Inspection on 25/02/08 for Woodgreen Nursing Home

This inspection was carried out on 25th February 2008.

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 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

Woodgreen Nursing Home 19/05/10

Woodgreen Nursing Home 10/03/10

Woodgreen Nursing Home 29/12/09

Woodgreen Nursing Home 03/12/09

Woodgreen Nursing Home 22/10/08

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Woodgreen Nursing Home 27 Wood Green Road Wednesbury West Midlands WS10 9AX Lead Inspector Mrs Amanda Hennessy Key Unannounced Inspection 25th February 2008 10:00 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 Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodgreen Nursing Home Address 27 Wood Green Road Wednesbury West Midlands WS10 9AX 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) 0121 556 0381 0121 505 2772 Woodgreen Care Home Ltd Jennifer Weston Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide personal care (with nursing) and accommodation to service users of both sexes whose primary care needs on admission to the home are within the following categories: Older People (OP) 40 The maximum number of service users to be accommodated is 40 2. Date of last inspection First inspection Brief Description of the Service: Woodgreen Nursing Home is a privately registered care home providing nursing care for up to 40 elderly people. Situated opposite Brunswick Park on a main road between Walsall and the M5 motorway, it is within walking distance of Wednesbury town. There is car parking at the front of the home surrounded by mature garden borders. There are two lounges, a conservatory and a large dining rooms which is split up be a fireplace all on the ground floor. The garden to the rear of the property is pleasantly landscaped with borders, patio and a small lawn. The Home has single and shared bedrooms, located on both ground and first floor, the majority of which have en-suite facilities. There is a staff call system throughout the home. There is a small passenger lift that enables people access between the ground and first floor. There are two adapted bathrooms that can be used by dependent people and also a number of toilets throughout the home. The home arranges for the chiropodist, dentist and optician to visit on a regular basis and arrange visits by the GP, as the service users require. Ancillary services of catering, cleaning, laundry and maintenance are provided in-house. The mobile hairdresser visits regularly and an additional charge is made for this service. For information about fees and what it includes it is advised that the Home Manager is contacted. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out in one day, by an Inspector and an Expert by Experience. The inspection commenced at 10:00 am and the home/provider did not know we were coming. The manager was present throughout the inspection. Information for the report was gathered from a number of sources: a questionnaire was completed before the inspection by the homes manager which was sent to us; on the day of the inspection a tour of the building was undertaken, records and documents were examined in relation to the management of the home, discussion with the manager and care staff plus visitors and residents. Some residents were unable to communicate their views verbally to the inspector so direct and indirect observation was used to inform the inspection process. Three residents who live in the home were ‘case tracked’ this involves establishing people’s experiences of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes of the care that they receive. Tracking people’s care helps us understand the experience of people who use the service This is the homes first inspection since its ownership changed in September 2007 although it has been a functioning care home for many years. Four requirements and two good practice recommendations were made as a result of this inspection. The inspectors would like to thank the residents, relatives, management and staff for their hospitality throughout this inspection. The quality rating for this service is 1 star. The means the people who use this service experience adequate quality outcomes. What the service does well: Good information about the home is available, enabling people to make an informed choice that the home will be suitable for their needs. People are consulted about their choices in daily life, their interests and their, food preferences. Peoples’ needs are assessed before they come to live at the home. Assessment of peoples needs, gives confidence that staff are aware of their needs and will be able to meet them. People are also encouraged to visit the home prior to Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 6 them deciding to come and live at the home. In addition terms and conditions of residence include a trial period for people to decide whether they like living at the home. People who live at the home receive good standards of care and support meeting their individual needs and choices. Healthcare needs are met by the home. Food at the home highlights several areas of good practice. People have a several choices of food at each mealtime. Alongside the normal menu there is a picture menu to assist people in their choice. Pureed meals are provided in an innovative way that makes meals look appetising and promotes people dignity . The Home has an experienced Manager who provides appropriate leadership. There is safe and through recruitment of staff that safeguards people who live at the home. Care at the home is provided by well-trained knowledgeable and friendly staff. 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. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1-6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good sources of information about the home are available. People can spend time at the home and have their needs assessed before coming to live there this gives them the opportunity to decide whether it will be suitable for them. EVIDENCE: The home has both a Statement of Purpose and service user guide providing people with required information about the home. People have their needs assessed by senior staff at the home before there is any agreement that the home is suitable for them. Assessments of needs are then transferred into a plan of their care, although this was not completed for those people who had been most recently admitted to the home. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 10 We found that all people had received a letter confirming that the identified and agreed needs could be met by the home. All people had received terms and conditions of residency with copies kept on file. Introductory visits and trial stays are encouraged by the home, ensuring that people have time to make decisions, which are right for them. Sadly though many people are unable to take this opportunity as they are frequently too frail. The home does not provide an intermediate care service. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7-11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Delays in completing care plans following admission fails to provide staff with the information they need to satisfactorily meet peoples needs. Medications are well managed and promote peoples health and wellbeing. People are treated with respect and their privacy upheld. EVIDENCE: People who live at the home generally have a comprehensive plan of their care providing staff with information on how their needs should be met. The Manager told us that she has been developing the “core plans” to reflect more individually peoples choices, needs and capabilities. The revised care plans will also provide staff with prompts to ask people about their preferences such as clothing they like to wear and toiletries that they like to use. We did find that care plans for new residents were incomplete. The resident admitted the week before the inspection had all required documentation but care plans and some Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 12 risk assessments were either incomplete or were left blank. The “personal hygiene and dressing care plan said: “encourage x to do as much as possible for self ie is able to wash ……...” but this had not been completed and; “X has dentures/ own teeth” but appropriate information was not completed and did not say which instructions should be followed. There was a list of instructions if the person that their own teeth and other instructions if they had dentures. The same person was described as having a hearing loss but their care instructions did not say that they had two hearing aids. People have risk assessments in place for the pressure sores, nutrition, falls and bedrails. Care plans and risk assessments are reviewed monthly. It was pleasing to see that people are weighed when they come to live at the home and at least monthly. Weight records we saw showed that people have put weight on since they come to live at Woodgreen, shows that their nutritional needs are met. Care records did show that residents have appropriate access to other health professionals such as Doctors, Chiropodists, Opticians, Dentist and Speech and Language Therapists. The storage and administration of medicines at the home is undertaken by qualified nurses and is done both safely and appropriately. We did find that some people were prescribed medicine “when required” but no instructions were available to tell staff when it should be givens. Staff do not confirm the accuracy of handwritten entries and the Manager confirmed that she would ensure that this was undertaken. The homes induction programme includes a section on treating service users with respect. People told us that their privacy is also respected. We observed staff to knock before entering bedrooms and toilets and interact in a friendly and open way using people’s choice of name. The home has end of life care core care plans to provide staff with information about the persons choices of “end of life care”. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are a variety of activities for people to take part in. Food is tasty and homemade and is enjoyed by the homes residents. Residents are able to maintain contact with their friends and families. EVIDENCE: A record of peoples interests and choices is recorded within their care records and includes a biography and family tree. People told us that they are able to get up and go to bed when they wanted. Activities are organised on a daily basis by care staff. Two care staff have attended training with Age Concern to assist them with the planning and deliver of activities. Activities include: memory box, which is used for reminiscing, Bingo (organised by friends of Woodgreen), sing-a-longs, movement to music, hand massage and nail care, games, quizzes. There is a free tuck shop which is funded for residents by the” friends of Woodgreen”. Entertainers visit the home on a monthly basis with bookings made through to the end of the year. There are also themed parties to reflect current events Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 14 and occasions and birthday celebrations arranged on a regular basis throughout the year. The home has an active “Friends of Woodgreen” who assist staff with some of the activities and fundraising. Regular residents meetings are also held when residents are updated in any issues affecting the home. People who live at the home are able to have visitors at any reasonable time in the day. We observed several visitors arriving and leaving during the day of the inspection. Visitors we spoke to were all very positive about the home. “it is the best place to provide for her needs.” And “I have no complaints at all”. The Home has an eight-week rolling menu. There are at least three choices available at each mealtime. The cook asks everybody around 9am what they would like for lunch and they are also asked again at around 11am what they would like for their tea. The home also has a “picture menu” to help people make their choice. Snacks are available outside the usual meal times and supper is also available. Special diets are available when needed. We were particularly impressed with the excellent initiative for pureed and soft diets. The cook told us when food is pureed it is put back into food moulds that look like the original food, it is then frozen. We saw people eating their meals and it was good that people can see and recognise the food that they are eating. The majority of people had their meals in the dining room, although one or two decided to stay and have their meal on a tray in the lounge. Dining tables were nicely presented and condiments were available. It was also positive to see that staff ensure that plate guards and special cutlery are used when needed to aid peoples independence. Everyone we spoke to said that they enjoyed their meals at the home. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to highlight concerns and are assured that they will be listened to and their concerns responded to appropriately. Staff are made aware of what is abuse and are aware of appropriate actions which should be taken to safeguard people from abuse. EVIDENCE: The complaints procedure is displayed in the hall of the home and also included within the service user guide. There has been one complaint made about the home. We found that the complaint had been appropriately investigated within the required timescale and that appropriate actions had been taken. One relative told us that she had previously made a complaint and that it had been satisfactorily resolved. Information on Advocacy service was not seen at the home during this inspection, although was previously available. The Manager said that she thought they may have been taken down as part of the redecoration but would ensure that they were put back up. The manager told us information for the electoral roll is completed each year and a number of service users exercise their right to a postal vote. The Home has a appropriate adult protection policies and procedures. Staff receive training in adult protection with evidence seen during the inspection. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 16 Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19- 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home is clean and homely but the delay in the refurbishment and resulting poor standard of the furniture and furnishing detract from this. EVIDENCE: The home is homely and clean but the décor is dated and shabby and furnishing are worn and need replacing. We were told that the home’s refurbishment has been delayed as there is a need for considerable structural alteration and plans are currently with the Architect. The Manager told us that the plans for the home will include mainly single rooms with toilet and wash hand basins, removal of the fireplace in the dining room to open out the dining room, extension of the lounge and upgrading of the kitchen. The refurbishment is urgently needs as we found that carpets particularly in lounges and the dining room were stained. We were told that the oven needed replacement and Cook said that it was “hit and miss and she has to keep a very keen eye on the Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 18 temperature etc”. All the chairs and the majority of furniture require urgent replacement. Many of the chairs are ripped and upholstery held together with black tape and in many cases stuffing is showing through. We did speak to the Proprietor after the inspection to inform him of this. The home has two lounges, two dining rooms and a conservatory that is currently being used as an office. We did find that lounges appeared to be cramped which should be addressed when the refurbishment is undertaken. The home has a range of aids and adaptations to assist dependent people. There is a staff call system throughout the home, a small passenger lift, grabs rails, hoists and specialist nursing and pressure relieving equipment. The majority of bedrooms have ensuite facilities and many have a bath in their room but given the dependency and needs of residents these baths are unsuitable for residents. The home does have two bathrooms with assisted facilities suitable for dependant people. We did discuss the need for additional assisted bathing facilities with both the Manager and proprietor. We found bedrooms to be clean and tidy with personal pictures etc. All rooms visited that we visited had their own TV. We did find one room down stairs with had piles of incontinent pads stored around hand basin. This inappropriate storage of the incontinence pads would mean that neither the person whose room it was or staff attending to them could access the wash hand basin. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27-29 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good mix of staff in sufficient numbers to provide consistency of care to meet peoples’ needs. The home has a skilled and knowledgeable staff group who understand and meet peoples’ needs. Recruitment and selection processes are to a good standard and protect vulnerable people. EVIDENCE: The home is staffed with appropriate numbers and skill mix to meet peoples needs. Staff we met spoke positively about teamwork and support given by them by their colleagues and the Manager. We also found that when we spoke to staff they were knowledgeable about peoples needs. Training at the home is supported. All new staff receive formal induction training which the Manager was able to confirm meets the “Skills for Care” standards. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 20 It is very positive that the standard of 50 of care staff being trained to NVQ level 2 standard has been exceeded at the home. Staff recruitment and selection is completed to the required standard. All staff files seen contained appropriate checks such as criminal records checks, references and when appropriate nurse registration. The Manager also keeps a record of the interview. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36,37. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leadership of this home is good and staff demonstrate an awareness of their roles and responsibilities and people who live at the home benefit from this. The home regularly reviews its performance, which includes seeking the views of people who live at the home and their families. The sound financial management of the home and arrangements for safekeeping of their money safeguards people who live at Woodgreen. Staff receive supervision and direction to ensure that people receive consistent quality care. There is a need to improve the environment of the home but otherwise the health and safety of people is promoted and protected. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home is led by an experienced and well qualified nurse manager and is supported by a stable committed staff group. We found that staff feel supported by the Manager and there is a good atmosphere amongst the staff. The manager holds frequent staff meetings and maintains a record to ensure that staff are kept updated and informed of changes. The home has a quality assurance programme. There are audits of practices within the home and surveys of peoples’ views are undertaken annually. Findings of the audits and peoples’ view inform the development plan for the home. There is a requirement for Provider to undertake a recorded monthly visit. There were no records of visits since the change in ownership. The home does not act as appointee for service users or handle money, a procedure is in place to bill people for services such as hairdressing and chiropody. One person has their money kept under Court of Protection arrangements we advised that the home should make arrangements to ensure that they could have more timely access to their money, rather than constantly being “in debt” to the home. Staff receive supervision at regular intervals, records seen showed us that it covers all aspects of practice. The home has an up to date health and safety policy for safe working practice with a range of risk assessments. Staff receive training and regular updates in health and safety and fire safety. Maintenance contracts were randomly selected and were found to be up to date. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 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 3 3 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 1 1 2 2 2 2 2 2 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 2 x 2 3 x 2 Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(1) Requirement The registered person must ensure a written plan of care is prepared in a timely way following admission. The provider must forward a copy of the proposed refurbishment plan to CSCI All damaged armchairs must be replaced. The Provider must undertake a visit to the home at least monthly and make a report of the findings of the visit. A copy of the visit report should be made available to the Care Manager and CSCI. Timescale for action 31/03/08 2 3 4 OP19 OP19 OP33 23(2)(b) 23(2)(b) 26 30/04/08 31/03/08 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations There is a record in people’s plans of care when medicines should be given when they are prescribed “when DS0000070325.V360137.R01.S.doc Version 5.2 Page 25 Woodgreen Nursing Home 2 OP35 required”. Arrangements should be reviewed to ensure when people are under “Court of Protection” they can access their money when needed. Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodgreen Nursing Home DS0000070325.V360137.R01.S.doc Version 5.2 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. 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