Inspection on 14/02/06 for Woodside Home for the Elderly

This inspection was carried out on 14th February 2006.

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

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

Other inspections for this house

Woodside Home for the Elderly 20/08/08

Woodside Home for the Elderly 05/09/07

Woodside Home for the Elderly 30/05/06

Woodside Home for the Elderly 21/06/05

Woodside Home for the Elderly 11/12/04

Woodside Home for the Elderly 15/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Clover House

Langrigg House

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

CARE HOMES FOR OLDER PEOPLE Woodside Home for the Elderly Burnley Road Padiham Burnley Lancashire BB12 8SD Lead Inspector Mrs Julie Playfer Unannounced Inspection 14th February 2006 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 Woodside Home for the Elderly DS0000035069.V272318.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. Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodside Home for the Elderly Address Burnley Road Padiham Burnley Lancashire BB12 8SD 01282 772306 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) Lancashire County Care Services Care Home 43 Category(ies) of Dementia - over 65 years of age (9), Learning registration, with number disability over 65 years of age (1), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (3), Old age, not falling within any other category (30) Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified manager who is registered with the Commission for Social Care Inspection The following staffing levels must apply at all times: Waking Day Care Staff - 08:00 to 20:00 Units A, C and D - 2 care staff to be on duty on each Unit. 20:00 - 22:00 - 1 care staff to be on duty on each unit Unit B - 08:00 - 22:00 - 2 care staff to be on duty Night Care Staff - 22:00 - 08:00 1 waking care staff - B Unit 1 waking care staff - A Unit 1 waking care staff - C and D Unit. In addition to the care staff there will be a manager on duty throughout the waking day and a member of staff will be designated in charge during the night. Date of last inspection 21st June 2005 Brief Description of the Service: Woodside is registered to provide personal care and accommodation for a total of 43 people. The home is owned and operated by Lancashire County Care Services and was extensively refurbished in 2005. The home stands in its own grounds close to Padiham town centre. Public transport is accessible from Burnley Road. There are car-parking facilities at the front of the building. Accommodation is provided in 42 single rooms and 1 double room. 19 of the single rooms have an ensuite facility. The home comprises of four units, Alder, Beech, Cedar and Damson. Each unit is self-contained with lounges, dining rooms, bedrooms and bathroom facilities. There is a large conservatory on the ground floor and a smoking room. Beech unit provides care for older people with a dementia. The home has been decorated and furnished to a high standard throughout. Staffing levels form part of the conditions of registration. (See above). Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place at Woodside over seven hours on 14th February 2006. The previous inspection was carried out on 21st June 2005. No additional visits have been made to the home since the last inspection. The purpose of the inspection was to assess important areas of life in the home and check the progress made to meet previous requirements and good practice recommendations. At the time of the inspection there were 42 residents accommodated in the home. Information was obtained from care records, staff records and policies and procedures. The inspector also spoke to the residents, the registered manager, the staff on duty, and some visitors. A partial tour of the premises was also undertaken. What the service does well: What has improved since the last inspection? Since the last inspection the statement of purpose had been updated to include details of how the home and organisation dealt with complaints. The assessment tool had also been updated to ensure all aspects of the residents’ needs were considered and assessed prior to moving into the home. Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 6 The registered manager had ensured that the management and administration of eye drops had improved, such that all bottles were dated on opening and separate bottles were used for each eye. These improvements minimised the risk of cross infection. A conservatory had been built onto Beech Unit, which specialises in the care of older people with dementia. The conservatory provided significant additional communal space and gave the residents living on this unit greater choice of where to sit and spend their time. The registered manager had closely adhered to the recruitment and selection procedure and ensured that all new staff were carefully checked before working with the residents. 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. Woodside Home for the Elderly DS0000035069.V272318.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 Woodside Home for the Elderly DS0000035069.V272318.