Care Home: The Chanters Care Home

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What the care home does well Several members of staff had worked at the home for a number of years, therefore residents were being cared for by people they know and can trust. Visitors are welcome to visit the home at any time. Residents were satisfied with the meals and the choices offered. The maintenance of the home was good and repairs are carried out as well as any redecoration within the home. There is a designated team of ancillary The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 staff who take care of the laundry and cleaning of the home. The home was found to be in good order, warm, clean and tidy. What has improved since the last inspection? The overall cleanliness of the home had greatly improved. The home was clean and free from any offensive odours. Some concerns raised by social workers at resident`s reviews had been addressed and the improvements had been sustained. Although there had been some improvements with the medication systems, some areas still need addressing. The information recorded in the care plans had improved. The range of activities had improved with a wider range of activities now available. What the care home could do better: Ensure that any shortfalls in medication are eradicated. To encourage residents to make better use of the downstairs lounge. It was noted that some residents enjoyed sitting on the corridor, however most returned to their rooms. One resident said, "We only come in here if there`s something going on". The corridor carpets on both floors require attention. Information is often duplicated for example residents record of weights and bathing would be better if recorded once and kept in the care records. Key inspection report CARE HOMES FOR OLDER PEOPLE The Chanters Care Home Tyldesley Old Road Atherton Manchester M46 9AF Lead Inspector Judith Stanley Unannounced Inspection 6th May 2009 09:00 DS0000065685.V375329.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Chanters Care Home Address Tyldesley Old Road Atherton Manchester M46 9AF 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) 01942 884500 01942 896599 thechanters@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Anne Marie Hargreaves Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (40) The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: OP DE(E) LD(E) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: OP Older People DE(E) Dementia - over 65 years of age LD(E) Learning Disability - over 65 years of age The maximum number of service users who can be accommodated is: 40 10th September 2008 2. Date of last inspection Brief Description of the Service: The Chanters Care Home is owned by Southern Cross Health Care and offers care for 40 male and female residents. It is situated in Atherton off the main road close to the town centre, with access to shops and other local amenities, including public transport. The Chanters offers accommodation to people who require assistance with personal care and support, for one resident with a learning disability and for people with a dementia related illness. The Chanters is a purpose-built two-storey property that offers all single rooms with en suite facilities. Bathrooms, toilets, communal lounges and dining rooms are available on both floors. The home has safe, enclosed gardens to the rear with suitable seating and car parking is available at the front of the home. The current scale of fees at The Chanters ranges from £330:72 to £469:92 per week. Additional charges are made for hairdressing, holidays, toiletries, daily papers and magazines and some trips out. The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 5 The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. This inspection was a key inspection and included a site visit and took place on one day over 7½ hours period. The service did not know the inspectors were going to visit. A pharmacist inspector from the Care Quality Commission (CQC) also visited the home on the same day to carry out an audit on the medication system. During the visit we spent time looking at the information the home holds on residents (care plans) and other records. We spoke with the manager, staff, residents and a relative during the course of the day. The night before our inspection took place the home’s main office had been broken in to. The police had been called and requested that the office was sealed off until they had carried out their investigation. Therefore it was not possible to check staff records, resident’s personal allowances and other information which was held in the main office. However this information was checked at the last inspection in September 2008 and was found to be satisfactory. We looked around the home to check if it was clean and well decorated. For the last inspection and as part of the inspection process the manager was asked to complete an Annual Quality Assurance Assessment form (AQAA). This is a self assessment form that focuses on the outcomes for people living at the home. We used the AQAA from the September inspection as the information was still relevant. Discussion and feedback was held with the manager during the visit. What the service does well: Several members of staff had worked at the home for a number of years, therefore residents were being cared for by people they know and can trust. Visitors are welcome to visit the home at any time. Residents were satisfied with the meals and the choices offered. The maintenance of the home was good and repairs are carried out as well as any redecoration within the home. There is a designated team of ancillary The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 7 staff who take care of the laundry and cleaning of the home. The home was found to be in good order, warm, clean and tidy. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. The Chanters Care Home DS0000065685.V375329.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 The Chanters Care Home DS0000065685.V375329.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 were assessed. Standard 6 does not apply at The Chanters as the home does not provide an intermediate care service. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed before they move into The Chanters so they know their care needs can be met. EVIDENCE: The home has a statement of purpose and a service user’s guide that is available to prospective residents and to people already living at the home. This information informs people about what services and facilities they can expect to receive if they make the decision to move into the home. We selected four residents care records to with work during this inspection. On checking the files a pre admission assessment had been completed prior to The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 10 residents moving in to the move. The assessment is carried out by a senior member of staff to ensure that the home and staff can meet the personal and social care needs of the individual. The assessment covers all areas of care including personal care, physical well being, mental state, mobility, nutrition, sight, oral health care, foot care, continence, sleep pattern, social interests, risk of falls and medication etc. It was not possible to check if residents had a written contract due to the office being inaccessible. However at the last inspection we checked several files and contracts were available for inspection. The home does offer care to some residents with a diagnosis of a dementia related illness. Over half of the staff had completed training in this specialised area of care. Further training is planned for the rest of the staff to undertake dementia training. The Chanters Care Home DS0000065685.V375329.