Inspection on 14/03/06 for Willowmead Residential Home

This inspection was carried out on 14th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Willowmead Residential Home 16/01/08

Willowmead Residential Home 13/10/06

Willowmead Residential Home 04/08/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Willowmead Residential Home Wickham Bishops Road Hatfield Peverel Essex CM3 2JL Lead Inspector A Thompson Unannounced Inspection 14th March 2006 10:15 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 Willowmead Residential Home DS0000064381.V286427.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. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Willowmead Residential Home Address Wickham Bishops Road Hatfield Peverel Essex CM3 2JL 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) 01245 381787 01245 382356 Wickham Bishops Nursing Home Ltd Mrs Patricia Ryland Care Home 62 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (62) Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 62 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 22 persons) One person, aged 65 years and over, who requires care by reason of a mental disorder, whose name was made known to the Commission The total number of service users accommodated in the home must not exceed 62 persons 4th August 2005 Date of last inspection Brief Description of the Service: Willowmead is a residential home which offers accommodation for up to 62 older people (over 65 years). The home has been under new ownership since February 2004. The name of the new owning organisation NHCH Limited, was changed again in April 2005 to: Wickham Bishops Nursing Home Ltd. This was a change of company name only. Willowmead is located in a rural setting with no direct public transport links. The nearest town/village is Hatfield Peverel, which is approximately 2 miles away. The home is divided into two completely separate buildings/units. One is called Hatfield, the other is named Wickham. Accommodation is on two floors in both buildings, with lounge and dining facilities on the ground floors. Access between floors is provided by a passenger lift in each unit. There were fifty six single bedrooms and three double bedrooms between the two buildings. Hatfield has one main lounge and a smaller visitors lounge along with one dining room. Wickham has one lounge/dining room. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 5 The home has gardens to the rear and side of the property, these were spacious but in need of continued attention to enable residents’ access and use. Access to the home is via a narrow public lane with no footpath, ample car parking is provided for visitors at the front of the properties. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 1030 hours on Tuesday 14th March 2006. The inspector contacted the home on 13th March to ensure that the manager would be available on the 14th March. This report includes comments on findings from the day of the inspection and from taking account of two additional inspection visits to the home carried out on 21/9/05 & 19/10/05. These additional visits were in relation to complaints received at the time, which have now been resolved. Residents and staff were spoken with. Random samples of records, policies and procedures were inspected and a tour of the premises took place. Many residents were unable to express any views on the service owing to their diagnosed dementia. Those spoken to who did have a view confirmed they were generally satisfied with the care they received and with the quality of the food and accommodation offered. Questionnaires were left at the home for relatives to complete, to ensure they had the opportunity to make their views on the service known to the Commission. The manager has worked positively and consistently towards complying with the requirements and recommendations made in the last report. Improvements to the premises have taken place and additional senior staff have been employed to improve staff supervision at night and during day time shifts. Staff spoken with confirmed they received support from management and that they have been provided training opportunities appropriate to their role. What the service does well: What has improved since the last inspection? Further improvements had been made to the home’s bathing facilities. The lounge in Hatfield had been re-decorated and fitted with new curtains. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 7 What they could do better: Further planned improvements and re-decoration to the premises and grounds need to continue. The home’s quality assurance process needs to include the views of residents. There must also be a summary of the findings and outcomes of the overall quality assurance process. Portable electrical appliances in the home require re-testing. Broken restricted opening chains on some first floor bedroom windows need to be replaced/repaired. ---------------------- 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. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 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 Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 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): 3,5 The home’s assessment format and process was adequate for ensuring that initial perceived needs were identified upon admission. EVIDENCE: The manager visits all prospective new residents to assess their needs. A pre-admission assessment form is completed covering personal care, diet, weight and food preferences, sight, hearing, speech, oral needs, mobility (a falls & manual handling risk assessment is completed separately), medication, continence, psychological, social & hobbies, lifestyle, dislikes & background information with next of kin contacts. Care plans are compiled after admission. All prospective new residents are invited to visit before deciding on moving in on a month’s trial placement. Usually relatives will visit with the service user. Willowmead Residential Home DS0000064381.V286427.