Inspection on 18/11/08 for Woodville Care Home

This inspection was carried out on 18th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodville Care Home 24/07/06

Woodville Care Home 01/11/05

Woodville Care Home 16/06/05

Woodville Care Home 20/10/04

Woodville Care Home 08/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Woodville Care Home 145 Burton Road Woodville Swadlincote Derbyshire DE11 7JW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Janet Morrow     Date: 1 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Woodville Care Home 145 Burton Road Woodville Swadlincote Derbyshire DE11 7JW (01283)551501 01283551413 woodville145@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Greenacres Nursing Home Limited Type of registration: Number of places registered: care home 35 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommdated is: 35 The registered person may provide the following categories of service only:- Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following categories: Old Age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Woodville Care Home provides personal care for up 34 people, 33 people aged 65 years and over, and 1 place for a named person under the aged the 65 years. The property is a purpose built, two storey building. Residents bedrooms are located on the ground and first floor. Residents access the first floor by using the staircase or passenger shaft lift. All bedrooms are single occupancy, and 31 rooms have ensuite facilities. Woodville Care Home is close to the town of Swadlincote, which is about 10 Care Homes for Older People Page 4 of 30 Over 65 35 0 Brief description of the care home minutes away by car. Information about the service is provided through the Statement of Purpose and Service User Guide, both of which were made available to residents. Information provided by the home in December 2008 stated that the fees for the home were £362 to £380 per week, and that this information was also included on the contracts and terms and conditions. Items not covered in the fees include hairdressing, chiropody, toiletries and meals when out. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection visit was unannounced and took place over one day for a total of 8.75 hours. An expert by experience assisted with the inspection process. An expert by experience is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. The expert by experience was present for three hours and spoke with eight people living in the home, five relatives and two members of staff. She toured the building and watched what life was like for people in the home. Her findings are incorporated into the report. Care Homes for Older People Page 6 of 30 Care records and staff records were examined. A partial tour of the building was undertaken. Ten of thirty-six people currently accommodated, one relative, six members of staff, one visiting professional and the manager were spoken with. The Commission for Social Care Inspection received seven surveys from people living in the home prior to the visit. Written information in the form of an annual quality assurance assessment had been received prior to the visit and informed the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: Hand written medication administration record charts need to be counter signed for accuracy and have the amount of medication received recorded on them. The medication policy needs to be reviewed and the home needs to have up to date information on medication administration from the Royal Pharmaceutical Society and an up to date reference book for medicines. Care Homes for Older People Page 8 of 30 The home needs to develop a suitable programme of activities suited to the specific needs of the people living in the home and to include more outings. The manager must undertake training in safeguarding vulnerable adults to ensure she is fully familiar with local procedures and obtain an up to date copy of the Derby and Derbyshire Local Authority Adult Services safeguarding procedures. All staff must have up to date mandatory health and safety training to ensure they are following best practice procedures and received more care related training. Catering staff should receive training on nutrition and special diets. Admission information should always be easily accessible. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this 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 was insufficient admission information available to ensure that peoples needs could be met. Evidence: Four peoples records were examined. There were no assessments available in the files examined but the manager located one for one person. This was a pro-forma that covered all the essential areas regarding care and contained enough detail regarding the person. None of the files examined had assessment and care management involvement but the manager was able to show other files where this documentation was available. The manager wrote a letter to people who had been assessed to state whether or their needs could be met. Assessments for risk of falls, nutrition and pressure sores were in place on all four files examined. Care Homes for Older People Page 11 of 30 Evidence: All seven surveys received from people living in the home stated that they had received enough information before deciding to move there. One survey said I was shown around the home. My first impressions were very favourable. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning and access to health professionals ensured health care needs were met. Evidence: Four care files were examined and all had a care plan in place. One was recorded on the computer and was not seen during the visit. The detail of the plans showed that issues related to risk assessments were addressed. For example, an identified risk of pressure sores had a corresponding care plan to prevent them and one indicating a nutritional risk had an eating and drinking plan. Weight was recorded on a monthly basis and one person who had an eating problem had their weight recorded weekly. Access to health professionals was recorded in the care files and showed that visits from chiropodists, General Practitioners (GP), district nurses and opticians took place. There were also records of specialist involvement such as physiotherapist and a speech and language therapist. Care Homes for Older People Page 13 of 30 Evidence: A visiting professional spoken with during the inspection visit stated that the home asked for assistance appropriately and said they had no concerns about the care of the people they visited. Observation of the care provided during the visit showed that staff were caring and diligent carrying out their duties. They took time with each person as they tended their needs. It also showed that staff worked well as a team with all staff including catering staff, laundry staff, cleaning staff and carers interacting well with each other and creating a real sense of caring, which reflected in the high level of contentment displayed by the people living in the home. One relative spoken with commented that their relative was always dressed smartly. Five of the seven surveys received responded that the care and support needed was always provided and two responded that it usually was. Five surveys responded that the medical support needed was always received and one responded that it usually was. One did not respond but made a comment that a GP visit was made when required. Other comments on surveys included any problems are resolved immediately, staff are very good and problems when first moving in were rectified now. One survey commented that on occasions, hasnt been toileted frequently enough. All seven surveys stated that staff listened and acted on what was said and one commented staff are excellent, always communicate and work with family. A general check on three medication administration record (MAR) charts showed that generally charts were completed properly with the exception of the following; two medicines were not signed for on one day on one chart, a code was not defined properly so it was unclear why people were not receiving their medicine on specific occasions, and handwritten charts were not signed by a second person as having been checked for accuracy and did not have the amount of medicines received recorded on them. There were no photographs on the charts or in care files to aid identification. Four peoples MAR charts were then examined in more detail. Three were completed accurately and one had one medicine not signed for when it was missing from the blister pack and Paracetamol prescribed as required was not always signed with a code. The code used (O for other) did not state what other related to. The home had some controlled drugs in use for specified people. A check on the records and stock showed that these corresponded and two people were signing the register for their administration. There was secure storage for these medicines. The homes policy and procedures on medication administration was inadequate and needed updating as it did not cover essential areas and was dated 2002. The British Care Homes for Older People Page 14 of 30 Evidence: National Formulary (BNF) was out of date and the home did not have a copy of the Royal Pharmaceutical Society guidelines on administering medicines in care settings. Storage of medicines was satisfactory and refrigerator temperatures were within safe limits. Applications with a limited shelf life, such as eye drops, were labelled with the date of opening and were within their use by dates. Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Greater attention to activities was needed to ensure that people had a good quality of life. Evidence: An activities organiser visited the home for several hours a few times a week. However, observation during the morning of the inspection visit showed that there was no activity other than TV and they appeared to be on in both of the lounges, but were not watched by people, it only provided background sound. Six of the people spoken with said they like to do more and when probed further they said theyd like outings in the good weather and some entertainment. There was a bingo session once a week. There were a number of large print books in one of the lounges and an arrangement was underway with a local library for block loans of books. There were a number of games and jig saw puzzles but two people living in the home stated that these were never used. Activity records showed that some entertainment had occurred over the last six months such as a Halloween supper, a choir, a quiz and a fish and chip supper. A game of bingo took place during the afternoon of the inspection visit. Care Homes for Older People Page 16 of 30 Evidence: One of the seven surveys responded that there were always activities arranged, three responded that there usually were and one responded that there sometimes were. One did not give a response but commented I cant see or hear so it is difficult. One survey commented that more activities would be better, another commented that they struggled due to poor eyesight and that I think there are not enough physical activities or mental stimulation. The written information supplied by the home stated that a yoga teacher had been employed to aid mobility but discussion with people revealed that this had only occurred on one occasion. Visitors spoken with confirmed they could visit at any time and were made to feel welcome. One said they couldnt speak highly enough about Woodville. The serving of the lunch meal was observed and ten people spoken with stated that they enjoyed the food. A variety of options were available and individual preferences were taken account of. The dining area was clean and bright. The