Inspection on 09/07/08 for West Melton Lodge Nursing Home

This inspection was carried out on 9th July 2008.

CSCI found this care home to be providing an Adequate service.

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

West Melton Lodge Nursing Home 23/06/09

Similar services:

Alderson Road 12

Abbey The

Grayling

Larch Avenue

Cranworth Close Registered Care Home

Muston Road (70)

The Cornerstone

John Street Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE West Melton Lodge Nursing Home 2 Brampton Road West Melton Rotherham South Yorkshire S63 6AW Lead Inspector Christine Rolt Key Unannounced Inspection 09:30 9th July 2008 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 West Melton Lodge Nursing Home DS0000071131.V364154.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. West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Melton Lodge Nursing Home Address 2 Brampton Road West Melton Rotherham South Yorkshire S63 6AW 01709 879 932 01709 879 932 none 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) Mr Stephen John Oldale Miss Susan Jane Leigh Manager post vacant Care Home 32 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (32) of places West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP and Learning disability - Code LD The maximum number of service users who can be accommodated is: 32 2. Date of last inspection Brief Description of the Service: West Melton Lodge is registered to provide accommodation for 32 older people, some with nursing needs. The home is in the middle of West Melton village, which is between Rotherham and Barnsley. The home stands in landscaped gardens with a car park to the front of the property. It was once the old vicarage and retains many of its original characteristics including narrow corridors and some steps along the corridors. Chair lifts are provided at these points. Accommodation is on two floors and a passenger lift is provided. There are several lounges and dining areas throughout the home. Bedrooms vary in size and some have en-suite lavatories. The weekly fees ranged from £353.00 to £369 plus pre nursing care. Hairdressing, chiropody, reflexology and manicures are charged extra. The home’s administrator supplied this information during the site visit on 9th July 2008. People are given full information about the home before they make a commitment to stay. Copies of the service user guide are available in bedrooms or on request. The most recent CSCI inspection report is available for perusal in the main entrance. West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that the people who use this service experience adequate quality outcomes. This was a key inspection and comprised information already received from or about the home and a site visit. The site visit was from 9:25 am to 6:25 pm. The acting manager, who has since resigned, completed an Annual Quality Assurance Assessment (AQAA). This document is designed to give the manager the opportunity to say what the home does well, what had improved and what they were working on to improve. Various aspects of the service were then checked during the site visit. Care practices were observed, a sample of records was examined, a partial inspection of the building was carried out and service provision was discussed. The home has two part time deputy managers and both attended and assisted with this inspection. Ms Susan Leigh, one of the registered providers also attended for part of the inspection. The majority of people living at the home were seen throughout the day. Two visitors and an occupational therapist were also asked for their opinions. A member of staff was interviewed. The care provided for three people was checked against their records to determine if their individual needs were being met. Questionnaires were sent to 10 people who lived in this home and nine were completed and returned. All opinions and comments were considered for inclusion in this report. The inspector wishes to thank people in the home, their visitors, staff, both deputy managers and the registered provider for their assistance and cooperation. What the service does well: People said that staff listened to them and they liked the staff. commented that the staff were “Very kind”. One person The meals were always good and there was variety and choice. One person said that their relative’s appetite had improved since coming into the home. People said that they liked living in the home and one person commented, West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 6 “I would like to say I’m happy here.” What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. West Melton Lodge Nursing Home DS0000071131.V364154.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 West Melton Lodge Nursing Home DS0000071131.V364154.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): 3 and 6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using this service had full assessments of their needs. not provide intermediate care. EVIDENCE: People said that they had sufficient information about the home. People spoken to said that this home was chosen because it was local, there was a good atmosphere and the staff were friendly. Assessments were carried out and were available on the three files that were checked. These provided information of each person’s needs. This home does West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 9 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 and 10 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People were treated with respect. Medication recording procedures need to improve. Care and health needs were met but care planning and recording need to improve. EVIDENCE: Three care plans were checked. Detailed information was