Inspection on 13/12/06 for The Steppes Residential Care Home

This inspection was carried out on 13th December 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 Steppes Residential Care Home 26/11/08

The Steppes Residential Care Home 02/03/06

The Steppes Residential Care Home 07/07/05

The Steppes Residential Care Home 30/12/04

The Steppes Residential Care Home 03/08/04

The Steppes Residential Care Home 03/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The Steppes Residential Care Home Cossack Square Nailsworth Glos GL6 0DB Lead Inspector Sharon Hayward-Wright Key Unannounced Inspection 10:00 13 December 2006 th 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 Steppes Residential Care Home DS0000016361.V318819.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 Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Steppes Residential Care Home Address Cossack Square Nailsworth Glos GL6 0DB 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) 01453 832406 steppescure@aol.com The Steppes Care Limited Mrs Joanne Kim Smith Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd March 2006 Brief Description of the Service: The Steppes is a care home registered to provide personal care for twenty-one older people. The home is an older style property that has been extended over time and adapted for its current purpose and accommodates fifteen service users. Adjacent to the main house is a smaller and more recently constructed house with six service users accommodated there. Both parts of the home provide a domestic style environment and easy access with a stair lift in the small house and a shaft lift in the main house. The main house has a small communal lounge and dining room on the ground floor. Service users accommodation is provided on the ground and first floor. All service users accommodation is provided in single rooms, most have en-suite facilities. A communal bathroom providing an assisted bathing facility is situated in each house. The amenities of the local town are in close proximity. The fee ranges for this home is £400 to £500 per week and extras to this include hairdressing, newspapers and chiropody. This information was given to the inspector prior to the inspection. The home has an information file in the main reception that contains the homes Statement of Purpose and Service Users Guide. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector carried out this inspection over 2 days in December 2006. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The Registered Manager and Registered Provider were available during the inspection as were other members of the home team. A total of 28 National Minimum Standards for Older People were inspected. Service users were spoken with to ascertain their views on the care and services provided. A number of surveys were left for service users, staff and visitors to the home. Of these, several were returned. Nearly all had positive comments to make about the home, one said ‘fantastic care is given to my relative’ and ‘this is a small friendly home to work in’. One survey received made a comment that ‘staff do not receive supervision sessions’ and another said ‘that in the afternoon an odour is sometimes found near a downstairs toilet’. The comments received from staff and service users during the inspection all indicated they are very happy working and living at the home. The Registered Manager and care staff were spoken with throughout the inspection and were helpful and co-operative. All requirements issued at the last inspection have been addressed. What the service does well: The home’s Statement of Purpose and Service Users Guide provide service users with details of the services provided by the home. Several staff have been at the home for a number of years resulting in consistency for the service users. The home has strong links with the local community to help enrich the lives of the service users. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 6 Arrangements are in place to ensure service users are not admitted to the home without first having their needs assessed and assurance from the home that they can be met. Safe medication practices are in place. The meals in this home provide service users with a balanced diet that includes variety and choice. The vast majority of comments received from service users’, staff and visitors to the home said they are very pleased with the home. What has improved since the last inspection? 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 summary of this inspection report can be made available in other formats on request. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 7 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 Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure service users and their family/representative are able to make an informed choice about admission to the home and that their needs will be met. EVIDENCE: The home has a copy of their Statement of Purpose in an information file in the main entrance. The Registered Provider said that a copy of their Service Users Guide is also included in this file, but was being reviewed at the time of the inspection due to the changes with the Care Home Regulations in relation to terms and conditions. Two service users recently admitted to the home could not remember if they had received a copy of the homes Service Users Guide, however an enquiry about the home was received during the inspection and details were taken to send out one of these guides. A letter was seen which had been written to one service user and their family confirming the home The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 9 could meet their needs. The Registered Manager said she now confirms in writing to all new service users that their needs can be met by the home. The changes to the Care Home Regulations in relation to terms and conditions were discussed and the home is going to make the necessary revisions. Two recently admitted service users had their pre admission assessments examined. Both contained a detailed assessment of their condition and any needs were identified. This also included any likes and dislikes. Both service users had difficulty in remembering how they came to be living at the home, however both said they lived locally and knew of the home. One service user said their family had visited the home and helped them to move in. Intermediate care is not provided by this home. The Steppes Residential Care Home DS0000016361.V318819.