Care Home: Kenwyn, Ashburton

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What the care home does well Very detailed assessments are carried out with prospective service users and their representatives to ensure that the needs of the service users are known and well documented. Care planning is thorough and well documented and feedback from the service users indicates that their health and personal care needs are being met. Feedback from service users and an observation of working practices indicates that the people who live at this home are treated with dignity and respect by the staff. A range of social activities are organised for the people who live at the Kenwyn. These include occasional outings, which are generally well attended. The people who live at Kenwyn are able to invite visitors at any time and there visitors will be made welcome by the management and staff. The service users privacy and their right to make choices are respected. The meals are well cooked and the residents are offered a choice of meals. The service users and their representatives right to make complaints about the service us respected. Staff training, policies and procedures are in place to protect the service users from the threat of abuse.The two main lounges and the dining room are large, spacious and comfortably furnished. The people who live at the home also have use of a small private lounge and a hairdressing salon. The large, landscaped gardens provide excellent out door space for the people who live at Kenwyn. Most of the staff hold National Vocational Qualifications and induction and ongoing training is provided to ensure that the care provided is good. Safe staff recruitment practices are used to ensure that unsuitable staff are not employed to work with the residents. A duty manager is always available at the home. The home is safely maintained. What has improved since the last inspection? Improvements have been made to ensure that soiled laundry is not transported through the kitchen and is coved when it is taken past the entrance to the kitchen. This reduces the risk of cross contamination. Replacement furniture has been provided in resident`s bedrooms. All records seen complied with the Data Protection Act 1988. What the care home could do better: Both the Statement of Purpose and Service Users Guide need to be reviewed to ensure they contain up to date and accessible information for current and prospective service users. Suitable storage facilities should be found for hoists when they are not in use. A number of small improvements need to be made to the medication administration practice to provide added protection for the service users. To ensure that the residents privacy is respected locks should be fitted on all bathroom and toilet doors and people attending meetings and training sessions should use the side entrance and not enter any part of the building that is occupied or used by service users. Individual thermostats should be fitted to the radiators in service users bedrooms to enable them to control the temperature in their rooms. The registered provider must submit an application to register a manager.The registered provider must develop and undertake an annual improvement plan for quality assurance. CARE HOMES FOR OLDER PEOPLE Kenwyn Western Road Ashburton Devon TQ13 7ED Lead Inspector Judy Hill Unannounced Inspection 2:15 17 & 18 September 2007 th th 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 Kenwyn DS0000032506.V345789.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. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kenwyn Address Western Road Ashburton Devon TQ13 7ED 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) 01364 652243 01364 652245 http/www.devon.gov.uk/adoption.htm Devon County Council Vacancy Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th October 2006 Brief Description of the Service: Kenwyn is registered to provide accommodation and care for a maximum of eighteen people who are over 65 years of age. The registered service provider is Devon County Council and the position of registered manager is currently vacant. Kenwyn is in Ashburton. It is approximately a five-minute walk from the town centre, which has a range of shops and other facilities and a regular bus service. Information about the service is available from the home in a Statement of Purpose and a Service Users’ Guide. Copies of inspection reports can be obtained from the home or from the CSCI website. The fees are £556.57 a week. Devon County Council is planning to transfer ownership of the home to a private provider as part of their Modernisation Programme. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit element of this key inspection was carried out on 17th & 18th September 2007. The information contained in this report was gained in conversation with the people living at Kenwyn, the staff and visitors to the home. Additional information was gained from a partial tour of the premises and from documented evidence including an Annual Quality Assurance Assessment (AQAA), which had been completed by a former manager, the homes Statement of Purpose and Service Users’ Guide, and the last inspection report. A number of records, including service users assessments and care plans and staff recruitment and training records were inspected. What the service does well: Very detailed assessments are carried out with prospective service users and their representatives to ensure that the needs of the service users are known and well documented. Care planning is thorough and well documented and feedback from the service users indicates that their health and personal care needs are being met. Feedback from service users and an observation of working practices indicates that the people who live at this home are treated with dignity and respect by the staff. A range of social activities are organised for the people who live at the Kenwyn. These include occasional outings, which are generally well attended. The people who live at Kenwyn are able to invite visitors at any time and there visitors will be made welcome by the management and staff. The service users privacy and their right to make choices are respected. The meals are well cooked and the residents are offered a choice of meals. The service users and their representatives right to make complaints about the service us respected. Staff training, policies and procedures are in place to protect the service users from the threat of abuse. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 6 The two main lounges and the dining room are large, spacious and comfortably furnished. The people who live at the home also have use of a small private lounge and a hairdressing salon. The large, landscaped gardens provide excellent out door space for the people who live at Kenwyn. Most of the staff hold National Vocational Qualifications and induction and ongoing training is provided to ensure that the care provided is good. Safe staff recruitment practices are used to ensure that unsuitable staff are not employed to work with the residents. A duty manager is always available at the home. The home is safely maintained. What has improved since the last inspection? What they could do better: Both the Statement of Purpose and Service Users Guide need to be reviewed to ensure they contain up to date and accessible information for current and prospective service users. Suitable storage facilities should be found for hoists when they are not in use. A number of small improvements need to be made to the medication administration practice to provide added protection for the service users. To ensure that the residents privacy is respected locks should be fitted on all bathroom and toilet doors and people attending meetings and training sessions should use the side entrance and not enter any part of the building that is occupied or used by service users. Individual thermostats should be fitted to the radiators in service users bedrooms to enable them to control the temperature in their rooms. The registered provider must submit an application to register a manager. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 7 The registered provider must develop and undertake an annual improvement plan for quality assurance. 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. Kenwyn DS0000032506.V345789.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 Kenwyn DS0000032506.V345789.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): 1&3 Quality in this outcome area is good. Prospective service users could be given better written information about the service but they can be assured that their needs will be comprehensively assessed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home has a written Statement of Purpose and Service Users Guide. Both of these documents were seen to contain good information about the service but are in need of updating as some of the information provided is out of date and some information, for example the fees charged, has not been included. It was observed that much of the Service Users Guide is typed quite a small font which some of the service users may find difficult to read. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 10 The Admissions Criteria is included in the homes Statement of Purpose. The admissions criteria states that a full and comprehensive needs assessment will be carried out before admission and evidence of this was seen in the case files of four of the service users. The assessments that were inspected were very detailed and included risk assessments and evidence of input from service users and their families, in addition to the input from the contracting authorities and the management and staff at Kenwyn. Kenwyn DS0000032506.V345789.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 Quality in this outcome area is good. The health and personal care, which a person using the service receives, is based on his or her individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans of four of the service users were inspected. These were seen to be thorough and to cover the service users required care needs, as well as their social and psychological needs. A clear indexing system made the information included easily accessible. Three of the service users were spoken with in private and all three said that they felt that their needs were understood and being met by the staff. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 12 Evidence was seen of regular reviews of the service users care plans, including daily reviews carried out by the care staff. Care staff were observed discussing their daily reviews with the duty manager at the end of their shifts and a hand over meeting between duty managers was also observed. This sharing of information ensures good continuity of care for the service users. The service users health needs are monitored and any concerns are recorded and passed on to the duty manager. The home provides care for several residents with poor mobility and suitable aids, including a ripple mattress and hoists were seen at the home. Two of the service users have cot sides on their beds and the use of these had been appropriately sanctioned. The main entrance to the home is not suitable for people with physical disabilities but there is an entrance to the back of the home that provides level assess. It was observed that the hoists are not always being stored appropriately when not in use and this is an issue that needs to be dealt with. One of the service users spoken with is diabetic and said that the staff really understood the condition. A number of service users were identified in the Annual Quality Assurance Assessment as being incontinent but there was no evidence of this during the site visit. This indicates that the management of incontinence by the staff is good. The Statement of Purpose identified that medication is administered to residents by the duty managers. Very little evidence was seen to indicate that detailed risk assessments had been carried out to determine the level of support each of the service users would need to safely administer their own medication, although it was noted that one service user does inject himself under the supervision of staff. The service users medicine is stored in a locked NOMAD trolley, which is secured to a wall in a designated room. Separate facilities are provided for homely remedies, controlled medication and drugs that require refrigeration. The medication administration record book contained photographs of the service users and a brief medical history. Additional information needs to be kept about the service users medication, including a description of what each item of medication is used for and possible side effects to look out for. The medication administration records were clear and up to date but they had not always initialled when prescribed creams had been administered and there were no records to ensure that the service users do not exceed the recommended quantity of build up or laxative drinks. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 13 It was observed that some of the service users medication is being transferred to small pots before being given to service users. This is secondary dispensing and should be stopped as it increases the risk of errors being made. No evidence was seen to indicate that the privacy and dignity of the service users is not respected. Each of the of the service users has his or her own bedroom and personal care is provided in their bedroom or in the communal bathrooms and toilets. The residents who were spoken with knew that they could choose to spend time alone in their bedrooms or with other service users in one of the communal rooms. The care staff and duty managers were observed treating the service users with respect and taking time to listen and talk to the service users about any concerns they had. Kenwyn DS0000032506.V345789.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 Quality in this outcome area is good. The people who use the service are able to make choices about their lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The assessment process identifies the service users social, occupational and recreational needs. A record was seen of money raised from fundraising, which is used to provide social activities. These include trips out and on the second day of the inspection a group of residents went for a drive on Dartmoor to see the heather in full bloom. Regular in house activities include Prize Bingo, gentle exercise and music and entertainments. Passive activities include watching television, listening to music and reading. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 15 The staff have converted an unused bedroom into a hairdressing salon and the duty manager said that this facility was enjoyed by the residents, regardless of whether the hairdresser was professional or a member of staff. Most of the service users spoken with said that they enjoyed having conversations with their friends in the communal lounge, but that they could return to their bedrooms if they wished to be alone. One of the service users said that they appreciated the “freedom” to spend time alone or in the company of others. Regular residents meetings are held to enable the people who are living at the home to have their say about how the home is managed. Two of the service users said that they get up and go to bed when they want. One service user said that if she needed assistance at any time of the day or night she used her call bell and a member of staff would respond promptly. The Statement of Purpose states that visitors are welcome at any time. During the inspections visitors were seen coming into the home and the staff warmly welcomed them. One visitor spoken with in private and she said that she was very pleased with the care and attention her relative received at the home. A payphone is available at the home to enable the residents to make and receive telephone calls and service users may, at their own expense, have a private telephone line installed if they wish. The service users religious needs are met with Holy Communion and Christian Fellowship and arrangements would be made to meet any other religious needs the service users may have. Most of the residents eat their meals in the communal dining room, which is light and airy. The service users spoken with all said that they were always offered a choice of meals and records were seen to confirm this. Very positive feedback was received about the quality of the meals and about the options available. One of the service users said that she really enjoyed roast dinners and that these were available three times a week. One of the resident said that they had been told to say if they were not happy with the food provided. The home is currently catering for people who are diabetic and for people who need soft foods. Kenwyn DS0000032506.V345789.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 Quality in this outcome area is good. The service users and their representatives right to make complaints about the service us respected. Staff training, policies and procedures are in place to protect the service users from the threat of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaint policy is displayed in the home and included in the Statement of Purpose. The record of complaints book was inspected and found to contain a number of entries, each of which had been dealt with appropriately. No complaints have been made directly to the Commission within the last twelve months. One of the service users was asked if they would know what to do if they wanted to make a complaint and response indicated that the service user would know what to do and would feel safe and comfortable with raising concerns and complaints with a senior member of staff. The pre inspection self-assessment identified that the staff have received training in the Protection of Vulnerable Adults and that up to date policies and procedures are in place to safeguard the service users from the threat of abuse. Kenwyn DS0000032506.V345789.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 & 26 Quality in this outcome area is good. The service users live in a spacious, clean and comfortable home with delightful gardens. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Kenwyn is made up of a large period house and a purpose built annex. The home is set well back from the road and is approached via a long driveway through the landscaped gardens. There is a pedestrian access at the back of the house and from this the town centre is a five-minute walk. The original house is mainly unoccupied but does provide an impressive entrance hall, two communal lounges and an office. The dining room, a third lounge, bedrooms, bathrooms and toilets are in the annex. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 18 The main entrance is approached via stairs but wheelchair access if provided at the back of the home. Some of the unused rooms in the main building are being used for training and meeting purposes by people who are not directly associated with the home. It was observed that main entrance to the home is being used to gain access to the meeting and training rooms. This is not appropriate and people using the meeting and training facilities should be instructed to use an entrance that does not take them into the areas used or occupied by service users. A partial tour was made of the premises. The two main lounges were seen to be light and spacious and comfortably furnished. A small lounge is available for service users to receive their visitors in or for residents who wish to be alone. The dining room is also light and spacious and tea and coffee making facilities are available to enable for the people who live at the home and their visitors. All of the bedrooms are single rooms and the bedrooms inspected during this site visit were clean and adequately furnished. The radiators within the residents’ bedrooms have not been fitted with individual thermostats to allow residents to be monitor the heating in their rooms. Assisted bathing facilities are provided in both communal bathrooms, which aid those residents with poor mobility. It was observed that one of the bathrooms has not been fitted with a lock to ensure that service users have privacy when using these facilities. The laundry facilities are satisfactory and laundry is transferred from the service users bedrooms to the laundry room in covered containers to prevent the risk of cross infection. Kenwyn benefits from having a very large, well-landscaped garden with level areas suitable for use by people who use wheelchairs. All of the service users spoken with commented on the gardens and the birds and other wildlife attracted to it. Kenwyn DS0000032506.V345789.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 Quality in this outcome area is good. People living at Kenwyn can be confident that the staff are well-trained and safe staff recruitment practices are used. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided in the self-assessment (AQAA) and taken from the staff rotas indicates that the care staffing levels are high enough to meet the needs of the residents and that enough ancillary staff are employed to ensure that good standards of housekeeping and catering can be maintained. The AQAA identifies that eleven of the eighteen care staff hold National Vocational Qualifications in Care and that a further three are working towards gaining this qualification. Induction and on-going staff training is provided. One member of staff interviewed said that the service does well with training provision and records seen confirmed that both of health and safety related and specialist training in conditions related to aging is provided. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 20 Staff recruitment records were inspected and safe practices had been used to recruit staff. Kenwyn DS0000032506.V345789.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 Quality in this outcome area is good. The service is well managed and safely maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The position of registered manager has been vacant since March 2006 and the management duties are currently being covered by an employee of the local authority and by four duty managers who work shifts so that there is always one senior officer at the home. A copy of an Adult and Community Services Quality Monitoring Information report was seen which provides evidence that the service users views on the Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 22 service are being sought. Residents meetings are also being held regularly to enable the service users to have an input into the way the day-to-day service operates. The homes self-assessment (AQAA) states that audits are being carried out by Environmental Health and ISO audits are being carried out and that there are plans to develop and undertake an annual improvement plan for quality assurance within the next twelve months. Devon County Council have developed a system to manage any residents’ monies that need to be held by the home and to ensure residents have individual access to their monies but that the monies are also secure. Records seen indicate that all of the required and recommended policies, procedures and codes of practice are in place and have recently been reviewed and that maintenance of equipment checks are up to date. Kenwyn DS0000032506.V345789.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 2 X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 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 2 X X X X 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 2 X 2 X 3 X X 3 Kenwyn DS0000032506.V345789.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 OP1 Regulation 4&5 Requirement The registered provider must review and update the Statement of Purpose and Service Users Guide. The registered provider must submit an application to register a manager. The registered provider must develop and undertake an annual improvement plan for quality assurance. Timescale for action 17/12/07 2. OP31 9 17/10/07 3. OP33 24 17/12/07 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. 2. Kenwyn Refer to Standard OP1 OP8 Good Practice Recommendations Written information intended for service users to read should be presented in an appropriate font size. Suitable storage facilities should be found for hoists when DS0000032506.V345789.R01.S.doc Version 5.2 Page 25 3. OP9 they are not in use. Risk assessments should be carried out to determine the level of support service users need to administer their own medication. To reduce the risk of errors being made, medicines administered by staff should not dispensed into pots but given directly from the original pharmacy container. The staff administering medicines should have clear and accessible information about what each item of medication is used for and any possible side effects. The administration of all prescribed items, including creams, should be recorded on the medication administration record sheets and a record should be kept to ensure that service users do not exceed the recommended number of build up and laxative drinks. 4. OP19 To ensure that the residents privacy is respected locks should be fitted on all bathroom and toilet doors. People attending meetings and training sessions should use the side entrance and not enter any part of the building that is occupied or used by service users. Individual thermostats should be fitted to the radiators in service users bedrooms to enable them to control the temperature in their rooms. Kenwyn DS0000032506.V345789.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Kenwyn DS0000032506.V345789.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. 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