available of how health needs were to be met but there was not always sufficient detail of how people’s physical needs were to be met to show that they were individuals. There was very little information on people’s personal wishes, choices and history. Some daily records had good detail whilst others gave no information. Records were only written once per day therefore some information related to only a brief period within the 24 hours and other information was written in general terms. The need to provide more detailed information of people’s needs and how the care is given together with West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 10 information of how each person spends their day was discussed with the deputy managers and the registered provider. Person centred care (covering physical, health, social and emotional needs) was also discussed. A form titled Risk Assessments was available on each file. However the form did not prompt the person writing the assessment to look at the different aspects of associated risks. For example several people had had bed rails fitted because there was a risk of them falling out of bed but consideration had not been given to whether they were being put at greater risk from using bed rails. Some people had their beds against the wall because they felt safer. The deputy managers were told to carry out risk assessments to ensure that neither the person nor members of staff were put at risk of injury if the person needed to be assisted in or out of bed. Reviews were not carried out consistently each month and there were no indications that they were reviewed sooner than this if the need arose e.g. after an accident. Records on one file had not been updated for six months. The deputy managers said that people’s care plans had in all probability been reviewed more frequently but that this information had not been consistently recorded. Also none of the files showed that the person or their representative had been consulted and included in the reviews. The need for consultation was discussed. (See Management section re Quality Assurance.) Files contained good information of contact with heath professionals and this cross referenced to the daily records. The deputy managers were advised to write people’s names as well as their titles (especially GPs in group practices) wherever possible for future reference. Accident forms were completed. The use of 72-hour monitoring sheets was recommended. These would record the close monitoring of any persons who had accidents where there were no apparent injuries at the time of the accident. The deputy managers were also advised to carry out monthly analyses of accidents. (See Management section re Quality Assurance.) The registered provider said that these forms were part of their company’s documentation and would be implemented. People living in the home looked well cared for, clean and appropriately dressed. They said they were happy living in the home. Staff were observed treating people with respect and kindness, and interactions were good. The deputy managers could not confirm that people were given keys for their rooms and their lockable facilities. This was discussed with the registered provider. The nursing staff dealt with all medication. Medication in the monitored dose system (MDS) tallied with the Medication Administration Record (MAR) sheets. Controlled drugs were stored in a controlled drugs cupboard. The controlled West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 11 drugs register was checked. Medication was recorded properly with two signatures and a diminishing total. Medication that needed to be kept cool was kept in a medication refrigerator and a record of temperatures was kept to ensure it was within the prescribed limits. However, there were several problems with the medication system. Staff were using stock packets and bottles for some common medications, i.e. one pack of Movicol was being used for all instead of each person’s prescribed medication being kept separate. Medications must only be used for the person that they are prescribed for. Medication keys were kept with other keys for the home. These should be kept separately to ensure that unauthorised persons couldn’t gain access to every part of the home. At the end of each month, any medication that was left over was not being carried forward but was returned and a new supply was received of the same medication. This is a waste of resources. When medications commenced in the middle of the month, staff obtained printed labels containing the relevant information from the pharmacy. Using spare labels is not recommended. All of the above discrepancies were discussed with the registered provider and the deputy managers. Advice was given on staff training and competency assessments and how to obtain a copy of the Royal Pharmaceutical Society’s publication “The Handling of Medicines in Social Care”. Policies and Procedures relating to medication also need to be reviewed and nursing staff also need to ensure that they follow the latest guidance from the Nursing and Midwifery Council. Some medication was stored in the medication room whilst other medication was stored in a trolley fixed to the wall. The siting of this trolley was discussed during the inspection. Consideration must be given to improving the security of medication stored in this trolley to minimise the risk of unauthorised access at all times. West Melton Lodge Nursing Home DS0000071131.V364154.