Care Home: Stoneleigh Home

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What the care home does well The home is clearly run in the best interest of people living there. Staff have an excellent rapport with people and are aware of how to protect them from harm. Staff are competent, well trained and understand people`s individual needs. The style of management promotes openess, and gives people confidence when raising any concerns. This enhances the quality of life for people and it evident withint he home. People live in a welcoming, warm and friendly home. The environment is very well maintained and people commented positively on the standard of cleanliness. One person said "this is like home from home", another person said "I love living here". The dining experience is extremely pleasant for people. The food and drink served are of a high standard and people were observed enjoying the lunchtime meal. People are able to participate in a range of activites. Activities added to the programme have included flower arranging, baking, and arts and crafts which have involved resident`s families. What has improved since the last inspection? Care plans are now available in different formats. For example in larger print. which is easier for people to read and understand. Staff have undertaken an equality and diversity course. This means staff have a greater understanding on how to care for people with differing needs. This is beneficial when identifying if a person`s needs can be met. The environment has been improved through redecoration, increased security and a review of the furniture both inside and outside has taken place. What the care home could do better: The medication system could be improved to reduce any errors occurring. The water temperatures could be recorded on a more regular basis. This would identify if the temperature is suitable for older people. Bed rails used could have protective bumpers. This would reduce the risk of injuries occurring from the metal on the bed rails. CARE HOMES FOR OLDER PEOPLE Stoneleigh Home Bielby Pocklington East Yorkshire YO42 4JW Lead Inspector Jo Bell Key Unannounced Inspection 6th October 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 DS0000019727.V369954.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. DS0000019727.V369954.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoneleigh Home Address Bielby Pocklington East Yorkshire YO42 4JW 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) 01759 318325 01759 318040 info@stoneleighhomefortheelderly.co.uk www.stoneleighhomefortheelderly.co.uk Mr Sidney John Smith Mr Jonathan Dale Greenaway, Rosemond Anne Smith Mr Jonathan Dale Greenaway Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places DS0000019727.V369954.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th August 2007 Brief Description of the Service: Stoneleigh Home is registered to provide personal care to 14 older people. It is family owned and managed and is in the village of Bielby a few miles from Pocklington. The home is a converted detached dormer Bungalow standing in its own grounds. It is domestic in style and has been furnished and decorated to a good standard. Accommodation for people is on ground floor. There is a lounge/dining room and a sun lounge, which overlooks the garden and is used for organised activities. The home is set in large grounds with gardens that are accessible to wheelchair users. The grounds include a paddock with resident donkeys and a horse, a garden with a duck pond and an aviary that houses a number of exotic birds. The home has a statement of purpose and service user guide, which provide information about the services provided by the home. These together with a copy of the most recent CSCI inspection report are available in the home and copies can be supplied on request. At the time of writing this report the weekly charges for care and accommodation range between £451 and £530 per week. Chiropody, hairdressing, toiletries and newspapers are not included in this fee and these are charged at cost. DS0000019727.V369954.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. “We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken.” The key inspection took place on Monday 6th October 2008. Prior to the visit the information from the following sources was obtained and considered: The annual quality assurance assessment and annual service review. This is information, which details what has happened during the past 12 months. Notifications (Regulation 37) relating to incidents in the home affecting people using the service. Details of complaints and allegations raised by people connected to the service. Progress of the two previous recommendations made at the last site visit. At the site visit one inspector spent 5.5 hours at the home. During this time observations of care practices took place. People using the service were spoken with along with some relatives. Discussions with the manager regarding meeting needs, mealtimes, protecting people and the environment took place. The lunchtime meal was observed and time was spent inspecting care plans, looking at individual rooms and reviewing a selection of health and safety information. Staffing and management issues were discussed and feedback was given to the manager and the general manager at the end of the inspection. Shortly after the site visit the Home was given ‘Investors in People’ status. This demonstrates that the home provides a good standard of care and has met a range of requirements which will be reviewed after three years. DS0000019727.V369954.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Care plans are now available in different formats. For example in larger print. which is easier for people to read and understand. Staff have undertaken an equality and diversity course. This means staff have a greater understanding on how to care for people with differing needs. This is beneficial when identifying if a person’s needs can be met. The environment has been improved through redecoration, increased security and a review of the furniture both inside and outside has taken place. DS0000019727.V369954.R01.S.doc Version 5.2 Page 7 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. DS0000019727.V369954.