Care Home: Hillside Manor

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What the care home does well One person who lives at the home said `The staff are lovely, the food is lovely, in fact everything is lovely`. One person`s relative said that Hillside Manor `...is a friendly and welcoming care home`. Pre-admission assessments are thorough and make sure the home can meet people`s needs. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and one healthcare professional said they feel the home looks after their patients well and staff have the skills and experience they need to do this. They confirmed that staff make sure people`s `...privacy and dignity is always respected`. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. The medicines administration procedure, observed during the inspection, was safe and accurate. People said they enjoy their meals and there were drinks available throughout the day. The cook is aware of people`s dietary needs and preferences. The staff provide a range of activities for people to take part in, if they wish. Day trips out and holidays are also arranged. The kitchen and the rest of the house is clean, safe and well maintained. The kitchen has received an award of four stars in a recent inspection by the environmental health officer. The complaints and adult protection systems work well and everyone said they know and understand what to do if they have a concern. The laundry is well organised and people`s personal clothing and the other linen is well cared for and hygienically washed. All the regular health and safety checks for the home are carried out in a timely manner. What has improved since the last inspection? The requirements and recommendations made at the last key inspection have been met. The manager has now registered with us as a suitably experienced person to manage a care home. The manager has started working towards her Registered Manager`s Award. All staff are now having regular one to one supervision with their line manager. What the care home could do better: To confirm that the people who live at the home have agreed to their care plan people, or their representatives, must sign the plan wherever possible. For the safety of everyone, all controlled drugs must be stored and administered in accordance with the Royal Pharmaceutical Society guidance.The registered provider visits the home regularly and monthly reports must be completed. This is to confirm that the provider, who has overall responsibility for the proper running of the home, is in touch with what is happening and makes sure the home runs in the best interests of the people who live there. CARE HOMES FOR OLDER PEOPLE Hillside Manor 133 Barkerend Road Undercliffe Bradford West Yorkshire BD3 9AU Lead Inspector Liz Cuddington Key Unannounced Inspection 14th May 2008 10:15 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 Hillside Manor DS0000001302.V364677.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. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillside Manor Address 133 Barkerend Road Undercliffe Bradford West Yorkshire BD3 9AU 01274 735116 01274 743353 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) Mrs Marie Davey Ms Patricia Wright Care Home 19 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (15), of places Physical disability over 65 years of age (1) Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd May 2007 Brief Description of the Service: Hillside Manor is a semi-detached Victorian building accommodating 19 older people, some who have special needs relating to either a physical disability or dementia related illnesses. There is a mixture of single and twin rooms with en suite facilities on two floors. There is one open plan lounge and separate dining room on the ground floor, bathrooms and toilets are situated on each floor. There is a garden and sitting area to the front of the house and parking to the rear. The home is situated in Barkerend Road, several hundred yards from the Cathedral and approximately quarter of a mile from Bradford City centre. There are shops in the locality and the home is on a main bus route. The inspection reports are kept in the manager’s office, however there is a notice on display stating that inspection reports are available to read. The level of fee charged ranges between £385.00 and £440.00. Additional charges are made for hairdressing, toiletries, newspapers, magazines and holidays. Hillside Manor DS0000001302.V364677.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 stars. This means the people who use this service experience good quality outcomes. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Hillside Manor. The visit to the home was carried out over one day by one inspector. The last key inspection was in May 2007 and the inspection process included reviewing all the information we have received about the home since then. Since the last key inspection the manager has registered with us. The methods used to gather information included; conversations with the people living at the home, their relatives and the staff, looking at care plans and examining other records. We sent questionnaires to the people who live at the home, their relatives and healthcare professionals. We received two questionnaires back from people who live at the home, one from a relative and one from a healthcare professional. We also received the home’s self-assessment questionnaire. These questionnaires provide a lot of valuable information to help us form a judgement about the quality of the care and support the home provides. We would like to thank the people who live at the home, their relatives and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: One person who lives at the home said ‘The staff are lovely, the food is lovely, in fact everything is lovely’. One person’s relative said that Hillside Manor ‘…is a friendly and welcoming care home’. Pre-admission assessments are thorough and make sure the home can meet people’s needs. The staff understand the needs and preferences of all the people who live at the home. People’s health is looked after and one healthcare professional said they feel the home looks after their patients well and staff have the skills and experience they need to do this. They confirmed that staff make sure people’s ‘…privacy and dignity is always respected’. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 6 Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. The medicines administration procedure, observed during the inspection, was safe and accurate. People said they enjoy their meals and there were drinks available throughout the day. The cook is aware of people’s dietary needs and preferences. The staff provide a range of activities for people to take part in, if they wish. Day trips out and holidays are also arranged. The kitchen and the rest of the house is clean, safe and well maintained. The kitchen has received an award of four stars in a recent inspection by the environmental health officer. The complaints and adult protection systems work well and everyone said they know and understand what to do if they have a concern. The laundry is well organised and people’s personal clothing and the other linen is well cared for and hygienically washed. All the regular health and safety checks for the home are carried out in a timely manner. What has improved since the last inspection? What they could do better: To confirm that the people who live at the home have agreed to their care plan people, or their representatives, must sign the plan wherever possible. For the safety of everyone, all controlled drugs must be stored and administered in accordance with the Royal Pharmaceutical Society guidance. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 7 The registered provider visits the home regularly and monthly reports must be completed. This is to confirm that the provider, who has overall responsibility for the proper running of the home, is in touch with what is happening and makes sure the home runs in the best interests of the people who live there. 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. Hillside Manor DS0000001302.V364677.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 Hillside Manor DS0000001302.V364677.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home, to make sure their needs can be met. EVIDENCE: Where possible the home encourages people and their families to visit and talk to the people who already live at the home and their relatives. The manager invites them to come and spend time at the home, share a meal and maybe take part in the day’s activities. This means that the staff can get to know the person’s needs and the individual has the information he or she needs to make a decision. If this is not possible, the manager visits people in their own home or in hospital, to assess their needs before offering them a place. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 10 The care plans included the pre-admission assessments completed by the home and Social Services. This assessment forms the basis for the individual plan of care and support. Hillside Manor DS0000001302.V364677.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 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’s personal and healthcare needs are met. People are protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. EVIDENCE: From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each person’s needs and preferences. The staff make sure they provide the help and support people need in the way they prefer. People said that they always receive the medical and healthcare support they need. The healthcare professional who returned a questionnaire, said that the Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 12 home always seeks advice about people’s health & acts upon it and that they meet individuals’ care needs and respect people’s privacy and dignity. People said the care is good and the staff are kind and helpful. Relatives said they are very satisfied with the care. Three care plans were looked at, to make sure that people’s health and personal care needs are being met in the way the person prefers. The plans contain enough information to guide staff in how to care for and support each person. The care plans are well organised, clear and easy to follow. They cover all areas of people’s health care, personal care and leisure preferences. The care plans are reviewed regularly but need to show that, where possible, that the individuals and their families are involved in developing and reviewing their plans. One health care professional said that the home always contacts the district nursing team if they have any areas of concern, or need any advice. They keep the district nurses informed of ‘…any nursing needs of patients that need our input’. The daily records are kept up to date and include information on significant occurrences. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. For security, the medicine cabinet was locked during the time between giving each person their medication. The MAR charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. The medicines appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine. During the inspection the member of staff administering medication observed each person taking their medicine and signed the chart immediately afterwards, to confirm this. When controlled drugs are being administered the member of staff must sign the MAR chart to confirm the dose had been taken. In addition, it is a legal requirement to keep a separate controlled drugs book where each dose administered is recorded and signed by two members of staff. This is to keep an up to date record of the quantities received, administered and in stock of each controlled medicine for each person. This was not being done correctly at the time of our visit. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 13 During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. People’s relatives confirmed this. Everyone said the staff listen and act on what they say. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. EVIDENCE: The staff provide a range of activities for people to take part in, if they wish. People said there were things to do, but would like more. Some people prefer one to one activities or small group activities, such as playing cards with two or three other people. Conversation and reading newspapers are popular and some people like to help with the housework. One group of people enjoy painting pictures. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 15 All the staff help with activities as part of their duties. The manager explained what activities had taken place recently and the home’s plans to meet people’s preferences. The home also arranges day trips out and holidays. This year there are two holidays to Blackpool; one in the summer and one later in the year to see the illuminations. Some people went to Spain last year. The home has its own minibus, but hires another if they need one with a tailgate lift for people who use a wheelchair. They also arrange regular day trips to places of interest, which people said they enjoy. Everyone confirmed that people are supported to make their own decisions about all aspects of their life. People said they like the meals and thought they were very good. The meals are planned to include the wishes of the people who live at the home and to meet any special dietary needs. Drinks are available throughout the day. At lunchtime there is a choice of main course and dessert and the menus are flexible, to suit people’s preferences. Teatime is at around 4.30pm and there are two suppers, at 7pm and 9pm. There is always food available for staff to make a snack for people during the night. People seemed to be enjoying their meals and staff were on hand to discreetly assist people who needed some help to eat and to gently encourage people to finish their meal. The tables were laid with tablecloths, cutlery, napkins and a flower decoration. Drinks of juice and tea were provided. Conversations with people confirmed that the staff support people to maintain and meet their cultural needs. People are supported to attend religious services and follow their beliefs within the home, if they wish. Visitors are always welcomed to the home. One person said ‘They make you feel welcome at any time’. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Most people are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. EVIDENCE: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are also recorded. Staff said they know what to do if anyone has concerns. Most people who live at the home said they know what to do if they have a concern or complaint. Staff are made aware of the home’s ‘whistle blowing’ policies and procedures, to be used if they suspect abuse or see examples of poor practice. The majority of care staff have had adult protection training, and further training is planned. All the appropriate policies and procedures are in place to guide staff. Hillside Manor DS0000001302.V364677.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, 20, 25 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, comfortable and well-maintained environment. EVIDENCE: The home is clean and generally well maintained and there is an ongoing refurbishment programme. Everyone said the home is always kept fresh and clean. Bedroom carpets are replaced when needed, or when a room becomes vacant. Protective gloves and aprons are available for staff to use when necessary. The washing machines have a sluice wash programme, as part of the home’s infection control measures. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 18 The rooms are comfortably furnished and have a welcoming feel. There are sufficient, accessible toilets and bathrooms on both floors of the house. The garden at the front of the house is tidy and has seating for people to use in the better weather. There is a car park and clothes drying area at the back of the house. Hillside Manor DS0000001302.V364677.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 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. Sufficient staff are employed to meet people’s needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require in order to meet people’s needs. EVIDENCE: The staff rotas confirmed our observations that there are enough staff on duty to meet people’s care, social and leisure needs. The manager’s hours are supernumerary to this. Staff confirmed that staffing levels are adjusted to meet people’s needs. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Staff have a copy of the terms and conditions of their employment. The staff files are well organised and all the Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 20 information needed was clear and easily available. Copies of training certificates are kept in individual staff files. Staff confirmed that they have plenty of training opportunities to support them in their roles. Staff said their training was relevant, helped them understand their role and kept them up to date. Ten of the care staff have completed a National Vocational Qualification (NVQ) in care at level 2. Another four staff are taking the course, and one member of staff is taking the level three award. All new staff complete induction training which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking an NVQ course. In addition all staff repeat the induction course each year, both as refresher training and to keep up to date with all the mandatory training they need. In addition staff attend training courses which include infection control, medicines administration, dementia care, diabetic care and the general principles of care. One health care professional said that the staff ‘Always appear very caring and competent’. Hillside Manor DS0000001302.V364677.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, 32, 33, 35 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe, well managed and run in the best interests of the people who live there. EVIDENCE: The home’s manager has now been registered by us, as a suitably experienced person to manage a care home. The manager has started working towards achieving the Registered Manager’s Award. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 22 The records, and the staff, confirmed that all staff are now having regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. Staff also have six monthly appraisals with their line manager. People’s personal information is stored in an office, which is not always locked when it is not being used, and on open shelves in a shared area of the home. As this information is confidential it is important that staff make sure the door is locked when the office is not occupied. Within a short time of the visit, arrangements had been made to make sure all confidential information is stored securely. Where the home helps people to manage their personal finances, accurate records are kept of all transactions. All monies are securely stored. The home’s policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. The fire safety checks are carried out regularly and staff have had the necessary training and practice fire drills. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home’s kitchen has recently had an inspection by an Environmental Health Officer. The kitchen was awarded four stars and, when we looked, the kitchen was clean, tidy and hygienic. The laundry is well organised and staff make sure that people’s personal clothing, as well as bedding and towels, are properly cared for. There is an integral infection control system in place to make sure that all soiled laundry is washed hygienically. To support the home’s infection control measures soiled laundry should be kept separate, preferably in dissolvable bags, which are then placed in the washing machine without staff having to handle these items any more than necessary. The registered provider keeps in close contact with the home but needs to complete a monthly report on progress, in accordance with Regulation 26 of the Care Standards Act 2000. Hillside Manor DS0000001302.V364677.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 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 X X X X 3 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 3 3 X 3 X X 3 Hillside Manor DS0000001302.V364677.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 OP7 Regulation 15 Requirement Timescale for action 31/07/08 2. OP9 13(2) 3. OP38 26 To confirm that people, or their representatives, have agreed to their care plan people must sign the plan wherever possible. For the safety of everyone, all 30/06/08 controlled drugs must be administered in accordance with the Royal Pharmaceutical Society guidance. The Registered Provider must 30/06/08 complete a monthly report, confirming that they have visited the home and are satisfied that the home is being run in the best interests of the people who live there. A copy of this report must be made available to the Commission on request. Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Hillside Manor DS0000001302.V364677.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Hillside Manor DS0000001302.V364677.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. 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