Care Home: Gable Lodge

What the care home does well The registered provider is a Registered General Nurse; she has over thirty years experience working with people with learning disabilities in care homes. It is evident that the registered provider has plans to develop and improve the service and has made good progress in the short time she has been at the home. There was a positive atmosphere and residents and staff appeared pleased with the new arrangements. Good information is available to people about the home. The needs of prospective resident`s are fully assessed to make sure that they can be met. Care plans give good information about the support needs of the residents. Risk assessments are completed to help the residents live as independently as they can. Residents are being provided with a range of opportunities for recreational and social activity that is in accord with their social, cultural and religious needs. The home has a clear complaints procedure that is accessible to the residents. Policies are in place for the protection of vulnerable adults and staff complete training in this important area. The overall impression when visiting this home is that it is well decorated, homely, comfortable, clean, and hygienic and meets the needs of the currents residents. Staff have good training opportunities. The recruitment process is good with systems to make sure that appropriate checks are made. The home is well managed whilst maintaining an atmosphere of calm and conviviality. The management approach of the home creates an open, positive and inclusive atmosphere. Residents told us that they liked the food provided at the home. Residents told us that they enjoyed the activities arranged at the home. One member of staff told us "things have improved, the new provider is very approachable and listens to what we all have to say, she is a very nice lady". Another member of staff told us "she is doing a great job since she took over". A visiting relative told us "the staff are superb". What has improved since the last inspection? N/A. What the care home could do better: Staff supervision sessions need to take place more often. The home could develop a record of when the residents attend health care appointments or visit health care professionals. The home could contact the local pharmacist and arrange a visit to the home for advice on medication and storage. We would like to thank the resident`s, the visitor to the home, staff and the registered provider for their comments and support during the inspection process. CARE HOMES FOR OLDER PEOPLE Gable Lodge 66 Beddington Gardens Carshalton Surrey SM5 3HL Lead Inspector James O’Hara Unannounced Inspection 28th July 2008 10:25 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 Gable Lodge DS0000071449.V368529.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. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gable Lodge Address 66 Beddington Gardens Carshalton Surrey SM5 3HL 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) 020 8669 5513 020 8647 3511 kantha_prathapan@yahoo.co.uk Chandrakantha Prathapan Thipakiny Sekaran Chandrakantha Prathapan Care Home 9 Category(ies) of Old age, not falling within any other category registration, with number (9) of places Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following category 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 are within the following categories: 2. Old Age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 9 Date of last inspection Brief Description of the Service: Gable Lodge is situated in a quiet residential road, close to Wallington High Street. There are four shared rooms and 1 single room. There is a communal lounge and a separate dining room. The home has a large well-maintained garden to the rear, which has a patio and a grassed area with fishpond. A new registered provider took over the home in April 2008. It is evident that the new registered provider has plans to develop and improve the service and has made good progress in the short time she has been at the home. The current range of fee’s charged for living at the home is between £410 and £445 per week. Gable Lodge DS0000071449.V368529.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 2 star. This means the people who use this service experience good quality outcomes. This was the first key inspection carried out at the home since the new registered provider took over in April 2008. We spent two and a half hours at the home and talked with four residents, two members of staff, a visiting relative and the new registered provider. Records and documents examined during the inspection included the Statement of Purpose, care plans, risk assessments, medication, staffing, training and health and safety records. The registered provider completed an Annual Quality Assurance Assessment (AQAA) to tell us about the service provided, how it makes sure of good outcomes for the residents and any planned developments. What the service does well: The registered provider is a Registered General Nurse; she has over thirty years experience working with people with learning disabilities in care homes. It is evident that the registered provider has plans to develop and improve the service and has made good progress in the short time she has been at the home. There was a positive atmosphere and residents and staff appeared pleased with the new arrangements. Good information is available to people about the home. The needs of prospective resident’s are fully assessed to make sure that they can be met. Care plans give good information about the support needs of the residents. Risk assessments are completed to help the residents live as independently as they can. Residents are being provided with a range of opportunities for recreational and social activity that is in accord with their social, cultural and religious needs. The home has a clear complaints procedure that is accessible to the residents. Policies are in place for the protection of vulnerable adults and staff complete training in this important area. The overall impression when visiting this home is that it is well decorated, homely, comfortable, clean, and hygienic and meets the needs of the currents residents. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 6 Staff have good training opportunities. The recruitment process is good with systems to make sure that appropriate checks are made. The home is well managed whilst maintaining an atmosphere of calm and conviviality. The management approach of the home creates an open, positive and inclusive atmosphere. Residents told us that they liked the food provided at the home. Residents told us that they enjoyed the activities arranged at the home. One member of staff told us “things have improved, the new provider is very approachable and listens to what we all have to say, she is a very nice lady”. Another member of staff told us “she is doing a great job since she took over”. A visiting relative told us “the staff are superb”. 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. 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. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 and 6. People using 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. People planning to use the service have good information about the home and they can be sure that the home can meet their needs because their needs are fully assessed before they move in. EVIDENCE: The home has a Statement of Purpose that includes good information about the home. The registered provider has also recorded the Statement of Purpose on an audiotape for the benefit of some of the residents. The registered provider told us that two new residents had moved into the home since she took over, unfortunately one of the new residents recently passed away. The registered provider told us that these residents were Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 9 privately funded and that she and the previous registered provider of the home met with the residents to assess if the home could meet their needs. The registered provider told us that the resident’s relatives were involved in the admissions and both residents, both in their nineties, did not express a wish to visit the home prior to moving in, however the resident’s relatives had visited the home in their stead. The relative of the resident that recently passed way was visiting the home on the day of the inspection. She told us “the staff are superb, my mother was very happy in her short time here and I have already recommended the home to other people”. The registered provider told us in the Annual Quality assurance Assessment (AQAA) that Gable Lodge has a fully detailed admission policy that includes a full holistic and individualised assessment prior to admission. An assessment is carried by the home, information gathered is considered to see if the home can fulfil the prospective resident’s needs. Relatives are welcome and encouraged to participate in such assessments. In addition, the team may have to work in partnership with care managers (if this is need) and hospital staff to complete a thorough assessment of the prospective resident to ensure all areas of need are covered, no gaps are left and that a seamless handover is ensured for a less stressful and smooth client journey through to Gable Lodge. The registered provider produced contracts signed and agreed by the registered provider, the residents or their representatives and witnessed by staff. The current range of fee’s charged for living at the home is between £410 and £445 per week. The registered provider told us that the home does not offer intermediate care. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People using 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. The residents can be sure that they are properly supported because care plans give good information about their support needs and how the home can meet these needs. Residents can be sure that their health care needs are met because medication is well managed by the home and they have good access to appropriate healthcare professionals. EVIDENCE: We sampled two resident’s personal files at random. The files also included a care plan, six monthly assessment reviews, admission information, observations, risk assessments (reviewed six monthly), and a medication profile. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 11 Care plans contained good information about the resident’s needs, individual wishes and their social and medical history. The registered provider told us that she kept notes of the resident’s health care appointments and visits in the observation notes. It is recommended that the registered provider develop a separate sheet to log when the residents attend health care appointments or visit health care professionals. The registered provider told us that all of the residents are registered with a local General Practitioner. Residents are able to access other health care professionals such as a chiropodist and dentists and the district nurse visits the home when the need arises. One resident suffers from diabetes; the registered provider told us that she has regular consultations with her General Practitioner who regularly assesses her condition. None of the residents self medicate. Medication is stored in a medication cupboard in the office. The home uses a blister pack system. Medication Administration Record (MAR) charts were inspected and these were up date and accurate. All staff has attended training on the administration of medication. One record indicated that Temazepam had been prescribed; this is a schedule three