tables were well laid with cheerful tablecloths and napkins. There was a choice of two meals on the menu with the availability of plenty of water or juice. The meals were served on warm plates and the portions were of an adequate size, neither too big nor too small. Three of the seven surveys received responded that they always liked the meals and four responded that they usually did. One commented that staff always encouraged them to eat something and one stated that they had gained much needed weight since being at the home. Diabetic diets were catered for but there was some lack of knowledge about less common dietary needs and catering staff had not attended any courses on nutrition or specialist diets. Menus were examined and showed that there was a good variety of nutritious and wholesome food. Food stocks were good and there was fresh fruit available around the home. No one in the home currently had an advocate but there was information in the home about advocacy services. Care Homes for Older People Page 17 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A clear complaints procedure and staff knowledge of safeguarding issues ensured that peoples concerns were listened to and acted on and that they were safe. Evidence: The complaints procedure was available to all people and their relatives and was clearly displayed in the home. The written information supplied by the home stated that two complaints had been received during the last twelve months. There had been no complaints received at the office of the Commission for Social Care Inspection. The record of complaints was examined and this was clear and showed what action had been taken to address the issues raised. Eight people spoken with said they knew who to talk to if something wasnt quite right for them. They all said they would tell the manager and she would sort things out. Six of the seven surveys received responded that they always knew who to speak to if they were not happy and one commented that they usually knew. One survey commented that the owners and staff were always proactive and very approachable. If there is a hint of a problem it is attended to immediately. Another commented that senior staff come around in the day to talk about any worries. All seven responded that they knew how to make a complaint. There was a policy on safeguarding adults but it was not up to date and there was no Care Homes for Older People Page 18 of 30 Evidence: information available on how to refer people to the Protection of Vulnerable Adults (POVA) list. The manager was unclear about some of aspects of the procedures but knew that there was a responsibility to report any concerns to the appropriate authority. Staff spoken with confirmed that they were aware of their responsibilities to report any suspicions of abuse. Safeguarding training had taken place in November 2008. The written information provided by the home in October 2008 stated that there had been no allegations of abuse in the previous twelve months. Care Homes for Older People Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment was excellent providing people with an attractive and homely place to live. Evidence: The home was clean tidy and odour free and was well furnished and decorated to a high standard. A handy person was employed and repairs were attended to promptly. The home was set in spacious well maintained grounds well off the road in Woodville. The reception area was warm, pleasant and welcoming. The excellent decor in the reception area was manifested throughout the home. Bright warm colours, plants, flowers, pictures and porcelain plates adorned all the main living areas. The toilets and bathrooms were scrupulously clean and the bathrooms were bright and cheerful and some of them were quite spacious. People living in the home were encouraged to have personal mementos in their rooms. The laundry area was well organised, and the equipment in good working order. Peoples personal clothing was well laundered and ironed. One survey commented that all clothes were well looked after. Care Homes for Older People Page 20 of 30 Evidence: Five of the seven surveys received responded that the home was always fresh and clean and two responded that it usually was. One commented that the bedrooms are nicely decorated, spotlessly clean and linen and towels changed frequently. Care Homes for Older People Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 were sufficient, properly recruited and trained staff to ensure that people living in the home were in safe hands. Evidence: Staff spoken with, and their training records confirmed that mandatory heath and safety training had taken place in 2008. However, there had been little training in care issues. The written information supplied by the home stated that courses in hearing and visual awareness were an area for improvement and that palliative care and bereavement courses were being organised. The manager stated that she wanted to prioritise courses in catheter care and continence. Staff spoken with suggested that courses in pressure sore care and dementia would be useful. The manager was introducing the Skills for Care induction programme to the home and new staff had commenced this programme. The written information supplied by the home showed that staff were undertaking National Vocational Qualification (NVQ) training and that the home was meeting the target of having 50 of care staff with an NVQ at level 2 or above. The manager confirmed that eleven of twenty-one staff had the qualification; four senior staff had achieved an NVQ3 and seven care staff had an NVQ2. A further three care staff were Care Homes for Older People Page 22 of 30 Evidence: about to complete the training and seven more staff had recently commenced it. Three housekeeping staff had also achieved an NVQ2. The staff rota for the 17th - 23rd November 2008 was examined and