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 and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People were satisfied with their lifestyles in the home. EVIDENCE: People were observed spending the day as they chose and they considered that there was enough for them to do. On the day of the site visit, some people were having manicures. The home also had an activities co-ordinator. She had made an initial plan for assessment of what people liked to do including people who were bedfast. However, on checking the records for one person who was bedfast, there was no further information. The deputy manager was advised to ensure that people who were bedfast were included and that there were opportunities for stimulation and motivation. There was no programme of activities displayed but the deputy manager said that this was already been in hand. She said that they had also discussed a menu board to inform people of the meals on offer. Staff were observed and heard to offer choices but there was minimal information in care plans of people’s choices. (See section Health and Personal Care). West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 13 Visitors said that they were made welcome. The dining room was clean and comfortable. Staff were heard to offer choice of meals and the visitors confirmed that food preferences were taken into consideration. The lunchtime meal was appetising. Visitors said that the meals, “Look quite nice” and “Good and varied”. One of the visitors also said that their relative’s appetite had improved and they had “put on weight”. West Melton Lodge Nursing Home DS0000071131.V364154.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People felt they were listened to and protected. EVIDENCE: The complaints procedure was seen. This needed updating to include recent changes to the CSCI address and telephone number. The procedure would benefit from being simplified so that everyone understood the procedure and this was discussed during the site visit. The complaints book was checked. People said that they would tell a member of staff or the manager if they were not happy. The majority of staff had undertaken adult protection training and the registered provider said that she was arranging refresher training for all staff. There had been one allegation of abuse that had been reported but the nature of this meant that it was considered more as a staff disciplinary issue and was dealt with as such. West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People lived in a pleasant, clean and generally safe environment, but improvements could be made. EVIDENCE: The home was clean and there were no offensive odours. The corridor carpets were good quality but were dirty and one of the bedroom carpets was badly stained. The registered provider said that she had recently purchased a new deep cleaning machine for cleaning carpets. West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 16 Some bedrooms were in need of redecoration and refurbishment and the registered provider said that plans were already in place to prioritise and commence a rolling programme of redecoration. Some bedrooms did not have lockable facilities. (See section Health and Personal Care) and all bedrooms seen would benefit from having a shelf for toiletries fitted above washbasins. Some bedrooms did not have restrictors on windows and some wardrobes were unstable. The deputy manager was informed that risk assessments were needed to determine the risks to people living in these rooms and the action taken to lower the risk. (See Management section re Quality Assurance) Some bathrooms and lavatories had packs of paper towels but there was no soap to enable people to wash their hands properly. The registered provider said that wall mounted facilities for paper towels and liquid soap were already on order. Aids and adaptations were fitted throughout the home to maintain people’s independence. Externally the grounds were attractively landscaped and well maintained. West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staffing levels were sufficient to meet the needs of people living in the home. The home’s recruitment system was not sufficiently robust to ensure that people were in safe hands at all times. EVIDENCE: There were sufficient staff on duty at the time of this site visit. People considered that the staff were good and treated people living in the home with respect and dignity. One person considered that the staff attitude was “positive and fair” Staff had undertaken induction training and according to the Staff Training Matrix had at some stages in their employment undertaken a range of skills training to enhance their skills The recruitment files for four members of staff were checked. None of the four had full information to verify that the recruitment procedure was robust and that people were protected. Issues were, Criminal Record Bureau (CRB) disclosures from previous employers, CRBs at the wrong level, lack of West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 18 information to verify that some staff had been checked against the POVA list, no POVAFirst information for some staff who had commenced employment before receipt of the CRB disclosure. The need for robust recruitment procedures was discussed with the deputy managers and the registered provider. (See Management section re Quality Assurance) West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home had no manager. The health, safety and welfare of people living in the home could be promoted better to ensure that the home was run in their best interests. EVIDENCE: The acting manager had resigned and there was no new manager in post. The registered provider said that they had interviewed prospective managers and they hoped to have a manager with the relevant qualifications in post by August. In the meantime, both deputy managers were overseeing the home. West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 20 The home had a Quality Assurance file but the