CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE
The Turner Home Dingle Lane Liverpool Merseyside L8 9RN Lead Inspector
John McCabe Unannounced Inspection 6th December 2005 09:30 X10029.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 Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 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 and Care Homes for Adults 18 – 65*. 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 Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service The Turner Home Address Dingle Lane Liverpool Merseyside L8 9RN 0151 727 4177 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) The Turner Home Mrs Alison Charlesworth Care Home 59 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10), Old age, not falling within any of places other category (49) The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 49 (N) (OP) Nursing Care or 49 (PC) (OP) Personal Care for older people (OP)aged from 55 years in an overall total of 49 Male residents only. 10 (N) or 10 (PC) mental disorder elderly (MD/E) aged from 55 years in an overall number of 10 27th October 2004 Date of last inspection Brief Description of the Service: The Turner Care Home is a large Victorian listed building, built in 1880 to provide personal and nursing care for men. In 1995 a major extension was built, which now ensures the provision of 59 single bedrooms with en-suite facilities. At the same time the home became dually registered with both the Health Authority and Liverpool Social Services. The current registration is for 49 Nursing and 10 Mental Disorder beds. There are several lounge areas, a large spacious dining room, a chapel and rooms for recreational activities. There are designated smoking areas provided. The building is set in a large expanse of private grounds, which are well maintained and attractive. The home has its own chapel, a weekly service is held for residents. There are numerous car-parking spaces available for visitors to the home. The home is conveniently situated close to local shops and amenities and is close to main bus routes into the city centre. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection began at 0930 hours with two senior nurses; the manager became involved with the inspection at 1030 hours. The inspection took 4 hours. The inspector reviewed documents, and records of both residents and staff, toured the home and met and spoke with residents, care staff, staff from the laundry, kitchen and the homes handymen. The financial records of the residents were inspected, as well as their availability of their NHS entitlements. There were adequate care staff on duty to care for residents. The home was clean and tidy. What the service does well: What has improved since the last inspection? What they could do better:
The residents’ Medicine Administration Record Sheets (MARS) need to comply with the recommendations of the Pharmaceutical Society of Great Britain. Recordings of incidences, and clinical information on residents should be documented in the personal file of each resident. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 6 The staff accident book, and employee work absenteeism forms do not comply with confidentiality of the individual or the Data Protection Act 1998. 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 Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. The pre admission protocols for residents are undertaken by health The pre admission protocols for residents are undertaken by health care professionals are robust, comprehensive, and always includes a full and informed consultation with the resident and family. This ensures that the resident is accommodated in a therapeutic environment, which should enhance the mental and physical welfare of the resident. EVIDENCE: Before residents are admitted to the home on a permanent basis, the resident’s GP psychiatrist, community psychiatric nurse, and social workers undertake a pre admission assessment. The senior nurses from the home are involved in the process. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 9 The pre admission nursing assessment is to ensure that the care home can meet the care needs of the resident, and that it is secure, therapeutic and safe place for the resident to live The resident can visit the home, or have an overnight stay before moving in on a permanent basis. The majority of residents have been at the home for a long time. Staffs in the home undertake specialist care training to ensure that the residents assessed and changing care needs are met. Specialist training may include the following, diabetes, dementia, confusional states, challenging behaviours and cognitive impairment. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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. Care staff encourages and promotes the residents independence, and supports residents to make informed decisions about their lives. Health care needs of residents are well met. EVIDENCE: All residents in the home have an individual care plan, which is formulated on admission to the home and which is reviewed by the senior nurses on a monthly basis. The care plan includes risk assessments, choices and preferences of activities, nutrition and medication needs.
