CARE HOMES FOR OLDER PEOPLE
Sheridan Care Home (The) 14 Durlston Road Parkstone Poole Dorset BH14 8PQ Lead Inspector
Trevor Julian, Catherine Churches & Christine Main Unannounced Inspection 9th June 2006 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 Sheridan Care Home (The) DS0000065206.V298996.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. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Sheridan Care Home (The) Address 14 Durlston Road Parkstone Poole Dorset BH14 8PQ 01202 735674 01202 735674 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) RYSA Ltd Mr Reshad Koussa Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (23) Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection First visit since change to a public limited company. Brief Description of the Service: The Sheridan cares for up to 23 people, who may have dementia or mental health problems, in an attractive converted house. It is set in a residential part of Poole in Lower Parkstone. The home has a large paved car parking area and a garden to the rear. The accommodation for residents in the home is over the ground and 1st floors with a passenger lift between. There are a variety of aids and adaptations around the building to allow residents to move about more independently. There are 19 single rooms and two doubles, fourteen of which have en suite facilities. There are additional communal toilets and bathrooms around the home. At the time of the visit the weekly fee levels were between £461-490. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection started on the 9th June 2006, Christine Main, a CSCI pharmacy inspector, visited the home on the 22nd June 2006. Another, follow up, visit took place on the 13th July and the inspectors looked at the teatime meal and afternoon staffing levels. Before the visit the owners had provided general information about the home, staffing and needs of the residents. Residents and visitors were also invited to provide their views of the home through comment cards. Responses were received from 10 residents helped by staff and relatives, 11 relatives, 3 healthcare professionals and 1 GP. The comments made are reflected within the report. The purpose of the inspection was to check performance against key standards and to monitor progress made in meeting the requirements and good practice recommendations made previously. Information was gathered through the review of pre inspection information, a tour of the premises, case tracking with examination of records and procedures, discussion with the owners, residents, staff and visitors. The pharmacy inspection included discussion with the senior carer and checking five residents’ medicines with the records to see if they were given as prescribed, stored and recorded correctly. What the service does well:
The files seen had completed care plans and assessments; photographs were included to aid identification for medication etc. Visitors said the home called for GP support whenever needed. There was evidence of basic nutritional assessments being carried out. Residents and visitors said they found the staff kind and thoughtful. They felt that residents were treated with dignity and respect. Visitors said they were always made welcome and they were offered refreshments. Food stocks were found in good order. Meals were unrushed and there was evidence that a good fluid intake was encouraged throughout the day. It was observed that there was a good supply of fresh fruit. Staff confirmed that residents were encouraged to eat fresh fruit, which was always available. Staff were aware of their responsibilities for responding to adult protection concerns.
Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 6 Mr Koussa did not manage the finances for the residents. Visitors said that they received invoices for any additional expenditure, e.g. hairdressing, chiropody. Records showed the home carried out the required fire safety checks and training. Specialist equipment had been serviced. Accident reports were used to record accidents, although the analysis needs to be improved to monitor for trends. What has improved since the last inspection? What they could do better:
Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 7 Before any new admissions an assessment was completed to ensure that the home had the ability to meet the needs of the prospective resident, it was noted that not all the topics were covered. The assessment should provide evidence of resident, or their representatives, involvement. Allergies to medicines need to be recorded on or with the MAR chart and care is needed to ensure that staff follow any special directions for administering medicines on the Medicine Administration Record (MAR) chart and / or in the patient information leaflet. At the end of the ground floor corridor there are three/four steps leading down to three bedrooms. It was noted that there was only emergency lighting directly by the stairs. The other lighting, to the side, would cause shadow over the steps, which is less than ideal for residents with dementia. Consideration should be given to installing white threshold strips to clearly mark the stair treads and the provision of a light, adjacent to the emergency light, to ensure adequate illumination in the area. These matters were addressed by the 12th July 2006. The rear garden leads out to the car park and then onto the road, this could place confused residents in danger. The external paintwork in several areas was very poor; some of the windows were not able to be shut. Some of the radiators were not covered and could result in burns to the residents. The home’s whistle blowing policy should include contact details for the Commission. There had been some problems with the laundry which had been resolved. 