documentation was sparse. The home did not have Residents’ Meetings. There were only two questionnaires in the file. There were no records of checks being carried out on the environment and no audits of systems or records e.g. care plans, medication, staff recruitment files, and accidents. The registered provider confirmed that she carried out monthly visits to the home but copies of the reports could not be found during the site visit and it was considered that these had been misplaced when the acting manager left. The registered provider said that this home would have new documentation and paperwork in line with other homes that they owned. Money held on behalf of people who lived at the home was stored safely and individual account records were kept. A sample of these was checked and was correct. Receipts were available for purchases made on behalf of people living at the home. Advice was given on numbering these and recording the numbers in the individual accounts for ease of reference when auditing. Records and certificates were available to verify that service and maintenance checks were carried out. A staff training matrix was made available within 48 hours of the site visit. There were some gaps in some staff members’ mandatory health and safety training, particularly infection control and food hygiene. The matrix indicated that first aid training was planned for ten members of staff. West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X X 2 West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 12, 15 Requirement Care plans must provide more details of people’s needs and wishes and daily records must demonstrate that people’s needs and wishes have been met. Care plans must be reviewed at least once a month and sooner if considered necessary (e.g. following an accident). People living in the home or their representative must be consulted about their care plan unless this is impractical. Risk assessments must take into consideration all associated risks and how risks can be minimised Prescribed medications must be kept separate for each individual and must not be shared. Medication systems must be robust to ensure that people living in the home are not put at unnecessary risk Bedrooms must be assessed for the level of risks to their occupants. Areas to be checked include window openings and the stability of wardrobes. The action taken to reduce the level DS0000071131.V364154.R01.S.doc Timescale for action 03/09/08 2 OP7 15 03/09/08 3 4 OP8 OP9 13 13 03/09/08 12/07/08 5 OP19 13 03/09/08 West Melton Lodge Nursing Home Version 5.2 Page 23 6 OP29 19 7 OP33 17 8 OP33 24 9 OP38 13 of risk must also be recorded. The staff recruitment procedure must be robust to ensure that people living in the home are in safe hands at all times. Policies and Procedures, particularly those dealing with medication, must be reviewed to ensure they are up to date and that staff are conversant with them. The Quality Assurance system must demonstrate that the home is run in the best interests of people living there (e.g. environmental checks, risk assessments, audits of systems and records, resident meetings and questionnaires). Care staff must undertake mandatory health and safety training (specifically infection control and food hygiene) and be able to demonstrate competence to ensure that people living in the home are not put at unnecessary risk of harm. 03/09/08 01/10/08 01/10/08 03/09/08 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 2 Refer to Standard OP7 OP8 Good Practice Recommendations Person centred care (covering physical, health, social and emotional needs) would ensure that each person was treated as an individual. Implementing 72-hour accident monitoring sheets would ensure that injuries would be highlighted quickly where no injury was apparent at the time of a fall and monthly Accident Analysis Sheets would highlight any patterns to accidents Consider using health professionals’ names as well as their DS0000071131.V364154.R01.S.doc Version 5.2 Page 24 3 OP8 West Melton Lodge Nursing Home 4 5 OP9 OP9 6 7 8 OP9 OP9 OP9 9 10 11 12 13 OP10 OP12 OP16 OP26 OP35 designations when recording information in care plans. Keys to medication stores should be kept separate from all other keys. To avoid unnecessary wastage, medication still prescribed and able to be used should be retained at the end of each month and the quantities carried forward should be recorded on the new MAR charts. The use of loose pre-printed medication labels on MAR charts should be actively discouraged. Consideration must be given to improving the security of medication stored in the medication trolley to minimise the risk of unauthorised access at all times. Obtaining a copy of the Royal Pharmaceutical Society’s publication “The Handling of Medicines in Social Care” and the latest guidance on medication from the NMC would ensure that staff had the relevant information for dealing with medication. The provision of keys to bedrooms and lockable facilities would ensure that people’s rights to privacy were respected. Opportunities for stimulation and motivation should be available to all people, irrespective of their disabilities, and recorded in their care plans Consider simplifying the complaints procedure to make it more user friendly The provision of liquid soap would help reduce the risk of cross contamination. Numbering receipts and entering on records would ensure ease of reference when auditing people’s financial records for personal allowances. West Melton Lodge Nursing Home DS0000071131.V364154.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 West Melton Lodge Nursing Home DS0000071131.V364154.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. 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