controlled drug. The registered provider has installed a Controlled Drug cupboard. The registered provider produced evidence that medication stocks and balances be checked on a weekly basis. The registered provider told us that a local pharmacist visits the home to offer advice on medication and storage. However the pharmacist last visited the home on the 29th of September 2006. It is recommended that the registered provider contact the pharmacist to arrange a visit to the home to offer advice on medication and storage. The registered provider told us in the AQAA that the home upholds the principles of Care Values by including the provision of ‘end of life’ care delivery. The staff team who have good experience for providing such care carries this out. The home invites relatives and residents to discuss ‘end of life’ and any decisions they wish to discuss in a respectful and confidential manner, which promote individual respect in life and death. It was suggested to the registered provider that she looks towards the Liverpool Care Pathway Framework (LCP); this is a continuous improvement framework for care of the dying irrespective of their diagnosis or place of death. The LCP affirms the vision of transferring the model of excellence for care of the dying from hospices into other health care settings. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents can be sure that their social, cultural and religious interests are being met because the home offers a range of opportunities for recreational and social activities. EVIDENCE: On entering the premises residents were playing bingo; later on residents were taking part in a sing a long. Residents told us that they enjoyed these activities. The registered provider produced a chart of individual weekly activities that the residents take part in. Activities included Bingo, Quiz; sing a long, listening to music, reminiscence, relaxation, watching television and gentle exercise sessions. The registered provider told us that some residents like to out to a local coffee shop. Ministers from local churches visit the home on a regular basis. Residents are supported to join their relatives in family outings if it is safe to do so. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 13 The registered provider told us in the AQAA that the residents’ views are sought prior to compiling the menu plan and there is allowance for special diets (diabetic) or other preferred alternative options (e.g. for intolerance to selective food items). Residents are encouraged to eat together and interact socially. Background music and choice where they want to have their meal are given to promote own dignity and social inclusion. Meals are usually served in the dining room or individual bedrooms, depending on the resident’s wishes. Drinks and snacks are available upon request. Residents were observed eating lunch, they told us that they liked the food provided at the home. There is open visiting and relatives, families and friends of the home are encouraged to visit at reasonable times. Resident’s can have privacy by meeting visitors in their bedrooms, dining room or in the garden in the summer. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure that they are listened to and safe because there are good complaints and safeguarding adult’s procedures in place. EVIDENCE: Information is made available in the statement of purpose about how a compliant, concern or suggestion should be made, and how this will be handled. This is in large print for the benefit of the residents. The registered provider told us that there had been no complaints made by the residents or their relatives about the home. She produced a complaints book that would be used to record complaints, concerns and compliments. Some relatives had completed the homes satisfaction questionnaire. One relative commented, “my mum enjoys the food, all of the staff are great with mum and I am 100 happy”. Another relative made a plaque for the home; the plaque was hung in the hallway and included the comment “the best carers in the world are at Gable Lodge”. The home has a copy of Sutton Social Services Multi Agency Procedure and Guidelines for the Protection of Vulnerable Adults. The registered provider told us that the home would follow these guidelines should abuse or suspected abuse be identified in the home. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 15 All staff has attended training on adult protection. The registered provider told us that all staff would attend refresher training on adult protection. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 16 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, 20, 21, 23 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained so that residents can live in a clean, comfortable, homely and safe environment. EVIDENCE: Gable Lodge provides a comfortable and pleasant environment, comprising areas for relaxation/reflection. There are four shared rooms and 1 single room. There is a communal lounge and a separate dining room. There are many “homely” touches such as plants, photographs and flower arrangements. Adaptations have been provided throughout to aid those with reduced mobility. There is a rear garden with a fishpond that is accessible to the residents and is much enjoyed in the summer months. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 17 The registered provider produced an Annual Development plan for the home 2008/2009. This included installing a new stair lift, new ramps, a hydraulic bath, a medication cabinet, the homes electrical wiring was to be checked and a new roof placed on the utility building. The registered provider told us that the stair lift had been ordered, the ramps had been built and she was waiting for handrails, homes electrical wiring was checked, medication cupboard was installed, a new roof was placed on the utility building and a new hydraulic bath has been ordered. Good standards of hygiene practice are well observed and the home was clean and free from odour. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 18 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 using 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 can be sure that they are safe because there are enough competent well trained staff on duty at all times. They can have confidence in the staff because checks have been done to make sure that they are suitable to care for them. EVIDENCE: The registered provider told us that she was starting with a clean sheet and all staff would attend new training. She produced evidence that all staff had attended training on fire safety, moving and handling, medication, health and safety, food hygiene, infection control and adult protection. The team comprises of fifteen staff. Staffing levels are adequate to meet the assessed needs of the residents. Six staff has achieved NVQ level 2 qualifications and one staff has achieved NVQ Level 3. A further two staff are currently completing NVQ level 2. The registered provider told us in the AQAA that all new staff is required to undertake the Skills for Care induction programme and maintain a training Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 19 profile according to the requirements of the home’s training procedure which promotes continuous professional development. The registered provider told us that one part time worker and two bank staff had been recently been employed to work at the home. These staff files were examined. All new staff had Criminal Record Checks, proof of identification, and two written references; the files also included a recent photograph, passports, their qualifications/training, completed application forms and employment contracts. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 20 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, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure that their needs are met and wishes are taken into consideration because the home is well managed. The residents can be sure that hey are protected from harm because good health and safety arrangements are in place. EVIDENCE: The registered provider took over the home in April 2008, she is a Registered General Nurse; she has over thirty years experience working with people with learning disabilities in care homes. She is currently completing the Registered Managers Award. She told us that she likes to attend social care conferences so that she can keep up to date with what is happening in the sector. It is Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 21 evident that the registered provider has plans to develop and improve the service and has made good progress in the short time she has been at the home. There was a positive atmosphere and staff and residents appeared pleased with the new arrangements. One member of staff told us “things have improved, the new provider is very approachable and listens to what we all have to say, she is a very nice lady”. Another member of staff told us “she is doing a great job since she took over”. None of the residents keep personal money at the home. Rents are paid directly to the home by the placing authorities. The registered provider told us that the home has a float to pay for people’s hairdressing and chiropody appointments, newspapers and other social activities. Receipts are obtained; money spent by individuals is claimed back from their relatives. The registered provider produced an Annual Development Plan for the home 2008/2009. This included planned and completed refurbishments for the home and plans to update care plans, develop staff supervisions, develop service users and relatives questionnaires and hold placement review meetings and obtain new wheelchairs for some of the residents. Some of this work has already been completed. The registered provider told us that as she is in day-to-day control of the home it is not appropriate for her to carry out regulation 26 visits however she has plans to arrange for her business partner to carry out these visits and complete reports for the home. The registered provider produced team-meeting minutes for May and July 2008. The registered provider told us that each member of staff has had one recorded formal supervision session since April 2008. It is recommended that all staff receive formal recorded supervision at least six times a year. The registered provider told us in the AQAA that she plans for yearly appraisals for all staff to be up and running in the next twelve months. The registered provider produced a portable appliance-testing certificate for the 13/05/08, landlords gas safety certificate for the 21/05/08 and legionellas testing certificate for the 09/07/08. The homes electrical wiring was replaced in July 2008. The home has a fire risk assessment and all staff is trained on Fire Safety. Fire alarm testing is carried out weekly and fire drills with evacuation carried out as per Fire Regulations. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 23 No. Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP8 OP9 OP36 Good Practice Recommendations It is recommended that the registered provider develop a separate sheet to log when the residents attend health care appointments or visit health care professionals. It is recommended that the registered provider contact the pharmacist to arrange a visit to the home to offer advice on medication and storage. It is recommended that all staff receive formal recorded supervision at least six times a year. Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Gable Lodge DS0000071449.V368529.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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