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Once fully implemented the revised care plan format will provide staff with the information needed to satisfactorily meet the needs of the service users. Health needs of service users are met. Safe systems are in place for management of medications in the home. EVIDENCE: The care of two service users was examined in detail; this involved, speaking to the service user, staff and reading care records. Both had recently been admitted to the home. Another care plan was examined as the Registered Manager is looking to alter the format used. At the time of the inspection the home uses a computer programme for their assessments and care plans. However in places these lacked individual details of service users. The The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 11 Registered Manager is looking to change the format used and has started to devise another one. Two recently admitted service users had their care plans written in this format and the information was more individual to each service user. The Registered Manager is looking to review the format used for the ongoing assessment of needs. Reviews were seen of all care plans examined. Assessments were in place for moving and handling and falls. One service user who has their care examined in detail is able to go out independently, however a risk assessment was not seen in their care records. This service user ‘said they are able to walk around the local town and visit friends or shops as it is all on the same level’. A comment received on a survey returned from a visitor to the home said ‘fantastic care is given to my relative’. Staff spoken with demonstrated good awareness of the needs of the service users whose care was examined in detail. During the inspection a Community Nurse and local GP were visiting several service users. Service users care records contained details of health professional visits and any outcomes from these. One service user’s file had a copy of exercises left by the physiotherapist. Medication systems used were examined. Records were seen for medication received into the home, given out to service users and when it needs to be returned to the local pharmacy. Staff were observed giving out medication to service users in a safe manner. The room where the medication is stored has the temperature monitored as well as the medication fridge. Dates of opening were seen on liquid medication, eye drops and boxes of medication. The home uses a weekly monitored dose system. The home had several service users receiving controlled medication and the appropriate records are maintained and safe storage is provided. A specimen signature list is available along with a medication reference book and information leaflets. Medication Administration Records (MAR) were examined and these contained allergies, name and date of birth of the service users. Also included was a photograph of the service user. Only one hand written entry was not checked and signed by another member of staff. No gaps in the recording of the administration of medications were seen. Two service users self-medicate and have lockable facilities. The Registered Manager needs to complete a risk assessment and consent form for each of these service users. Policies and procedures are in place. Staff that administer medication have undertaken training. Staff were observed knocking on a service user’s door prior to entering and addressing service users by their preferred form of address. Service users and feedback received from surveys expressed no concerns about privacy and dignity. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An activities programme is provided by the home and service users can choose if they wish to join in. Links with the community are good and support and enrich service users social opportunities. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: The home has an activities list in the dining room. The home has recently celebrated their 25th anniversary and their picture was in the local paper. They have also recently won an award for their ‘float’ in a procession in the local town. During the first day of the inspection a number of service users were going to the local primary school to see their Christmas play. One service user said’ they get to go out on a number of outings and one was on a boat’. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 13 Another service user said they join in all activities planned by the home. The home has a number of activities planned for the Christmas period to include the local school children visiting to sing carols and the home has planned their own carol concert. Service users spoken with said they are able to choose whether they take part in activities provided by the home or undertake their own. Several service users’ surveys that were returned prior to the inspection said they usually take part in the activities provided. The home maintains strong links with the local community as they take part in a number of activities undertaken by the local town. One survey from a relative said that their children when they were growing up used to visit the home with the school or local clubs. One service user is able to go out into Nailsworth as they said it is all on one level and they visit their friends or local shops. Another service user was going out with their family during the inspection. A number of visitors were at the home during both days of the inspection and one was an outside entertainer. Two service users said their visitors could ‘come and go’ as they please. The Registered Manager confirmed that no restriction was placed on visiting. All service users spoken with said they could make choices about their daily lives. These included where to eat their meals, what time to get up and go to bed. Several service users said ‘they prefer their own company and like to stay in their rooms’ where as others said they like to sit in the communal areas. The kitchen was seen but not examined in detail as the home has recently had an Environmental Health Department visit and no requirements were made. The cook is aware of the changes to the food regulations and has had the appropriate training. They have also obtained the new records required and these were examined. All health and safety checks are undertaken. The cook devises the menus on a rotation system and these contained records of the food provided to service users. These records also contained evidence that choices are offered. Several service users said they are offered choices. On the second day of the inspection the inspector and Registered Provider joined the service users for lunch. Service users confirmed their satisfaction at the meals provided and a choice was offered. Lunchtime was a sociable event and staff offered assistance discreetly. Both the inspector and Registered Provider found the meal to be very good and tasty. Some service users were eating their lunch in their rooms. The feedback from service users at the inspection was the food is very good, however one service user said that ‘some days it is better than others’ and the results from service users surveys said they ‘usually’ like the meals in the home. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 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. 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. The home has a complaints system in place that will enable the views of service users/visitors to be listened to and acted upon. Arrangements for protecting service users from abuse are satisfactory. EVIDENCE: The Registered Manager said the home has not received any complaints. A copy of their complaints procedure is available in the information folder in the main reception area. Service users said they would approach the Registered Manager if they were unhappy and the results from service users surveys said they would usually know whom to approach if they were dissatisfied. The home has policies and procedures in place for the protection of vulnerable adults. Two staff were asked questions about abuse and with prompting were able to come to the correct answer. The staff had not heard of the ‘Alerters Guide’ or read a copy of it even though the home has copies of this in their information file in the main entrance. They were able to discuss different forms of abuse. No training in protection of vulnerable adults has been provided by the home, however the Registered Manager is looking to access the ‘Alerters’ training for all care staff. She has undertaken this training with the Deputy Manager and they are looking to access the ‘Enhanced Alerters’ training. No staff referrals have been made to the POVA list. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a good standard of accommodation that is clean, comfortable and well maintained. EVIDENCE: A tour of the environment took place with several service users rooms seen. No maintenance issues were identified. The home employs a maintenance person and staff write in a book any areas that need to be addressed. The Registered Provider has plans in place to redecorate parts of the home. Door guards have been provided on all service users rooms. Service users rooms seen were all personalised and their own belongings were displayed. One service user had some of their own furniture. Service users The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 16 asked all said they were happy with their rooms and one service user was waiting to be moved to another room. The home was clean and tidy on both days of the inspection and service users asked all said they were happy with the cleanliness. One service user survey said ‘the home is always clean’, however one survey said ‘that in the afternoon the downstairs toilet is odorous’. Staff were seen wearing protective clothing when required. The laundry is sited away from food storage and preparation area. On the days of the inspection the laundry was well organised. One service user said ‘they are happy with the laundry arrangements’. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. Since the last inspection the standard of vetting and recruitment practices has improved with the appropriate checks being carried out to reduce any risks to service users. Training opportunities are provided for staff to ensure they have the skills and knowledge to care for the service users in their care. EVIDENCE: Duty rotas were examined and discussed with the Registered Manager. No changes have been made to the numbers of staff except in the evening between 7pm and 9pm. The number of care staff on duty has reduced from three to two. The Registered Manager said this is due to the changes in the needs of the service users, as a number of service users need less assistance from the staff. The Registered Manager said this is constantly under review and can be increased when the needs of the service users increase. One member of staff confirmed that they have less work to do during these hours The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 18 as the service users that need assistance like to go to bed early before 7pm at their request. Staff spoken with said ‘the home is friendly place to work’ and ‘they are like a little family’. Service users all praised the staff saying they were ‘wonderful’ and helpful and friendly. The home has two staff with NVQ 2, one has just finished this course and four other care staff are undertaking it. One member of care staff has finished their NVQ 3 and one is doing this course. Two care staff expressed that they would like to progress to the NVQ 3 training but have been told by the local college they have to be in a senior role. The Registered Manager is going to speak with the local college about this. Two personnel files of recently appointed staff were examined. All had the required checks in place. The home also has a volunteer on the Duke of Edinburgh award scheme and all the required checks have also been undertaken. This is an improvement since the last random inspection. The home uses the ‘skills for care’ format for their induction and their supervisor’s name is on the front of the booklet. A training matrix is in place to show when training has taken place and when it is due. Training provided for staff includes, first aid, fire, food hygiene, moving and handling and medication. Staff confirmed that training is provided and planned training includes dementia. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager has a supportive, open approach to running the home, which benefits the service users, staff and relatives and she is able to discharge her responsibilities fully. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which includes seeking the views of relatives and staff. The home has safe systems in place to manage service users monies. Arrangements are in place for staff to receive appropriate supervision. So far as is reasonably practicable the health, safety and welfare of service users, staff and visitors are promoted and protected. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 20 EVIDENCE: There have been no changes to the management structure of the home since the last inspection. The Registered Manager has completed the Registered Managers award and undertakes the same training as the other staff in the home. She is also a moving and handling trainer. All requirements issued at the last inspection have been addressed. Staff and service users all said they could approach the Registered Manager and one service user said she is ‘wonderful’. The home has recently completed a quality assurance audit by sending out questionnaires to service users, visitors to the home and staff. The results have been collated and are going to be displayed in the home. Monitoring systems are in place to include food, environment and accidents. The Registered Manager is going to document the checks undertaken on medication and care records. Redecoration plans are in place for parts of the home. The home stores monies for two service users. The appropriate records are maintained and receipts kept. Records relating to staff supervision were examined. The Deputy Manager undertakes supervision sessions and the home is planning to meet the recommended six times per year. The Registered Manager is looking to start staff appraisals after Christmas. Training as Standard 30. Maintenance records were checked to show monthly checks on water temperatures and other areas of the environment identified by staff. Health and safety checks on equipment were seen to include boilers, electrical systems and fire equipment. Fire training is up to date and the home has a fire risk assessment in place completed by an outside firm and they have addressed their recommendations. The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 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 3 2 3 X 3 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 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X x X 3 x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 22 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 13(4) Requirement 4) The registered person shall ensure that (a) any activities in which service users participate are so far as reasonably practicable free from avoidable risks; and (b) unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. (This relates to a risk assessment for one service user whose care was examined in detail at the inspection). The registered person shall make 30/01/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. (This relates to risk assessments and consent forms being completed for service users who wish to self-medicate). DS0000016361.V318819.R01.S.doc Version 5.2 Page 23 Timescale for action 20/01/07 2. OP9 13(2) The Steppes Residential Care Home RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Steppes Residential Care Home DS0000016361.V318819.R01.S.doc Version 5.2 Page 25 - 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!