Care Home: Park Lane Care Home

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What the care home does well What has improved since the last inspection? The statement of purpose and service users guide have been updated and gives people clear and detailed information to help them decide if Park Lane would suit their needs. What the care home could do better: Some aspects of medication management could be improved, to promote safer systems. This relates to ensuring staff only sign the medication records once an individual has taken a medication. Medications that are prescribed as needed (PRN) should have clear guidelines for staff as to when the medication should be considered. This should be included in their plan of care so that staff have a clear understanding of if and when a PRN medication should be used. Recruitment practices need to be more robust to ensure that people who live at the home are not at risk. This relates to the fact that not all checks have been completed prior to new staff members starting employment at the home. Although some staff have had training in dementia care, not all have. The manager is currently looking at how they can address this with some specialist training materials. CARE HOMES FOR OLDER PEOPLE Park Lane Care Home 45 Park Lane Barnstaple North Devon EX32 9AL Lead Inspector Jo Walsh Key Unannounced Inspection 10th January 2008 09:30 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 Park Lane Care Home DS0000061234.V350405.R02.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. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lane Care Home Address 45 Park Lane Barnstaple North Devon EX32 9AL 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) 01271 373600 01271 329404 parklane@waterfallnh.co.uk Waterfall Nursing Homes Limited Position Vacant Care Home 31 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (31) of places Park Lane Care Home DS0000061234.V350405.R02.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 with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia aged 65 years and over (Code DE(E)) maximum 25 places The maximum number of service users who can be accommodated is 31. 11th December 2006 2. Date of last inspection Brief Description of the Service: Park Lane Care Home is in the residential area of Newport on the outskirts of Barnstaple, being the only care home that provides nursing care in Barnstaple. The home is registered to provide care with nursing for 31 people over retirement age, including care for up to 25 people whose nursing care needs are due to dementia. The home accepts people who are referred by the Primary Care Trust’s ‘Rapid response’ team because they need immediate admission to a care setting due to some emergency. The home also offers day care, including these service users within the total of 31 people who can be cared for under the terms of the home’s registration. Day care is not regulated by CSCI. The home previously consisted of two detached houses that have been connected to make one. It is situated in its own grounds, consisting of lawns, trees and flowerbeds. There is a wheelchair-accessible entrance, as well as an entrance from the parking area at the front of the building. Local shops and facilities are within walking distance. The home stands on three floors, with two passenger lifts providing access to all areas. Where there were steps in corridors, these have been replaced by sloping floors, to facilitate access around the home. Most bedrooms are for single occupancy only, but shared rooms are also available if required. Televisions are provided in all bedrooms. All but six rooms have en suite facilities, with two en suites having a shower. Rooms without en suites have a hand basin, and are near to toilet or bathroom facilities. There are four sitting areas, including a library room upstairs, and a dining room. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 5 The home changed ownership on 1st June 2004 and is now owned by Waterfall Nursing Homes Limited. Since the change of ownership, the home has been transformed in appearance by significant improvement, updating and modernisation in order to meet and exceed, in some areas, the national minimum standards. Weekly fees at the time of the inspection were £500 - £850. These did not include the costs of chiropody (£10:00), or hairdressing, newspapers, toiletries, and trips out (including some transport costs) - which are at cost price. The fees do include manicures, in house social events, activities, pre-lunch sherry, wine with lunch and Christmas presents. Inspection reports produced by the Commission for Social Care Inspection (CSCI) about the home are available in the inner reception area of the home (in a drawer beneath the Visitors’ book), from the manager’s office, or from the Commission’s website. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during a week day in January and lasted for 7 hours. During this time 10 people who live at the home were spoken to about their experience of living at Park Lane, and care practice was observed at various times during the day. The manager who is not yet registered by CSCI, but is in the process of completing her application, was available throughout the inspection and made sure we had access to key documents. These included plans of care, medication records, staff recruitment files, training, staff rotas, menu plans and records relating to individuals personal finances. During the inspection four visiting relatives were asked their views about the home and surveys were sent to local doctors practices. The views and opinions of these and the comments made by the people who live at Park Lane are included throughout this report. Prior to the inspection the home were asked to complete an Annual Quality Assurance Assessment (AQAA), which provides us with information about how the home maintains a safe environment, what staff training has been implemented and how they monitor their quality of care and support. This information has helped to inform the inspection process. What the service does well: Park Lane provides people with a warm, clean and well maintained environment, which has been decorated and furnished to a high standard. It is clear that there is a good maintenance plan, that ensures all parts of the home are kept clean and kept in good order. People who live at Park Lane said The staff look after us well We are well cared for Staff are very considerate and always check on you if you are feeling unwell. The home employs two activity coordinators who provide a variety of group and one to one sessions to ensure people are meaningfully engaged throughout periods of the day. People who live at Park Lane gave very positive comments either by discussion or surveys, about the food. On said ’ ‘we always get a choice. The kitchen staff usually know what we like and don’t.’’ Another said ‘’ my appetite is not very good, but they always give me something that I like so I can’t complain.’’ The Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 7 • • • home offers a good choice and variety of meals that are well presented and served in a relaxed and unhurried manner. The staff team are experienced and have a good understanding of individuals’ needs and wishes. They were seen to provide support in a caring and respectful way and work hard to ensure that people are able to make choices about how and where they spend their time. Family and friends of people who live at the home are made welcome and are encouraged to have an active say in how the home is run via regular meetings. 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. Park Lane Care Home DS0000061234.V350405.R02.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 Park Lane Care Home DS0000061234.V350405.R02.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential new people benefit from a good admission and assessment process, which ensures that the home can meet their needs. EVIDENCE: The assessment information was looked at for the two newest people who had moved to Park Lane. The assessments gave details of personal and health care needs and this is then used to form the basis of an initial plan of care. One staff member confirmed that they are given information about individuals before they arrive if it is a planned admission, so that they can plan for their care and support needs. One person living at the home said that they recalled someone visiting them prior to moving in and also spoke to their family about what help they needed. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 10 The manager said that where possible they ensure that they assess the person prior to a new admission to the home, and that they get information form the community health and social care teams where they have been involved. Park Lane Care Home DS0000061234.V350405.R02.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): 7-10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ care is well planned so that staff has good information to ensure that personal, health and social needs are met. EVIDENCE: People who live at Park Lane said • The staff look after us well • We are well cared for • Staff are very considerate and always check on you if you are feeling unwell. Visiting relatives made the following comments ‘’This home is by far better than the one my relative was in before, the care and attention they get is really very good. I have been very impressed, the staff are all very good, patient and understanding of the residents needs.’’ Three plan of care were looked at in some detail. The plans clearly set out individuals’ needs and how these should be addressed. For each area of personal, health and social needs, a care plan format had been developed and these are reviewed regularly. The care plan format could be improved by Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 12 simple change of terminology, for example, heading the plan with aim, instead of problem and by including the individual and/or their representative in the review and development of plans. This would enable plans to be more person centred and should then be more specific about an individuals personal preferences and daily routines. Each plan had daily records where staff have been diligent in including not only health care but also emotional well being comments. One relative did say they were very involved in the planning of their relatives care and had been consulted about all aspects of the care plan. They said they were confident that the home follows up on all health care needs and keeps the family well informed. Three general practitioners returned surveys and all gave positive responses to the questions asked. One commented ‘’has a good knowledge, which is well led and supported by good staff’’ another said ‘’ good nursing home.’’ The medication system and storage was checked with the nurse on duty during the afternoon. It was noted that when speaking to one person in their room during the morning, that their medications had been left for them to take. The nurse on duty said that this person often took their time in taking the medication and did not like to be watched, but agreed that this medication should not have been signed as administered, until she had gone back to check that it had been taken. The medications are appropriately stored, and records appeared well maintained. There was a good audit trail for medications coming into the home and what was administered. The only medications that people currently self administer are inhalers, which they normally carry around with them. The manager said that self medication for most people would not be achievable, but there could be a few that would be able to and she would be looking at this. It is recommended that where individuals are on as needed (PRN) medications that their plans of care include clear instructions to staff as to if and when the medication should be considered. This relates particularly to night time sedation, although it is clear form the medication records that this is not used on a regular basis for individuals. People spoken to who live at Park Lane said that they were treated with respect and dignity by staff. One person did comment that sometimes they ‘’had to wait a little while for them to answer the call bell, but that staff were always helpful and kind’’. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 13 During the inspection staff were observed to be respectful in the way they supported people. Staff were seen to knock on bedroom doors, address people by their preferred names and engage with people as they assisted them. The care staff spoke to one person who was wandering round in a gentle manner to reassure them as they appeared to be getting distressed. Park Lane Care Home DS0000061234.V350405.R02.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): 12-15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Park Lane have a range of activities that suits their needs and are supported to exercise choice and control over their lives. EVIDENCE: People who live at Park Lane said • I decide when to get up • There are some good activities offered • One of the staff is taking me on a trip to get more wool • I think there are activities but I choose to spend my time here in my room, I am quite happy. The home employs two activities co coordinators who work with small groups and individuals to provide group and one to one activities. One of the coordinators spends time giving hand massages and nail care to those people who are frail and may not be able or wish to join others in the lounge areas. They keep a log of activities offered and who has attended, as well as those they have spent individual time with. One of the areas the manager has identified in the AQAA is look at how they can extend the activities programme and include volunteers where possible. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 15 One activities person said that they try to ensure that they use local facilities and get people out and about. Some people enjoyed a Christmas meal at a local hotel, visiting local shops and places of interest. The visiting relatives spoken to during the inspection said that they were able to visit the home at any time and were always made to feel welcome. The visitors signing in book shows that people visit the home throughout the day and early evening. One person who lives at Park Lane said ‘’my visitors are always offered a drink and we can see them where we choose.’’ Another person said that their spouse ate lunch with them and was always made to feel welcome in the home. People are able to stay in touch with family and friends via letters, phone calls and visits. Post is given to people unopened and a phone is available to make private calls. Some people have chosen to have their own phone lines installed. The home provides a good range and choice of meals. The lunchtime meal was served in a relaxed and unhurried manner. People who needed assistance were given support in a discrete and caring way. People who live at the home mostly gave very positive comments about the meals. One person said ‘’ we always get a choice. The kitchen staff usually know what we like and don’t.’’ Another said ‘’ my appetite is not very good, but they always give me something that I like so I can’t complain.’’ The cook said that they plan menus around what individuals like and whenever possible try to use all fresh ingredients and most things are cooked from scratch. Park Lane Care Home DS0000061234.V350405.R02.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. This judgement has been made using available evidence including a visit to this service. People who live at Park Lane can be confident that their concerns will be listened to and acted upon. EVIDENCE: People who live at the home who were spoken to during the inspection said they could make any concerns known to staff and most were confident that they would be dealt with. One person said they did not like the way they were assisted to get up and move and that they had raised this with staff, but nothing had been done about it. This issue was discussed with the manager, and we are satisfied that the issue has been looked at in depth with the person concerned, but that moving and handling equipment is necessary to ensure the safety of both the individual concerned and staff members. There have been no new complaints passed to the Commission since the last inspection. The home have dealt with three complaints using their complaints procedure to good effect. The manager has identified that one way to improve access to the complaints procedure is to ensure they have it in different formats such as large print. Staff complete training either in house or with Devon County Council to ensure they understand what abuse is and what they need to do should they suspect abuse is occurring in the home. All staff have checks to ensure they are Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 17 suitable to work with vulnerable people, although the results of these are not always back before the person starts employment, which would better protect the people who live at the home. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 18 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. This judgement has been made using available evidence including a visit to this service. The home is suitable for its stated purpose and people can be assured that the environment will be clean, homely and well maintained. EVIDENCE: During this inspection all communal areas, service areas and some of the bedrooms were looked at. The home is very clean and there are no unpleasant odours apparent. One relative commented that they had been particularly impressed with the cleanliness and décor of the home. All parts of the home appear well maintained and are decorated and furnished to a good standard. Information from the home sent to the commission prior to the inspection shows that checks are made on all equipment and health and safety is reviewed and monitored via risk assessments and regular checks. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 19 The home has a separate laundry, which is well organised and ensures that dirty and clean linen are stored separately. The home has good infection control procedures in place and practice was observed to show that staff followed this. There is a separate sluice facility available on each floor and gloves and aprons are available throughout the home. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 20 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): 27-30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff group are experienced, well trained and supported to ensure the needs of the people who live at the home are well met, but recruitment practices could leave people at risk. EVIDENCE: The home has sufficient carer and ancillary staff to ensure that care and support needs are met and the home is kept clean. The manager said that all staff are offered the opportunity to complete nationally recognised training in care (NVQ2 or above in care) and they currently have almost 50 of staff having completed this. The home also ensures that staff have training in all areas of health and safety, protection of vulnerable adults and some (4) have now had training in care of people with dementia. In order to ensure that staff’s knowledge and skills are kept undated on a regular basis it would be useful to chart this in a way that would easily identify when training is due. This would help the home to plan for training sessions and ensure that all staff has the regular updates they need to ensure they can do their job competently. Staff files looked at showed that checks to ensure people were suitable to work with vulnerable people were not always back before the person started work at the home. This could leave people who live at the home at risk. The home needs to ensure that recruitment practices are robust and only employ people Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 21 to work in the home once they are satisfied that satisfactory checks have been made and returned to the home. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 22 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. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the people who live there. EVIDENCE: The manager is not yet registered with the commission, but is in the process of completing her application. She has some 20 years experience of caring for older people and is currently doing the registered managers award. People who live at the home and staff spoken to said that they could talk to the manager, that they could make suggestions about how the home is run and these would be listened to. The home has regular meeting with the people who live there and these are recorded so everyone can see what has been discussed. There are also Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 23 meetings with family/friends to ensure that their views are listened to. One relative does a newsletter for the home, helping people to keep in touch with what’s been going on and what future events will be taking place. The home use surveys to help them to include the views of the people who live there when they review the quality of care and support provided. The one completed this year was limited to the question about do people wish to have locks on bedroom doors. This did not give much scope to people to comment on other aspects of care and the home should consider surveys in the future that allow people to make comment on all aspects of the service. Individuals personal monies held by the home were not looked at during this inspection, but the AQAA information states that all individuals get a statement for all their personal needs allowance. A subsequent discussion with the manager confirmed that the home keeps an audit trail for all monies held on behalf of individuals. The money is kept locked and only two people have access to this. The home gave good information in their annual self-assessment, to show how they maintain a safe environment. They health and safety issues are addressed via training for staff and regular checks and audits on equipment and facilities. All new staff has an induction programme to ensure that they understand working safely. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 24 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 X 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19 Requirement The home must ensure that all staff have relevant checks completed prior to working in the home. Timescale for action 30/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations It is recommended that The registered person makes available to service users an up-to-date statement of purpose, and provides a service users’ guide to the home for current and prospective residents; The service user’s guide is made available in a language and/or format suitable for intended residents. This is to ensure information is easily accessible, promoting choice for prospective and existing service users. Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 26 2. OP9 It is recommended that the registered person ensures that there are appropriate policies, and staff adhere to procedures, a) For the recording and disposal of medicines, especially regarding i) Handwritten entries on administration sheets, which two staff should sign & date entries, to verify their accuracy, & ii) Timely disposal of unwanted medications; b) So that service users are able to take responsibility for their own medication if they wish, within a risk management framework. It is recommended that service users are supported and protected by the home’s recruitment policy and practices, in that current guidance is followed for every prospective staff member, including a new disclosure that includes a POVA check. It is recommended that the registered person ensures that all staff receive training appropriate to the work they are to perform, with regard to dementia care. 3. OP29 4. OP30 Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Regional Office Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Park Lane Care Home DS0000061234.V350405.R02.S.doc Version 5.2 Page 28 - 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. 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