Inspection on 17/09/07 for The Wakefield Centre

This inspection was carried out on 17th September 2007.

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 Wakefield Centre 18/08/08

The Wakefield Centre 28/11/06

The Wakefield Centre 15/05/06

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

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

CARE HOMES FOR OLDER PEOPLE The Wakefield Centre Ravenscourt Gardens Hammersmith London W6 0AE Lead Inspector Tony Lawrence Key Unannounced Inspection 17th September 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Wakefield Centre DS0000066841.V349107.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 Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Wakefield Centre Address Ravenscourt Gardens Hammersmith London W6 0AE 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) 020 8222 7800 020 8222 7801 carol.smit@wakefieldcentre.co.uk Ganymede Care PLC Mr Visnoo Chengun Care Home 102 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (39), of places Physical disability (36), Terminally ill (12) The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd August 2007 Brief Description of the Service: The Wakefield Centre is a registered care home that provides nursing care and accommodation for 102 men and women. This includes people with dementia, younger adults with a physical disability and people needing palliative care. The home is located in a residential area of Stamford Brook, with easy access to transport links, local shops and other amenities in the Chiswick High Road. Care is provided on the ground, first and second floors and toilets, bathrooms, communal lounges and dining areas are situated on each floor. The third floor of the building houses the West London Clinic and this service is regulated by the Healthcare Commission. Care is provided by a staff team comprising managers, nursing staff, care assistants, cleaning, catering, administrative and maintenance staff. The manager confirmed that weekly fees for the home range from £669 - £950. The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on Monday 17th September 2007 from 09:15 – 17:15. Tony Lawrence, Regulation Inspector, carried out the inspection. He spent time on each of the three residential floors, talking with residents and staff, checked care records and observed staff supporting people living in the home. Residents, their relatives, staff working in the home and other professionals returned confidential questionnaires. Their comments are included in this report. The manager completed the home’s Annual Quality Assurance Assessment and information from this is also included in this report. The manager confirmed that weekly fees for the home range from £669 £950. What the service does well: What has improved since the last inspection? What they could do better: Managers and staff in the home have responded well to requirements made at the last two inspections and the home now provides good overall standards of care. One requirement is made following this visit to improve the recording of medication. The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 6 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 Wakefield Centre DS0000066841.V349107.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 Wakefield Centre DS0000066841.V349107.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 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose sets out the objectives and philosophy of the home and is supported by a clear Service User Guide. EVIDENCE: ‘I have received a contract on my mother’s behalf’. (Comment from a relative). ‘We were shown round initially a year ago and again this year. The staff were very helpful, informative and kind. They were welcoming when we arrived and my mother’s face lit up in response’. (Comment from a relative). The home has a clear Statement of Purpose and, following a requirement made at the last key inspection, all residents have a copy of the Service User Guide in their rooms. During this visit the Inspector checked the care plan files of six residents, including one person who moved into the home on the day of this inspection. Each file included a copy of the contract between the home and the individual. The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 9 The contract includes the terms and conditions of residence. Two residents who returned confidential questionnaires said that they had received enough information about the home before moving in. Both people also said that they had received a contract. All six care plan files also included an initial care needs assessment, completed by a member of staff from the home. Only three of the care plan files included any reports or assessments provided by the local authority responsible for funding the placement. The Inspector discussed this with the home’s manager and she confirmed that the home now asks all placing authorities for reports and assessments for any person referred to the home. ‘Intermediate care is provided in dedicated accommodation and specialist equipment and dedicated staff are in place to deliver intensive short term rehabilitation and enable service users to return home in accordance with Standard 6’. (Extract from the provider’s Annual Quality Assurance Assessment). The home has employed a physiotherapist and physiotherapy assistant to work with residents, including those who are preparing to return to their own homes. A well-equipped rehabilitation gym has also been developed. During this visit the Inspector spoke with one resident who praised the physiotherapy services provided in the home. He said that the support and encouragement he had received had significantly helped him to recover and prepare to return home. The Wakefield Centre DS0000066841.V349107.