suite, and 7 shared bedrooms. There are a number of communal bathrooms with assisted bathing and showering facilities over two floors. Toilets are situated throughout the home and close to communal areas. The first floor can be accessed by a passenger lift, located off the foyer. The Home has a staff team of 43 people, including the Registered Manager. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection visit was undertaken by two Inspectors from the Commission for Social Care Inspection, over one day, using the following methods to obtain evidence and make judgements: information supplied by the home such as the action plan in response to the announced inspection on 4 July 2005, monthly reports from the group manager relating to the conduct of the home, and records held at the home. During the visit the inspectors spoke to the majority of the 35 residents who are currently living at the home. The Registered Manager, Group Manager, and Deputy Manager have taken an active part in the inspection process. Discussions have taken place with residents, visitors and members of care staff, their comments are generally very positive. Comments received also commend the social events, catering and caring staff team. The Inspectors toured the building, looking in particular at the kitchen, laundry, bathing facilities, communal areas of the home and a sample of residents’ bedrooms, with their permission. What the service does well:
The registered manager has responded to the previous inspection report with a comprehensive action plan, giving dates for the required improvements to be put into place. The majority of improvements from the last inspection visit are now in place. The manager and staff make sure that each resident and as appropriate their relatives are involved in the plan of how their care is to be provided. The home continues to have excellent relationships with the local GP and other health care services, which provide support for the residents at The Poplars. The residents at The Poplars are encouraged and supported to help in a Police training initiative to interview vulnerable adults. During this visit a small number of residents have enjoyed their experience of taking part in video interviews as a training exercise for police officers, using the homes quiet room. The meals are thoughtfully and well prepared. Special diets are prepared and served in a way, which tempts people to eat, and those people needing to be fed have their meal first with sufficient staff available to be able to sensitively offer people help and assistance on an individual basis. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 6 The Poplars has a stable staff group who are aware of the residents’ needs and preferences. They are caring, committed and flexible, often willing to work extra shifts, especially to support residents with outings in trips away from the home. Residents talk about the staff as being happy, friendly and helpful. There were lots of friendly exchanges between staff and residents throughout the day. During this visit staff have continued to demonstrate a dedicated approach to their work; they clearly know residents’ likes and dislikes and how to meet their needs. They have been keen to share views and have answered any questions in an open and honest manner during an open forum with one of the inspectors. The home provides placements for students in nurse training, which prove beneficial both to the student and to the residents. Additionally the home is proactive in ensuring that all trained nurses have access to regular clinical updates. The organisations business plan for The Poplars identifies replacements for chairs and beds and new carpet has been ordered for the small lounge. The Poplars continues to maintain excellent standards of cleanliness. The home is tidy, homely and comfortable. Visitors have commented that they are very impressed with the standards of hygiene. This inspection was conducted with full co-operation of the Registered Manager, staff and residents. The atmosphere through out the inspection was relaxed and friendly. The Inspectors would like to thank staff, and residents for their hospitality during this inspection visit. What has improved since the last inspection?
Improvements have been made to the small sample of residents records, where there were minor omissions at the previous inspection. For example the risk of residents falling is now assessed and recorded; and there are records to show that each person is weighed on consistent basis. The organisation has taken action to organise the refurbishment of the main kitchen. The contractors have visited the home during this inspection visit and arrange to commence work in two weeks time. The registered manager discussed alternative catering arrangements for the week that the main kitchen would be out of action, identifying the room, which could be used to ensure that appropriate meals can continue to be provided for the residents. Attractive new tablemats have been provided, together with new cutlery, which is a better size for residents to manage.
The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 7 Improvements have been made to health and safety for example the home now undertaking regular visual checks of the slings used with the hoists, with records kept. In addition additional hoists have been purchased, increasing the number in the home to six, to assist with moving and handling resident safely. The number of care staff with an NVQ to level qualification has increased to 65 , which is a real achievement for many people who have not previously achieved academic success. The increased level of knowledge and skills will prove beneficial to the residents living at The Poplars Nursing Home. 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 Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 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 Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards have been assessed at the inspection visit on 4 July 2005 and were satisfactory. EVIDENCE: The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 There is a clear and consistent care planning system in place to provide staff with the information they need to satisfactorily meet residents needs. The health needs of residents are well met with evidence of very good multi disciplinary working taking place on a regular basis. EVIDENCE: From assessment of a sample of residents case files there is evidence that the home continues to provide very detailed and comprehensive care plans for each person, based on assessed needs. It is evident from discussions and records that care plans are developed in conjunction with the resident and their relatives, with signatures in place to indicate agreement. One person has a letter on file indicating the arrangements in place with relatives, living a distance away, to enable them to continue to be involved and agree the reviews of the plan of care. On the sample of residents’ care plans there are records of the persons preferences for their daily routine, for example rising, retiring, and bathing. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 11 There are generally good risk assessments in place and appropriately recorded health care screening assessment tools completed for each person. Discussions have taken place about behaviours presenting from a resident who was recently admitted to the home after hospital stay. This person can display verbal and physical aggression towards some members of staff. Currently the care plan does not contain guidance staff as to how to deal with the situations. The care plan needs to be expanded and behaviour monitoring charts devised, implemented, monitored and evaluated. Documentation relating to the health care checks provided for older people continue to be satisfactory and demonstrates that all regular checks have been offered, whether or not they had attended or what the outcome has been. Record sheets for health review, dentist visits, optician visits, chiropodist visits, medication reviews are available on the sample of residents case files assessed. Medication administered by the Deputy Manager during the visit has been observed and demonstrates good practice. Completion of medication records (MAR sheets) is satisfactory and monitoring arrangements of stock levels continues to demonstrate good practice. Support is given to the residents to be well groomed and dressed as they wish, with ladies wearing their jewellery according to their preference. There are records of each person’s preferred name, and all staff address residents in a respectful manner. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 The majority of these standards have been assessed at the inspection visit on 4 July 2005 and were satisfactory. Good contact is maintained with family and friends for the majority of residents and there is evidence that residents are supported to exercise control and make decisions about their lives. EVIDENCE: There is evidence that the manager encourages residents, wherever possible to retain their independence to retain some control over their own financial affairs. Decisions regarding the management of residents financial arrangements are documented. Additionally the home proactively provides information about independent advocacy services, this can be found in the foyer. There is evidence from the tour of the premises and assessment of residents case files that people are encouraged to bring their personal possessions into the home if they wish, subject to health and safety considerations. These decisions are generally documented as part of the admission process, there are completed inventories held on the sample of individuals files assessed. However the previous requirement to complete the inventory for DD, ensuring
The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 13 all inventories are signed and dated remains partly met, because the inventory needs to be properly signed and dated. Residents dietary needs continue to be well met. Jugs of cold drinks are available in communal areas and bedrooms, and members of staff have been observed proactively encouraging residents to have a good intake of fluids. Hot drinks are regularly offered throughout the day and are available during the night as required. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 The home has a satisfactory complaints system with good evidence that residents and relatives feel that their views are listened to and acted upon. There is evidence that residents are supported to exercise their rights as citizens. EVIDENCE: The Home has a complaints procedure, which is displayed in the reception area and contained in the service user guide. There are no recent complaints. The Home has a copy of the Local Authority multi-agency Adult Protection policy and procedure and has developed its own policies and procedures relating to the protection of vulnerable adults, dealing with aggression, use of physical / non-physical intervention; whistle blowing, dealing with residents finances and there is a copy of the Public Disclosure Act available. Discussions have provided evidence that the manager and the homes administrator proactively facilitate each persons right to vote if they wish. There is evidence that residents are enrolled on the electoral register and have a proxy or postal vote to allow them to vote in elections. The manager continues to regularly raise staff awareness of non-physical intervention strategies through supervision sessions and training. During discussions staff have demonstrated a competent understanding and awareness of issues relating to protection of vulnerable adults. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 15 During the inspection the local police visited the home to seek assistance from residents willing to be interviewed as part of the training exercise for police officers using video interviewing techniques. The residents who participated obviously enjoyed this activity. The initiative is obviously fostering good relationships between the home and the police as well as benefiting police officers and staff from the home. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,26 These standards have been assessed at the inspection visit on 11 July 2005 and were satisfactory. The standard of the décor within this home is good with evidence of improvement through proactive planning and continuous maintenance. This is an attractive and comfortable environment for residents. EVIDENCE: The Poplars Nursing Home, originally two Edwardian houses, is a substantially extended property, currently providing accommodation for up to for 35 older people requiring nursing care. The major refurbishment over the past two and a half years has greatly improved the décor and fixtures and furniture are provided to high standards. The property stands in its own grounds, with ample car parking at the front, and tiered, well-tended gardens to the rear. During a brief tour of the premises a sample of residents’ bedrooms has been viewed, with their permission. One person has stated she did not wish her room to be viewed, and her wishes have been respected. Bedrooms are
The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 17 furnished appropriately according to the needs of each person. They are tastefully decorated and it is evident that people are encouraged to personalise their rooms with their own possessions, pictures, mementos and furniture. Minor improvements are required to repair the defective locks two toilet doors on the ground floor. Incontinence pads must not be left out in toilets and lists of residents incontinence products must not be left on display. All personal information must be held in compliance with the data protection act 1998. Prescribed cream belonging to a resident no longer at the home (HH) in toilet no.1 has been removed and discarded during the inspection day. The homes main kitchen is in good order, clean and tidy and well organised. The manager states that there are plans to refurbish the homes main kitchen and in the course of this inspection day the contractor has visited and arranged a date for the work to commence in two weeks time. The manager discussed arrangements she has in mind to ensure that all residents are able to receive food to meet their dietary requirements, utilising a room across the corridor from the main kitchen. The home continues to maintain good standards of cleanliness and there were no malodours discernible during this visit. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 These standards have been assessed at the inspection visit on 11 July 2005 and were satisfactory. This home continues to maintain stable substantive staffing levels and there is strong commitment to staff training and development, which results in residents receiving good and consistent care. EVIDENCE: Assessment of staffing rotas during this visit demonstrates that the home continues to maintain satisfactory staffing levels. The registered manager has documentary evidence of her monthly reviews of staffing levels, using Department of Health Residential Forum Staffing Tool, taking account of the occupancy and dependency levels of residents accommodated, which is good practice. The Home has a stable staff team of 41 people including 25 care staff, 4 catering staff, 2 domestic staff, 2 laundry staff, 1 activities co-ordinator, 1 gardener 1 maintenance staff, 1 administration staff, 5 first level nurses and the Registered Manager. Two staff have left the home’s employ since the last inspection visit in July 2005, for valid reasons. There are currently no staff vacancies. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 19 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35,36,37,38 The registered manager and trained nurses are effective in providing leadership and good clear communication systems throughout the home and staff demonstrate a good awareness of their roles and responsibilities. The systems for resident consultation at The Poplars Nursing Home are good with a variety of evidence that indicates that residents’ views are both sought and acted upon. EVIDENCE: Ms Gill Williams has been the Registered Manager at The Poplars since the change of ownership of the home in July 2002. She is a RGN (Registered General Nurse), with an NVQ 4 Award, Registered Managers Award (RMA), specialist nurse training ENB941: Care of the Elderly and ENB931: Care of the Dying; and she holds the NVQ Assessors Award. She has many years of nursing experience, including the management of nursing homes. It is evident that she continues to update her training and personal development.