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 DS0000019727.V369954.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 (Standard 6 is not applicable) People who use this service experience good outcomes in this area. People are effectively assessed prior to admission, which helps to ensure individual needs can be met. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The three pre-admission assessments looked at confirmed that a senior person (normally the manager) completes an assessment before an individual moves to the home. This is to check what type of care and support the person needs and whether the staff have the skills and knowledge to provide that care if the individual chooses to move there. The process also reassures the individual and their family that they will receive the right support. A four-week trial period is offered before a person is given a permanent place. The manager discussed the client group and how he assesses the individual’s needs. In the future the assistant manager will be involved with the assessment process aswell as the manager. DS0000019727.V369954.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service experience good quality outcomes in this area. People have their health and personal care needs met in a dignified manner. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: A plan of care is drawn up using information received from the needs assessment. Health, personal and social needs are set out in the plan and the person is consulted throughout the process. The principles of respect, dignity and privacy are put into practice. The plan is reviewed by the manager, key worker and where possible the service user or their representatives, on a monthly basis. This was discussed in the Annual Quality Assurance Assessment and confirmed at the visit. Three plans were inspected; these had detailed information, which covered risk assessments relating to moving and handling, prevention of falls and pressure sores and nutrition. Staff had a good understanding of how to meet older people’s needs, and the care plans had DS0000019727.V369954.R01.S.doc Version 5.2 Page 11 been condensed and reviewed to ensure have the relevant information, which is easy to find. People were observed looking well cared for. One visitor said, “They always look after my relative really well”. This person was observed wearing matching dress and cardigan and looked happy and comfortable with clean hair, nails and teeth. Another person had a jacket and tie on which was their choice. They confirmed they had seen a Doctor recently and was waiting to see the optician. The home have a good relationship with the District Nursing Team and one person confirmed that the nurses visit on a regular basis. Records in the care plans detailed visits by a range of healthcare professionals. Throughout the visit people were treated in a dignified manner. People were addressed by staff in a pleasant voice, and assistance was given in a kind and reassuring way. People had brought personal possessions into the home, and this was evident in individual bedrooms. The medication system was inspected. The Annual Quality Assurance System states, “The local Pharmacist visits the home periodically to check our system for the safe handling of medications. All staff receives medication training.” The manager and staff who administer medication confirmed this. A monitored dosage system of dispensing medication is in place. Medication was kept in a secure trolley, which was locked in a cupboard after use. This was kept clean with boxes of individual tablets and the monitored dosage system being used. Currently a regular stock balance of tablets does not take place. Tablets were checked and these did not consistently tally with the amount on the medication chart, against the number of tablets available. An audit of this system would help identify the discrepancies. Each medication chart should also have a photograph of the person, which the medication relates to. This helps reduce any error from staff given tablets to the wrong person. DS0000019727.V369954.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience excellent quality outcomes in this area. People participate in a range of activities and visitors are welcomed. Staff encourage autonomy and choice, and people enjoy dining in pleasant surrounding with appealing food. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People are able to participate in a range of activities. The home has a digital picture frame which is situated in the homes reception where people can view daily life at Stoneleigh frame by frame. This shows residents enjoying birthdays, trips out, organised activities and family members of staff who work at Stoneleigh. Activities added to the programme have included flower arranging, baking, and arts and crafts which have involved residents families. One person said they liked to spend time in their room drawing, reading and watching television. The home have a large garden area where people were observed walking, chatting and enjoying being outside. There are chickens, ducks and horses to watch, and there is an aviary which has a variety of birds for people to look at. DS0000019727.V369954.R01.S.doc Version 5.2 Page 13 Social history information is obtained which is documented in the care plan. People are encouraged to take part in recreational and social activities. Contact with friends, family and the local community are all actively encouraged. We have recently appointed a new activities co-ordinator from within, who is assessing the needs of resident’s in order to compile an activities programme, which is delivered once a week. Board games, large print books, mobile library, and trips out to visit the local art gallery; Burnby hall gardens and trips to Beverley races are some of the activities available. Sixth form pupils from Pocklington School visit every Thursday afternoon to chat with people and play scrabble or cards. Staff are aware of the equality and diversity policy, and staff have recently completed a course, which