Inspection on 28/09/05 for Thomas House Care Home

This inspection was carried out on 28th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Thomas House Care Home 24/07/07

Thomas House Care Home 29/06/06

Thomas House Care Home 02/02/06

Thomas House Care Home 28/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Thomas House 168 Prescot Road West Park St Helens Merseyside WA10 3TS Lead Inspector Natalie Charnley Unannounced Inspection 28th September 2005 08.00 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 Thomas House DS0000022411.V250942.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. 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. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Thomas House Address 168 Prescot Road West Park St Helens Merseyside WA10 3TS 01744 608800 01744 670701 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) Thomas House (St Helens) Limited Mrs Barbara Thornber Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users to Include up to 28 (OP) Date of last inspection 29th November 2004 Brief Description of the Service: Thomas House is a privately run care home located in St Helens, Merseyside, close to local shops and transport links. St Helens town centre is approximately one mile away. The home has 24 single rooms with en-suites and 2 double rooms. It is registered for 28 elderly persons and is a no smoking home. The home is within a large house built in the 1870’s and has had extensive renovation work done to extend the facilities. Thomas house opened as a care home in 1997. Accommodation is on two floors and has a selection of communal areas, including a library, lounges, dining room, and treatment room and hairdressing salon. Toilets and bathroom facilities are located throughout the home. There are extensive gardens surrounding the home and a small patio area at the rear. Ample car parking space is situated at the front of the home. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a period of one day. The inspector arrived at the home at 08.00 and left at 14.30.The inspector spoke to 5 care staff, the home manager, the homeowners, the accountant and 12 residents. No visitors were available to take to the inspector. The inspector completed the inspection by looking at the homes records, a tour of the building, formal and informal interviews and information from previous inspection reports. The inspector followed an inspection plan written before the start of the inspection to ensure that all areas that needed covering were done so. Feedback was given to the manager and homeowners at the end of the inspection. What the service does well: The home manages its medication well and only has a small number of minor areas that need addressing. The home is well organised in liasing with outside agencies such as the pharmacy and hospitals and records changes in the circumstances of residents in detail so all staff are aware of any changes. Residents living at the home are well cared for and happy. They feel supported by staff and enjoy being looked after by them. One resident stated, “ This home is great. Staff are nice and I am allowed to do what I like when I like”. The home is well decorated and looked after. Bedrooms are homely and living space is comfy and warm. The residents can personalise their rooms and there are many photographs about the home of residents enjoying life at the home. One resident told the inspector “ I brought my furniture and all my photos into the home with me. They help me feel more relaxed and sometimes I forget I am not actually at home”. Care plans are individual and are written in with a lot of detail about how a resident needs to be cared for. Staff are aware which residents they have responsibility and residents are know who is their allocated ‘key worker’. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 6 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. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 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 Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3 and 5 The home carries out a full assessment before a resident moves to the home to ensure they can meet their individual needs. The home encourages residents to make an informed choice by visiting the home prior to moving in and provides them with a clear and comprehensive contract. EVIDENCE: The home provides individual residents with a copy of terms and conditions and a contract when they first move into the home. Those residents who are unable to understand these for example those who have sight problems, copies are given to relatives or their next of kin. These documents are clear and easy to follow. They contain details of services provided, costs of rooms and insurances needed. These documents are signed and kept in the home office for safekeeping. A copy is also given to the residents. The manager was not able to access these documents until the homeowners arrived. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 9 On the day of the inspection, the home manager was going out on a preadmission visit. This is to allow her to meet with a resident and see if the home is suitable for them. On her return the home, the inspector looked at the documentation and information that had been collected. This was found to be of a high standard and had details of the residents needs, medical history, likes and dislikes and what they could do for themselves. All other residents at the home had similar records kept within their care plans. The manager told the inspector that they do not take emergency admissions into the home at present, as they always want to carry out their own assessment and not rely on information given by other parties. Staff at the home were seen to be communicating well with residents during the inspection. The inspector watched how residents were spoken to and how staff looked after their different needs. This was done sympathetically and with care. Residents spoken to stated that they were happy with the care given by staff and they looked after them to the best of their abilities. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Care planning at the home is based on the individual and details how care is to be given. The medication at the home is well managed promoting good health. Staff treat residents with dignity and respect helping them to stay settled in the home. EVIDENCE: Each resident living at the home has an individualised plan of care. This is based upon details that the staff have collected during the pre-admission assessment and during the first few days that they spend at the home. The home operates a ‘key worker system’. This means that each resident is given a named member of staff who is responsible for the writing and updating of care plans. Plans are then discussed and written along with the resident. Residents spoken to at the home were involved in the process of planning their care and were aware that a ‘plan’ was held by staff. Eight care plans were looked at by the inspector and were found to be of a good standard. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 11 Some information contained in files was duplicated and the manager needs to audit files to ensure that they care kept simple and easy to use. Residents can access a wide range of health professionals to help with their health needs. Examples of visits by dentists, opticians and continence nurses were listed in the care plans. Residents have a social profile, which details their general daily routines. This is very detailed and helps staff to know what a resident likes and doesn’t like. Residents also help staff plot a family tree. Care plans contain details of ‘risk assessments’. These look at areas such nutrition and moving and handling to see if residents need specific help from staff. Both care plans and risk assessments are updated and reviewed on a monthly basis. The home have recently had a visit by the Environmental Health department who looked at the homes risk assessments and found some to be incomplete. The inspector found no evidence to support this. Medication at the home is kept in a locked treatment room. Staff who give out medication have had special training on this subject. The home monitors the temperature of their drugs fridge, however this must include the maximum and minimum temperature readings, as medication needs to be stored at specific temperatures. Medication is audited at the home on a monthly basis and daily records are recorded in a folder. These records were looked at by the inspector and found to be of a good standard, with only minor concerns noted. Some records that were handwritten did no have the signature of two staff and were not dated. Two medications needed the prescription changing by the doctor to make the dosages more suitable for the residents. This was fed back to the manager during the inspection. The manager must also assess the need for a more appropriate storage place for controlled drugs i.e. a metal cupboard within a locked cupboard. Residents at the home all stated that they felt that staff treated them with dignity and respect. One lady told the inspector “ staff knock on doors and are always polite and caring”. The inspector observed staff looking after residents and found that they always approached and addressed them in a courteous way. Residents also stated that when a doctor or visitor comes to the home, they could meet with them in a private area of their choice. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14 and 15 Activities at the home are varied to suit the needs of individual residents. Choice at the home can be limited which leaves residents rights to make decisions restricted. Dietary needs of residents are well catered for with a balanced selection of food that meets the tastes of residents. EVIDENCE: The home has a ‘calendar of events’ for planning activities. A keep fit class was taking place during the inspection as was being enjoyed by those residents who were joining in. On Thursdays, the home offers a Tai-Chi class, which is also well attended. The home does not have a designated activity co-ordinator, however a member of staff is allocated on a daily basis to organise activities. Plans were being made for Christmas activities such as card making. Residents were particularly looking forward to Christmas events and stated they enjoyed this time of year at the home. They also discussed the recent ‘French day’ where French food was served and an accordion player visited. The home welcomes visitors at any time of the day and they can meet residents in private or communal areas of the home. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 13 The home has a large dining area which had details of foods listed on a large menu board. This detailed the food to be offered for that day and also listed alternative meals for those residents who didn’t like the main choice. Residents enjoyed the food at the home stating it is “ always hot and fresh”. The inspector noted that a member of staff was making a large jug of very milky coffee. When asked they stated that all residents liked it this way. Residents later told the inspector that they would sometimes like to have a different kind of drink, however do not usually get a choice. The inspector saw the residents eating their lunch during the inspection and it was noted to be a social and unhurried occasion. The meal was well presented and served hot. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Arrangements for protecting service users are not satisfactory and are placing the residents at possible risk from harm or abuse. The home has a satisfactory complaints procedure, which is easy for residents or families to use. EVIDENCE: All staff working at the home undergoes Police checks before they start work. Staff spoken with by the inspector had taken part in abuse awareness training and were aware of local policies and home policies that cover this area. When the training records were looked at, these showed only one member of staff had completed abuse training, however the manager stated that staff are booked on a course in the next few weeks. During a tour of the home, the inspector came across one lady who was poorly in bed and was being kept in bed by a dining room chair being placed at the side of her. This is not acceptable practice and the manager was asked to remove the chair and find a more suitable way of making sure the resident didn’t fall out of bed. The inspector viewed at records for those residents at the home who get ‘pocket money’. These records were clear and accurate and had signatures from residents when money had been handed over. There are two residents who have money held by the manager. All records for these people were well kept and there were receipts for all money that had been spent. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 15 The records for money spent with the hairdresser and in the home shop were also looked at. All money was accounted for and signed by the manager. The home employ an accountant who works each day and answers any questions residents or families have about money. The home has a clear and easy to use complaints procedure. Details of this are on display around the home. Residents spoken to stated they knew how and who to make a complaint to. One lady told the inspector “ The manager is always around at the home and I can tell her any problems I have” another lady said, “ I know where the complaint book is but I have never used it as I like living here”. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 25 and 26 The home is pleasantly decorated , safe and well maintained making it a pleasant environment for residents to live. Rooms are personalised and meet the needs of the individuals who live there. Some areas of the home have a bad smell to them caused by urine not being cleaned effectively, which could be a risk of infection for residents. EVIDENCE: The home has nice grounds that are kept tidy and a patio area at the back of the building. Inside the home, it is nicely decorated and a maintenance man visits to deal with any work that needs to be carried out. There is a large library area that has a big selection of large print books and some modern magazines. There is plenty of comfortable seating in this area for residents. There are no areas of the home where residents can smoke. The home has a lift to take residents between floors and a fully equipped hairdressing room is available. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 17 The lounge and dining room areas at the home are in easy reach of residents bedrooms and are decorated in a style that creates a homely atmosphere. One gentleman spoken to stated “ I enjoy sitting in the lounge area upstairs as it is very quiet and I can sit in peace”. The inspector saw a selection of bedroom on both floors of the home. These contained items of furniture and personal belongings that residents had brought in from home. The bedrooms on the top floor of the home had very noisy taps and the water coming from sinks in all bedrooms was very hot. The manager thought these taps had a special valve to regulate temperatures, however there were no maintenance records available at the home for the inspector to see if the water temperatures had been checked. The manager must put signs by all taps in the home to state that they have very hot water coming from them. This is so residents are aware and don’t burn themselves. One lady told the inspector that the taps had been noisy for some time and told the inspector of other places in the home where this was a problem. The inspector found that some areas at the home had a bad smell to them. This was in bedroom 24 and 10 and in the downstairs toilet. The manager needs to sort this problem out as a matter of urgency. The home has a large laundry area with individual boxes that store residents clothes. This is so they don’t get mixed up. One lady told the inspector “ my clothes are always cleaned and ironed nicely” and went on to tell the inspector about the good cleaning staff that were employed at the home that always kept her room “spotless”. The home was clean and tidy on the day of inspection and was warm and well lit. Residents were very happy and content in their home. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29 and 30 Staff morale is high resulting in an enthusiastic workforce that works positively with residents to improve their quality of life. EVIDENCE: The home is fully staffed at present. Staffing at the home is as follows: 4 care staff during the day 2 care staff during the night. The manager works between 8-3 during the week, however if the home is short staffed she will cover shifts. The manager works some of her hours directly with staff and some hours completing office tasks. Staff interviewed stated that they were a close team and worked well together. They felt well supported by their manager. Staff were observed working well together and helping each other with tasks. Staff joked with each other and with residents and showed that they all got on well together. One member of staff said, “ I enjoy working here, we all get on and love the residents. Most of us have worked here a long time”. The home also employs a team of staff who support the care team. The home has a chef, domestics and a maintenance man. Care staff currently do all laundry at the home. One resident stated that “staff are always helpful, caring and full of enthusiasm” another stated that “ staff at the home are nice and help me to do things for myself”. Staff were seen to be communicating well with residents and a friendly and warm atmosphere was seen. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 19 Staff working at the home have all undergone an induction before starting work. This is to ensure they are familiar with the running of the home and the residents who live there. Staff files showed that the manager asks for written references on staff along with their work history and police check. All staff are given a copy of terms and conditions of their employment. One member of staff working at the home had recently moved from another home within the company. Her records were still at the other home and need to be shown and held by Thomas Houses’ manager. The inspector was not able to see training records until the homeowners arrived during the inspection. The manager stated that she does not have direct access to these items. The owners of the home must ensure that the manager can access any information needed by her for the running of the home at any time. Training records and a training plan seen by the inspector showed that training was well organised and covered a wide range of subjects. The local primary care trust run short courses for the home and staff have had mandatory training that they need to care for residents. Staff told the inspector that they enjoyed training and that they are supported to go to sessions by the home manager. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 and 38 The manager cannot access some information that she needs. This makes the daily running of the home for residents and staff difficult. The system for obtaining residents views is good, however there is no information about how this information is being used to change things for the residents. Some areas of the home are a potential risk for residents. EVIDENCE: The homes manager has worked at the home for several years. The manager has a specialist qualification in managing a care home and is only responsible for Thomas House. During the inspection it was made clear through discussions that the manager has limited access to some areas such as training records and quality assurance records, this made looking at some paperwork difficult and the inspector had to wait until the home owners arrived. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 21 The manager must be able to access all information needed to allow her to run the home well. Staff and residents spoke highly of the manager stating she was “ helpful, kind and supportive”. The home has recently completed an outside quality assurance award, gaining a 5 star assessment. The inspector was not able to look at any quality assurance work because it was not at the home. No records of resident meetings could be found, however residents and staff did say that this takes place. The home owner told the inspector that residents were sent a questionnaire twice a year to ask for their views on the home and that she was developing feedback sheets for visiting health workers such as doctors and district nurses. Neither residents nor staff could tell the inspector if any of the information or views that residents had given had been acted upon. One lady stated “I have filled in questions with my family about the activities at the home but nothing has been done to do what I suggested about outside trips”. A complete tour of the building was made. The kitchen fire door was held open by a tin of fruit and was causing a hazard. The chef was asked to remove it. Fire records and health and safety certificates were up to date and available at the home, although the manager had no access to these. Hot water signs need placing on sinks to tell the residents to take care when running the taps. Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 3 X X X 3 3 2 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X X X 2 Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement The home manager must ensure that all handwritten entries in medication records are dated and double signed The home manager must ensure that residents are always offered a choice when given drinks The home manager must ensure that residents are not restrained inappropriately and ensure they are kept safe at all times The home manager must investigate and put right the noisy taps in upper bedrooms and display signs over all sinks that have hot water stating the potential danger to residents The home manager must ensure that all areas of the home remain free from unpleasant smells Timescale for action 01/12/05 2 3 OP14 OP18 12(2) 13(4)(c) 01/11/05 01/11/05 4 OP19 16(1) 01/12/05 5 OP26 16(2)(k) 01/12/05 Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 1 Refer to Standard OP7 OP9 Good Practice Recommendations The inspector recommends that the home manager audits the care plans to remove all duplicated information The inspector recommends that the home look into providing more secure storage for controlled drugs Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Thomas House DS0000022411.V250942.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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