The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 20 Residents, staff and visitors consulted feel that the manager is approachable, supportive and people feel that they are able to air their views in an open manner. There are clear lines of accountability within the home, with Gill Williams, the Registered Manager in day-to-day control of the home and a designated Group Manager representing the Responsible Individual Mr A. Billingham. The group manager provides supervision, support to the registered manager and monitors the conduct of the home through monthly unannounced Regulation 26 visits and reports. There is a structured formal supervision system for all staff. Supervision sessions are used to identify training needs, personal development. The home currently provides support for a small number of residents to manage their finances, providing temporary safekeeping for small sums of money. Two residents have appointees, supported by the Local Authority. A random sample of balances and records assessed are satisfactory, with two signatures and numbered individual receipts, which is good practice. Record keeping at the home continues to improve, achieving high standards, with only very minor improvements required at this visit. For example all personal information must be held, stored and disposed of in accordance with the Data Protection Act 1998. A sample of mandatory training records, fire safety and maintenance documentation examined is satisfactory. The accident records examined are satisfactory. There have been 36 accidents involving residents since July 2005. The Manager undertakes a regular documented accident analysis each month, which is used to identify trends and instigate reviews / reassessments and corrective action as required. There are a small number of health and safety improvements needed, which have been raised at this visit. For example there is no COSHH information on decanted hard surface cleaner and an aerosol of air fresher has been left in ground floor toilets. A further improvement required relates to the lack of a documented asbestos risk assessment; this must be undertaken by a competent person, with any recommendations actioned to comply with recent health and safety legislation. The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X X X 2 X X X X X STAFFING Standard No Score 27 3 28 4 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X X 3 3 2 2 The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? 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 OP7 Regulation 13(4) 15(1) Requirement 1) To devise a care plan and written guidance for staff relating to behaviour, which may challenge the service (DB) 2) To implement behaviour monitoring charts for (DB) To complete the inventory for DD, (met) ensuring all inventories are signed and dated (Timescale of 31/07/05 Not Fully Met) 1) To include the refurbishment of the homes kitchen in the maintenance/refurbishment programme within an identified timescale (Timescale of 31/05/05 and 30/09/05 Not Fully Met) - stated due Mid March 06 2) To make good the area of flooring in the kitchen which has been damaged, as an interim measure (Timescale of 31/05/05 and 30/09/05 Not Fully Met) - stated due Mid March 06 1) To repair or replace defective
DS0000045087.V284098.R01.S.doc Timescale for action 01/03/06 2. OP14 17(2) 01/04/06 3. OP19 23(2) 01/05/06 4. OP21 23(2) 01/03/06
Page 23 The Poplars Nursing Home Version 5.1 locks on ground floor toilet doors 2) To remove spare incontinence products from communal toilets in compliance with good infection control practice To revise and update staff 01/04/06 contracts to include references to abuse / gross misconduct and the potential for referral to the POVA Registers (Timescale of 31/08/05 Not Fully Met) To remove personal information 01/03/06 relating to prescribed incontinence products from communal toilet / bathing facilities in compliance with the Data Protection Act 1998 1) To ensure any decanted 01/03/06 chemical products are labelled with full data in compliance with COSHH Regulations 1999 2) To ensure all chemical products are stored securely at all times in compliance with COSHH Regulations 1999 8. OP38 13(4) To arrange a documented asbestos risk assessment by a competent person, with any recommendations actioned 01/04/06 5. OP29 17(2) 19(1) 6. OP37 17(1) 7. OP38 13(4) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP9 OP9 Good Practice Recommendations That up to date accredited medication training be provided for all staff involved in the administration of medication including trained nurses That clarification is sought that the oxygen notices
DS0000045087.V284098.R01.S.doc Version 5.1 Page 24 The Poplars Nursing Home supplied by the pharmacy are correct H & S warning notices The Poplars Nursing Home DS0000045087.V284098.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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