Inspection on 27/10/05 for Woodfalls Care Home

This inspection was carried out on 27th October 2005.

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

Other inspections for this house

Woodfalls Care Home 23/01/08

Woodfalls Care Home 30/06/06

Woodfalls Care Home 24/05/05

Woodfalls Care Home 13/01/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Woodfalls Care Home Vale Road Woodfalls Salisbury Wiltshire SP5 2LT Lead Inspector Thomas Webber Unannounced Inspection 27th October 2005 11:12 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 Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodfalls Care Home Address Vale Road Woodfalls Salisbury Wiltshire SP5 2LT 01725 511226 01725 511226 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) Woodfalls Care Ltd Mrs Lorraine Hill Care Home 20 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (20) of places Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Woodfalls Care Home is a private residential care home offering accommodation and personal care to 20 service users over the age of 65 who require care primarily through old age, ten of whom have been diagnosed with dementia. The home is registered with Woodfalls Care Home Ltd and the registered manager is Mrs Lorraine Hill. The home is a detached property and is located in the small village of Woodfalls near Salisbury. The home provides one shared and seventeen single bedrooms which are located on the ground and first floor levels and are accessed by a stair lift. There is a small, enclosed garden to the rear and side of the property. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken during the course of one day from 09:20 to 14:10. The inspection process focussed on the direct care provided to the residents and the views of sixteen residents were sought on an individual and group basis. A number of the core standards were assessed which included residents’ contracts, assessments, care plans, health care, accommodation, food, staffing and health and safety. What the service does well: The home is run and managed by persons who are appropriately qualified and have sufficient experience within the care setting. The home is run in the best interests of the residents where opportunities exist for them to contribute on a regular basis. Information is provided to residents on how to complain should they wish to and the residents felt that any concerns they may have would be listened to and acted upon. Opportunities are available for prospective residents and their families to visit the home, prior to admission, to assess the quality of facilities and suitability of the home. Residents live in a safe, comfortable and well-maintained environment which is furnished and decorated to a good standard. Residents have personalised their bedrooms to their individual wishes. The environment meets the individual and collective needs of the residents. Residents commented very favourably about the standard and cleanliness of their accommodation, stating that their bedrooms are comfortable, and are kept clean and tidy. Residents also commented favourably about the laundry arrangements in place, stating that their clothing is returned in good condition. Residents receive a varied, appealing and balanced diet and meals are taken in a congenial setting. Residents spoken to commented very positively about the quality and quantity of food provided, stating they receive plenty of food. Residents’ health care needs are being suitably met and appropriate procedures have been established which recognises the rights for residents to be responsible and maintain control over their own medication. Resident’s privacy and dignity are respected at all times and residents, within their capabilities, can exercise personal autonomy and choice. The home ensures that there are sufficient numbers of staff on duty at all times to meet the needs of the residents. The staff team collectively have a range of experience to meet the needs of the residents and the home is working towards achieving a trained workforce. Residents spoken to Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 6 commented very positively about the care provided by the staff, stating that staff are caring, excellent and very good. 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. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5 Not all residents have been provided with a copy of the home’s written contract and not all residents had been fully assessed prior to admission to ensure that their needs could be met. Opportunities are available for prospective residents and their families to visit the home, prior to admission, to assess the quality of facilities and suitability of the home. EVIDENCE: All residents would normally be provided with a copy of the home’s contract and a copy of the placing authority’s terms and conditions would also be given to those residents who are funded by social services. On the day of inspection, only one of the three residents’ files case tracked had received copies of her contracts from both the home and placing authority. Management from the home would normally meet with all prospective residents prior to admission and undertake their own assessment. In addition, the home would also normally obtain a copy of the resident’s community care assessment or the equivalent prior to admission for those who are funded by social services. Documentary evidence was available to confirm this had only Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 9 been completed in relation to one of the three residents most recently admitted to the home and case tracked during the inspection. As part of the admission process, prospective residents and their families are encouraged to visit the home prior to admission. However, in respect to the most recent three residents admitted to the home only one resident and the relative of another resident made use of this opportunity. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Residents’ care plans are not being recorded in sufficient detail to ensure that their care needs are met. Residents’ health care needs are being suitably met. Appropriate procedures have been established which recognises the rights for residents to be responsible for their own medication. However, deficiencies exist in the assessment process where a resident has responsibility and maintains control over her own medication and in some aspects of medication received into the home. Resident’s privacy and dignity are respected at all times. EVIDENCE: All residents have been provided with a long term care plan/assessment, although the content of these require developing to include greater detail, as the recording is quite basic and this was acknowledged by the manager. Management reported that residents’ long term and short term goals are reviewed monthly or more frequently where circumstances change. Other assessments such as risk, manual handling, pressure sore and nutritional are only completed where specific risks have been identified and are also reviewed monthly unless, again, circumstances change. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 11 Discussions with some residents confirmed that their health care needs are being suitably met. All residents admitted to the home are transferred and registered with the one surgery. The majority of appointments undertaken by the GP and district nurse are held within the home and residents receive any treatment in the privacy of their bedrooms. Residents confirmed they can and do access other health care services such as dental, opticians, chiropody and hearing, as and when required and this is confirmed within their daily case notes. Appropriate aids are provided for those residents who require them for incontinence and mobility. The home has established an appropriate medication policy and procedure, which confirms and recognises the rights of residents to maintain control over their medication for those residents who are deemed capable following an assessment. Suitable and lockable facilities have been provided within residents’ bedrooms for this purpose. On the day of inspection one resident was self-medicating and was maintaining control over her own medication. However, a risk assessment had not been completed in respect to this. The manager has agreed to develop and complete an appropriate form. Care staff, once deemed competent, administer medication to residents and the vast majority of care staff have also completed a recognised “Safe Handling of Medication” course. The home uses the Lloyds monitored dosage system and examination of residents’ drug sheets showed that they are being appropriately maintained, apart from one entry. However, it was noticed that there were occasions where medication received into the home was not initialled and dated. In addition, the manager was advised of the practice for two members of staff to initial for additional (hand written) medication received. Observations and discussions with some residents confirmed that all but two residents are provided with their own bedrooms where they can conduct all their personal affairs in complete privacy, including medical examinations and treatment. Residents can also choose who and where to see any visitors. Residents have access to a mobile phone, which they can use in the complete privacy of their bedrooms and they are not charged for any calls made when using this facility. Alternatively, residents can have a telephone installed in their bedrooms and some of them have availed themselves of this facility. Residents’ mail is given directly to them unopened. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 and 15 Residents’ social, recreational, and spiritual needs are suitably catered for and the range and variety of activities now available has much improved. Residents, within their capabilities, can exercise personal autonomy and choice. Residents receive a varied, appealing and balanced diet and meals are taken in a congenial setting. EVIDENCE: It was apparent from observations and discussions with residents that they can choose where and how to spend their time, including rising and going to bed. Residents have the opportunity to pursue their own individual interests and hobbies as well as being able to participate in the increased range of organised activities and outings arranged by the home, should they so wish. The religious needs of the residents are well catered for from various denominations. The mobile library service visits the home weekly and there is also a weekly, visiting hairdressing service available to the residents. Observations and discussions with some residents confirmed that they can exercise personal autonomy and choice within their individual capabilities. Residents can and have brought items of furniture and personal possessions to make their bedrooms more homely, they can choose how and where to spend their time, where to eat, and what activities to participate in. Residents, who Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 13 are capable, can also handle their own financial affairs in the privacy of their own bedrooms. The home provides a satisfactory and varied four weekly menu, which provides residents with a choice at all mealtimes including a cooked meal at breakfast for those residents who wish it. However, the manager intends to review the menu, in consultation with the residents, due to the time of year. Residents can choose where to eat their meals, although they tend to use the dining areas for their main meal. Residents spoken to commented very positively about the quality and quantity of food provided, stating they receive plenty of food. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Information is provided to residents on how to complain should they wish to and the residents felt that their complaints would be listened to and acted upon. EVIDENCE: Residents are provided with a copy of the home’s complaints procedure, which specifies how and who would deal with any complaints. Since the last inspection, the home has received no complaints. Residents spoken to commented that they had no complaints or concerns. However, if they did have any, they felt confident in discussing them with the manager and staff who would listen and act accordingly. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 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 and 26 The location and layout of the home is suitable for its stated purpose. All parts of the home are accessible, safe and well maintained to meet the residents’ individual and collective needs. The home continues to be maintained to a good standard being clean, tidy, comfortable, suitably furnished and decorated providing sufficient and suitable toilets, bathrooms and communal facilities. The sizes of bedrooms for residents’ use are suitable to meet their needs and residents have personalised them to their individual wishes. The home provides appropriate laundry facilities to meet the needs of the residents. EVIDENCE: The home continues to be maintained to a good standard, being and offers suitable heating, lighting and ventilation, with residents’ bedrooms being light and airy and colour co-ordinated. Improvements are made to the residents’ environment as and when required. The home provides sufficient communal space which consists of a lounge/diner, a conservatory, a small sitting room and a seating area in the front entrance hall. All these areas are comfortable and are decorated and Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 16 furnished to a good standard. The home has an enclosed garden to the rear and side of the property, which is suitably maintained. The garden contains various seating areas and is appreciated and used by the residents, weather permitting. There is a range of toilet and bathroom facilities which are located within close proximity to residents’ bedrooms and the communal rooms. There are two assisted bathrooms and shower rooms: one of each on each floor. Three of the bedrooms are provided with en-suite facilities. A stair lift has been installed which services the first floor and the proprietors are continuing to seek planning permission in order to install a passenger lift that would enable residents to access the first floor independently. All rooms are fitted with a call bell system which residents can use to summon staff assistance if required. The home provides seventeen single and one shared bedroom, three of which provide en-suite facilities. Only one single bedroom is marginally undersized. Residents’ bedrooms are suitably furnished, decorated and equipped to ensure comfort, privacy and to meet their assessed needs. Residents can and have brought items of furniture and personal possessions to make them more homely with residents having personalised their bedrooms to their individual wishes. All bedroom doors have been fitted with locks and residents’ bedrooms have been provided with a lockable storage space. A privacy screen is available and is used as required for the shared bedroom. Residents commented very favourably about the standard and cleanliness of their accommodation, stating that their bedrooms are comfortable, and are kept clean and tidy. Residents’ accommodation provides suitable heating, lighting and ventilation. Radiator covers have been fitted for residents’ protection and the type of installation still enables them to control the level of heating to their bedrooms through individual radiator controls. Thermostatic valves have not been fitted to the hot water taps used by residents. The home continues to be maintained to a good standard, being clean, tidy and comfortable and free from offensive odours. The laundry room is located on the ground floor and provides sufficient facilities to meet the needs of the home. Residents’ clothing is labelled to ensure that garments are appropriately returned and care staff undertake this task with some input from the waking night staff. Residents commented favourably about the laundry arrangements in place, stating that their clothing is returned in good condition. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The home ensures that there are sufficient numbers of staff on duty at all times to meet the needs of the residents. The staff team collectively have a range of experience to meet the needs of the residents and the home is working towards achieving a trained workforce, which includes staff completing NVQ’s as well as specialist training. The recruitment practices within the home have improved to ensure the protection of residents. EVIDENCE: The deployment of staff ensures that there are four members of care staff on duty during the day with three care staff on in the evenings. At night time there are two members of waking night staff on duty. A contract has now been established with an employment agency should agency staff be needed to maintain these levels of staff. The above staffing levels do not include those hours worked by the manager and ancillary staff employed. Residents spoken to commented very positively about the care provided by the staff, stating that staff are caring, excellent and very good. The staff team have a variety of experience in the care profession, some with little experience and others with considerable. The home continues to be working well to achieving at least 50 of the staff team being trained at NVQ level 2 in care. To this end, five members of care staff have achieved this qualification with a further eight care staff completing NVQ level 2 training. Staff training records, which have been developed and are now in place for all staff, also show that staff are receiving a variety of specialist training. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 18 A sample of staff files checked show that appropriate recruitment practices are being followed. These include two satisfactory written references and POVA first checks, which are subsequently followed up by obtaining satisfactory CRB checks. The home now ensures that a full employment history is obtained for new staff employed and any gaps are now being explored and recorded. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 38 The home is run and managed by persons who are appropriately qualified and have sufficient experience within the care setting. The home is run in the best interests of the residents where opportunities exist for them to contribute on a regular basis. The health, safety and welfare of the residents and staff are promoted and protected, apart from the area of fire prevention. EVIDENCE: The manager has appropriate management and supervisory experience in the relevant care setting she manages. She has sucessfully completed the NVQ level 4 and the Registered Managers’ Award and undertakes periodic training to update her skills and knowledge. The manager is supported by her deputy manager in the day to day management of the home who has also completed the NVQ level 4 and has considerable experience in the care profession. The home provides residents with a questionnaire, currently, every six months to ascertain their views on the care and services provided, although this Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 20 process will eventually be extended to yearly. The manager reported that she has established a questionnaire for visitors, although relatives tend to send in letters and cards to express their views. Evidence was available to show that a number of letters and cards had been received since the last inspection which confirmed their appreciation of the care and services provided. In addition, residents are able to contribute to the running of the home by verbally expressing their views at residents’ monthly meetings which the manager reported are well attended. Individual sessions between residents and their keyworkers also take place. The manager and deputy manager also monitor the care and services provided on a daily basis. The home continues to be suitably maintained which promotes the health, safety and welfare of both residents and staff. Health and safety training is planned for all staff towards the end of November. There is also a health and safety officer from Citation Plc employed by the proprietor who visited the home in October 2005 and the home is currently waiting for the report, although the initial feedback confirmed that some minor inprovements are needed. All first floor windows are fitted with restrictors. Risk assessments have been completed with regard to the building and there is a policy and procedure for health and safety. However, a major cause for concern still relates to aspects of fire prevention including regular fire instruction, fire drills and checking of fire safety equipment. The manager reported that some of this is being done but is being recorded in other places. A fire officer employed to provide training to staff is due to visit the home in November and the manager will ensure that he provides her with the necessary training to ensure that all fire prevention matters are carried out and recorded appropriately. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 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 2 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 3 3 3 X 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 X 3 X X X X 3 Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 22 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 OP2 Regulation 5(1)(c) Timescale for action The registered individuals must 31/12/05 ensure that all residents are provided with a copy of at least the home’s contract. (Previous timescales of 28/02/05 and 30/09/05 were not met and the timescale for compliance has been extended.) The registered individuals must 31/12/05 ensure that they receive a copy of the placing authoritys community care assessment or the equivalent prior to admission for those residents who are funded by social services. (Previous timescale of 30/06/05 was not met and this timescale has been extended) The registered individuals must 31/12/05 ensure that a full assessment is completed prior to admission. (Previous timescale of 30/06/05 was not met and this timescale has been extended) The registered individuals must 21/11/05 ensure that all medication received into the home is always initialled and dated and where additional (hand written) DS0000062541.V258320.R01.S.doc Version 5.0 Page 23 Requirement 2. OP3 14(1) 3. OP3 14(1) 4. OP9 17(1)(a) Woodfalls Care Home 5. OP37 17(2) medication is received, this must also be checked and initialled by two members of staff. The registered individuals must 31/12/05 ensure that all of the homes fire prevention records are suitably maintained, at the appropriate intervals. (Previous timescale of 31/03/05 was not met and this timescale has been extended) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 2. 1. Refer to Standard OP9 OP30 Good Practice Recommendations The registered individuals should strongly consider establishing and implementing an assessment for those residents who self medicate. The registered individuals should strongly consider ensuring that staff individual training forms include all training undertaken. Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Woodfalls Care Home DS0000062541.V258320.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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