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 were assessed. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. In the main people receive the care and support that they need in a way that meets their expectations. EVIDENCE: We continued using the same four care plans we had selected. It was noted that the recording of information in the care plans had improved. However some information such as records of weight and bathing were being duplicated in different places making it difficult to find and follow. It would easier for staff to record the information on the appropriate record in one place to ensure that nothing is overlooked. The care plans were divided in to 12 areas of care, these included: Maintaining a safe environment, communication and hearing, breathing, eating and drinking, continence, personal care, controlling body The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 12 temperature, mobilising, working and playing, expressing sexuality and sleep patterns. Supplementary information was seen in the care plans which included risk assessments as required, for example moving and handling, pressure care assessments and nutritional assessments etc. It was discussed with the manager and staff that several residents were having their food intake recorded on food charts when they did not need to be. The manager needs to check which resident intake of food needs to be regularly monitored. Within the last six months several service user reviews had been carried out by social workers and some concerns had been raised about care practices at the home and with the break down in communication between the staff and manager. For example the manager was unaware that a doctor had visited a resident and advised that Ensure supplement drinks were discontinued. Another incident was that occurred was about a resident not wearing incontinence aids and when the relative asked a member of staff about this she was told they had run out. The manager and representatives from Southern Cross have had discussions with the Department of Adult Services to address the issues and concerns raised in the reviews and the manager had addressed these issues. However the improvements noted must be sustained. There was better evidence of working with the outside agencies noted for example the continence advisor and contacting of residents doctors as required. We looked at medicines handling. All staff handling medicines complete a formal medicines training course and are supervised and observed ‘in house’ to help ensure medicines are safely handled and the homes procedures are followed. Part of the morning medicines round was observed. Staff were courteous and took care to ask people whether they needed any ‘when required’ medicines they may have been prescribed. But, it was of concern that arrangements were not in place to ensure any special label instructions such as, ‘before food’ are followed. It is important that these instructions are followed to ensure the medicines work properly. The home had arrangements in place so that non-prescribed medicines for the treatment of minor ailments could be given. This benefits residents as they can receive treatment for conditions such as minor pain without delay. It was of concern that we saw some examples where records showed ‘m-make available’. This meant that people missed doses of prescribed medication (mostly laxatives) for several days. The manager explained that she was aware of this issue, had sought advice from the supplying pharmacist and was now arranging a meeting with the doctor’s surgery to look at ordering processes and reduce the risk of this re-occurring. It is important that this is addressed; to ensure continuity of treatment and adequate stock of medication needs to be kept at the home without overstocking. The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 13 We looked at medicines record keeping and found the records of receipt, administration and disposal to be generally clear and accurate. Residents’ doctors often confirmed changes to medication in writing so that staff had clear instructions, reducing the risk of errors when medicines are changed. We looked at a sample of care plans and daily records and found that the information about medicines was mostly clearly recorded. This included information about ‘when required’ medicines, prescribed nutrition and creams. But, we saw that on occasion care plans had not been up-dated when people’s medicines changed. For example, one person had been prescribed a stronger painkiller but the care plan still referred to the previous medication. We saw one example where records did not show the administration of a prescribed nutritional supplement and it was not referred to in their care plan. It is important that records are kept up-to-date to help support the safe administration of medication. We found that medicines including controlled drugs were stored securely. This helps to ensure that they are not misused or mishandled. Regular audits (checks) are carried out to help ensure medicines are handled safely and that should any weaknesses arise they can be quickly addressed. Throughout the course of the day staff were heard speaking with residents in a friendly and respectful manner. It was evident that good relationships had been formed. Residents were observed to be clean and nicely dressed and appropriately groomed. The Chanters Care Home DS0000065685.V375329.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 were assessed People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were provided with activities and a variety of home cooked food which they enjoy. EVIDENCE: The home now has an activities coordinator and it was noted that since the last inspection that the range of activities had started to improve. More trips out of the home to local venues had been introduced. One resident spoken with said she enjoyed the entertainers that visited the home. The activity programme is displayed in the foyer. There is a standard recording sheet to record what activities people had taken part in, these were not very informative and the manager confirmed that there are plans to change the way activities are to be recorded. The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 15 Visitors are welcome to visit at any time. There are no restrictions as to when people can visit. Residents can meet with their visitors in the lounges or in the privacy of their own rooms. Residents with religious beliefs are encouraged and enabled to maintain community links. One resident goes out unaccompanied to the shops and visits other local amenities. The home welcomes visits from the local clergy. One visitor spoken with was complementary about the home and the staff stating, “The staff are very caring and friendly. Over the last few months I have noticed that the home is cleaner and fresher. I have no concerns or worries”. The homes menus are planned by head office; these can be subject to change if required. We observed that a flexible breakfast was served to allow residents to get up when they were ready. A choice of cereals or porridge was available, residents could have a cooked breakfast if they preferred. Toast and preserves were offered and a choice of tea or coffee. Lunch is the main meal of the day and residents were offered the choice of meals followed by dessert. A lighter afternoon tea is served with hot and cold alternatives. A range of snacks is offered for supper and a choice of milk drinks or tea or coffee. There is a dining room on both floors and these were seen to comfortable with the tables nicely set with appropriate cutlery and crockery, napkins and condiments. The Chanters Care Home DS0000065685.V375329.