The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 11 Residents and family also contribute to the formulation of the plan. Daily health records are documented for each resident, and these include any critical incidences plus any visits from GPs, specialist nurses etc. The nurse, in charge of each shift, documents information about incidences which have affected the residents in the “ Handover Book”, this is usually completed at the end of the shift. However, during case tracking of resident’s personal files, important clinical information from the Handover Book was not documented in the personal file of the resident (daily health record sheet) where it should be. All nursing/clinical information of the residents must be documented in the resident’s daily health record sheet. Duplication of information often leads to mistakes or information not being recorded in the correct file. The registered manager should review the function of the Handover Book, and inform all staff to write in the resident’s daily health record sheets. The majority of residents are registered with one GP practice. Every Monday morning a GP from the practice visits the home and sees residents for health checks or referrals to other clinics in the Primary Care Trust (PCT). No resident in the home self medicates, all medications for residents are administered by the nurses in the home. The protocols for the receipt, storage, disposal, and documentation of medications in the home are not totally in accordance with the National Minimum Standards (NMS), or the Pharmaceutical Society of Great Britain. The residents MARS were reviewed. Sticky Labels were stuck on the MARS, the MARS contained hand written scripts (red ink), which were not countersigned by other nursing staff and, though the supplying pharmacist correctly typed the MARS, the medication script was again hand written in red ink. The hand written scripts omitted to say what is the maximum daily dose of the PRN drug is. The nurses handwriting on the scripts in red ink also included the Latin terminology i.e. B.D. = twice a day Nocte = At night, TDS = Three times a day etc. The Latin is now only used by GPs. All the scripts provided to home by the pharmacist state in plain English when the drug should be administers i.e. three times a Day etc. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 12 All of the above potentially compromise the recommendations of the Pharmaceuticals Society of Great Britain (2004) and a review of the method of recording should be undertaken. The care home is following new protocols for the disposable of residents’ drugs. A Clinical Waste company has provided the home with a “Chemical Disintegrator”, which is a bucket in which chemicals are put in and water added. Both liquid and tablet medications that are inserted in to the bucket disintegrate and render all drugs unobtainable and harmless. The company removes the bucket when full, and provides the home with a new one. All drugs, before being put in to the bucket are checked and recorded by two qualified nurses. All residents in the home can access their NHS entitlements, which includes dentists, chiropodist, opticians and access to consultants in the NHS. Staff in the home provide residents with information, assistance and communication support to make decisions and take responsible risks about their own lives, and daily living activities. Residents informed the inspector that ‘the home was the best they had been in’ and it was ‘like a hotel,’ ‘the food was great!’ and ‘staff were very helpful.’ Residents enjoyed their independence, knowing that there was always a staff member to help them if they needed. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the 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. Residents are encouraged to exercise choice and flexibility about how they spend their day in the home. They can also and pursue leisure and educational activities according to their choice and preferences. This allows independence and individuality for each resident. Residents receive a balanced diet offering variety, which reflects the residents’ preferences. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 14 EVIDENCE: Residents in the home are asked on admission, about their lifestyle, choice of foods, and choices and preferences of the social activities they would like to participate in. On admission to the home the resident with help from a family member completes “Life Story” questionnaire, which is a “Work life History” of the resident, and includes schooling, work, hobbies, food likes and dislikes etc. This care home has an experienced activities coordinator who varies the activities in the home and the community to suit the choices and preferences of the residents. The activities coordinator is now the regional member for National Association of Patient Activities (NAPA) and is hoping to form a group of other activities coordinators in the area. The care home has two vehicles which are used to take residents out on day trips, or transport them to clinic appoints in the PCT hospitals. Visitors are allowed in the home at any reasonable time of day and residents may entertain their visitors, in the communal lounges, or in their own bedroom. The gardens also provide an ideal setting for residents, to sit with their relatives, especially in the summer months. Residents told the inspector that they enjoyed the variety of food in the home, and were looking forward to their mixed grill for lunch; food is available for residents 24 hours per day. The homes chef, is experienced and well organised as regards menus, planning, and has a good knowledge of the resident’s preferences for food. The kitchen space is large, clean, organised and well stocked with food. Most of the residents take their meals in the homes spacious dining room. Special diets for residents with medical conditions can be provided in the home. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 15 Complaints and Protection
The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18. The home has a satisfactory complaints system with evidence that residents feel their views are being listened to and acted upon. The homes policy and training programmes for POVA, and Whistle blowing, ensure that the homes residents are protected from any abuse. EVIDENCE: There have been no internal complaints, and no complaints to the CSCI, since the last inspection. The home has robust complaints procedures, which are documented in the residents guide and the staff handbook. Some of the residents used their postal vote in the recent local elections. The care home has up to date information on the Protection of Vulnerable adults, this information is communicated to new employees on their induction course. On the day of the inspection there was evidence that many of the staffs in the home had undertaken training on POVA protocols, and the Whistle Blowing Policy. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 16 Environment
The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. The standard of decor within the home is good, with evidence of continuing improvements, through maintenance and planning. The home does present as a homely, safe and comfortable environment for the residents. EVIDENCE: The care home environment is good; all areas of the home are clean and tidy, and the home is well decorated and maintained, including the garden areas.
