Inspection on 31/08/06 for The Stables

This inspection was carried out on 31st August 2006.

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 Stables 01/11/05

The Stables 19/04/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Stables The Stables Castle Road Hartshill Warwickshire CV10 0SE Lead Inspector Patricia Flanaghan Key Unannounced Inspection 31 August & 4 September 2006 11:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Stables DS0000062042.V310710.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 Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Stables Address The Stables Castle Road Hartshill Warwickshire CV10 0SE 02476 392352 02476 392535 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) Mrs Catherine L Arnold Mrs Catherine L Arnold Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All service users admitted to The Stables must require no more than one carer to meet their needs, unless additional staff are provided. Service users admitted in the age range 55-64 must not have severe physical disabilities nor should they have been diagnosed with dementia. 1st November 2005 Date of last inspection Brief Description of the Service: The Stables is a purpose built three bedroom bungalow which cares for three people, two of which are elderly. There are three bedrooms all with ensuite facilities. The rooms also have a telephone, TV and radio. There is a communal bathroom which contains both an assisted shower and bath with hoist to assist the less mobile residents. There are four toilets in total within the home. The entrance and garden to the Stables have recently been developed providing a parking area for visitors. This has also resulted in residents having two patio areas where they can sit out in Summer months looking out onto the fountain in the centre of the garden. There is a church close by to the home and other amenities can be accessed with the assistance of the manager and staff. At the time of this inspection the fees ranged from £425.00 to £501. Additional charges are made for chiropody, hairdressing and personal toiletries. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. This unannounced inspection visit took place over two days on Thursday 31st August between 12.15 pm and 4.30pm and Monday 4th September between 11.30am and 6.00pm. The registered manager of the home completed and returned a questionnaire containing further information about the home as part of the inspection process. Some of the information contained within this document has been used in assessing actions taken by the home to meet the care standards. In addition surveys were completed by the three residents and three relatives. One resident commented that “This is a lovely home from home, with love and care for everyone here irrespective of age or infirmity. We all improve daily.” A relative stated that “Everything possible is being done to give a first class quality of care.” Another relative wrote “….we are always encouraged to visit or contact our relative by whatever means at our disposal. I can’t thank The Stables enough for providing my relative with a level of care second to none and providing me with peace of mind knowing my relative is receiving the best care possible.” During the inspection the care of the 3 residents was “case tracked” in order to assess whether their personal and healthcare needs were being fully met by the home. Assessment and care planning information was seen as well as daily notes. The medication administration and accompanying records were checked. Various documents were seen in order to check compliance with health and safety requirements. The inspector had the opportunity to meet and speak with all of the residents by spending time in communal areas of the home and also speaking to them in private in their own rooms. A discussion was held with a visitor to the home and a telephone conversation was also held with a relative. Both expressed satisfaction at the high quality of care received by their relatives. The working practices and staff interaction with residents was observed during the inspection. The inspector would like to thank staff and residents for their cooperation and hospitality. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The manager has worked hard to ensure that requirements raised at the last inspection visit in November 2005 have been actioned. The hall, kitchen and lounge has been repainted. Radiator covers have been fitted to all the radiators reducing the risk of burns to residents and staff. The patio area has been re-laid and extended providing car parking for visitors. The laundry room has been redesigned and hand wash sink for staff has also been fitted to minimise the risk of cross infection. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 7 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 Stables DS0000062042.V310710.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 Stables DS0000062042.V310710.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): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home which will meet their needs. Residents are assessed prior to their admission to the home so that staff can be sure they can meet the resident’s needs. EVIDENCE: A Service User Guide and a Statement of Purpose which give details about the care and services provided by the home are available. The manager has worked hard to ensure that the service user guide contains full details about the home and is in a format suitable for the client group the home is registered to care for. The guide is given to prospective residents and their families to help them decide whether to stay at the home. A copy of the service users guide has been given to all residents and this was seen in individual bedrooms. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 10 The admission process of one of the residents who had recently been admitted to the home was examined in detail. This resident and his relative confirmed that they had visited the home to determine its suitability prior to the resident moving in. They both also confirmed that the resident is living at the home on a trial period before deciding to move in permanently, although the resident said he knew immediately he would like the home and stated that “this is the home for me.” The manager had completed a comprehensive pre-admission assessment of the resident’s needs. Examination of the information in the care plans showed that relevant information had been collected in order to make an informed assessment of their care needs. The care plans were written using the information from the initial assessment. The Stables DS0000062042.V310710.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care which a resident receives is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The care planning documentation of all three residents were examined in detail. There was evidence that the manager and staff have worked hard to meet the requirements raised at the last inspection in respect of care planning documentation. Care plans and risk assessments are regularly reviewed and updated, ensuring residents’ changing health care needs are monitored and acted upon. There was no evidence that the resident had been involved in drawing them up. The resident’s life history and their specific likes and dislikes in relation to diet and daily routine had been detailed. All the files sampled included manual handling and falls risk assessments and where any risks had been identified there was a corresponding care plan. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 12 A risk assessment for a resident who likes to leave the home daily for a social visit had not been completed, although the manager is aware of where he goes and the time he is due back. Residents in the home have access to regular optician, dental and chiropody services and the home currently uses a local GP surgery. Residents spoken with said they felt their health care needs were being met and said they could see healthcare professionals whenever they chose. On the first day of the inspection the manager took one of the residents to a specialist dentist for treatment. Appropriate recordings were made in the professional visits section of the care planning documentation. There is evidence in the care plan of general health care information and nutritional screening. Examination of the storage and administration of medication demonstrated that medication is stored safely and securely and only administered by designated and trained staff. Medication is stored in a locked cabinet in the kitchen of the home. The manager should monitor the temperature of the kitchen as medication should be stored below 25°C at all times to guarantee the stability of the medicines within the cabinet. The home have a designated refrigerator for storage of medication. There was no maximum/minimum thermometer present in the fridge and as a consequence the maximum/minimum temperature of the fridge was not being monitored on a daily basis. Out of date Lyclear (2005) cream was being stored in the fridge as well as aqueous cream for a deceased resident. These should be returned to the pharmacist for destruction. A carer was seen to comply with the home’s medication procedures. For example, on the first day of the inspection a resident had been prescribed a nasal cream by a hospital consultant which was dispensed by the hospital pharmacy. The carer checking in the medication examined the patient information leaflet and saw that the cream contained peanut oil. The carer was aware that the resident was allergic to nuts and immediately drew this to the manager’s attention. Arrangements were immediately made for an alternative cream to be prescribed and collected from the pharmacy. Residents spoken with confirmed that their privacy was respected at the home and that staff always knock before entering their rooms. All personal care giving takes place in private. The Stables DS0000062042.V310710.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to participate in social activities and are being given choices in how their care is delivered including choices of meals provided to maintain their quality of life. EVIDENCE: Residents spoken to were happy with the level of activities provided which included board games, reading, listening to music and watching videos. Care plans include an assessment of their social interests. Residents and staff confirmed that they visited local beauty attractions, such as Bourton on the Water, on a regular basis, weather permitting. A resident also confirmed that the manager takes him to a local nature reserve on a one to one basis. A weekly activity programme is displayed in the kitchen and photographs of residents enjoying social activities were seen. For example, the home had held a ‘Sports Day’ the weekend prior to the inspection visit. Residents said that their visitors are welcome at any time. There was one visitor during the course of the inspection who said that she is always made to feel welcome at the home. One resident regularly leaves the home for a lunch time social gathering at a local club. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 14 The manager is aware of the time he is due back and an appropriate risk assessment should be developed. The manager takes another resident to visit a friend in Coventry every fortnight. Both residents said they are grateful for the help the manager and staff give them in maintaining contact with friends and family. Children from the local school visited at Christmas and entertained the residents. Spiritual needs of residents are given a high priority. It was seen that two residents had a specific religious need identified on their care plans and these had been met. The information provided to residents about the home includes details about how activities are organised including that some may incur an additional cost to the resident. Residents stated that they were very happy with the food provided and the choices available. During the inspection, staff made drinks frequently for the residents and also prepared refreshments for the visitors to the home who were made welcome on their arrival. A sample of menus were examined and these demonstrated that a wholesome and nutritious diet is being provided on an ongoing basis. Staff were aware of residents likes and dislikes and those that required a special diet. Meals are seen as a social occasion where residents chat to each other and staff. The table is attractively laid with matching cutlery and crockery. The inspector had lunch with the residents and this was tasty and appetising. All meals are freshly prepared and fresh vegetables and fruit are readily available. For example, the green pea soup had been especially prepared and cooked for lunch that day. Residents have their main meal in the evening and all three residents confirmed that this is their preference. All residents said they were very satisfied with the meals in the home, with one resident commenting that “the food is out of this world.” The kitchen was extremely clean and tidy. Cleaning records are kept and were up to date. The refrigerator was well organised and all opened foods had been appropriately covered and labelled with contents and date. Refrigerator and freezer temperatures are taken and records maintained. A recent visit from the Environmental Health Officer had awarded the home a ‘Good Hygiene Catering Award’. The Stables DS0000062042.V310710.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: The home has in place appropriate policies and procedures for the protection of vulnerable adults. The complaints procedure is provided in the Service Users Guide which is available in the reception area as well as in individual residents rooms. Two residents said that there is nothing to complain about in the home and that they have never had to make a complaint, but if they did they knew “it would be sorted immediately.” No complaints about the service have been received by the home or the commission since the last inspection. The manager was aware of her responsibilities in relation to adult protection. Adult protection policies and procedures are in place and staff attended training in December 2005. The Stables DS0000062042.V310710.