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 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s care plans are working documents that are regularly reviewed, involving the resident and their representatives. Potential risks for individual residents are well assessed and recorded. EVIDENCE: ‘I receive help always as I cannot wash or stand up on my own’. (Comment from a resident). ‘Every time I visit my mother she looks beautifully dressed and well cared for, so I am assuming she really does get the care she needs. She says ‘they are lovely girls here’. (Comment from a relative). ‘We were concerned about an old injury. Staff arranged for a chiropodist to look at it and it is much improved’. (Comment from a relative). During this visit the Inspector checked the care plan files of six residents, two people on each of the home’s three residential floors. The plans covered all areas of the residents’ personal and healthcare needs. Agreed goals were recorded for each area of care. Five of the plans had been reviewed each month. The sixth care plan file was for a person who moved into the home on The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 11 the day of this inspection. All the pre-admission information was available for staff and baseline recordings had been made when the person arrived. People’s health care needs were well recorded in their care plans, together with information about how these would be met in the home. The care plans showed that people are supported to access healthcare services, including staff support to attend hospital and other appointments. The home’s GP’s visit the home each week and are available to see residents if needed. Residents who spoke with the Inspector were very positive about the support they received with their personal and health care. People said that staff are always available to support them and they could always see health care professionals when required. Prescribed medication was securely stored on each of the three floors in the home. Storage temperatures were well recorded and a detailed record is kept of the administration of controlled medication. The Inspector checked the Medication Administration Record (MAR) sheets for 30 people living in the home. On two floors in the home, the MAR sheets were well completed and the Inspector found no errors or omissions. On one floor, the records were well maintained, but the recording of medication that is refused by residents was confusing and needs to be improved. Staff must make sure that when codes are used to record refusal of medication, this is clear on the MAR sheet and the arrangements for disposal of medication must be followed consistently. Residents who spoke with the Inspector during this visit were very positive about the support they received from nursing and care staff in the home. They said that staff respected their privacy and dignity at all times. During this visit, the Inspector saw that staff treated residents respectfully and all staff knocked on residents’ bedroom doors and waited for a response before entering. Care plans included details of individual’s wishes regarding care when they were ill and some plans also included details of funeral arrangements. The Wakefield Centre DS0000066841.V349107.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. People are given the opportunity to take part in a range of activities and outings. Staff support residents to maintain contact with relatives and other significant people. EVIDENCE: ‘Bingo every Tuesday. We go on outings whenever the weather is OK’. (Comment from a resident). ‘It is difficult to ascertain from my mother if she likes the meals, but she seems to eat most things. I have noticed that, on occasions, as she has no teeth she has trouble chewing certain foods, i.e. toast’. (Comment from a relative). ‘My mother has just arrived at the home. She likes the Activities Organiser and I am sure she will do more as she feels more confident. She is going to Kew gardens today’. (Comment from a relative). ‘My mother appears to enjoy the food. She cannot remember what she has had at lunchtime bust she says it was very good’. (Comment from a relative). An unannounced random inspection visit took place in August 2007. This visit was made following an anonymous allegation that night care staff were getting The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 13 people up and dressed early in the morning, before day staff started their shifts at 08:00. The Inspectors found that this poor practice was happening and requirements were made following this visit to make sure that the practice stopped. Where individual residents chose to get up early staff were required to make sure that drinks and food were available on request. The Inspectors were satisfied that the home’s manager had identified this practice before the random inspection and was working with senior staff and other managers to make sure that practice improved. In response to the random inspection report and requirements, managers in the home have discussed the importance of good care practice with staff and are planning to introduce a system of spot checking by the Centre Director. Care plans will also be updated to include residents’ preferences about night time and morning routines. During this visit the Inspector found that people’s cultural and faith needs were recorded as part of their care plans, together with guidance for staff on how these needs should be met in the home. There was evidence that culturally appropriate meals are provided and residents told the Inspector that the home’s chef visited them to talk about their likes and dislikes. People’s food preferences were also well recorded as part