Inspection on 22/05/06 for Wheathills House

This inspection was carried out on 22nd May 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wheathills House 10/08/07

Wheathills House 24/11/05

Wheathills House 18/07/05

Wheathills House 27/01/05

Wheathills House 16/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Wheathills House Brun Lane Kirk Langley Derby Derbyshire DE6 4LU Lead Inspector Angela Kennedy Key Unannounced Inspection 22 May 2006 09:30 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 Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wheathills House Address Brun Lane Kirk Langley Derby Derbyshire DE6 4LU (01332) 824600 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.wheathillshome.co.uk Mr Richard Whitehouse Mr Richard Whitehouse Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Plus One (1) Day Care Place Date of last inspection 24th November 2005 Brief Description of the Service: The Home provides residential care for 23 older people with medium to low dependency. The Home is a large period house set within a rural area of Derbyshire. There is no public transport available to and from the Home. The rooms provided are single occupancy with the majority having en-suite facilities. There is a chair lift provided. The range of fees can be obtained by telephoning or emailing the registered provider/manager at the home or by accessing the homes website. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a 3 ½ hour period. Several residents were spoken with during the inspection and 1 relative. 2 member of the staff team were spoken with and several records were examined, including personal information regarding the care of 3 residents and the staff files which included training certificates, recruitment documents and supervision records. A partial tour of the building was undertaken to inspect certain areas of the home. Concerns had been raised to the commission for social care inspection prior to this visit. The manager was already aware of these concerns and they were discussed on the day of inspection and the areas of concern were inspected against the national minimum standards, and form part of this report. The registered provider/manager was available to assist the inspector throughout the visit. What the service does well: What has improved since the last inspection? A new care planning document was in the process of being implemented in the home that was very thorough in detail and would therefore aid staff in ensuring all of the residents assessed needs could be met. Residents care plans were reviewed on a monthly basis, and assessments were in place that looked at residents’ health care needs. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 6 Many of the staff at the home had undertaken training in the administration of medication by an external accredited training organisation. The complaints procedure had been amended to clearly show that concerns could be brought to the attention of the commission for social care inspection at any stage. 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. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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 Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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): 1,3,5 Residents have access to information regarding the home, however this requires further development. Each resident has a written contract that provides the terms and conditions within the home and residents needs are assessed prior to admission to ensure the home can meet their needs. The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: A service user guide was available for residents to read and was kept in the duty office of the home. Each resident did not have their own copy of this service user guide as required within the regulations. The manager confirmed that copies of the service user guide would be made available to residents upon request. However as it is a requirement to provide each resident with their own copy of the service user guide then evidence must be in place to demonstrate if individuals do not wish to receive their own copy of the guide. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 9 An assessment of need was undertaken for residents prior to admission to the home. The care management team undertook this assessment for funded residents and by the home for privately funded residents. This demonstrates that sufficient information is gathered prior to admission to ensure each resident’s needs can be met by the home. Residents are able to visit the home on a month’s trial visit prior to admission, this allows prospective residents, their family and friends an opportunity to assess the suitability of the home in meeting their personal preferences and also allows existing residents the opportunity to assess the suitability of the prospective resident to live within their home. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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): 7,8,9,10,11 Residents health, personal and social care needs are set out in an individual plan of care and demonstrates that residents are consulted and involved with regard to their care plans when ever possible. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. EVIDENCE: A concern had been raised regarding the application of a cream for a resident with sore lips were it was stated that some confusion had taken place regarding the whereabouts of the cream. On discussions with the manager it was confirmed that the resident had some memory loss and would sometimes forget where they had put the cream. It is important that this information is documented within resident’s care plans and an assessment made as to where the cream should be stored. 3 residents files were examined on the day of inspection and all three had care plans that had been developed from the resident’s pre-admission assessment of needs. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 11 The home was in the process of transferring these care plans onto a new careplanning document that had been purchased by the home. This document was thorough in detail and ensured that evidence could be documented to show that the resident had been consulted regarding their plan of care. All of the 3 residents files seen demonstrated by means of the resident’s signature that they had been involved in the formulation of their care plans. All care plans seen had been signed and dated to validate the care plans and evidence of monthly reviews of the care plans was in place. Assessments were in place in the files seen that demonstrated that resident’s health care needs were assessed and appropriate intervention/action was taken when required. This included assessments for: risk of falls, moving and handling and nutrition. Concerns had been raised to the commission regarding the administration of medication practices at the home, the manager was aware of these concerns as the individual who raised the concern had brought them to his attention. The concern raised was that staff dispensed resident’s medication into medicine pots and then gave them to another member of staff to administer the medication to residents, and that staff on the afternoon shift decanted nighttime medication for residents into named pots for the night staff to administer. This was discussed with the manager who stated that he was unaware of this practice and confirmed that he would ensure that staff were aware that this practice must not take place and that staff dispensing medication are responsible for ensuring the resident receives their medication before signing to say the medication has been administered. Medication training had been undertaken on the 17th May at the home for the staff team, this training was provided by an external creditable source and included an assessment of carer’s competence. One member of staff who had undertaken this training stated that she did not administer medication as she was always on shift with senior staff that administered the medication and did not appear confident to undertake this task. However to ensure that this member of staff and any other staff who have undertaken the medication training develop and maintain their competency they should assist senior more experienced staff in the administration of medicines to the residents. The medication administration records (MAR) sheets were seen and were in general satisfactory with the exception of one MAR sheet, were a question mark had being entered where a staff signature should have been to demonstrate the medication had been given or a code entered to show why the medication had not been given. The entry of a question mark did not demonstrate if the medication had been given or the reason why it had not been administered. The Controlled Drugs Register was seen and demonstrated that accurate records were kept of the controlled drug stock and administration. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 12 The home did not provide a list of staffs names and initials for staff that have been trained and administer medication; this practice allows the manager/person in charge a means of identifying individuals that have administered medication. The residents preferred name was documented within their personal files and residents spoken with confirmed that the staff team were respectful in their attitudes towards them and when providing personal care. The resident’s wishes regarding death and dying were documented in two of the three files seen, this provides assurance to residents and their families that their wishes within this area will be respected and acted upon accordingly. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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 To ensure opportunities for stimulation are provided, the recreational interests and needs of the residents must be further assessed and further leisure and recreational activities both inside and outside of the home provided. Residents are able to maintain contact with family and friends and the meals, which received positive comments from the residents, were provided within attractive surroundings. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: . An activities co-ordinator is employed at the home for 2 hours a week and provides activities for the residents such as dominoes scrabble and chair aerobics. Some of the residents spoken with said they enjoyed the activities provided but expressed a desire for further activities to be provided within the home as they felt there wasn’t enough to keep them occupied during the day. Discussions took place with the manager regarding the activities provided this included coffee mornings, raffles and a spring plant sale. The manager confirmed that residents do go out for lunch trips to local garden centres and public houses, although there had been occasions when trips have been organised in agreement with residents and then on the day of the trip none of the residents had wanted to go. It may therefore be more advisable to focus Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 14 the main planning of activities and entertainment to within the home and organise some trips outside of the home during the summer months. The local vicar visits the home each month and offers communion to any of the residents who wish to partake. A hairdresser visits the home on a fortnightly basis for residents within the home. The home does not provide any information to residents regarding local advocacy services that are available should they require them. This was discussed with the manager and advised that these services and contact that numbers be displayed within the home for residents use if required. This will further demonstrate that residents are helped to exercise choice and control over their lives. Residents are encouraged to handle their own financial affairs if possible. However some money is kept at the home for the residents within secure facilities and a record of all financial transactions are kept. These records were seen and found to be satisfactory. The home operated an open visiting policy and residents spoken with confirmed that they were able to receive visitors at any time and within their private accommodation if they chose to. The menus for the meals at the home run over a 4 weekly basis and 2 choices are provided at lunch and dinner. Breakfast is served within resident’s own private accommodation and cooked breakfasts are available if desired. Residents not wishing to take breakfast within their rooms can be served within the dining room. The residents spoken with were complimentary regarding the meals provided, and during a partial tour of the building the dining room was seen and was pleasantly furnished and attractively dressed in preparation for lunch. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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 The homes complaints procedure is simple, clear and accessible to residents and demonstrates that any concerns or complaints will be acted upon promptly. Staff training and policies within the home protects the residents from abuse. Quality in this outcome area is good. This judgement has been made using available including a visit to the service. EVIDENCE: A requirement had been made at previous inspection regarding the need to amend the complaints procedure within the home. The Complaints procedure was seen and has now been amended as required. A copy of the homes complaints procedure was on display within the entrance to the home and all residents were issued with their own copy at the time of admission to the home. Residents spoken with were aware of the complaints procedure and confirmed that they would speak with the manager or staff if they had any concerns or complaints. Staff received Adult Protection Training at the home, and this was confirmed by the staff spoken with and by staff records seen. The manager stated that this training is due to be undertaken again by some of the staff team. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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): 19,21,25,26 The homes complaints procedure is simple, clear and accessible to residents and demonstrates that any concerns or complaints will be acted upon promptly. Staff training and policies within the home protects the residents from abuse. Quality in this outcome area is good. This judgement has been made using available including a visit to the service EVIDENCE: The routine maintenance programme of the home is ongoing throughout the home; this included the refurbishment and redecoration of rooms throughout the home. There were two toilets situated on the ground floor, one of the toilets did not have a wash hand basin. A requirement had been left at a previous inspection with regard to this. The manager stated that the two residents whose private accommodation was situated nearby used this toilet and both residents had wash hand basins within their rooms. A wash hand basin fitted into this room will ensure that infection control is maintained and allow this toilet to be accessible to all residents and visitors, as the only means of transport for anyone unable to physically access facilities on the first floor is by means of a Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 17 chair lift, therefore the use of two toilets on the ground floor would be of great assistance to residents, staff and visitors. Thermostatic controls are in place near hot water bath taps to reduce the risk of scalding. Bath water temperatures are taken and recorded prior to residents bathing which further demonstrates that the home strives to ensure the protection of residents against harm. The laundry area was seen and was satisfactory. Sluicing facilities were incorporated within the homes washing machine. Resident’s clothes were laundered at the home and a private company were used for the laundering of the homes linen. A concern had been raised with the commission regarding the use of flannels being used for personal care that were not colour coded and therefore not separated into certain flannels being used as face cloths and others being used for intimate hygiene care. This was discussed with the manager who gave assurance that disposable cloths were used when intimate personal hygiene was given. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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 Resident’s needs are met by adequate numbers and skill mix of staff, although further vocational staff training is required to ensure the national targets are met. The homes recruitment practices demonstrate that the home strives to protect residents from abuse or harm. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The staffing rotas were seen and indicated the functions of the staff team. The rotas demonstrated that sufficient staff were on duty to meet the assessed needs of the residents currently living at the home. The total number of care staff employed at the home and excluding the manager was 19. 8 of these staff had achieved a National Vocational Qualification (NVQ) in care, all at level 2 and some at level 3. However to ensure the home meets the national target 50 of the staff team need to have achieved a level 2 NVQ certificate. Three staff files were seen and all the required information and documents were in place with regard to staff recruitment, this included application forms and 2 satisfactory references, this was a requirement left at the last inspection which has now been met and demonstrates that the home strives to protect the residents form harm or abuse. Within the staff files there was evidence in place to show that staff training was undertaken on a continuous basis. Two staff were spoken with and confirmed Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 19 that they had undertaken training in the administration of medicines, health and hygiene, moving and handling, dementia training and fire training. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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): 31,32,33,35,37,38 The residents live in a home that is run by a manager that has the experience and competencies required to manage the home, however the formal supervision of staff on a more frequent basis and regular team meetings will further ensure that best practice is maintained through staff consultation and review. Quality Assurance systems are in place but require further development to ensure continuous self-monitoring and residents best interests are met. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The registered manager has a qualification in Social work and 14 years experience in managing the home. He is at present undertaking the Registered Manager Award training. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 21 On discussions with staff and the manager it was confirmed that staff meetings were not undertaken on a regular basis, it was said that this was due to staff being unable to attend meetings outside of their working hours do to other commitments. However regular staff meetings should be made available to staff in order for the manager to pass on any relevant information and for staff to be given the opportunity to discuss any issues or ideas they may have. Staff that are unable to attend would then have the written minutes of meetings to allow them to be kept up to date. This would further demonstrate that the manager ran the home in an open, positive and inclusive environment. Quality Assurance systems were in place. Questionnaires and satisfaction surveys were sent out to residents, relatives and visiting professionals. The results of these surveys and questionnaires had not been published. Discussions took place regarding how this could be achieved and ideas such a newsletter for the home was discussed as this could demonstrate how the involvement of residents actively determines how their home is run. Residents are able to keep their own monies if they wish to and are able to. Some resident’s monies are kept securely by the home. Financial transaction records are kept for residents monies kept by the home, these were seen and were satisfactorily documented. Discussions took place with two staff and the manager with regard to formal staff supervision. It was confirmed that formal supervision did not take place on a regular basis, although informal supervision was on going. Once formal supervision is regular for all staff this will demonstrate that the manager ensures that all aspects of practice and career development needs are identified and put in place as required. The registration certificate of the home is displayed within the duty office; discussions took place regarding the suitability of this location, as the registration certificate should be accessible to anyone who wishes to see it. Therefore the certificate should either be moved to an area that is accessible to all residents and visitors or a notice should be in place alerting people to its location should they wish to view it. The fire safety logbook was seen and demonstrated that the required fire safety checks and procedures were undertaken other maintenance records were also seen and were satisfactory. Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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 2 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 2 X X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 X 3 2 2 3 Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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 OP1 Regulation 5(2) Requirement The registered provider must supply each resident with a copy of the Homes Service Users Guide, or have evidence in place to demonstrate that residents do not require their own copy The recreational interests and needs of the residents must be further assessed and further leisure and recreational activities provided for residents. Contact numbers of advocacy services must be conspicuously displayed within the home for residents use if required. All toilet areas must have wash hand basins. (previous timescale was 1 November 2004 and 1 January 06) The registered person must ensure that staff meetings are held on a regular basis and recorded The results of satisfaction surveys and questionnaires must be published and made available DS0000020120.V294736.R01.S.doc Timescale for action 31/07/06 2. OP12 16 (2) (m) (n) 01/08/06 3. OP14 12 (2) 30/06/06 4. OP21 23(2j) 13(3) 01/09/06 5. OP32 24 (1) (a) (b) 24 01/07/06 6. OP33 01/09/06 Wheathills House Version 5.1 Page 24 to residents, prospective residents and other interested parties including the commission for social care inspection. 7. 8. OP36 OP37 18 (2) CSA28 (1) Staff working at the home must be appropriately supervised. The certificate of registration must be kept affixed in a conspicuous place in the Home or a notice should be in place alerting people to its location should they wish to view it 01/08/06 30/06/06 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 Staff that have recently undertaken the administration of medication training should assist more experienced staff in administering residents medication to enable them to develop confidence and maintain and develop their skills within this area. A list of names and initials of staff that have undertaken training in the administration of medicines should be available within the home for identification purposes as a good practice measure. The registered person should ensure that 50 of staff are trained to National Vocational Qualification level 2. 4. 5 OP32 OP36 Staff meetings should be undertaken on a monthly basis and recorded. Staff’s formal supervision should be undertaken at least 6 times a year 2 OP9 3 OP28 Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Wheathills House DS0000020120.V294736.R01.S.doc Version 5.1 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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