looked at people’s age, religious, sexual and cultural needs. Even though the current client group tends to be from similar backgrounds with many people having lived in the Bielby area for many years, staff know how to look after someone with different needs. People discussed their daily routine and how the home is run for the benefit of the clients and not the staff. People confirmed they could get up and go to bed when they want, staff are very accommodating and will arrange a bath when it suits the individual. Visitors are welcomed into the home at anytime and they sign a book to confirm who they are and when they have arrived and left. The lunchtime meal was sampled and observed. A large dining table gives people the opportunity to interact with other people. People are offered a range of food and drinks and individual likes and dislikes are catered for. Some people like soft drinks whilst others prefer a Gin and Tonic with the evening meal. Food is fresh and homemade and people made positive comments about the food and drink offered. One person said, “I really enjoy mealtimes, the food is wonderful”. The Annual Quality Assurance Assessment confirms that there are locally grown vegetables, sometimes freshly bought salmon fillets and people may have a bottle of white wine with their meal. Meal times are always looked forward to and friends are invited, family and every other Monday, the Vicar will join people for lunch. The main meal is served at lunchtime, and whilst most people had a selection of bacon, sausage tomato and hash browns, one person preferred soup, and some people chose to eat in their own room or another communal area. This all enhances the dining experience for people and helps to forge good relationships with people and visitors to the home. DS0000019727.V369954.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience good quality outcomes in this area. People have their concerns listened to and acted upon, and staff are alert to the signs of abuse, which helps protect people from harm. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home have a complaints procedure in place which people are aware of. This is discussed with people as part of the admission process. No formal complaints have been received in the past twelve months either by the home or through The Commission. The manager and staff foster an open and welcoming atmosphere where people are happy to voice their concerns. One person said “I am happy with everything, but the manager would sort any issues out for me”. Another person said, “I have no complaints”. Meetings take place between the staff and people using the service and people are able to voice their opinions and views at any times. The manager is aware of how to deal with concerns and complaints in a timely manner. Staff have completed abuse awareness training. Two staff were spoken with who were aware of the different types of abuse a person may be subjected to and the action to take. Though they were unsure who the lead Agency is. However, this would be the manager’s responsibility to inform Social Services if an allegation of abuse was made. Staff are aware of the Whistle Blowing procedure and are clear what is the expected behaviour regarding treating DS0000019727.V369954.R01.S.doc Version 5.2 Page 15 people in a dignified manner. People spoken to say they felt safe in the home, and many interactions were observed between people using the service and staff. These were always conducted appropriately and in a dignified and professional manner. DS0000019727.V369954.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience excellent quality outcomes in this area. People live in a comfortable and clean environment. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People live in a clean, safe, warm and welcoming environment. People were observed spending time in conservatory, lounge area, dining room and in individual bedrooms. People looked comfortable and safe. The Annual Quality Assurance Assessment states that “Significant investment has been made to the exterior of the property with new fascias, soffits and guttering being fitted; this has greatly enhanced the look of the home. New UPVC exterior doors have been added to the property, which have greatly improved the security of the home. All dining chairs have been strengthened and renovated and are much safer as a result. New outdoor seating has been DS0000019727.V369954.R01.S.doc Version 5.2 Page 17 purchased so people can fully appreciate the grounds; with one bench being placed a safe distance from the duck pond.” A plan of routine maintenance is in place and discussions take place with visitors and people using the service regarding what is needed for the home. The corridors and walls have a range of pictures displayed and individual rooms have a photograph of that person’s room, which help them identify that it is theirs. Throughout the home consideration has been given to the client group, the furniture and fixtures reflect this. Staff complete infection control training and staff were observed using hand washing techniques and wearing protective aprons. Three people spoken with confirmed that the washing and ironing is done by staff. This is put in individual’s rooms. Clothes looked clean and well ironed and people said they could wear what they wanted to on a daily basis. DS0000019727.V369954.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service experience good quality outcomes in this area. People are cared for by staff who are competent, well trained and recruited and in sufficient numbers to meet individual needs. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People are cared for by staff that are well trained, competent and clearly understand the needs of older people. At the site visit there were two care staff (one was the assistant manager) on duty for twelve people, sometimes there are three care staff. However, the manager is also available throughout the day. Everyone spoken with felt that there were enough staff and people did not have to wait long for assistance. One comment was “the staff are wonderful”, another was “staff help me when I want them to, they are lovely”. The majority of staff have completed an NVQ Level 2 in Care (90 ), and there are three senior carers employed who have completed an NVQ Level 3 in care. This helps to ensure that everyone receives a good standard of care. All staff complete induction training, which is based on ‘Skills for Care’. This details care practices, health and safety and how to work effectively as a carer. People were observed interacting positively with people, moving and handling people safely and offering people assistance in a clam and reassuring manner. This all helped to make people feel as if they were part of the home. DS0000019727.V369954.R01.S.doc Version 5.2 Page 19 Staff are made aware of the equal opportunities policy when they are first employed, and staff confirmed they have had a police check and Protection of Vulnerable Adults check prior to starting work in the home. Recruitment files were inspected and these contained application forms, two written references, and police checks, proof of identification and terms and conditions of employment. These were in good order and contained all the relevant information. This helps to ensure people working in the home are competent and safe to look after vulnerable people. DS0000019727.V369954.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38 People who use this service experience good quality outcomes in this area. The home is run in the best interests of the people using the service. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The manager has run the home for over fifteen years. He has completed an NVQ Level 4 in care and the Registered Managers Award. It was evident throughout the day that his management style is open, professional and welcoming. People chatted with him about a range of issues and everyone spoken to say they would be happy to raise any issues with the manager or any member of staff. There are regular meetings for people using the service, visitors and staff. Views and opinions are always discussed and considered and improvements are then made. DS0000019727.V369954.R01.S.doc Version 5.2 Page 21 Shortly after the site visit the Home was given the ‘Investors In People’ award. This demonstrates that the home have achieved competency in a range of standards. This Award is kept for three years then reviewed. The Annual Quality Assurance Assessment states “ the home is currently developing a quality assurance system which includes regular self audit tools in order to improve all aspects of the home. As a part of this system, questionnaires are distributed to all service users, friends, relatives, staff and other people who use our service. Feedback is obtained, analysed and implemented where appropriate, in order to improve the service we offer. Extracts are published in the service user guide, so that prospective clients are informed about the quality of care we provide, and what existing service users think of our service”. This system helps the manager understand whether people’s needs are being met and how they can be further enhanced. Questionnaires were inspected and a new style has been introduced which gives people the opportunity to comment on different aspects of the home, rather than just tick a box with a score. The manager said that the home does not deal with people’s finances but will hold money in safekeeping for individuals if asked to. This means that people can have access to money when they need it. Appropriate records of monies received and returned to individuals were seen, and three people spoken with confirmed this. Health and safety in the home was discussed. Risk assessments are in place, which are reviewed annually, or when appropriate. Regular hot water checks are carried out with annual samples taken and tested for legionella. Checking of all lifting hoists, fire fighting equipment, maintenance and PAT testing of all electrical equipment, is carried out and certified in order to promote health and safety. This was detailed in the Annual Quality Assurance Assessment. Bed rails were discussed and staff has a good understanding of when a person should need to use bed rails. Risk assessments were detailed and the rails are checked to ensure they are fitted correctly. It was evident that one person did not have a protective bumper in place. This helps prevent injuries occurring. A selection of water temperatures were tested and whilst these were found to be within the normal range, no written records were kept of the temperature or any action taken if the water was too hot or too cold. This will help identify any problems. The home have a robust fire risk assessment in place and this will be reviewed in November 2008. Staff spoken to were aware of the action to take in the event of a fire and they had completed fire training. Staff also confirmed they had received moving and handling, infection control and food hygiene training. There is always a qualified first aider is on duty. This helps people get the right treatment in an emergency situation. DS0000019727.V369954.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x 3 2 DS0000019727.V369954.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13 Requirement People must receive the medication they are prescribed. This will maintain their wellbeing. Timescale for action 06/10/08 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. 2. 3. 4. Refer to Standard OP9 OP9 OP38 OP38 Good Practice Recommendations The medication charts should have a photograph of the person whose chart the medication relates to. This helps prevent errors. An Audit of the medication system including stock balances needs to take place. This will help identify if people are receiving their medication. People who need bed rails should have protective bumpers in place to reduce the risk of any injury occurring. Water temperatures need to be taken and recorded on a regular basis. This will identify if the water is too hot or too cold. DS0000019727.V369954.R01.S.doc Version 5.2 Page 24 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 DS0000019727.V369954.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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