of their care plan. Residents who spoke with the Inspector were very positive about the food provided in the home. People said that the food is nutritious and varied and choices were always offered at each mealtime. Two residents who returned confidential questionnaires said that they ‘usually’ enjoyed the food provided. One person added ‘they have no idea how to cook veg’. Two residents told the Inspector that they were looking forward to a planned trip to Kew Gardens later in the week. Other people mentioned activities that are organised by staff in the home. During this visit, the Inspector saw that staff were supporting people to take part in craft and other activities in the ground floor lounge. People were clearly enjoying the activities that were provided and the opportunity to socialise with other residents and staff members. One person who returned a confidential questionnaire said that the home ‘sometimes’ provides appropriate activities. Anther person said that there are ‘never’ any activities they can enjoy. The manager confirmed that she is planning to open a computer room with internet access for residents use and a sensory room on the ground floor. Details of people’s relatives, friends and other significant people were well recorded in their care plans, together with information about how and when they should be contacted. Residents who spoke with the Inspector said that visitors were welcome at any time and they could always see people in private, if they chose. The Wakefield Centre DS0000066841.V349107.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and others involved with the service say that they are happy with the home, feel safe and well supported. EVIDENCE: ‘I am well looked after here and feel safer than I did living on my own at home’. (Comment from a resident). ‘Robust procedures are in place for responding to suspicion on evidence of abuse or neglect (including whistle blowing) to ensure safety and protection of residents / staff including passing on concerns to POVA team, social workers, relatives and CSCI. We have a more transparent approach in dealing with complaints / concerns and use outcomes for focussed teaching topics’. (Extract from the provider’s Annual Quality Assurance Assessment). Residents who spoke with the Inspector during this visit said that they were aware of the home’s complaints procedure and some knew that they had a copy in their room for reference. All said that they had not needed to make a complaint, but added that they would be happy to speak to staff or managers about any concerns they had. Information provided by the manager before this inspection is evidence that the home has received 18 formal complaints in the last 12 months. 95 of complaints were resolved within the home’s agreed timescales. 10 complaints were upheld. The home routinely notifies the Commission of significant incidents, including protection of vulnerable adults issues and incidents. The home’s manager is aware of the local safeguarding adults procedures. She has The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 15 established links with the local authority’s safeguarding adults team and cooperates fully with the local procedures. Following a requirement made at the last key inspection in November 2006, the home’s complaints procedure was reissued to all relatives. One resident who returned a confidential questionnaire said that they would ‘always’ know who to speak to is they were not happy. Another person said they would ‘usually’ know who to speak to. The Wakefield Centre DS0000066841.V349107.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. 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 excellent. This judgement has been made using available evidence including a visit to this service. The home provides very good standards of private and communal accommodation and specialist equipment to meet residents’ care needs. EVIDENCE: ‘On one occasion my mother’s room was smelly, but having looked after her ourselves, we understood why. We brought this to the attention of the ward staff and discovered that they had already planned to wash the carpet. When we went in later this had been done and the room no longer smelt’. (Comment from a relative). ‘It would be nice if the odd bits of peeling wallpaper could be stuck down and possibly some refurbishment here and there. (Comment from a relative). The Wakefield Centre is located in a residential area of Stamford Brook, with easy access to transport links, local shops and other amenities in the Chiswick High Road. Care is provided on the ground, first and second floors and toilets, bathrooms, communal lounges and dining areas are situated on each floor. The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 17 The third floor of the building houses the West London Clinic and this service is regulated by the Healthcare Commission. During this visit the Inspector saw all communal parts of the home and a number of residents’ bedrooms, with their permission. The home provides very good standards of accommodation. Bedrooms are individual, spacious, well decorated and well furnished. Residents who spoke to the Inspector said that they were very happy with their rooms. Residents and their relatives also said that they were encouraged to bring personal items, including furniture, into the home with them. 50 of bedrooms have ensuite showers and toilets. There is a sufficient number of assisted bathrooms and accessible showers on each floor for residents’ use. There is a communal lounge and dining room on each floor. The lounge / dining rooms are large and comfortably furnished. Some residents told the Inspector that they could eat their meals in their rooms if they chose. Other people said they preferred to eat in the dining room as this gave them opportunities to be with other residents. During this inspection, all parts of the home were clean, pleasant and hygienic. The Wakefield Centre DS0000066841.V349107.