Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Care Home: Cymar House

  • 113 Pontefract Road Glasshoughton West Yorks WF10 4BW
  • Tel: 01977552018
  • Fax: 01977603038

Cymar House provides residential care for 22 older people over the age of 65 years, some whom may have dementia type illnesses or mental health disorders. The home is situated in a residential part of Glasshoughton on the outskirts of Castleford. It is on the main bus route and close to all amenities including shops, post office, supermarkets and public houses. Set back in its own grounds, there is car parking to the front of the home and lawns to the front and rear of the building. There is a large hallway at the front entrance, which leads into the dining room and a large lounge. A small quiet lounge is available for people at the rear of the building. A shaft lift provides access to bedrooms located on the upper floor of the home. The main provision of bedrooms is for single occupancy, however there are two large bedrooms that are available for people who wish to share. The weekly fees for the service in November 2007 were £380. Hairdressing and chiropody are charged in addition to the fees. Also an hourly charge for people needing escorts to hospital at times when relatives are unable to escort would be charged. The home makes people aware of the service provided and of the role of the Commission for Social Care Inspection in the Service User Guide and inspection reports which are on display on the reception room desk.

Residents Needs:
Dementia, Old age, not falling within any other category, mental health, excluding learning disability or dementia

Latest Inspection

This is the latest available inspection report for this service, carried out on 16th November 2007. CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for Cymar House.