The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 17 Resident’s bedrooms have been personalised, and contain pictures and artefacts that reflect their own choices and preference, residents gave the inspector permission to view their bedrooms. Most of the bedrooms have en suite facilities The communal lounges are bright; one room is reserved for residents who smoke. There is also a large veranda that exits on to the gardens; this area is designated for residents who smoke. All communal bathrooms and toilets in the home provide privacy, and meet individual needs. The homes infection control policy is in date and valid. The care homes historic chapel is used for a multi religious service every Sunday, although residents can access the chapel at other times. The homes updated infection control policy includes the prevention and spread of Methicillin Resistant Staphylococcus Aureus (MRSA) and Hepatitis B. The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 18 Staffing
The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the 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. The standard of vetting and recruitment practice is acceptable. Appropriate checks have been carried out on all new staff. This means that the residents are not put at risk. EVIDENCE: There is always a first level nurses on duty who are assisted by care staff and ancillary staff. All staff working in the home have an enhanced CRB/POVA certificate. The inspector evidenced the Personal Identification Numbers (PINS) of all the registered nurses in the home, which was documented on Nursing Midwifery Council (NMC) stationary. Mandatory and specialist training for all staff is ongoing in the home; and this is evidenced in the personal files of the staff.
The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 19 Management and Administration
The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38. The registered manager is supported well by senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. The documentation relating to the safety of the home is complete, up to date and valid, so ensuring a safe, comfortable, hygienic home for the residents.
The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 20 EVIDENCE: A first level nurse with many years of care home experience manages the home. Currently the registered manger has not registered on an NVQ Level 4 care programme. All staff in the home have documented supervision six times per year, this ensures that all staffs have the opportunity to discuss with the manager, and other senior nurses, any issues, which can effect or improve the care for the residents. Documented supervision of care staff gives the staff and managers opportunities to discuss their own/or identified training needs. Staff and resident meetings are being held in the home. The meetings are minuted and actioned upon. Where possible residents look after their own financial affairs, the home doesn’t hold any bank accounts for individual residents. The staff accident book, and staff absenteeism forms, which are kept in the main treatment room of the home, is not kept secure. Staff filling in the accident book are able to read previous entries from other staff. Staff recording their reason for absenteeism from work are also able to read why other staff have absented themselves from attending work. Both issues break employee confidentially and the Data Protection Act 1998. This method of recording should be reviewed in order to protect confidentiality. The manager told the inspector that the recording systems would change to comply with the regulations. The homes certificates of insurance and worthiness for gas, electricity, fire equipments, lift, hoists, Employer’s Liability were in date and valid The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 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 3 2 3 3 3 4 3 5 3 6 X 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 13 14 15 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 3 23 3 24 3 25 3 26 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 3 3 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 2 The Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement The registered person must ensure that all relevant clinical information and critical incidences are documented in the personal file of the resident. The registered person must ensure that residents MARS are maintained in accordance with NMS and the Pharmaceutical Society of Great Britain The registered person must ensure that records relating to staff remain confidential, and comply with the Data Protection Act 1998 Timescale for action 1 OP7 12 31/12/05 2 OP9 13 31/12/05 3 OP38 17 31/12/05 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 Turner Home DS0000025383.V270028.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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