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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The Stables has a communal lounge/dining area, which has been decorated to high standards and has been repainted since the last inspection. A homely environment had been maintained with good quality furnishings and fittings. All rooms have en-suite facilities and there is also a communal bathroom, which has a bath with specialist chair as well as a walk in shower. Both facilities are suitable for those residents who may have mobility difficulties. The lavatory and washing facilities within the home are extremely clean. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 17 The residents bedrooms have been decorated to high standards and residents said they were comfortable in their rooms. Each contained a range of personal items belonging to the resident including small items of furniture and all were decorated and maintained to a high standard. Rooms have a secure space in which to hold valuables or money if residents choose to manage their own finances. Residents have their own telephone in their room and are responsible for their own telephone bills. The heating, lighting and ventilation in the home was comfortable and appeared to meet the needs of the residents. Water temperatures checked were appropriate. There was ample outdoor space for the residents with areas of shrubs and flowers and paving. Seating was available in the grounds for residents to use. The laundry room was clean and hygienic. The laundry area has been re designed since the last inspection to ensure a dirty to clean flow of laundry thus reducing the risk of cross contamination. Hand washing facilities have been provided since the last inspection and the storage area for laundered linen and clothes was tidy and clean. Disposable gloves and aprons are readily available and used by staff when handling soiled linen or when undertaking personal care tasks. The Stables DS0000062042.V310710.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were sufficient numbers of staff on duty on the day of inspection. Staff training is ongoing to ensure staff are competent to meet the needs of residents. EVIDENCE: On both inspection days the owner/manager and a member of staff were on duty. The manager undertook care duties while the other member of staff concentrated mainly on the cooking. There are 2 care staff on duty each day, including the manager and one person at night which is in accordance with agreed staffing levels. At the time of this inspection, one member of staff was on holiday, which had meant the manager was covering more shifts. Discussion with the manager and the staff member on duty plus samples of staff training certificates confirm that staff are provided with a good range of training, including health and safety related subjects as well as NVQ qualifications. Staff have also received training in adult protection, medication and diversity. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 19 There have been no new members of staff employed since the last inspection visit, although the manager is currently advertising for 2 vacancies. Staff records viewed contained all of the records required to confirm that staff had been fully checked prior to their appointment and deemed safe to work with the residents. Staff had signed to acknowledge that they had received a copy of the General Social Care Council’s Code of Conduct. The manager should ensure future applicants supply a full employment history and that she keeps records of the interviews undertaken to include any discussions about gaps in employment. The Stables DS0000062042.V310710.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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure the home is run in the best interests of the residents and to ensure the health and safety of the residents is protected. EVIDENCE: The owner/manager has over 28 years experience working in a care setting and is suitably qualified to manage the home. She has recently attained the Registered Managers Award qualification and has kept herself updated on training with conditions and illnesses associated with old age. Discussions with residents and staff and observation, indicated that she is approachable and relates to the residents. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 21 The home have implemented a quality assurance system since the last inspection visit. The owner/manager advised that these will be completed every six months and questionnaires will be distributed to residents, visitors, staff and all stakeholders asking for their opinion of the service. A review of the most recent questionnaires returned to the home indicated a positive response. For example, one relative stated that “We have never regretted our decision to have our father living here. We have complete peace of mind.” The manager also said that an initial questionnaire will be given to the recently admitted resident after his trial period to ensure that the home have met all his and his family’s expectations. The systems for the safe keeping of resident’s money were inspected and found to be thorough. Receipts are given on all transactions. Records were checked and found to be correct. Lockable facilities have been provided in residents’ rooms since the last inspection enabling them to safely store any valuables and money. Discussions with the manager and a sample examination of staff supervision records indicate that staff are well supported and receive regular supervision from the home manager. A review of health and safety was undertaken. The home confirmed in a preinspection questionnaire forwarded to the commission that health and safety checks had been completed. Records examined include maintenance, contracts and servicing documentation for electrical equipment. Fire records and electrical tests are up to date. Hot water ‘hand’ tested in the home on the day of inspection was within safe levels to prevent any risks of scalding to the residents. The Stables DS0000062042.V310710.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 1312 (4)(c) Requirement Timescale for action 31/10/06 2 OP9 13 (2) 3 OP9 13(2) The registered manager must ensure that any risks associated with the care of a resident are appropriately assessed with details of actions that will be taken to reduce or remove these risks. The registered manager must 31/10/06 ensure that all out of date and unwanted medication is disposed of appropriately. Regular checks of the expiry date of all medication must be made and documented to ensure that out of date medication is not administered. The registered manager must 31/10/06 obtain a maximum/minimum thermometer and use it to record both temperatures of the fridge on a daily basis to ensure that the temperature of the fridge remains at between 2°C and 8°C. The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations The registered manager should monitor the temperature in the kitchen to ensure that medication is stored below 25°C at all times to guarantee the stability of the medicines stored in the medication cupboard. The registered manager should ensure that all applications for employment provide a full employment history. Records should be maintained of staff interviews to include any discussions about gaps in employment. 2 OP29 The Stables DS0000062042.V310710.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 The Stables DS0000062042.V310710.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. 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