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): 1, 2, 3 and 5 The admission procedure was well managed. Residents were informed about the services and facilities in the home and their rights were protected by means of a written contract. Systems were in place to carry out an assessment of needs and residents were encouraged to visit prior to admission, to assess the quality, facilities and suitability of the home. EVIDENCE: Written information was available for residents in the form of a statement of purpose and service users guide. Both documents were presented in a suitable format and had been issued to all residents. Both the statement of purpose and service users guide provided the residents with useful information about the home and details about the services and facilities provided. Since the last inspection the statement of purpose had been updated to include the arrangements for dealing with complaints. All residents had been issued with a contract at the point of moving into the home and a copy was included in the service users guide. The contract set out Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 9 the terms and conditions of residence, including information about the level and payment of fees. The ‘case tracking’ process demonstrated that residents had their needs assessed prior to admission by the registered manager and social worker, where applicable. Since the last inspection, the assessment tool had been updated to cover the elements listed in the National Minimum Standards. Residents and their relatives/representatives were offered the opportunity to visit the home prior to admission. All prospective residents were invited to visit the home to meet other residents and staff and partake in a meal. The arrangements made for such a visit were observed during the inspection. Woodside Home for the Elderly DS0000035069.V272318.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 There was no clear system of care planning to adequately provide staff with the detailed information they need to ensure the residents’ needs are met. In order to manage medication effectively record keeping and some aspects of practice must be improved. EVIDENCE: There were two concurrent systems in place to address the care needs of the residents. The first system was based on the residents’ social, physical, intellectual, cultural and emotional needs. However, the assessment information did not readily correspond to these categories and the format was difficult for staff to understand, consequently they had not been completed in all case files seen. The second system was based on the residents’ daily routines; however there was no evidence to indicate that the residents had been consulted or involved in devising the plans. Neither system fully addressed the residents’ health care needs nor provided clear guidance to staff on how resident’s needs were to be met. Reviews had been carried out once a month, but care plans had not been updated. Charts detailing the personal care provided by staff were incorporated into the care documentation, however, it was evident the residents’ weight was not recorded on a regular basis. Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 11 Since the last inspection the had improved some aspects of the management of medication, to ensure that eye drops were dated and discarded in line with the pharmacists instructions and a separate bottle of eye drops had been ordered for each eye. Policies and procedures were available in respect to the handling of medication, but these were not specific to the home. The home operated a monitored dosage system for the administration of medication, which was dispensed into individual blister packs. Appropriate records were maintained of the receipt, administration and disposal of medication. However, it was noted there were omissions on the medication administration record, the controlled drugs register had not been signed on all occasions and some prescribed medication for one resident was not available in the home. In addition, there were no instructions entered onto the medication administration record in respect to the application of prescribed creams and the transcribing of information from the prescription labels onto the medication administration record had not been witnessed by two members of staff. Residents spoken to felt their right to privacy was respected by the care staff and personal care was carried out with respect to their dignity. All residents were referred to by their preferred mode of address, which was documented on the care plan. Woodside Home for the Elderly DS0000035069.V272318.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, 13, and 14 The routines were primarily designed around the needs and wishes of the residents and as such the residents were able to exercise choice and control over their lives in respect to daily living. Residents were encouraged to engage in past times and leisure activities of their choice. Residents were able to maintain good contact with their families and friends. EVIDENCE: Residents had a range of opportunities to engage in leisure interests. Activities were arranged on the separate units and for the whole home in the conservatory. A variety of activities were arranged on the Beech unit, which provided care for older people with a dementia, these included music and singing, reminiscence, balloon games, reading stories, jigsaws and dominoes. The residents living on the Beech Unit often joined other residents in the main conservatory with staff support. Staff on all units confirmed they had sufficient time to spend with residents to pursue leisure pastimes or sit with residents for a chat. Activity records were maintained on all units. Residents were also involved in activities outside the home for instance one resident attended a local day centre and other residents enjoyed walks in the surrounding area. The routines in the home were flexible and residents had a choice in the times they went to bed and got up in the morning. Hence breakfast was served to suit the wishes of the residents. Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 13 Residents’ meetings were held on a regular basis and minutes were displayed on notice boards. Some residents spoken to said they enjoyed the meetings and confirmed they were able to discuss all aspects of life in the home. The residents were able to receive visitors at any time and were able to entertain their guests in private. The visitors spoken to during the inspection expressed satisfaction with the standard of care provided and stated that they felt involved with the care of their relative. One relative said that the service was “marvellous and very caring”. Residents were encouraged to exercise choice and control over their lives. As such residents were supported to manage their own finances. Residents were also able to bring in personal belongings and arrange their rooms how they wished. Woodside Home for the Elderly DS0000035069.V272318.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 and 18 Whilst residents were provided with sufficient information about how to make a complaint, some aspects of the procedure could be improved. Systems were in place to ensure residents were protected from harm. EVIDENCE: The complaints procedure was included in the service users guide. The procedure set out the time scales and incorporated the contact addresses of managers within the organisation and the Commission. However, the procedure did not state within it that a complaint could be directed to the Commission at any point in the process. The residents spoken to were aware of the complaints procedure and said they would speak to a member of staff and then the manager. A copy of No Secrets in Lancashire (The Joint Strategy for the Protection of Vulnerable Adults) was available, along with a specific procedure setting out the required response in the event of any allegations or suspicion of abuse. The internal procedure did not set out the roles and responsibilities of the registered manager, who under the Care Homes Regulations 2001 would have the responsibility to instigate the adult protection procedures. However, it was clear that the registered manager had a good understanding of the Vulnerable Adults procedure and acted appropriately in response to allegations of inappropriate practice, which were discussed during the inspection. Woodside Home for the Elderly DS0000035069.V272318.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 residents were provided with a clean, comfortable and well- maintained environment; however, some residents felt the layout of the home did not meet their needs. EVIDENCE: Woodside is a purpose built two storey building, which reopened in 2005 following extensive building work and refurbishment. The accommodation within the home is split into four separate units. Each unit is self-contained and provides lounges and dining areas along with bedrooms and bathrooms. The home has been refurbished and decorated to a high standard throughout. However, some residents, who participated in the inspection, disliked the layout of the home. They felt the lounges were too far apart and as a result they found it very difficult to visit or make friends in other parts of the home. However, it was noted that residents spoken to who had been newly admitted to the home said they felt settled and liked living at Woodside. The grounds of the home were extensive and there were several sitting areas for the use of residents. Beech unit had a large enclosed garden, which the Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 16 residents were able to freely access at any time. Since the last inspection a conservatory had been built onto Beech Unit, which added considerably to the communal space of people living on this unit. In addition to the communal space provided on each unit the residents had access to a large conservatory on the ground floor. There was an assisted bath and shower on each unit and nineteen of the single rooms had an ensuite facility. Residents were provided with appropriate aids and adaptations to assist their mobility and independence, these included three Oxford hoists, a stand-aid hoist, grab rails in toilets and bathrooms and raised toilet seats. There was a call facility in every room. The doors to residents’ bedrooms had been fitted with appropriate locks and residents had been issued with keys. It was evident from a tour of the building that residents had bought in their own belongings and personalised their rooms in accordance with their own tastes and preferences. All residents and relatives spoken to were very pleased with the size and standard of furnishing and décor in the bedrooms. As such residents described their rooms as “lovely” and “really nice”. Radiators had a guaranteed low temperature surface and preset valves had been fitted to all water outlets to minimise the risks of scalding. There was a good standard of cleanliness throughout the home. A small laundry was located on three of the units with a main laundry on the ground floor. Woodside Home for the Elderly DS0000035069.V272318.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 numbers, skill mix and competencies of staff on duty met residents’ needs. The recruitment procedures were thorough and ensured the protection of residents at the home. EVIDENCE: A recorded staff rota was completed in advance, which indicated which staff were on duty and how many hours they had worked. All staff providing personal care were aged over 18 and all staff left in charge of the building were aged over 21. The level of staffing was in line with the conditions of registration. Lancashire County Care Services operated a recruitment and selection procedure, which was underpinned by an Equal Opportunities policy. The files of two members of staff who had recently commenced working in the home were seen during the inspection. It was evident from looking at these files that the procedure had been followed and all relevant checks had been carried out. Arrangements were in place for the induction of new staff, which covered the “Skills for Care” standards. The induction programme provided underpinning knowledge for NVQ training. At the time of the inspection, 19 staff had achieved NVQ level 2. This equated to over 50 of the staff group. Staff training records seen during the inspection demonstrated that the staff had also completed courses on positive dementia care, food hygiene, first aid, infection control, health and safety compliance and adult protection. Staff Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 18 interviewed during the visit had found the training provided useful and applicable to daily practice. Woodside Home for the Elderly DS0000035069.V272318.