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. Sheridan Care Home (The) DS0000065206.V298996.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 Sheridan Care Home (The) DS0000065206.V298996.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a system of pre-admission process that could be improved to ensure that the resident or their representative, are fully included and aware of the outcome. EVIDENCE: Three files were examined and showed that preadmission assessments were completed before an offer of a placement was made. This was also confirmed by some of the visitors seen during the visit. The records did show that not all the topics were considered during the assessment process. It was noted that the original document was transcribed and this resulted in dates and signatures being omitted. It was recommended that the original assessment is not transcribed and that the assessment included an agreement from the resident or their representative. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning and reviews were in place to assist staff to identify care needs. The home works with community health teams to manage the residents’ health needs. The home has systems in place for handling and administering residents’ medication so that they are given as prescribed and correctly recorded but their medicines allergy status had not been recorded so residents were not fully protected. EVIDENCE: A sample of three files were examined, they contained care plans and assessments including local authority care plans as appropriate. There were photographs of the residents to aid in identification for staff when administering medication etc. There was no evidence of involvement of the resident or their representative in the process. This was also the case for one
Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 11 person who was using bedrails as a precaution; however, notes in the file did explain why no agreement had been possible. The daily reports showed good liaison with local community healthcare services. The reports also gave information on the care provided as well as social activity. There was evidence of weight checks being carried out; two visitors said they had noted a weight gain in their relative since their admission. Another person commented that they had observed the staff being trained in the use of a support belt to aid and maintain residents’ mobility. During the visit a community nurse was visiting two of the surgery’s patients for wound care; she said the staff called for support appropriately and then carried out any advice given. The comment cards received confirmed that the staff call for GP visits when needed. Visitors were very supportive of the staff confirming that people living in the home were treated respectfully. All parts of the medication requirement made at the last inspection were met. The medicines policy had been updated but it did not provide guidance for staff on recording Controlled Drugs and this should be added. Medicines were stored securely and the trolley was secured to the wall. There was a separate fridge for medicines and the inspector saw daily records of the maximum and minimum temperatures, which were in the correct range. A sample of five residents’ medicines with their MAR charts were checked. The directions on the MAR charts agreed with the labelled medicines. Medicine allergies or ‘none known’ where applicable were not recorded on the MAR chart. When a choice of dose was prescribed staff had recorded the dose they gave. The balance of Temazepam remaining was recorded when it was given and the number in stock agreed with the records. The audit trails for medicines in the monitored dosage blister packs and in manufacturer’s packs agreed with the records indicating that medicines were given as prescribed and recorded. Three residents were on a medicine for osteoporosis that should be given in the morning 30 minutes before any food or drink other than water. This medicine was being given at lunchtime and the inspector was told that this was because one resident had difficulty taking medication in the morning. The pharmacy had printed clear instructions on one MAR chart but not on the others. The others were labelled to follow the instructions in the pack. The senior carer checked with the GP, who confirmed that this medicine should be given first thing in the morning, and the MAR charts were amended. The inspector checked the records for one relatively new resident. The handwritten MAR chart was clear and entries countersigned to confirm they
Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 12 were correct. The quantities of each medicine received were recorded. Changes to medication were clearly recorded on the MAR chart and in the records of contact with health professionals. The inspector was able to follow the audit trail for one of the medicines. The manager had audited medication and the inspector saw records of the outcome indicating that medicines were given as prescribed. The inspector was told that all staff who give medicines have done a medication course and evidence for two of them was seen. The home had patient information leaflets on medicines for staff to refer to. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 &15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was developing activities and pastimes to provide stimulation and choice for the residents. Residents were encouraged to maintain their family and social contacts in order to maintain their sense of involvement. The meals seen provided residents with choice and variety and they were encouraged to maintain a good intake of food and drink. EVIDENCE: At the time of arrival at the home the residents were beginning to congregate in the main lounge area for their morning snack which was followed by quiz and football discussion about the world cup. There was a good two way interaction between the residents and Mr Koussa who was running the session. The social histories were recorded on the files seen. Since the last inspection, the owners had attended a course on activities for people with Dementia. They were looking to book other members of staff on
Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 14 similar courses in order to provide a varied activity programme. A weekly programme of activities was posted on a noticeboard in the main hallway. There had been issues raised in the past about residents being got up early in the morning, Mr Koussa reiterated that was no longer carried out and residents got up when they wanted, this was confirmed by the records seen however a daily task sheet for the staff seemed to instruct staff to get people up early. The matter was discussed with Mr Koussa who insisted that it was only interpretation and he would rewrite the task sheet to resolve any ambiguity. During the visit the home was busy with several visitors were coming and going. One resident was taken out for lunch with his family. All visitors said they could visit at various times of the day and were offered refreshments. During the afternoon some of the residents were able to sit out in the garden. Concerns were expressed that drinks were not always encouraged enough; during the visit it was observed that drinks were being provided and the residents prompted and assisted as needed. The mealtime was relaxed and the residents were not hurried; one person did not seem to want the meal offered but she did eat the alternative offered. Residents were offered seconds. A check of the food store showed the items were well kept, the items seen were all within their “use by” dates. There were bananas, grapes and pears and these had been offered during morning coffee. There was a choice of brown and white bread. During a visit to monitor the evening meal some residents were sat in the dining room waiting for the meal to be served. They said they looked forward to the meals, one said he was a diabetic and his diet was adjusted accordingly. It had been a hot day and they both said they had been encouraged to drink plenty. The whiteboard in the dining room identified a choice of four items for the evening meal. Some people were described as having poor appetites and a number of them were given “Weetabix” which they clearly enjoyed. Several people had several of the options available and seconds were offered. Several people were helped with their meals this was carried out in a relaxed and unhurried manner. Food stocks were again found to be appropriate and in good order. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. In order to help to protect the residents the home had procedures for responding to complaints and allegations of abuse. EVIDENCE: Information on the complaint procedure was available in the residents’ contracts and on display in the entrance hall. The complaints log was not viewed on this occasion. Since the last inspection the owners have attended local authority training on responding to allegations of abuse. The home had a whistle-blowing policy however it did not include contact details for the Commission. Adult protection was discussed with one member of staff who was aware of his responsibilities. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 16 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The condition of the premises could be improved to help maintain the residents’ safety. The home was clean and well-aired providing the residents with a comfortable environment. EVIDENCE: The home comprises the original and extended building. The original areas were in the need of some renovation with external paintwork in a poor condition and some windows not able to be shut properly. The internal decoration was of a reasonable standard. At the end of the ground floor corridor there are three/four steps leading down to three bedrooms. It was noted that there was only emergency lighting directly by the stairs. The other lighting, to the side, would cause shadow over the steps, which is less than
Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 17 ideal for residents with dementia. Consideration should be given to installing white threshold strips to clearly mark the stair treads and the provision of a light, adjacent to the emergency light, to ensure adequate illumination in the area. This work had been completed by the visit of the 12th July 2006. At the time of the visit work was underway to upgrade the heating in the home, several radiators had been positioned and were waiting the heating engineer to complete the installation. It was also observed that some of the existing radiators were not covered which could result in burns to the residents. Risk assessments relating to hot water temperatures and hot surfaces were not reviewed during the visit. There were gardens to the rear and side of the property and several residents were outside during the afternoon enjoying the sunshine. The garden was open to the car park and public road which could place confused residents at risk. During the visit the home was found to be clean and there were no unpleasant odours. The cleaner works in the home five days a week with care staff; she said she had worked in the home for some time and enjoyed the role adding that each room was cleaned daily. During the tour of the premises it was noted that some items of clothing had been washed incorrectly resulting in the colours running from coloured laundry to the whites. It was also noted that some items in wardrobes were soiled and in need of cleaning. The home had contracts for trade and clinical waste collection. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was staffed appropriately to meet the needs of the residents. The home’s recruitment practice helped to ensure that the residents were cared for by suitable staff. Staff training showed improvement but still required further development in order to ensure that staff have the relevant specialist knowledge. EVIDENCE: At the time of the inspection the home was staffed by three care workers, the deputy and registered manager, a cook and the cleaner. This was appropriate to the needs of the residents. The staffing roster showed an increase of care staff since the last inspection. Staff files for four members of staff were examined and each contained the required clearances, references and identification documents. Two of the files were for overseas workers and they contained current work permits. The files also confirmed that staff had or were working through induction training. During the past twelve months staff have attended training courses in First Aid, Food Hygiene, Medication, Client Handling, Understanding Dementia,
Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 19 Infection Control, Fire Safety and Adult Protection. Future training was also being planned. Staff in the home had not been nominated for NVQ level 2 or equivalent; Mr Koussa explained that the staff recruited from overseas had equivalent qualification to NVQ 3 in care although there was no documentary evidence to support this. Advice was given to ensure that the owners verify qualifications claimed by staff from overseas to determine their equivalency to UK National Training Organisation (NTO) training standards for care staff. Verification can be obtained from the National Recognition Information Centre for the UK on www.uknrp.org.uk Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a settled management team providing a stable structure. The home has a system for seeking the views of the residents to help to run the home in their best interests. The home protects the residents from financial abuse by not being involved in their financial matters. Safety systems were in place for the protection of residents and staff. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 21 EVIDENCE: Mr Koussa has operated the home for a number of years; he advised the inspectors that he had achieved NVQ level 4 but the training provider had not provided the certification. Since the last inspection, he had attended a specialist training course on the subject of activities for people with Dementia. Inside the main hallway was a folder containing the results of quality assurance surveys and the resulting action plan. Visitors said they were able to raise concerns with the staff and owners. The staff files seen showed there had been supervision started and on track to achieve the target of 6 sessions during the year. Mr Koussa said he did not manage the finances for any resident, any additional expenditure was paid by the home and then recovered by invoicing the person responsible for that residents’ finances. Two visitors to the home confirmed this process. Fire records were checked and showed that fire safety equipment was checked and serviced at the correct intervals. The staff training records were not well organised but it appeared that the staff had received fire safety training at the required intervals. The premises fire risk assessment was reviewed in July 2005. Accident reports were checked. The need for effective analysis was discussed with Mr Koussa. This will allow trends to be identified and acted upon sooner. One report examined did not fully explain what had happened. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 12 Requirement Timescale for action 30/09/06 2 OP19 23 3 OP33 24 4 OP9 13(2) All residents must be appropriately cared for. Staff must either assist or facilitate daily washes, shaves and maintain oral hygiene, supplementing these with baths and hair washes. Residents / staff must have access to sufficient – and personal – toiletries and towels of good quality. • The home must be kept in 30/09/06 a good state of repair externally and internally. • External areas, which are accessible to residents, must be safe and properly maintained. Policies and procedures must be 31/10/06 kept up to date in order to promote and make proper provision for the health and welfare of residents. The registered person shall make 31/07/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received in the care home including:
DS0000065206.V298996.R01.S.doc Version 5.2 Sheridan Care Home (The) Page 24 a) Recording allergies to medicines or ‘none known’ where applicable on or with the MAR chart. b) Ensuring that special directions for administering medicines are followed. 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 3 4 5 Refer to Standard OP3 OP28 OP18 OP30 OP38 Good Practice Recommendations The pre-admission assessment be signed by the resident or their representative to confirm their involvement. It is recommended that 50 of care staff have an NVQ qualification in care at level 2 by 2005 or equivalent. The home’s whistle-blowing policy should include contact details of the Commission. The registered person should ensure the ongoing training programme is developed to ensure the staff in the home retains appropriate skills. The accident reports should be analysed to monitor for trends. Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 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 Sheridan Care Home (The) DS0000065206.V298996.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
