Care Home: The Gables Retirement Home

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What the care home does well People told us, "I am very happy in The Gables" "Very nice. Everybody gets on well" "I like it here" "Very friendly and homely atmosphere" "The staff are very caring and look after us very well" "If I want anything I ask the staff and they always do their best for me" "I`m always looked after very well". People said there were always activities that they could take part in. They told us, "I like to play dominoes and bingo. I watch outside entertainers who come regularly", "I like going on trips", "I make cards and always go to see the entertainers", and, "they take us out on trips and we play bingo and have sing songs regularly". People told us they always liked the meals at the home. They said, "There is plenty of choice", "good variety of meals", "very nice food", and, "always cooked and presented well". One person said, "very good meals, always nice and hot. I always get a cup of tea when I want". What has improved since the last inspection? Improvements had been made to the home as part of the continuing refurbishment and redecorating programme. The gardens had been improved by installing an area of decking and more paths to ensure easy access for people with limited mobility. The range of activities offered to people in the home had been developed to ensure a wider choice to meet people`s needs and preferences. CARE HOMES FOR OLDER PEOPLE The Gables Retirement Home Heath Road Holmewood Chesterfield Derbyshire S42 5SJ Lead Inspector Rose Moffatt Unannounced Inspection 19th August 2008 09:45 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 The Gables Retirement Home DS0000019990.V370384.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. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Retirement Home Address Heath Road Holmewood Chesterfield Derbyshire S42 5SJ (01246) 855152 01246 857761 david@gablesretirementhome.co.uk 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) Mr David William O`Brien Mr David William O`Brien Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. To accommodate the person with dementia DE named in variation application dated 27th July 2005 at The Gables Retirement Home To accommodate the older person with Mental Disorder MD(E) named in variation application number V32959 at The Gables Retirement Home To accommodate the person named in variation application number V39122 who is 50 years old and is within the category PD. The maximum number of persons to be accommodated at The Gables Retirement Home is 35 22nd August 2006 Date of last inspection Brief Description of the Service: The Gables Retirement Home provides personal care and accommodation for up to 35 older people. The home is situated in the village of Holmewood, which has a number of shops, churches and a public house nearby. The home comprises an older converted property with a newer extension. Accommodation is provided on 2 floors accessed by a shaft lift or a stair lift. There is a choice of lounges and dining areas. There is a large, accessible garden. Car parking space is provided and the home is near a main bus route. Fees at the home range from £336.42 to £417.36 per week. The fees do not include hairdressing, chiropody or newspapers. This information was provided by the owner/manager on 19th August 2008. Information about the home, including CSCI inspection reports, can be obtained from the owner/manager. The Gables Retirement Home DS0000019990.V370384.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. The focus of our inspections is on outcomes for people who live in the home and their views on the service provided. The inspection process looks at the provider’s ability to meet regulatory requirements and national minimum standards. Our inspections also focus on aspects of the service that need further development. We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: • The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. • Surveys returned to us by people using the service and from other people with an interest in the service. • Information we have about how the service has managed any complaints. • What the service has told us about things that have happened in the service, these are called ‘notifications’ and are a legal requirement. • The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. • Relevant information from other organisations. • What other people have told us about the service. We carried out an Annual Service Review (ASR) of the home in December 2007. The ASR looked at all the above information. The ASR showed us that the home continued to provide good outcomes for people living there. We carried out an unannounced inspection visit that took place over 4.5 hours on one day. The inspection visit focused on assessing compliance to requirements made at the previous inspection and on assessing all the key standards. There were 22 people accommodated in the home on the day of the inspection visit. People who live in the home, visitors and staff were spoken with during the visit. The manager – who is also the owner of the home - was available The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 6 and helpful throughout the inspection visit. Some people were unable to contribute directly to the inspection process because of communication difficulties, but they were observed during the visit to see how well their needs were met by staff. ‘Case tracking’ was used during the inspection visit to look at the quality of care received by people living in the home/ who use the service. Three people were selected and the quality of the care they received was assessed by speaking to them, observation, reading their records, and talking to staff. What the service does well: What has improved since the last inspection? What they could do better: The care records could include details of the person’s life history so that staff know the person’s family, working life, and previous hobbies and interests. This will help to ensure a more person centred approach to care. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 7 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. The Gables Retirement Home DS0000019990.V370384.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 Gables Retirement Home DS0000019990.V370384.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a satisfactory needs assessment process so that people were confident the home was able to meet their needs. EVIDENCE: We received completed surveys from ten people living in the home. They all told us that they received the care and support they need at the home. We received surveys from four relatives of people in the home. They all told us that the home always meets the needs of the person. People said, “The staff are very caring and look after us very well”, “If I want anything I ask the staff and they always do their best for me”, and, “I’m always looked after very well”. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 10 The AQAA said they “have a comprehensive assessment process and provide a secure, caring and friendly home in which residents are comfortable and their needs met”. The AQAA said that people who come into the home on a temporary basis want to stay as permanent residents. The AQAA said that all the people living in the home were of white British origin and were all Christian in their religion or faith. The manager said that although the home was registered to accommodate 35 people, their policy was only to use shared rooms for couples who chose to share. This meant that there would usually be up to 26 people living in the home. We looked at the records for three people living in the home. All had assessment information completed by the home and also from social services staff. There was a letter in each record confirming that the home could meet the person’s needs. Each person had a care plan produced from the assessment information. Standard 6 did not apply as there were not people receiving intermediate care in the home. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a consistent, purposeful approach to care planning so that people received care and support to meet their individual needs and preferences. EVIDENCE: The ten people who returned out surveys all told us they always received the care and support they needed, including medical support. People we spoke with said they always had the care and support they needed. We looked at the records of three people. Each included a care plan that covered all of the person’s assessed needs. The care plans had good details of the action required by staff to meet the person’s needs. The care plans had all been reviewed monthly and updated as required. There were outdated care plans in the records that could cause confusion. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 12 There were records of visits and treatment by the GP, District Nurse, chiropodist and dentist. People had been referred appropriately for specialist treatment, such as audiology and psychiatry. People said they saw their GP when they needed to. The AQAA said that the home worked closely with other healthcare professionals to ensure the health of people living in the home was maintained. We received completed surveys from four relatives of people living in the home. They said that the staff always had the right skills and experience to look after people properly. We received surveys from five members of staff and spoke with three staff during the inspection visit. They all said they had training to ensure they could meet the needs of people in the home. Medication currently in use was stored in a locked trolley that was attached to the wall in the main lounge area. Other medication was stored in the clinical room in locked cupboards. Medication was administered by the senior care assistants who had all received appropriate training. The medication administration records (MARs) were printed by the home as the pharmacist did not offer this service. The MARs seen were correctly completed. Records were seen of the receipt and disposal of medication. One person was supported to take responsibility for some of their own medication. Their medication was kept in a locked drawer in their bedroom, which was also locked when they were not in there. Medication that required refrigeration was kept in a fridge in the clinical room. The temperature of the fridge was monitored and recorded daily, but not the maximum and minimum temperatures. The four people who returned our surveys told us that staff always listened to what they said and acted on it. People spoken with said staff treated them with respect. We observed that staff spoke to people in an appropriate and respectful way. We observed positive, friendly and warm interaction between people living in the home and staff. We observed that staff knocked on bedroom and toilet doors before entering. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were supported to maintain choice and control, and were offered a range of activities so that the lifestyle in the home met their needs, preferences and expectations. EVIDENCE: The ten people who returned our surveys and people we spoke with told us there were always activities that they could take part in. They told us, “I like to play dominoes and bingo. I watch outside entertainers who come regularly”, “I like going on trips”, “I make cards and always go to see the entertainers”, and, “they take us out on trips and we play bingo and have sing songs regularly”. On the day of the inspection visit a group of people went out for lunch at a local garden centre. People said they liked being involved in fund raising for children from Chernobyl to come to England for a holiday. The children stayed locally when they came, and they visited the home. There was The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 14 a regular church service held in the home and people from the local church visited the home. The AQAA said the service could do better by developing activities and stimulation for people living in the home. They planned to build an activity centre that would include a small pool, meeting rooms, a hairdressing room, exercise and kitchen. They planned to raise funds to recruit an activity centre manager. The care plans included some details of the person’s preferences regarding their daily routines. People said they could get up and go to bed when they wanted to. They said that staff were always available when they were needed. We observed that staff were usually available in the lounge areas so that people did not have to wait for attention, for instance, to go to the toilet. The care records did not have information about the life history, previous interests, work and hobbies of the person. The four relatives who returned surveys to us said that they were always kept up to date with any important issues affecting the person living in the home. One relative said staff were “always friendly”. One person in the home said they were pleased they could remain in the local area where they had lived all their life so that family and friends could visit. Another person said, “I live near to friends who regularly visit me”. People were encouraged to have their own possessions in their bedrooms. The bedrooms seen were individual and personalised. Some people chose to have keys for their bedroom doors. The ten people who returned surveys to us, and those we spoke with said they always liked the meals at the home. They said, “There is plenty of choice”, “good variety of meals”, “very nice food”, and, “always cooked and presented well”. One person said, “very good meals, always nice and hot. I always get a cup of tea when I want”. The dining room was pleasant and bright and looked out onto the garden. The meal served on the day of the inspection visit appeared appetising. The menus appeared varied and balanced. People had been consulted about menus and changes had been made as a result. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were satisfactory systems in place and good staff awareness and attitudes so that people were protected and their concerns were dealt with effectively. EVIDENCE: The ten people who returned our surveys all said they knew how to make a complaint and who to speak to if they were unhappy about anything. Several people mentioned the manager by name as the person they would go to. Three of the relatives who returned our surveys said they knew how to make a complaint, one said they did not know. Two relatives said the home had responded appropriately to any concerns raised, two said they had never had to raise any concerns or make a complaint. Five staff returned surveys to us and all said they knew what to do if anyone wanted to make a complaint about the home. There was a copy of the complaints procedure in each of the care records and this had been signed by the person or their representative. The manager said that no complaints had been received and so there were no records. He said The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 16 that people usually came to him with any concerns at an early stage so that action could be taken before the situation became worse. No complaints had been received by CSCI about the home. There were satisfactory polices in place about safeguarding vulnerable adults. Staff had received training about safeguarding issues and procedures. Staff we spoke with said they would report any suspicions of abuse to the manager, but they were not all aware of the procedures the manager would follow in line with local multi-agency guidelines. There had not been any safeguarding issues at the home. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was clean, suitably equipped and well maintained so that people enjoyed a safe and pleasant environment that met their needs. EVIDENCE: The people we spoke with were pleased with their bedrooms and with the communal areas in the home. All areas seen appeared well decorated and well maintained. The manager said a maintenance man was employed to ensure the programme of refurbishment and redecorating could be carried out, and any repairs needed could be attended to promptly. Since the last inspection, improvements had been made to the lounges, dining room, kitchen and to the garden. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 18 Some areas in the home remained in need of refurbishment and improvement, such as a bathroom on the first floor, and some bedrooms in the older part of the home. The manager was aware of what was needed and there was a planned programme to address this. The home had suitable equipment to meet people’s needs, such as manual handling equipment, a passenger lift, handrails and ramps. The ten people who returned our surveys and the people we spoke to told us that the home was always fresh and clean. We observed that all areas of the home were clean on the day of the inspection visit. The home was free from offensive odours except for one bedroom. The manager was aware of this problem and had taken action to address it. We observed staff using disposable gloves and aprons appropriately. The AQAA said that nine out of eleven care staff had received training about the control of infection. The laundry was suitably equipped, though the laundry room was very small. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a competent, well motivated staff team, with satisfactory recruitment and training procedures so that people were protected and their needs were well met. EVIDENCE: The people who returned our surveys and those we spoke with said there were always enough staff available to ensure their needs were met. The staff rotas showed that there were usually five care staff working in the morning, three in the afternoon and one at night. There was also the manager or a senior care assistant sleeping in to give assistance at night if required. The five staff who returned our surveys, and those we spoke with said there were always enough staff to meet people’s needs. Staff said that the manager would bring in extra staff if necessary, for instance, to take people out on trips, or if a person required more help because of a change in their needs. The AQAA said that five out of eleven care assistants had achieved National Vocational Qualifications (NVQ) Level 2 or above. We also found that there The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 20 were other care staff at the home who had qualifications equivalent to NVQ Level 2. The induction programme for new staff met the Skills For Care standards. There was a staff training programme to cover all the required training, such as manual handling, fire safety, first aid, and food hygiene. In addition, staff had received training about the care of people with dementia. The five staff who returned our surveys, and staff spoken with, all said that the training provided was useful and helped them to understand and meet people’s needs. Staff said, “The training I’ve been given was put in a clear way and I enjoyed it”, and, “we’re well supported with training”. We looked at the records of two members of staff. Both records included all the required information and documents, such as a Criminal Records Bureau (CRB) disclosure and two written references. Staff who returned the surveys, and those we spoke with, all confirmed that the appropriate checks had been carried out by their employer before they started work at the home. People told us, “Staff are very caring” “Staff are always around and very good to me always” “Staff are very good and understanding” “The staff always do their best to please” “They try their best to make life a lot easier” “All the staff are well mannered and really care for the patients” “very helpful and friendly” One member of staff said, “I really enjoy working here, everyone is so friendly and helpful”. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed with satisfactory systems in place so that people benefited from a well organised service run in their best interests. EVIDENCE: The manager was suitably qualified and experienced to run the home. Four of the people who returned surveys to us referred to the manager by his first name in response to the question who would they speak to if they were not happy. We observed that people greeted the manager by name with spontaneous warmth and affection. People told us they were confident the manager would act on any concerns they had. Staff told us the manager . The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 22 People told us they were confident the manager would act on any concerns they had. Staff told us the manager was approachable. One member of staff said, “the manager is always available and supportive”. The AQAA was completed by the manager and returned to us by the date allowed. All sections of the AQAA were completed and the information gave a reasonable picture of the current situation at the home. The quality assurance system included questionnaires sent to people living in the home every six months. The manager said the results were used to make any changes needed and to direct the annual plan for the home. There were regular meetings for people in the home and their relatives. Staff meetings were held approximately every two months. People said, “I am very happy in The Gables” “Very nice. Everybody gets on well” “I like it here” “Very friendly and homely atmosphere” We looked at the records of people’s personal money held by the home. The records were up to date and nearly all had two signatures for each transaction. The AQAA said that all policies and procedures had been reviewed in 2008. The maintenance of equipment and systems was up to date, except for the gas safety certificate. The manager said the work had been carried out, but the new certificate had not been received. He took action on the day of the inspection visit to ensure the certificate would be sent to the home as soon as possible. The accident records seen were satisfactory. The home had sent us notifications of deaths, illness and other events as required. The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Gables Retirement Home DS0000019990.V370384.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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations The care records should include details of the person’s life history so that staff know the person’s family, working life, and previous hobbies and interests. This will help to ensure a more person centred approach to care. The minimum and maximum temperatures of the fridge used to store medication should be recorded daily. This will ensure that medication is stored within the temperature range recommended by the manufacturer to ensure that it has not lost its potency or is at risk of contamination. 2 OP9 The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 The Gables Retirement Home DS0000019990.V370384.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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