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Inspection on 06/06/08 for Woodthorpe View Care Home

Also see our care home review for Woodthorpe View Care Home for more information

This inspection was carried out on 6th June 2008.

CSCI found this care home to be providing an Poor service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Prospective new residents are assessed before coming to the home to make sure that the home is able to meet their needs. There are arrangements to promote residents health and well being, including accessing healthcare services when needed. Staff are aware of good practices to follow to promote the privacy and dignity of residents. Visitors are welcome to come to the home at anytime so residents can keep in contact with family and friends. Residents are able to put forward their views and make choices about what they do. This ensures that residents retain control over their lives. There is a varied menu providing a choice at each meal and food is well presented. This means that residents have a nutritious and balanced diet.There is a complaints procedure in the home and residents are aware of how to make a complaint. The home is well maintained and kept clean and tidy which means residents live in a comfortable environment. The home provides 2 care staff on duty during the day and night. There are staff who work in the kitchen and keep the home clean. This ensures that staff are available to see to residents needs. More than 50% of care staff have achieved or are working towards a professional qualification. There is an experienced manager in post. Regular checks and tests are carried out on the building and equipment, including the fire alarm to protect the health and safety of residents

What has improved since the last inspection?

Residents are able to express their views on how the home is run through completing questionnaires.

CARE HOMES FOR OLDER PEOPLE Woodthorpe View Care Home 53 Woodthorpe Drive Woodthorpe, Arnold Nottingham NG5 4GY Lead Inspector Stephen Benson Unannounced Inspection 6th June 2008 09:30 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 Woodthorpe View Care Home DS0000008767.V366044.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. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodthorpe View Care Home Address 53 Woodthorpe Drive Woodthorpe, Arnold Nottingham NG5 4GY 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) 0115 9624556 0115 9532853 Mrs Rhoda Emaline Ellis Mr Michael Ellis Mrs Rhoda Emaline Ellis Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th June 2007 Brief Description of the Service: Woodthorpe View is a large converted residential house on two storeys with a modern extension. It provides care for up to 28 older people. The home is in a residential area Nottingham and is close to local shops, park and other amenities. The home has a large sitting room with a range of comfortable armchairs, and a dining room with small tables so that service users can sit together to eat. There is an all season conservatory leading off the dining room. This looks out on to a patio area, which has seating and can be accessed via a patio door. There are twenty-eight single bedrooms, twenty-one of them with en- suite facilities. The bedrooms are well decorated and furnished and service users can personalise them with their own belongings. There are bathrooms on each floor with adapted baths and shower, 4 toilets on the ground floor and 2 on the second. There is a lift between the two floors, which is large enough for a wheelchair. All access within the home is level. The home has a number of pets including small dogs, a cat and birds. There is a parking area to the side of the home. The manager said on 06/06/08 that the current fees are between £290 and £320, depending on the assessed level of dependency of individuals. Residents pay for any hairdressing and chiropody in addition to the fee. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. This was our first visit to the home since 1st April 2008. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed, however this had not been properly completed so much of the information could not be used. The visit centred on looking at the key National Minimum Standards for older people. The site visit lasted for 6 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, the duty officer, staff on duty and care practices were observed. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. We sent survey forms entitled ‘Have your say about…’ to a sample of residents and relatives, however none of these were returned to us. What the service does well: Prospective new residents are assessed before coming to the home to make sure that the home is able to meet their needs. There are arrangements to promote residents health and well being, including accessing healthcare services when needed. Staff are aware of good practices to follow to promote the privacy and dignity of residents. Visitors are welcome to come to the home at anytime so residents can keep in contact with family and friends. Residents are able to put forward their views and make choices about what they do. This ensures that residents retain control over their lives. There is a varied menu providing a choice at each meal and food is well presented. This means that residents have a nutritious and balanced diet. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 6 There is a complaints procedure in the home and residents are aware of how to make a complaint. The home is well maintained and kept clean and tidy which means residents live in a comfortable environment. The home provides 2 care staff on duty during the day and night. There are staff who work in the kitchen and keep the home clean. This ensures that staff are available to see to residents needs. More than 50 of care staff have achieved or are working towards a professional qualification. There is an experienced manager in post. Regular checks and tests are carried out on the building and equipment, including the fire alarm to protect the health and safety of residents What has improved since the last inspection? What they could do better: When a need is identified a care plan must be written for this and care plans must clearly describe how residents’ needs are to be met so that staff know how to meet residents’ needs. Ensure that safe medicine storage procedures are followed at all times, including dating drops and creams when opened and recording all medicines entering and leaving the home. Ensure that safe medicine administration procedures are followed at all times, including handwritten Medicine Administration Records are signed and witnessed, only trained staff to administer medication and the Medicine Administration Record must not be signed unless the medication has been given. There must be a record of the medication given by staff, which they must sign to say it has been administered. There must be sufficient supplies of medication to ensure residents can have their medication as required. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 7 A record of activities provided must be kept so that it can be shown that residents have opportunities to satisfy their social, cultural, religious and recreational interests and needs. The home’s policies on safeguarding adults and whistleblowing must be updated. All staff must be familiar with the procedures to follow to safeguard residents if there is any suspicion of abuse. The correct recruitment process must be followed at all times, including obtaining 2 written references. This will ensure that residents are protected by the home’s recruitment process. There must be records available to show there are suitably trained staff on duty to meet the needs of all the residents. 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. The summary of this inspection report can be made available in other formats on request. Woodthorpe View Care Home DS0000008767.V366044.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 Woodthorpe View Care Home DS0000008767.V366044.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): 3 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents are fully assessed prior to moving into the home to ensure that their needs can be met. The home does not offer an intermediate care service. EVIDENCE: Information provided on The Annual Quality Assurance Assessment (AQAA) stated that there have been 5 people admitted to the home in the last 12 months and there have not been any placement breakdowns. Care files for the last 2 admissions were seen. These both contained assessments carried out by the Local Authority prior to the resident being admitted to the home. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 10 The manager said any prospective new resident is asked to spend the day at the home so they can see what the home is like and assess whether they can meet their needs. Staff said they are told about any new admissions and what their needs are, and that there is an assessment for them to read. A resident said, “I came in here from hospital, I didn’t want to look round, I just wanted to get settled”. There is no arrangement made for the home to provide an intermediate care service. Woodthorpe View Care Home DS0000008767.V366044.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, 8, 9 and 10 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are being placed at risk through poor care planning and unsafe practices in the storage and administration of medicines. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: A sample of 5 care files were looked at and these did not have current care plans in. There were no care plans for the most recent admission and others seen were commissioning care plans dated 8/11/05 and 21/10/06. The duty officer, who is responsible for preparing care plans, said that if an assessment is received from the Local Authority she does not prepare any care plans as all the information is in there. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 12 There was an entry in the daily notes to a resident having MRSA, but there was no further information in the file about this. There were needs stated in assessments such as health conditions and depression and anxiety that did not have a care plan for. The manager said when this was pointed out to her, that the care plans are not as she expected and she could see they are not right. Staff said the duty officer makes up the care plans and staff write the continuation sheets. A resident said, “They help me how I want, they are very good and very kind”. The manager said that residents are able to access any community based healthcare services they need. Staff said they make a record of any healthcare visits and that they feel able to meet the healthcare needs of the residents. A resident said, “We had a bug going round it made my tummy upset. I saw the doctor”. There were a number of errors found concerning the storage of medication. Examples were: There were eye drops in the fridge that had not been dated when opened, a resident was discharged from hospital with a cream but it was not known where that was now and no record of it being sent to the pharmacist and a resident had run out of some medication. There were errors seen concerning the recording of medication administration. Examples were: Some Medicine Administration Records had been handwritten but not signed or checked for accuracy, there were a number of gaps on the Medicine Administration Records, an untrained member of staff, who said she did not give out medication as she had not been trained had signed the Medicine Administration Records that morning and had signed to say a resident had taken their medication when this had run out and there was none in the home. One resident had their medication in a weekly dispensing system. A Medicine Administration Record had been prepared where staff signed to say the resident had taken their medication at breakfast, dinner and teatime. Staff said they had done this as they did not know what the tablets were in the dispensing system. The manager said that steps have been taken to correct this. The manager said that she was annoyed about the medication errors, this has never happened before. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 13 Staff described good practices for promoting residents privacy and dignity and said they take care when providing personal care to avoid causing any unnecessary embarrassment and encourage residents to carry out as much self care as they are able. A resident said, “I am treated very well, I am very well respected”. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 14 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, 13, 14 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents need more opportunities to satisfy their social and recreational interests. Residents are helped to exercise choice and control over their lives and receive a wholesome and balanced diet. EVIDENCE: There is not a full record made of activities provided in the home, although some entries are made in the daily notes, making it difficult to know what activities residents have taken part in. On my arrival at the home there was one resident outside listening to music, one reading a book, another looking at a catalogue and another knitting a blanket. There were other residents sat round the televisions. The manager said that there are monthly music to movement sessions and a singer comes to entertain periodically. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 15 Staff said they organise some games but don’t record when they do so. Comments from residents about activities were, “We are going to have a music man in the dining room”, “There don’t seem to be things organised for us to do” and “There is not a lot to do here”. The manager said that residents are able to go to the park over the road in the nice weather and sometimes will have an ice cream. Staff said that visitors are welcome anytime and that one resident goes out every afternoon. A resident said, “I go out with my son when he comes to visit”. The manager said that residents are offered choices by being asked what they want to do, and gave examples of where they would sit in the home or if they wanted to use the grounds. Staff said that some residents don’t go to bed till about 9 o’clock and they always ask residents if they want to get up in the mornings. A resident said. “I choose when I go to bed and get up, they let me do as I like”. The cook showed a four week menu which has just been started. The main meal is at lunchtime and there is a choice at each meal. Dishes include chicken with sweet corn, ham and cheese risotto, pork steak Diane and toad in the home. There is fish on Fridays and a roast dinner on Sundays. A lighter meal is had at teatime with such things as omelette with creamed mushrooms, home made leek and potato soup and ploughman’s. A pudding is provided at lunch and teatime. The cook said residents are very pleased with the new menu and love spaghetti bolognaise. A resident said, “I like the food here very much” and another said, “I enjoy it as I haven’t had to cook it myself”. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 16 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): 16 and 18 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints procedure is not being used and staff would not know how to ensure residents were safeguarded in he event of any allegation of abuse. EVIDENCE: There is a complaints procedure and a book to record any complaints in. The manager said there have not been any complaints made since the last visit. Information provided on The AQAA showed that there have not been any complaints made in the last 12 months A recently appointed member of staff was not familiar with the complaints procedure but a longer standing member of staff was. A resident said, “If I am not happy I just say so, I am quite satisfied”. Information provided on The AQAA showed that there have not been any safeguarding referrals made and no safeguarding investigations have taken place. There have not been any referrals made to the Protection of Vulnerable Adults list. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 17 There was not a record of staff having any safeguarding adults training and staff did not know where the ‘Safeguarding Adults Policy, Procedure and Guidance for Alerters and Referrers’ were. These were located in a cupboard during the visit but had not been used to explain reporting procedures to staff or to update the home’s policies. Staff were not able to describe the procedure to follow in order to ensure a resident was safeguarded, but said they knew the home’s policy on whistle blowing. A resident replied when asked if he felt safe at the home, “Yes definitely, I’ve not seen anyone not being treated well”. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 18 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 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe, well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: Areas of the home seen were suitably decorated and in good order. Residents were seen using different areas of the home. The manager said that contractors are called to carry out any repairs. Staff said that the building is suitable for them to carry out their duties. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 19 A resident said, “I am able to get round without any difficulty, if I am feeling tired I use the stair lift sometimes”. Infection control training was last provided in 2006. Staff were seen using aprons and gloves and staff said these are readily available. Staff said they are encouraged to wash their hands regularly, including when they come on duty and there is handwash gel provided. A resident said, “The home is kept clean and staff use gloves and aprons”. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 20 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, 28, 29 and 30 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff on duty, but it is not known what training they have had to make sure they can fully meet residents needs. Residents are not fully protected by the home’s recruitment procedures EVIDENCE: Information provided on The AQAA showed that there are 8 care staff and a further 3 support staff employed. One care staff has left the home in the last 12 months. There have not been any shifts covered by agency staff in the past three months. The manager has assessed the minimum staffing levels to be 2 care staff during the day and night. The duty officer will assist care staff during the day when needed. Staff said there is always 2 staff on duty. A resident said, “There are enough staff on duty as far as I am concerned”. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 21 The manager said that there are 2 care staff currently working towards National Vocational Qualification level 2 and the remaining 6 have already got it. Staff spoken with confirmed they have achieved National Vocational Qualification level 2 and certificates were seen in staff files for this. One member of staff said she was about to start National Vocational Qualification level 3. It was recorded on The AQAA that all people who have worked in the home in the past 12 months had satisfactory pre employment checks; however on checking a sample of 4 staff files there were 2 for recently appointed staff where there was only one reference rather than the required 2. Copies of training certificates are put into staff files, however this does not allow for easy checking to se what training staff have had and what is needed. Certificates were seen in staff files seen, however these did not show that staff had received all the required training and some updates were due now or in the near future. A recently appointed member of staff said she had been given an induction book to work through. A resident said, “I am sure they are highly trained”. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 22 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, 33, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an experienced manager in post. Residents are able to influence some practices within the home. The health and safety of residents is promoted. EVIDENCE: The manager, who is also one of the providers, has been in post since the home opened over 24 years ago. The manager has not got a relevant qualification but said she may consider taking one in the future. Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 23 The manager said that she has delegated some areas of running the home to the duty officer. Staff said that they felt the home was well run. A sample of surveys sent out to residents and relatives were seen and these included positive comments about food and cleanliness. There were suggestions made including using gravy boats at mealtimes and that the condiments were not always put out. The duty officer said that these have been acted upon. The manager said that there is not a system for handling residents’ money as this is done by residents’ families. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. It was stated on the AQAA that equipment is tested or serviced as recommended by the manufacturers or other regulatory body. It was also stated that there are written assessments on hazardous substances. A resident said, “The fire bell goes off but that is a test, I would run like hell if there was a fire!” Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1) Requirement When a need is identified a care plan must be written for this and care plans must clearly describe how residents’ needs are to be met so that staff know how to meet residents’ needs. Ensure that safe medicine storage procedures are followed at all times, including dating drops and creams when opened and recording all medicines entering and leaving the home. Ensure that safe medicine administration procedures are followed at all times, including handwritten Medicine Administration Records are signed and witnessed, only trained staff to administer medication and the Medicine Administration Record must not be signed unless the medication has been given. There must be a record of the medication given by staff, which they must sign to say it has been administered. There must be sufficient supplies of medication to ensure residents DS0000008767.V366044.R01.S.doc Timescale for action 01/08/08 2. OP9 13(2) 09/06/08 3. OP9 13(2) 09/06/08 4 OP9 13(2) 09/06/08 5 OP9 13(2) 09/06/08 Woodthorpe View Care Home Version 5.2 Page 26 6 OP12 16(2)(n) 7 OP18 12 (1)(a) 8 OP29 19 (1)(b) 9 OP30 18(1)(c) (i) can have their medication as required. A record of activities provided must be kept so that it can be shown that residents have opportunities to satisfy their social, cultural, religious and recreational interests and needs. All staff must be familiar with the procedures to follow to safeguard residents if there is any suspicion of abuse. This will ensure that staff know how to protect residents. The correct recruitment process must be followed at all times, including obtaining 2 written references. This will ensure that residents are protected by the home’s recruitment process. There must be records available to show there are suitably trained staff on duty to meet the needs of all the residents. 01/07/08 01/08/08 07/06/08 01/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Woodthorpe View Care Home DS0000008767.V366044.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!