What the care home does well The pre-admission arrangements ensure people`s needs can be fully met. People are generally satisfied with the care provided and the standard of care planning is good. Relatives`/representatives` views were generally positive. Comments made were "staff have a very caring and professional attitude toward the people in their care", another stated, their relative is "always well looked after", "they make her feel safe and secure", "staff behave in a very professional way", "the care and consideration" their relative receives is "second to none". A GP spoken with after the visit said a person who is ill and on bed rest was being very well cared for. The standard of cleanliness and decor throughout the home is good. What has improved since the last inspection? The home has recruited an administrator who is to undertake much of the administration in the home enabling the manager to manage the service. An intimate care policy recommended at the last visit has been developed to ensure people`s dignity and privacy are respected when personal care is being delivered. The registered person has ensured some unannounced visits to the home have occurred to ensure they are kept informed of the service, which was required at the last visit. New dining chairs, tables and lounge chairs have been provided which enhance the environment. The manager has introduced a colour-coded system onto the staff rosters so that staff can identify their designated duties and areas of responsibility on a shift basis in order to ensure people`s needs are met. What the care home could do better: CARE HOMES FOR OLDER PEOPLE Cymar House 113 Pontefract Road Glasshoughton West Yorks WF10 4BW Lead Inspector Susan Vardaxi Key Unannounced Inspection 16th November 2007 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 Cymar House DS0000006176.V355762.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. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cymar House Address 113 Pontefract Road Glasshoughton West Yorks WF10 4BW 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) 01977 552018 01977 603038 cymar@daisyconnect.com Cymar Care Homes Limited Ms Jillian Gill Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (22), Old age, not falling within any other category (22) Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2007 Brief Description of the Service: Cymar House provides residential care for 22 older people over the age of 65 years, some whom may have dementia type illnesses or mental health disorders. The home is situated in a residential part of Glasshoughton on the outskirts of Castleford. It is on the main bus route and close to all amenities including shops, post office, supermarkets and public houses. Set back in its own grounds, there is car parking to the front of the home and lawns to the front and rear of the building. There is a large hallway at the front entrance, which leads into the dining room and a large lounge. A small quiet lounge is available for people at the rear of the building. A shaft lift provides access to bedrooms located on the upper floor of the home. The main provision of bedrooms is for single occupancy, however there are two large bedrooms that are available for people who wish to share. The weekly fees for the service in November 2007 were £380. Hairdressing and chiropody are charged in addition to the fees. Also an hourly charge for people needing escorts to hospital at times when relatives are unable to escort would be charged. The home makes people aware of the service provided and of the role of the Commission for Social Care Inspection in the Service User Guide and inspection reports which are on display on the reception room desk. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home on 16 November 2007 over 8.5 hours starting at 9:15 am. The visit included a walk round the building, talking with some people who live at the home and checking some of the records kept. Eleven surveys were sent to people living at the home, none were returned; 11 surveys were sent to relatives and five have been returned. A GP and district nurse were contacted regarding their experience of the service. Information provided by the manager prior to the visit occurring has also been considered. Since the last visit, six safeguarding incidents involving people against people have occurred and a complaint investigated through the home’s complaints procedures which the manager has dealt with appropriately. The inspector would like to thank the people who live at the home, their relatives/representatives, the manager and staff for their cooperation and hospitality during this visit. What the service does well: The pre-admission arrangements ensure people’s needs can be fully met. People are generally satisfied with the care provided and the standard of care planning is good. Relatives’/representatives’ views were generally positive. Comments made were “staff have a very caring and professional attitude toward the people in their care”, another stated, their relative is “always well looked after”, “they make her feel safe and secure”, “staff behave in a very professional way”, “the care and consideration” their relative receives is “second to none”. A GP spoken with after the visit said a person who is ill and on bed rest was being very well cared for. The standard of cleanliness and decor throughout the home is good. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cymar House DS0000006176.V355762.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 Cymar House DS0000006176.V355762.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): 3,6 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service The admission arrangements are satisfactory to ensure people’s needs are met. Intermediate care is not provided at the home. EVIDENCE: Information received from the manager prior to the visit stated that the Statement of Purpose, Service User Guide and people’s contracts had been reviewed since the last visit to ensure people receive up to date information about the service. These records were not requested at this visit. The manager said she continues to complete pre-admission assessments, evidence of this was seen on some records checked. The manager said she is Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 10 planning to use a more comprehensive needs assessment form to ensure people’s needs are fully met. Information on surveys received confirmed that people are given information about the service at the time of admission and on an ongoing basis. Intermediate care is not provided at the home. Cymar House DS0000006176.V355762.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): 7,8,9,10 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s healthcare needs are met and care is delivered according to people’s assessed need. EVIDENCE: Care plans looked at detailed the action needed by staff to ensure people are assisted appropriately. Required risk assessments were in place and staff ensure fluid intake and pressure care charts are maintained. A person’s weight loss was discussed with a GP after the visit who said they were satisfied with the service and that staff were doing all they could to ensure the person was comfortable and well cared for. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 12 Four surveys received from people’s relatives considered medical support was provided when needed. A relative’s survey form stated, “staff have a very caring and professional attitude toward the people in their care”, another stated, “ Their relative is “always well looked after”, “they make her feel safe and secure”, “staff behave in a very professional way”, “the care and consideration” their relative receives is “second to none”. The medication cupboard was clean and tidy. The medication records seen had been generally well maintained. However, the following areas for improvement were observed: • An analgesic medication provided in patches could not be tracked at the time of the visit. It was considered that this was due to balances not being carried forward onto the medication records accurately and staff had not taken the taken patches from boxes in the order of the date they had been dispensed. The method of recording this medication was discussed with the Commission’s pharmacist inspector who said that it would be good practice to record this medication in the controlled medication book in future to double check the dose and directions are accurate as two staff would need to check and sign this. The manager has informed the Commission that this method is now being used. Handwritten entries on the medication records had not been countersigned by staff necessary to double check the dose and directions are accurate. • Staff were observed assisting people with their needs respectfully and people looked relaxed when support was given. The home has produced an intimate care policy recommended at the last visit to ensure people’s choices; dignity and privacy are respected when personal care is being delivered. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are able to maintain contact with family and the local community and are generally satisfied with the care provided. EVIDENCE: A member of staff was seen helping some people to make Christmas Cards for their relatives. She said staff hold reminiscence sessions, some bingo and she arranges small group activities, which people enjoy. The manager said the activities log has been reviewed and more choices offered and they are planning to provide more person group centred activities to be tailored to each person’s need. Another member of staff spoken with said they “have time for activities and board games”. The local clergy do not visit regularly, this has been pursued by the manager however with no outcome at the time of the visit. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 14 Someone was observed listening to music, they said ”the girls are good and they have two good cooks.” Another person said, they “enjoy their meals, everyone is good to her”. A relative who visits daily said they are “very” satisfied with the care provided. Staff were observed assisting people appropriately at lunchtime. Fish, chips and peas or sausage in batter was served. People spoken with said they had enjoyed the meal. The manager said two staff always sit with people who need assistance at meal times to ensure they have a good diet. A relative spoken with said, “fresh fruit is provided, the cook is wonderful”. All visitors spoken with said they could visit at anytime. The manager said advocacy arrangements are discussed when people are admitted to the home. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Complaints and safeguarding incidents are dealt with appropriately ensuring people are protected. EVIDENCE: A complaint received by the Commission prior to the visit was passed to the provider and investigated appropriately through the home’s complaints procedure, regarding the shaft lift being in a poor state of repair, the meals and some care practices. The home’s surveys completed by people living at the home showed that the manager follows up on issues that people may not be happy with. Four surveys received from relatives showed that they knew how to complain if necessary. A comment made was “the protocols” for making a complaint “are provided in writing at the onset, the managers are approachable and provide a written response when a concern is raised”, another survey stated “a rapid response and good resolution was reached” and “staff are never on the defensive”. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 16 Since the last visit, the manager has appropriately reported six incidents that occurred at the home between people living at the home, including three in respect of one person, as required under Wakefield Metropolitan District Council’s Safeguarding procedures which were all resolved; one situation is currently being monitored by the home. There was a delay by staff in bringing one incident to the manager’s attention and the Commission has since been informed that the Whistleblowing policy has been raised with staff. Records showed that action had been taken to minimise the recurrence and staffing has been increased in the evenings to improved supervision. Whilst some staff have had safeguarding training, staff spoken with said they had not had safeguarding training, the manager said this is being arranged. However, the staff responded appropriately when questioned on the action they would take if they either observed or were made aware of abuse occurring in the home. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,23,24,26 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home provides a clean well-maintained comfortable environment for people to live in. EVIDENCE: Observations made during a walk round the home showed that it is clean to a good standard and generally well maintained. People’s bedrooms were appropriately furnished and personalised with family photos, pictures and ornaments. The two shared rooms had screens in place to ensure people’s privacy. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 18 It was observed that the emergency call system could not be heard when staff were working on one area of the first floor of the home. The manager informed the Commission that an alarm has since been fitted in the area identified and hand pagers provided for staff to ensure calls made can be heard wherever they are working and staff have found this to be every beneficial. Dining chairs and tables and some new lounge chairs have been provided since the last visit which have enhanced the environment and are suitable to meet people’s physical abilities. The running hot water temperatures were not checked at this visit, however records seen showed that checks are completed on a regular basis to ensure people are safeguarded from scalding. The laundry facilities were not checked at this visit. Procedures were generally in place throughout the home to prevent cross infection occurring. However the hand washing facilities in a ground floor toilet were not satisfactory and brought to the manager’s attention who said this would be dealt immediately. A comment made by a relative on a survey form was “wherever you go it is spotlessly clean, furnishings are updated regularly” another was “comforting environment”. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staffing levels have been increased, the manager will keep these under review to make sure people’s needs continue to be met and ensure documents required for recruitment are in place. EVIDENCE: The staff were seen to be busy, however very organised, on arrival at the home. Some people were sitting in the lounge; three people were having their breakfast in the dining room. The people seen looked well groomed, their fingernails clean and well manicured. Staff rosters seen showed that there are four carers working up to 6 pm, three carers until 10 pm and two staff at night. The Commission had written to the providers in July 2007 following safeguarding incidents involving people demonstrating aggressive behaviour and a review of staffing levels was required to ensure that there are sufficient staff on duty in the evenings to ensure people are appropriately supervised. The manager said she had increased staffing levels to cover up to 6 pm in respect of this. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 20 Information provided by the manager prior to the visit showed that seven people need 2 staff assistance at night. This was discussed with the manager who said she visits the home at all hours to ensure night staffing arrangements are satisfactory and night staff have not raised any concerns with her, however she will review this on a weekly basis to ensure people’s needs are met in a timely way. She said night staff always work in pairs. Day staff spoken with considered the staffing levels to be enough to enable them to meet people’s needs effectively. The home employs two domestic staff; one is assigned to the laundry. The manager said she has developed a colour-coded system on the rosters, which enables staff to identify their designated duties and responsibilities on a shift basis ensuring people’s needs are met. The manager is pursing staff training; she has developed a new format for staff induction and has identified that, in the next 12 months, all staff will have worked through the new format. Some staff have had dementia care training, the manager said there are plans for more people to attend. Seven staff have had infection control training, thirteen staff have NVQ level 2 or above, and four staff are working towards the qualification. Two staff files were checked and it was found that only one reference was available for one member of staff recruited. The manager said she was certain that the reference had been received and was satisfactory however was unable to provide this at the visit. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The arrangements to ensure the home is managed effectively are satisfactory. EVIDENCE: The registered manager has the required experience and qualification to manage the home. On occasion, she assists care staff in the delivery of personal care should staffing levels be affected by sickness although mostly she is supernumerary to the roster to ensure the management tasks are completed. She is currently inducting a senior carer who will be responsible for managing the home in her absence and an admistrator has been recruited to enable her continue to develop the overall service and maintain standards. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 22 The Commission has received some reports to confirm that the registered person’s monthly visits have occurred as required at the last visit. Some questionnaires, which are completed as part of the home’s quality assurance programme, were seen and generally comments were positive. The manager had audited them and addressed any issues raised by the people. Records of some people’s monies held by the home for hairdressing, chiropody etc were checked and no discrepancies found. The manager said she continues to do health and safety checks of the building. The environmental health inspector had visited the home prior to this visit, the manager said the home had been awarded 3 stars out of a possible 5 stars; some recommendations had been made which the manager said had been dealt with. Records seen showed that system and equipment checks are completed, running hot water temperature checks are made and any issues recorded and dealt with. A complaint received by the Commission stated that the lift needed repair, which was dealt with immediately. Since then, a further repair has been necessary and the manager reported to the Commission that the lift would be out of service for a short period. Alternative sleeping arrangements had to be made for people whose rooms are located on the first floor until the lift was repaired and arrangements were discussed with the people, their relatives and social workers. The action taken by the manager ensured they were comfortable and safe. The lift was taken from the first to the ground floor at this visit and no problems were observed on the day. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 3 X 3 STAFFING Standard No Score 27 2 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 24 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 OP29 Regulation 19(4)(c) Requirement The registered person must ensure that two satisfactory references are received prior to people commencing employment. Timescale for action 31/12/07 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 The registered person should ensure that: • Handwritten entries made on the medication records are signed and countersigned by staff to ensure people are given their medication as prescribed. • Balances of medications should be carried forward onto the medication records to provide an accurate audit trail. • Analgesic medications requiring two staff signatures should be recorded in the controlled drugs book to ensure people are given the medication as prescribed. The registered person should pursue the availability of local clergy further to ensure people’s spiritual needs are DS0000006176.V355762.R01.S.doc Version 5.2 Page 25 2. OP13 Cymar House 3. OP27 met. The registered person should keep staffing levels under review to ensure people’s needs continue to be met appropriately. Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Cymar House DS0000006176.V355762.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!

The Provider has not yet updated their profile and added details of the services and facilities they offer. If you are the provider and would like to do this, please click the "Do you run this home" button under the Description tab.

The Provider has not yet updated their profile and added details of the services and facilities they offer. If you are the provider and would like to do this, please click the "Do you run this home" button under the Description tab.

Promote this care home

Click here for links and widgets to increase enquiries and referrals for this care home.

  • Widgets to embed inspection reports into your website
  • Formated links to this care home profile
  • Links to the latest inspection report
  • Widget to add iPaper version of SoP to your website