showed that there were four care staff on duty for the morning and afternoon shifts and two at night plus a sleep in member of staff. The manager stated that there were occasionally difficulties obtaining a sleep-in member of staff for the night shift but generally any absences were covered from within the staff team. Agency staff were not used. There were sufficient laundry, catering and domestic staff on each day to ensure that housekeeping tasks were undertaken to a high standard. Three of the seven surveys received responded that there were always staff available when needed and four responded that there usually were. A relative commented on a survey that sometimes I visit and I do not see a member of staff and another commented that the main worry was a delay in answering the bell when they want to go to the toilet. Three staff files were examined and showed that recruitment procedures were thorough and all information required by Schedule 2 of the Care Homes Regulations 2001 was in place, including identity information, Criminal Record Bureau (CRB) checks, two written references and a full employment history. However, the Protection of Vulnerable Adults (POVA) checks on two of the files were dated shortly after the person had commenced work at the home. Care Homes for Older People Page 23 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was well run in peoples best interests. Evidence: The manager was a qualified nurse and had experience of working with older people. She had commenced work at the home in February 2008 and was in the process of completing an application to become registered with the Commission for Social Care Inspection. The owners of Woodville were hands on and responded to any issues raised in a prompt manner. However, there were no formal quality assurance procedures in place, although a lot of work was done on an informal basis. There had been no recent satisfaction surveys undertaken. A residents and relatives meeting had been held in June 2008 and a suggestion box had been introduced as a result of this. The manager was undertaking visual safety checks of the building on a daily basis and had started Care Homes for Older People Page 24 of 30 Evidence: to record these. The manager also stated that she was undertaking audits of care records such as medication records and fluid charts. The written information supplied by the home stated that it would be beneficial to formalise the meetings between the manager and the owners as a means of planning how the home could improve. Three peoples financial records were examined and the amounts of cash held corresponded with the written record. There were receipts available for individual purchases that also corresponded with the record. Cash was stored securely. The written information supplied by the home stated that maintenance checks were up to date. For example, fire detection and fire fighting equipment was checked in February 2008, emergency lighting in February 2008 and hoists in August 2008. Mandatory courses in health and safety areas such as first aid, infection control, moving and handling, fire safety and food hygiene had been undertaken in 2008. However, not all staff were up to date, for example, in moving and handling. Care Homes for Older People Page 25 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 3 14 There must always be 01/02/2009 assessment documentation available in peoples records. This is to ensure that the home has sufficient information available to ensure it can meet peoples needs. 2 9 13 All medication administration charts must be signed accurately when medication is given. This is to ensure that it is clear that medication had been given as prescribed. 01/01/2009 3 9 13 The medication policy must be updated to take into account best practice guidelines. This is to ensure that everyone administering medication is following proper guidelines and ensuring that medication practice is safe. 01/02/2009 Care Homes for Older People Page 27 of 30 4 12 16 People living in the home 01/02/2009 must be consulted about the range of activities on offer and efforts must be made to offer stimulation suitable to the needs of the individual. This is to ensure people have a good quality of life and individual social needs and interests are catered for. 5 18 13 The policy on safeguarding adults must be updated and include information on how to refer to the Protection of Vulnerable Adults (POVA) list. To ensure that correct procedures are followed in the event of an allegation of abuse and that people are kept safe. 01/02/2009 6 33 24 There must be a formal annual quality assurance plan developed that states how the home intends to improve. This is to ensure that quality assurance plans are integral to the running of the home and that the service continues to improve. 01/02/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 Handwritten medication administration record charts should be checked and signed by two people to ensure they are Care Homes for Older People Page 28 of 30 accurate. 2 9 There should be photographs of people on medication administration record charts to aid identification and ensure medicines are given to the correct person. When code O is used on a medication adminstration chart, it should be defined so it is clear why a medication has not been given. The manager should undertake safeguarding training designed for managers to ensure she is fully informed on local procedures. 50 of care staff should achieve a National Vocational Qualification (NVQ) at level 2. More training courses directly related to care should be arranged for staff to maintain their skills and knowledge. All staff should be up to date with their health and safety training. 3 9 4 18 5 6 7 28 30 38 Care Homes for Older People Page 29 of 30 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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