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, 32, 36, 37 and 38 The ethos of the home was open and friendly and the management approach ensured residents were listened to and their concerns acted upon. Appropriate policies and procedures were in place to safeguard the health and safety of residents; however, some aspects of the record keeping must be improved. EVIDENCE: Since the last inspection the manager had completed the registration process and had become registered with the Commission. The registered manager had achieved a Registered Manager’s Award and an NVQ level 4 in management. There were clear lines of accountability within the home and the organisation. The overall atmosphere of the home was open and friendly. Systems were in place to consult staff and residents about life in the home. Positive interactions were observed between the staff and the residents, with many of the staff sitting with residents for a chat or playing a tabletop games. Most residents spoken to said the staff were “lovely” and “very good”. However, two residents Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 20 had mixed views about the staff and whilst they said the majority of staff were kind and thoughtful, they were concerned about the approach taken by one member of staff. These comments were discussed with the registered manager during the inspection, who set into motion the appropriate procedures in order to investigate and resolve the issues raised. There was an established programme in place for the supervision of staff, with each manager being delegated the responsibility of supervising a group of staff. It was noted the supervision format covered the elements listed in the National Minimum Standards. The manager maintained appropriate regulatory records, however a number of records required attention for example the care plans and medication records. Staff training records indicated staff had received periodic training on moving and handling, food hygiene, fire safety and first aid. Systems were in place to record accidents and the home had a comprehensive set of policies and procedures relating to health and safety. The electrical installations, gas central heating and fire equipment were tested when the home reopened in March 2005 and all relevant certificates were seen at the time of registration. The certificates relating to the conservatory on Beech Unit were seen during the inspection. Woodside Home for the Elderly DS0000035069.V272318.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 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 3 3 3 3 4 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 3 2 3 Woodside Home for the Elderly DS0000035069.V272318.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 OP7 Regulation 15 Requirement Timescale for action 30/04/06 2. OP8 15 3. OP8 15 4. OP9 13 A service user plan must be generated for all residents based on a comprehensive assessment of need. The plans must cover all aspects of personal, social support and healthcare needs and include details of how these needs will be met. The plans must be drawn up with the involvement of the resident and reviewed once a month. Any agreed changes must be recorded and actioned. (Previous timescale of 15/08/05 – not met). The service user plans must all 30/04/06 health care needs and provide clear guidance to staff of how these needs are to be met. (Previous timescale of 15/08/05 – not met). A record of weight must be 15/03/06 maintained for monitoring purposes. (Previous timescale of 01/08/05 – not met). All prescribed medication must 14/02/06 be ordered and available for administration to the residents at all times. DS0000035069.V272318.R01.S.doc Version 5.0 Woodside Home for the Elderly Page 23 5. OP9 13 6. OP9 13 7 OP9 13 8 OP37 17, 18 The medication administration record must be signed by the member staff administering medication to residents, to avoid omissions on the records. (Previous timescale of 21/06/05 – not met). Two members of staff must sign the controlled drugs register on every occasion a controlled drug is administered to a resident. The instructions for the application of creams must be entered onto the medication administration record. All regulatory records must be kept complete and up to date at all times. 14/02/06 14/02/06 14/02/06 14/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3 4 Refer to Standard OP9 OP9 OP16 OP18 Good Practice Recommendations The medication policies and procedures should be specific to the home. Information transcribed from the prescription label to the medication administration records should be signed and witnessed by two members of staff. The complaints procedure should incorporate information that a complaint can refer a complaint to the Commission at any stage of the process. The vulnerable adults procedure should include the contact details of the relevant agencies and set out the roles and responsibilities of the registered manager and staff. Woodside Home for the Elderly DS0000035069.V272318.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Woodside Home for the Elderly DS0000035069.V272318.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. 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. 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