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): 9,10 The home’s medication procedures, practices and staff training appeared to provide adequate guidance for dealing with medicines. Residents did feel that staff respected their right to privacy and showed regard to their dignity when providing personal care support. However one comment received suggested that some staff need reminding to ensure privacy and dignity is maintained when providing assistance with bathing and toileting. EVIDENCE: Evidence was available to confirm that staff receive certificated training in medication procedures on a course entitled “Safe Handling of Medicines”, this includes a competency assessment. The home’s pharmacist has also provided training regarding specific dispensing methods. The homes medication policy and procedure was unchanged. This covered areas of ordering, storage, administration, returns of unused stocks. A separate returns book/pad is maintained and was available for inspection. Only senior staff re-order and check in medication. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 11 One good practice recommendation under this standard is for the home to obtain a copy of the guidance issued by the Royal Pharmaceutical Society relating specifically to medication in care homes. A random sample of medication administration records were inspected and were regarded as appropriately maintained. Comments from individual residents regarding staff attitudes towards ensuring that their choices and individual needs are respected at all times were positive, although there are many residents in Willowmead who are unable to express their views and feelings about the support from staff. Residents also said that staff usually took account of their privacy and dignity when providing personal care support, although one did say that staff did not always remember to close doors to bathrooms. The manager was made aware of this comment and undertook to speak to staff about this issue. One resident had a mobile telephone, others had private phones in their rooms. Remaining residents had use of the home’s portable phone to receive calls. Residents spoken with confirmed that they wear their own clothes and that staff use their preferred term of address. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 – 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Residents were supported in exercising choice regarding day to day routines in the home. Activities appropriate to need were being offered with further development planned. EVIDENCE: Residents said that staff took account of their choices and preferences concerning daily routines. They also said they had a choice at meals. Regular residents meetings had taken place, records were seen. Discussions had included food, outings, activities and entertainment. The manager advised that a support group had recently been set up involving relatives. It was hoped that this group will assist with fund raising for outings and events. A new activities co-ordinator had been appointed since the last inspection. Activities had been offered to residents five days a week. Records had been kept and included: puzzles, music, ball games (indoor), quizzes, cards, painting, bingo, reminiscence, jigsaws, baking cakes and visiting entertainers. The residents had asked for summer outings, these are planned to take place using a hire mini-bus. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 13 The activities co-ordinator had attended training on providing activities for people with dementia. The content of this had covered areas of planning, purpose, motivation, communication, involving the community, physical activity, therapeutic activity and resources. The manager advised that as soon as the weather improves one of the home’s two handymen will start work on further improvements to the grounds to enable better resident access and ease of use. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The home’s complaints procedure allowed for residents and relatives to formally raise any concerns or areas of dissatisfaction with the service. Procedures and polices in place were aimed at protecting residents from abuse, however further evidence of staff training on this subject is needed. EVIDENCE: The complaints policy was inspected and contained information on who to complain to with expected response times. Contact details of the current registration authority were up to date. The manager confirmed that the home had a standard recording template document for complaints. There had been recorded complaints since September 2005. Staff had received training on adult protection issues (POVA), however there should be evidence of the course syllabus and of the completion date available for inspection. The home’s written guidelines concerning the protection of vulnerable adults procedures included the Dept of Health guidance on POVA (Protection of Vulnerable Adults) procedures, and guidance booklets (issued to staff) from the Essex Vulnerable Adults Protection Committee. There was also a POVA referral flowchart on display for staff to use if issues of concern arise, this included 24 hour contact telephone numbers. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 Furnishings in the home looked comfortable but the work to redecorate and refurbish some communal areas needs to be completed. Private accommodation was comfortable and suited to needs and preferences. The premises were accessible, and had sufficient (according to these standards) numbers of toilets and bathrooms. EVIDENCE: The programme of refurbishment had continued. Since the last inspection the lounge in Hatfield unit had been re-decorated including new curtains. Re-decoration had taken place in Wickham unit and the new ‘parker’ bath had been fitted in Hatfield and a new fixed bath hoist had been installed in Wickham. New showers had been completed in Hatfield and Wickham. Repairs had been completed to bathrooms and shower rooms. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 16 Bedrooms are re-decorated when empty (work was taking place on the day of the inspection). The kitchen floor covering had been renewed and the kitchen had been given a ‘deep clean’ service by a contractor. The premises was inspected, some specific areas still in need of attention are as follows: Doors to some bedrooms on the ground floor in Wickham unit appeared to have been damaged and ‘patched up’. The repairs were unsightly and these doors need replacing completely. (Manager advised this work due to take place) Some areas of communal corridor carpeting on the ground floor in Hatfield unit were still stained and need replacing. (Manager advised this work due to commence from April 2006). There are requirements regarding these items in this report. There are now two maintenance staff employed (one x full and one x part time) in the home. The manager advised that general maintenance and gardening in and around the home is undertaken by these staff. Some improvements had been made to the grounds in 2005 but further work was needed and is planned for spring 2006. Premises standards include: Hatfield unit had a main lounge and a smaller lounge adjacent (mainly used as a visitors lounge). There was also a separate large dining room in Hatfield unit. Wickham unit had just one lounge/dining room. Activities take place in the lounges. Some areas of the garden were enclosed and were accessible to residents, some rooms overlooked the improved ‘quadrangle’ garden. Lighting in communal areas appeared sufficient for residents needs. Furnishings in the lounges was adequate. There were sixteen communal wcs, (eleven in Hatfield and five in Wickham). One bedroom in Hatfield had private en-suite wc, twelve bedrooms in Wickham had private en-suite wc. There were five bathrooms (one fully assisted) and one ‘walk-in and one seated shower rooms in Hatfield unit, with four bathrooms (one with fixed hoist and one with portable hoist) and one shower room in Wickham. The shower room in Wickham was still under-going upgrade and refurbishment. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 17 Assisted bathing facilities throughout the home had been improved in 2005, with two new assisted baths, one in each unit. There was still one portable bath hoist available and one ‘medibath’. Shower facilities were also being improved. This had met the requirements made in previous reports. There were grab rails in corridors and raised toilet seats in some wcs. Each unit had a shaft passenger lift. Hatfield unit had two lifts. A staff call system was in place throughout. Storage facilities for wheelchairs was limited. Residents hold keys to their private rooms if they wish. Some rooms had external bolts fitted. The manager must ensure that usage of these is strictly controlled, taking account of risk assessments and potential adult protection considerations. Individual rooms inspected were adequately decorated and many contained personal items and possessions. The home was clean and tidy on the day. No mal-odours were noticed. Residents spoken with, who expressed a view, said they were satisfied with their rooms and the facilities provided. All radiators seen had low temperature surfaces. All bedrooms and communal rooms seen had central heating. Tests for Legionalla had been carried out. The manager advised that a full assessment was due of water temperature control throughout the home. The laundry was sited in Wickham unit and met the standard, although small for the size of the home (manager advised this may be enlarged). There were two industrial type washing machines and one industrial type tumble dryer. Floors and walls were considered easily cleanable and impervious. The manager has advised that training in infection control had been provided to staff. Willowmead Residential Home DS0000064381.V286427.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): 28,30 Staff had been provided improved training opportunities to equip them with the skills for their role. EVIDENCE: Since the last inspection the management team has been increased to include three team leaders in post (including one at night), with a fourth appointment planned. There has also been a deputy manager appointment made. These additions meet the requirement made in the last inspection report relating to management supervision of care staff. Care staffing levels will be reviewed at the next inspection. Total numbers of staff who have or were undertaking NVQ level 2 or 3 (national vocational) training, was reported as seventeen. This would meet the 50 standard target. Individual staff training records had been kept, courses undertaken by staff included: health & safety, first aid, food hygiene, manual handling, fire safety, infection control, induction, POVA, NVQ 2 & 3, nutrition & hydration, skin & pressure care, medication, dementia, preventing fractures. The manager advised that further staff required training on health & safety issues and that this would be provided. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 19 New staff employed confirmed that they were receiving induction training. The format used included principles of care, records, procedures, needs of service users, effects of the setting, disabilities, care of the dying and activities. The manager needs to ensure that records are kept of this training, when completed, for inspection at future visits. The company general induction included structure, staff meetings, employment issues and care planning, evidence was seen. Willowmead Residential Home DS0000064381.V286427.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): The home had been managed efficiently and effectively. Procedures for gaining the views of residents and relatives were in place but had not been adequately implemented. Records required by regulation were place. EVIDENCE: The home’s electrical installation supply had been tested, this met the requirement made in the last report. The registered manager has been in post since early 2004, prior to this she was the registered manager for four years at another registered home, with several years previous experience at a senior level in a similar setting. The manager’s qualifications included the Registered Manager award (NVQ level 4) and the Advanced Management in Care award. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 21 Short course training undertaken has included POVA, Dementia care and Managing Personal Centred Care. The home’s quality assurance (QA) statement provided in depth information and guidance on quality service management, this defined areas for inclusion and specified outcomes. There was an in-house QA questionnaire which included asking for views on staff availability, attitudes, atmosphere in the home, food, cleanliness and care. This had been sent to relatives in 2004 & 2005 with returned forms kept for reference. Unfortunately there were no completed forms seen that took account of the residents own views (except where included in the relatives response). The manager must ensure that service users have the opportunity to complete these survey forms themselves in future, with relatives circulated separately. There must also be an annual summary, available for inspection, of responses and of any resulting actions taken by the home. There is a requirement regarding these points in this report. Random samples of records required to be kept were inspected, these included: Assessments, background information and next of kin details, inspection reports, staff rota, regulation 37 notices, visitors, fire drills & procedures, regulation 26 reports, medication and accidents. All seen were considered appropriately maintained at the time of this inspection. Staff had received training in health & safety, manual handling, first aid, food hygiene, fire safety and infection control. Hot water supply was not tested. There was a premises risk assessment in place. COSHH data sheets and substance assessment forms were available for inspection. Water storage had been checked for Legionella risk. Evidence was seen to confirm that emergency lights, fire alarms & equipment, staff call bells, hoists, electrical installation supply and passenger lifts had all been tested/serviced within the required timescales. The home does not have a mains gas supply. Some window restrictors on the first floor were broken these require attention. The last recorded date of testing of portable electrical appliances in the home was in 2004. Testing should take place annually. There are requirements on both these issues in this report. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 22 Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 23 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 3 3 3 3 3 3 X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X 3 2 Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 24 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 OP33 Regulation 24 Requirement The registered manager must ensure that the home’s quality assurance process includes gaining the views of residents, and there is an annual summary of the findings and outcomes from the overall quality assurance process. The registered provider must ensure that portable electrical appliances in the home are tested. The registered provider must ensure that broken restrictors on some first floor windows are repaired or replaced. The registered provider must ensure that stained carpets in communal areas in ‘Hatfield’ are replaced. Timescale for action 30/06/06 2 OP38 13 30/06/06 3 OP38 13 31/05/06 4 OP19 23 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. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 25 No. 1 2 Refer to Standard OP18 OP9 Good Practice Recommendations The registered manager should ensure that evidence is available for inspection of the syllabus and completion date of POVA (adult protection) training provided to staff. The home’s medication polices and procedures should include the written guidance on medication issues relating to care homes, issued by the Royal Pharmaceutical Society. Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Willowmead Residential Home DS0000064381.V286427.R01.S.doc Version 5.1 Page 27 - 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!