Inspection on 13/06/06 for Woodside View

This inspection was carried out on 13th June 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 View 10/07/07

Woodside View 23/01/06

Woodside View 02/06/05

Woodside View 24/08/04

Woodside View 29/04/04

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Woodlands Nursing Home (Caterham) 2 Highview Caterham Surrey CR3 6AY Lead Inspector Lesley Garrett Key Unannounced Inspection 13th June 2006 09:00 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 Woodlands Nursing Home (Caterham) DS0000013371.V299881.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. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Nursing Home (Caterham) Address 2 Highview Caterham Surrey CR3 6AY 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) 01883 346313 01883 341153 Furzehill Medical Limited Mr Titus M Musee Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range of Service Users will be over 65 years. Date of last inspection 23rd January 2006 Brief Description of the Service: Woodlands Care Home is a converted Edwardian Manor House providing accommodation and nursing care. The home provides an adequate standard of accommodation for up to 26 older people. This comprises of 18 single rooms, 8 of which have en-suite facilities. The home has 4 double rooms, one of which has an en-suite facility. The price range of these rooms is from £550 - £700. Residents have a choice of communal areas with a large main sitting room, a conservatory area and a dining room. The upstairs accommodation is accessed by passenger lift. The top floor accommodates administration staff, the staff room and the homes laundry. The home also has a basement, which houses the central heating boiler and further laundry equipment. The home has limited parking to the front of the house. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over eight hours and was the first site visit to be undertaken in the Commission for Social Care Inspection year April 2006 to March 2007. Lesley Garrett, Lead Inspector for the service carried out the inspection and Titus Musee, Registered Manager and the senior sister represented the establishment. A full tour of the premises took place. The inspector saw most of the residents and spoke with some of them. A pre-inspection questionnaire was used as information for the inspection and service user survey forms (comment cards) were sent to the service and some were available for the purpose of writing this report. The home has received three complaints this year and all were investigated by the manager and have been resolved. The service is presently going through a transition process with a new provider purchasing the service. The inspector would like to thank the residents, staff and manager at Woodlands Nursing Home for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? Some of the requirements have been met from the previous inspection. The garden had been cleared of all rubbish and some strip lights have been installed to improve some of the lighting in the communal areas. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 6 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. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 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 Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission assessments are carried out by a member of staff that is competent to do so. The home does not provide intermediate care beds. EVIDENCE: All prospective service users to the home have a pre-admission assessment carried out by the senior sister . The Surrey Health needs assessment forms are used and activities of daily living form used by the home and the information gained enables the home to generate the care plans. The senior sister then passes on this information to the manager and registered nurses and the room is made ready appropriately. The home does not provide intermediate care beds. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 9 Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users individual plans of care are comprehensive and demonstrate that their health and personal care needs are met. The home has policies and procedures in place for the safe handling of medications but the policy needs to be updated to reflect the changes that has taken place for the destruction of medication. No issues around privacy and dignity were raised. EVIDENCE: Care plans are generated from the initial assessment and from any social services assessments that may have taken place either at review or preadmission. All plans are reviewed monthly and the inspector saw evidence of this. Risk assessments are in place and these had been reviewed. Reviews take place with social services yearly and in between with the staff if necessary and privately funded service users are also formally reviewed within the home also Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 11 yearly. A good variety of care plans and risk assessments were in place in the individual folders. Daily notes are written by both day and night staff. The home has access to the local G.P. practice that visits every 2 weeks and more often if necessary. Service users have the choice of three local practices and all will visit when requested. Other health care professionals visit the home for example chiropodist who visits every six weeks, opticians that visit twice a year and will call in between if necessary. The dentist comes on demand and every six months and the service users also have access to the hygenist. The continence nurse has done all the assessments in the home and two of the home’s registered nurses are now doing the continence training. The manager stated that it was very difficult for the home to get the advice of a tissue viability nurse. The senior sister stated that they are able to manage their own dressings as nurses are kept updated with all new techniques by having access to training. Nutritional risk assessments are undertaken and any problems with weight loss acted upon.For example a service user whose care plan was casetraked was noted to be taking food supplements and a food and fluid chart were in place. The home uses a local pharmacy and have the monitored dose system for administration of their medications. Charts contained photographs of the service users for identification and any allergies they may have. The n pharmacy policy was seen but this must be updated to reflect that medicines are now disposed of using clinical waste and not through the pharmacy. Hand written entries were seen on the charts and there will be a recommendation at the end of the report that these must contain the signature of two registered nurses. All registered nurses were about to do their medication training. No gaps were seen on the charts.The manager stated that the G.P. does yearly medication reviews and in between if necessary. The home has a privacy and dignity policy. Service users can see the G.P or other visiting professionals in private. There are three shared rooms and they all have privacy curtains but only one room is in use at the moment. The service users are called by their preferred name and this is documented in their individual plans. Their own clothes are worn and these are labelled by the home. All have access to the telephone in private and post is delivered to their room unopened. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 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): 12,13,14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvementas are needed in relation to the variety and type of activities in order to match the expectations of the increasing mental and physical fraility of the service users and to enhance community contact. Choice is given to service users especially concerning their diet and the nchef sees the service users every day so they can select their preferred meal. EVIDENCE: The home has a full time activities organiser who has accessed the NVQ level 3 course in care. The inspector spoke with the organiser who felt there was a link between activities and care. The intention is to do an assessment of all service users and then she will organise a programme to suit their individual needs. She gives a report to the manager every month, which details the service users who have accessed activities and how they reacted and enjoyed a particular activity. Birthday parties are organised and relatives invited to the home. Service users at the home have very differing needs as seen during a tour of the building and meeting them. The activities at the home need to match the expectations and capabilities of the service users. For example it was noticed by the inspector that the service users have increasing mental and Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 13 physical frailty and therefore this will be a requirement at the end of the report. Relatives, friends and representatives are welcomed to the home and the visiting is not restricted. A local school has visited the home and there is a church service, which held every two weeks. It is a requirement that the home consults with service users about their social interests and makes arrangements for them to engage in some community activities if they choose. The service users can exercise some choice over their daily lives. The chef visits them everyday so they can choose their menu and they can eat in their room or in the dining room. The manager stated that one service user likes to watch the television whilst eating in the lounge. They have a choice of the clothes they would like to wear in the mornings and they are addressed by their preferred name, which is documented in their care plan. The inspector was unable to meet with the chef on the day of inspection but the manager stated that the chef was actually on a three-day course for the advanced catering qualification. The home has a four-week rota of menus and these were seen as part of the pre-inspection questionnaire. The service users can have a choice at all meals and can also have a cooked breakfast if they would like. Hot drinks are offered before bedtime and there are always sandwiches available if they are requested. The feedback from the service users, menus sampled and discussion with the manager confirmed and evidenced this. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints policy that ensures that concerns are listened to and acted upon. The service users are also protected from abuse with adequate policies in place for safeguarding adults. EVIDENCE: The home has a complaints policy and the inspector saw evidence of the three complaints received since the last inspection in January. All complaints were responded to within twenty-eight days and were resolved by the manager. The Commission had been made aware of two of the complaints. The manager keeps a record of all complaints written or verbal and the inspector saw evidence of this. The complaints policy is displayed in reception and on each floor. The home has an internal policy on protecting adults but the inspector has made a requirement to update the policy to reflect the Surrey procedures as this is the procedures the staff at the home follows. The manager has had training from Surrey and the senior sister was about to attend a session the next week. This information will be cascaded to all staff. There have been no referrals under the local authorities safeguarding adult’s procedures this year. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 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 & 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The environment internally and externally is poor and not well maintained although the standard of hygiene was found to be adequate. The home is generally clean and the domestic staff covers the home at weekends. There is also a full time laundry assistant. EVIDENCE: Following the inspection in January 2006 a number of requirements were made to address the internal decoration of the home and the poor lighting. There is very little evidence of refurbishment since the last inspection.Some internal decoration has taken place but the tme scale set by the provider for completion is only two months away and it looks doubtful that this will be completed by the end of August. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 16 Bedrooms and bathrooms are still in need of full redecoration and refurbishment as the standard of these facilities is very poor. The outside of the building needs redecoration as the paintwork is now peeling. Some tidying of the garden has taken place but there is insufficent tables and chairs to allow the service users to sit outside and to have protection from the sun. The requirement at the end of the report will require the proprietor to continue the refurbishment programme due by the end of August and to also plan for the painting of the outside of the building by providing another improvement plan to the Commission with timescales. The home has a domestic and housekeeper who between them cover the home seven days a week to ensure a good standard of cleanliness. The inspector saw the laundry and spoke with the laundress.As a result of language problems the housekeeper who speaks her launguage can help to translate if required. The laundry is on the second floor and is small but was tidy on the day of inspection. The washing machine with the sluicing facility is in the basement and the inspector did not visit this on this inspection. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staffing levels in the home are sufficient to meet the needs of service users. The home is able to demonstrate that trained and qualified staff is able to carry out their role competently and supports service users. Service users are generally protected by the homes recruitment practices however improvements are necessary regarding staff documentation. Staff training is carried out on a regular basis to ensure staff is competent to do their jobs. EVIDENCE: The number of service users resident in the home has reduced to sixteen, for example the service may accommodate twenty-six persons, although the provider has maintained the same number of staff on duty. Discussion took place with the manager regarding the owners preference to reduce stafrfing levels. In view of the nature and needs of service users, layout of the environment a reduction in the number of staff on duty may result in a poorer and inadequate service being provided to service users. Therefore any consideration and review of the staff arrangements by the current or new provider must be discussed with the Commission prior to any changes and written proposals regarding such a review be submitted to the Commission. No agency has been used for two years. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 18 The home has two domestics working every day. Staffing rotas were sent to the commission with the pre-inspection questionnaire. 50 of carers have the national vocational qualification at level 2. The manager stated that more training is about to take place but the assessor has been on compassionate leave so the work has been held up slightly. One carer has recently completed NVQ level 3 and one more is doing the level 3. The inspector looked at two employment folders and found that all necessary documentation was in place, however, the application forms do not give a full employment history with reasons for gaps in service and this will therefore be a requirement at the end of the report. Induction training takes place and evidence was seen of the format used. Mandatory trainig has taken place for all staff for example manual handling, basic food hygeine and protecting adults. Staff are paid for their training. The home needs to organise a training plan that will demonstrate training that has taken place and when the next sessions are due to ensure all staff training needs are met. Certificates are kept in their employment folders. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 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): 31,33,35, & 38 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 manager that has been in post since 2004 and is fit to be in charge. The home has some quality audits in place but they need to seek the views of the service users and make this available for them to ensure the home is run in the service users best interest. The financial interests of the service users are safeguarded and the health and safety of all service users are promoted and protected by the various checks that take place on a regular basis. EVIDENCE: Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 20 The manager has been registered since 2004 and is experienced. He told the inspector that he has also kept up to date with his training needs. He works supernumerary which allows him time to fulfill his managerial duties. The home does regular quality audit surveys to seek the views of the service users.The last survey was completed in March this year. Internal audits also take place in particular an environmental survey has taken place along with a medication audit, care plans and health and safety. The service user survey is not always fed back to them therefore this will be a requirement. The service users relative or represetatives meetings are not well attended so the manager stated that he may try something different and send out invitations to the relatives/representatives to see if this generates more interest. Policies and procedures are reviewed yearly as evidenced through sampling the documentation. The views of stakeholders or other visiting professionals are not sought .and therefore the surveys should be extended to take in the views of the visiting professionals. Policies and procedures are reviewed yearly and the inspector looked at these on inspection. No service user controls their own finances but the home keeps a sundries account. The inspector sampled some accounts and found them to be correct. The home has a safe which stores some petty cash. Relatives or representatives are encouraged to take home any valuables of the service users. Manual handlng and fire safety trainig takes place twice a year for all staff. Environmental risk assessments need to take place to ensure safe working practices and this will be a requirement at the end of the report. The inspector looked at the pre-inspection questionnaire and found that all other safety checks and certificates are in place for example fire and gas. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 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 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 1 X X X X X X 2 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 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 OP12 Regulation 16(2)(n) Requirement The registered persons must ensure that the activities programme reflects the needs of the service users for example their increasing mental and physical frailty and includes community involvement if requested. The registered persons must update the homes safeguarding adults procedures to reflect the Surrey Multi Agency procedures The registered persons must ensure that there is a refurbishment programme in place: this must include the bathrooms (including the replacement of the bathroom in the conservatory) Timescale of the 23/02/06 not met. (It is noted that the provider proposes a timescale of the end of August for the completion of this work). The registered persons must ensure that an improvement plan is submitted to the Commission, which details DS0000013371.V299881.R01.S.doc Timescale for action 13/08/06 2. OP18 13(6) 13/07/06 3. OP21 23 13/07/06 4. OP19 23 13/07/06 Woodlands Nursing Home (Caterham) Version 5.2 Page 23 5. OP27 18 6. OP29 19 and schedule 2 18 7. OP30 8. OP33 24 9. OP38 13 timescales for the decoration and repair of the outside of the building. The registered persons must ensure that the home has adequate staff numbers at all times, and reviewed where necessary. Any proposed changes to staffing levels must be submitted in writing to the Commission for their consideration to ensure the health and safety of the service users. The registered persons must ensure that any gaps in employment history on the staff application form have written explanations. The registered persons must ensure that the home has a training plan and accurate training records to ensure that all staff training needs are identified and met which enables staff to see training that has taken place, and training that is planned. The registered persons must ensure that service user surveys are published in the home and any comments are acted upon where necessary. The registered persons must ensure that environmental risk assessments are in place to ensure safe working practices in specific areas to include the kitchen and laundry. 13/07/06 13/08/07 13/08/06 13/07/06 13/08/07 Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 24 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 It is strongly recommended that any handwritten entries on the medication administration record have the signatures of two registered nurses. Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Woodlands Nursing Home (Caterham) DS0000013371.V299881.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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