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. 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 are consistently enough staff available to meet the needs of the people using the service, with more staff being available at peak times of activity. The provider’s recruitment procedure is procedure is followed, with the service recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of individuals. EVIDENCE: ‘It is a nice clean, comfortable place. The carers, administrative staff and carers and nurses alike are cheerful and very helpful to residents. I have no complaints at all’. (Comment from a relative). ‘I have noticed on visits that staff are always responsive and kind to everyone’. (Comment from a relative). During this visit the Inspector checked the staffing levels on all three residential floors in the home. All three floors were well staffed with two qualified nurses on each floor, plus 4 or 5 care assistants. In addition, student nurses on practice placements were available on two floors, as well as domestic staff. The Inspector felt that staff on all three floors worked well together to make sure that residents’ care needs were met promptly and appropriately. Residents who spoke with the Inspector were very positive about the nursing and care staff who supported them. Staff were described as approachable, flexible, courteous and friendly. The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 19 The Inspector checked the staff files for six nursing and care staff working in the home and the training records for two other staff. The staff files were very well organised and all the required information was easily located. All staff had two written references and these had been checked and validated by the home. All staff had a PovaFirst check and Criminal Records Bureau (CRB) Enhanced Disclosure before starting work with residents in the home. One staff file did include an application form that showed a small gap in the person’s employment history. There was no evidence that this had been checked with the person concerned. Managers must make sure that all gaps in employment histories are checked. Information provided by the manager before this inspection is evidence that 62 of care and nursing staff working in the home have achieved their NVQ Level 2 qualification. 100 of catering staff and 74 of care staff have completed food hygiene training. The manager is developing individual training records for all staff working in the home. The Inspector checked two of the new files during this visit and found that they contained a detailed record of the person’s training needs, courses attended, qualification, supervision and appraisal. Staff who spoke with the Inspector were positive about the training opportunities available in the home. The Wakefield Centre DS0000066841.V349107.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager has the required qualification/s and experience and is competent to run the home. The manager has a clear understanding of the key principles and focus of the service, based on organisational values and priorities. EVIDENCE: During this visit the Inspector spent time talking with the Manager about outstanding requirements, the home’s Annual Quality Assurance Assessment (AQAA) and plans for the future. The Inspector felt that the home’s Manager had the necessary experience and qualifications to manage the care home. She was able to demonstrate a clear understanding of the principles of good care and told the Inspector of her plans to develop the services provided in the home. The Manager has applied to the Commission for registration and has obtained an Enhanced Disclosure from the Criminal Records Bureau (CRB). The AQAA completed by the Manager included detailed information about the services provided at the Wakefield Centre and information about the company’s plans to develop the service. The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 21 During this visit the Inspector checked a range of records kept in the home. These included care plans, medication records and risk assessments on each floor, as well as staff files and Criminal Record Bureau checks for staff working in the home. Overall standards of record keeping in the home are good. Records seen during this visit were well maintained and up to date. Important records were signed and dated by staff. The Inspector saw no health and safety concerns during this visit. The Wakefield Centre DS0000066841.V349107.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 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 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 4 4 3 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 X 3 X 3 X 3 3 The Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 (2) Requirement Timescale for action 30/11/07 2. OP29 19 To make sure that medication is managed safely, staff must make sure that when codes are used to record refusal of medication, this is clear on the MAR sheet and the arrangements for disposal of medication must be followed consistently. To make sure that residents are 30/11/07 cared for by staff that are suitable to work with vulnerable adults, managers must make sure that all gaps in employment histories are checked. 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 Wakefield Centre DS0000066841.V349107.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Wakefield Centre DS0000066841.V349107.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. 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