CARE HOMES FOR OLDER PEOPLE
Walton Heath Manor Walton Heath Manor Hurst Drive Walton-on-the-hill Surrey KT20 7QT Lead Inspector
Lisa Johnson Unannounced Inspection 16th June 2006 08:15 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 Walton Heath Manor DS0000063264.V300476.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. Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Walton Heath Manor Address Walton Heath Manor Hurst Drive Walton-on-the-hill Surrey KT20 7QT 01737 814010 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) www.hamiltoncare.com Hamilton House Medical Limited To be confirmed Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43), Physical disability over 65 years of age (3) of places Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. For a programme to be instituted for fitting radiator covers to non low temperature surface type radiators, with priority given to areas of highest risk to residents. Completion of the programme must be by 30th September 2005. 12th September 2005 Date of last inspection Brief Description of the Service: Walton Heath Manor is registered to provide personal care for 43 older people. The furnishings, fittings and décor of the home are to an exceptionally high standard. Bedroom accommodation is mostly single rooms arranged on three floors accessible by two passenger lifts. All bedrooms have either full en suite bathrooms or en suite w.c. and wash basin. Suitable aids and specialist communal bathing facilities are provided. The home has a number of communal areas including a private licensed bar lounge and library and elegant dining room. The chefs prepare nutritious meals and ensure individual dietary needs and food preferences are accommodated. There is a large balcony at the rear of the building and some bedrooms have balconies and terraces overlooking the large landscaped garden. This includes a sunken garden, water feature and ornamental fountain. The home is set in large grounds in a peaceful private road and has car-parking facilities to the front of the premises. The care philosophy aims to promote and support individual independence for as long as possible with provision of care in accordance with needs. Facilities include a hairdressing salon and hairdressing and chiropody services are included in fees. The activities programme affords a range of social and leisure opportunities including occupational therapy and arrangements for meeting religious beliefs. Regular outings are organised in the summer using the homes minibus Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the homes first key inspection carried out in 2006/2007.The unannounced inspection took place over nine hours and was carried out by Mrs. L. Johnson. A full tour of the premises was undertaken and care plans, staff files and policies and procedures were sampled. On the day of the inspection the existing manager was leaving and the inspector had the opportunity of meeting the newly appointed manager. The inspector also had the opportunity to speak with the responsible individual. The inspector spoke to eight residents to gain their views on the service provided and seven members of staff. Two matters requiring action remained outstanding since the inspection 12th September 2005 and other matters needing attention were identified as part of this inspection process. The inspectors would like to thank the residents, relatives and staff for their hospitality and cooperation during this inspection. What the service does well:
The home provides a high standard of accommodation with extensive and wellmaintained grounds which residents were seen to be enjoying. The home also has own bar for residents to obtain drinks. Catering arrangements were of a good standard and meals were varied and well presented with residents being offered wine with their lunch. Comments received from residents were “good” and “excellent”. The home provides a wide range of recreational and social activities. There are opportunities to go out shopping and some individuals had been involved in planting the flowerpots, which were seen on display and plans are in process to install a green house for the use of residents. The home has updated quality assurance questionnaires, which were detailed with a separate questionnaire being provided for feedback on catering. Positive relationships were seen between staff and residents who were respectful in their approach. Positive comments were received from a number of residents spoken to and included: - “There is lots of freedom” “Full marks
Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 6 the staff are kind and caring”. “The staff are responsive”. “This is a great place”. What has improved since the last inspection? What they could do better:
Care plans require reviewing and updating to reflect the current needs of individuals, as some of the information was out of date. All care plans must be signed by residents or their representative and where individuals are unable to sign their plan this should be recorded on their plan. This is to ensure that residents are fully involved in the process. A further requirement was made that a` photograph of each individual should be supplied with their plan as some were missing. The outcome of moving and handling assessments must be recorded in detail in individual’s plans to ensure that individual’s needs are fully met. Staff who are trained to administer medication need to receive training updates as this has not taken place. This is to ensure that staff are competent to administer medications safely and that residents are protected by the homes medication administration policies and procedures. The homes complaints procedure needs to be updated, as the name of the manager is out of date ensuring that residents and/or their representatives have the correct information should they wish to raise a concern
Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 7 A previous requirement was made that the home ensures that staff receive training in safeguarding adults. The home has made progress in ensuring that a number of staff have received this training, however the inspector spoke to one member of staff who confirmed that she had not yet attended this training. A further requirement was made that this training is fully completed for all staff to ensure that residents are protected from abuse. A previous requirement was made that all staff receive enhanced police checks. The inspector examined a number that had been completed; however there was no information available on files in respect of police checks undertaken for staff that have worked in the home for a long period of time and the inspector was informed that this work is in process. A requirement was made that all staff must receive enhanced police checks to ensure that residents are protected by the homes recruitment policies and practices. A new manager is taking over in the home and it is required that she submits an application to the Commission for Social Care Inspection to register. The fire book and records were examined and a fire safety audit has not been updated for a substantial period of time. A requirement was made that this issue is responded to in consultation with the fire officer. This is to ensure the safety and welfare of residents. 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. Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that residents and their relatives are provided with adequate information so that they are able to make an informed choice about the suitability of the home as a place to live. The home is able to demonstrate that pre admission assessments are completed prior to admission to the home. Each service user is provided with written contract/statement terms and conditions with the home. The home does not support residents for intermediate care EVIDENCE: The home has produced a statement of purpose, which was professionally presented detailing the aims and objectives and services that the home is able to offer. Copies of service user guides were observed in some individual’s bedrooms and were seen on display in the reception. Pre-admission assessments were completed which were sampled and were detailed and comprehensive.
Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 10 Two contracts were sampled which detailed the terms and conditions with the home and extra charges explained. Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further work is required in ensuring that residents and/or their representatives should sign their plans where possible to ensure that they are fully involved in the process. Updated staff training will ensure that residents are fully protected by the medication administration practices in the home. Resident’s privacy and dignity is respected. EVIDENCE: Three care plans were sampled which were based on assessment. Nutritional assessments had been conducted. However the plans sampled had not been reviewed or updated with evidence of two individuals changing needs having not been recorded. There were no photographs available with plan and individuals or their representatives had not signed their care plans. Mobility assessments had been completed, however detailed interventions for individuals were not recorded in their care plan. A requirement was made that care plans should be reviewed on a regular basis and updated to reflect the changing needs of individuals to ensure that their
Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 12 needs are fully met and a further requirement was made that residents and/or their representative should sign their plan to ensure that they are fully involved in the process. Residents are supported to access specialist services including the GP, Support has been provided for specialist nurses to visit one individual from Princess Alice hospice. Other specialists visiting the home include for example district nurses, chiropodists and physiotherapists. During the inspection one individual was being supported to attend a hospital appointment. The homes medication administration systems were examined and records were maintained adequately. A list is maintained of staff authorised to administer medication and photographs of individuals were available with their medication card. Medicines were stored appropriately and disposal records were maintained. A number of residents self medicate and risk assessments were in place, which were signed by the individual, doctor and the manager. Staff have received initial training in the safe handling of medication but was unable to confirm when they had last received training updates. A requirement was made that staff should receive up to date training in the safe handling of medicines to ensure the health, welfare and safety of service uses is protected by the homes medication policies and practices. It was strongly recommended that the home provide a list of staff with the medication administration records of staff able to administer medication as the existing lit had gone missing. Staff were observed to be talking to residents with respect and were observed to be knocking on residents bedroom doors before entering respecting individuals privacy A number of individuals were observed to have access to their own telephones. Preferences for individuals was recorded in their care plan for example their preferred time for receiveing their breakfast in their rooms and bathing arrangements. Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that residents engage in a range of leisure activities and are supported to exercise choice. Residents are able to maintain links with their family and friends. Residents are offered a well balanced diet. EVIDENCE: There was an activities programme on display and the home employs a day activities coordinator. The home provides a varied range of recreational and leisure activities. The home has its own vehicle and there are opportunities to go on shopping trips and entertainers visit the home. The home was arranging an open day for the horticultural society. Games tables were available and the home is in the process of making plans to install a green house for the use of residents. A hairdresser, mobile library and shop is available weekly for residents to make purchases. The home also holds residents meetings. Residents are able to maintain links with family and friends who can visit without restrictions and are able to visit in private. All rooms have telephone points and a number of individuals had telephones in their rooms. A number of individuals had a range of personal possessions on display in their rooms,
Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 14 which they have bought into the home. One resident stated, “There is a lot of freedom here”. Catering arrangements were of a good standard and the lunchtime meal was well presented and nutritious with residents being offered wine with their meal. There is a four weekly menu in place with alternatives being available to meet individual choices and preferences. There were five varieties of deserts offered at teatime and home made cake was offered in the afternoon Residents spoken to enjoyed the meals and comments included “Very good and excellent”. Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. An accessible complaints procedure is in place and residents feel their concerns will be listened to. The home needs to ensure that all staff receive safeguarding adult training to ensure that residents are protected from abuse. EVIDENCE: The home provides a complaints procedure, which is available in the service user guide. No complaints have been received since the previous inspection. A number of positive comments were received from residents spoken to and included: - “There is lots of freedom” “Full marks the staff are kind and caring”. “The staff are responsive”. “This is a great place”. One individual stated “ Staff are approachable and I would go to the office if I had any concerns”. Policies and procedures for safeguarding adults are in place and the homes whistle blowing policy has been amended making reference to the surrey local authority multi-agency safeguarding adults procedures. The inspector was informed that training has been taking place. However one member of staff spoken to stated that she had not received training in this area. A requirement was made that all staff must receive training and a further requirement was made that the new manager attends the local authority multi-agency training. This is to ensure that residents are protected from abuse.
Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 16 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that residents live in a comfortable and well-maintained home. The home was cleaned to a high standard and was hygienic ensuring that residents have a pleasant environment to live in. EVIDENCE: The home is well maintained, decorated and furnished to a high standard. There are ample sitting areas throughout the home. The large lounge has a bar at one end of the room and the well-presented dining room provided a pleasant room for residents to have their meals. There is a separate library room and hairdressing salon. All areas of the home were accessible and lifts were in place to access the upper floors. The kitchen was clean and appropriate food storage was in place. The home has received an inspection from environmental health and has responded to a recommendation by replacing a fridge. The grounds are extensive and well maintained with flower pots on display which some residents had contributed to and a water fountain
Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 17 in place which residents were enjoying. All bedrooms have patio doors and garden furniture was present for residents to use and enjoy the garden. The home was cleaned to a good standard. Hand washing equipment was available in communal toilets and bathrooms. There was a separate laundry that was well maintained. The laundry assistant confirmed that she had received completed in infection control Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staffing levels in the home are sufficient to meet the needs of residents. The home is able to demonstrate that residents are supported by trained and qualified staff who are able to carry out their job competently. The home needs to ensure that adequate police checks are completed for all staff prior to staff working in the home to promote the safety of residents. The home needs to ensure that accurate staff training records are maintained to ensure that the needs of residents are met. EVIDENCE: The staff rota was examined and it was concluded that that staffing levels in the home were satisfactory. There are five staff in the morning with one senior carer being a key holder and floats. Four staff are provided in the afternoon and the manager works supernummary. There is limited use of agency, which is only used at nighttime. Fifty percent of care