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 were assessed. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service were protected by the complaints and safeguarding procedures, which were understood by staff. EVIDENCE: A complaints system is in place and the complaints procedure is on display in the foyer. It was not possible to examine the complaints file; however this was seen at the last inspection. There had been some issues of concern raised by family members and these had been addressed by the manager and by social worker involvement. There had been no complaints brought to the attention of the CQC since the last inspection. There had been no safeguarding referrals or investigations with the last year. Policies and procedures are in place to safeguard residents from harm or abuse in any of its forms. Staff had undertaken training in the protection of vulnerable adults. The Chanters Care Home DS0000065685.V375329.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 were assessed. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained to a good standard making it a homely, comfortable, clean and pleasant home for residents to live in. EVIDENCE: From a tour of the premises, it was evident that the home is well maintained internally and externally. There had been some concerns raised regarding odour problems in some resident’s rooms. These rooms were checked and any problems had been eradicated. The manager must ensure that these standards are maintained. Rooms were seen to be neat, tidy and comfortable. It was evident that residents had personalised their rooms with personal belongings and mementoes brought with them from home. It was discussed with the manager that the corridors on both floors would benefit The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 18 from being replaced as these were stained and getting passed cleaning. As previously mentioned the lounge on the ground floor is not being used to its full potential. Residents appeared to spend time in their rooms or sit on the corridor. The lounge is a comfortable room and could become a focal meeting point for residents and visitors. Bathrooms were clean and tidy and there was no evidence of communal toiletries. Systems were in place to control the risk of cross infection. There was an adequate supply of protective aprons, gloves, paper towels and liquid soap. The inspector spoke with one of the domestic team who had not been at the home very long. This person obviously took pride in her work in keeping the home clean. The Chanters Care Home DS0000065685.V375329.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the care and support from staff that have the skills to support them correctly. EVIDENCE: On the day of the inspection there was an adequate number of staff to meet the needs of the residents. Neither staff nor residents expressed concerns about the staffing levels with the home. Domestic and kitchen staff are employed in sufficient numbers to cater for the needs of the residents and to support care staff. Staff spoken with said that things had started to ‘pick up again’ in the home and staff morale appeared good. Staff spoken with said that the training was ongoing and that they had completed mandatory training such as moving and handling and protection of vulnerable adults. Staff training for NVQ is progressing well. It was not possible to access the main office to check staff files and recruitment. However this was checked at the last inspection in September 2008 and were found to be in good order. Staffing and recruitment procedures will be checked at the next inspection. The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 20 The Chanters Care Home DS0000065685.V375329.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 were assessed. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager and staff ensure that the home is run in the best interests of residents and that their safety and welfare are promoted and protected. EVIDENCE: Since the last inspection in September 2008, the manager has now been registered with the CQC and appears to be more confident and is settling in to the role. There had been some issues within the home and with staff that have now been addressed. The manager has a number of years experience in The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 22 working with the elderly and has achieved the Registered Managers Award (RMA). There are clear lines of accountability within the home which staff and residents are aware of. The manager can be approached at any time by residents, staff and relatives. From observations seen and conversation heard by the manager and residents, it was clear that the manager knew the residents well. Although it was not possible to check the quality assurance systems, these were checked at the last inspection. Regular audits are completed and sent to head office, these include: number of falls, medication and accidents etc. A residents/relative meeting had taken place on the evening before the inspection. The manager confirmed this was well attended. The operations manager visits the home on a regular basis and once a month completes a written report of her findings. The operations manager was at the home to assist with the inspection if needed and to support the manager and staff. Residents personal allowances could not be checked as these are held in the main office. These were checked at the last inspection and no discrepancies were found. These will be checked at the next inspection. Health and safety polices were in place and information provided on the returned AQAA in September 2008 were still relevant. The manager confirmed that all accidents and incident and injuries are recorded and the CQC informed as required. The Chanters Care Home DS0000065685.V375329.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 3 x 3 2 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 The Chanters Care Home DS0000065685.V375329.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 OP9 Regulation 13 (2) Requirement Sufficient stocks of medication must be maintained at the home to allow continuity of treatment, without overstocking. Timescale for action 30/06/09 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 OP9 Good Practice Recommendations Care should be taken to ensure arrangements for recording the administration of prescribed supplement drinks is applied consistently throughout the home, to help ensure and evidence that they are administered as prescribed. The Chanters Care Home DS0000065685.V375329.R01.S.doc Version 5.2 Page 25 Care Quality Commission Care Quality Commission Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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