staff have gained National Vocational Qualifications. Certificates for four members of staff were present on staff personal files and one member of staff spoken to confirmed that she had obtained a National Vocational Qualification (Level 2) Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 19 Four staff files were sampled. POVA first checks are completed prior to staff commencing employment in the home. Evidence was shown to the inspector that enhanced police checks have been carried out. However there were some long established staff in the home who have not had enhanced police checks completed, the inspector was informed that this is in process. Therefore the original requirement remains unmet and a further requirement was made that this issue is completed to ensure that the safety and welfare of residents is protected by the homes recruitment policies and protected. Staff receive induction training using a work book. The inspector was informed that staff have been undertaking training in safeguarding adults, infection control, fire training and moving and handling training. Staff spoken to confirm that they have been receiving training however one member of staff confirmed that she had not received training in safeguarding adults. There were no training schedules in place to confirm when training courses had taken place and when mandatory training was due to be next updated. A requirement was made that a schedule is put in place to ensure that all staff receive training to ensure they have the appropriate skills to meet the needs of residents. Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33,35 ,36 & 37 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is experienced to manage the home. The home is able to demonstrate that quality assurance systems have been implemented. The financial interests of residents are protected. There is capacity to improve the staff supervision systems in the home. One health and safety issue need addressing to ensure the health, safety and welfare of residents. EVIDENCE: Since the previous inspection there has been a change of manager. At the time of this inspection the manager was working her last day with a new manager taking over. The inspector had the opportunity to speak to both members of staff who have appropriate nursing qualifications. Improvement had been seen in respect of team moral, which was confirmed by the responsible individual. During discussion with staff they confirmed that the managers in the home supported them and they attend regular staff meetings. However a
Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 21 requirement was made that the new manager must submit an application to the Commission for Social Care to be registered. The home has implemented quality assurance questionnaires, which have been updated. The questionnaires were detailed with a separate form being provided for the quality of meals. Some monies are maintained on behalf of residents. Records were sampled. Receipts for expenditure were held with records with balances recorded. One individual’s balance was checked and was correct. Staff have been receiving one to one supervision which was confirmed by the manager and staff spoken to. However the manager stated that night staff still require meetings. A requirement was made that all staff should receive supervision at least six times a year. Accident records were adequately maintained and water temperature monitoring is recorded regularly and an updated legionella certificate was available. Temperature records were maintained in the kitchen. Fire records were examined which concluded that regular alarm checks and fire drills taking place. However the fire audit has not been updated and a requirement was made that this is updated in consultation with the fire officer. Walton Heath Manor DS0000063264.V300476.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 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 4 4 X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 2 Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (2) (c) 17(1)(a) Schedule 3 15(2)(b) Requirement Resident’s and/ or their representative must their sign individual care plans. A photograph must be made available with each individuals plan Care plans must be reviewed and updated as necessary to reflect changing needs. (Previous requirement 12/11/05 not met) The outcome of moving and handling assessments must be reflected in the individual plan. All staff that administer medication must receive up to date training. For all care staff to have Enhanced Level CRB Disclosures. For care staff to receive all core training including adult protection training. A training schedule must be put in place for all staff indicating the date and the training received. The new manager must submit an application to the Commission for Social Care Inspection to register.
DS0000063264.V300476.R01.S.doc Timescale for action 16/08/06 2 3 OP7 OP7 16/08/06 16/08/06 4 5 6 7 8 9 OP8 OP9 OP18 OP18 OP30 13(5) 13(2) 19(a) 13(6) 18(1a&ci) .18(1)(c ) 8 16/08/06 16/09/06 16/07/06 16/10/06 16/10/06 16/08/06 OP31 Walton Heath Manor Version 5.2 Page 24 10 11 OP36 OP38 .18(2) 23(4) (a)(b)(c) All staff must receive supervision sessions at least six times a year The fire audit must be updated 16/10/06 03/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations It is strongly recommended that the home supplies a list of all staff who are able to administer medication with the medication administration records. Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Walton Heath Manor DS0000063264.V300476.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
