Care Home: The Mayfield

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What the care home does well The home is providing good person centred care to the people who use the service. Comment made by a relative: "The care provided is excellent". "The home complies with my mothers care and look after her very well". The acting manager has made a number of improvements since the last key inspection and care plans have been expanded and provide good information about the person and what care is required. The home has undertaken refurbishment and communal areas have been redecorated and windows have been replaced throughout the home. What has improved since the last inspection? We undertook a random inspection on 21 April 2008 and noted a considerable amount of improvements these improvements have continued and the home has met all requirements made during the key inspection on 14 January 2008, and random inspection on 21 April 2008.The home has provided manual handling training to staff using a DVD provided by Mulberry House Training. The manager and operation manager have viewed the trainers DVD and are able to judge if staff is competent with supporting residents who need support around their mobility. The home has replaced all windows with double-glazing. 57% of staff employed by the home hold or work towards their National Vocational Qualification in Care, this ensures a trained a skilled workforce support people using the service. The home has send out surveys in June 2008 and feedback received was overall very positive. All residents who are at risk of tripping and falling have a detailed falls assessment in place. We viewed four care plans and all records have a picture of the person on file. The home is using the waterflow assessment to assess people who are at risk of developing pressure sores. What the care home could do better: Surveys, and residents spoken to during this inspection raised concerns about the lack of activities provided by the home. The home must review this and offer a range of stimulating activities for residents to choose from. The home has produced an annual development plan a copy of this plan must be send to the Commission for Social Care Inspection for reference. CARE HOMES FOR OLDER PEOPLE The Mayfield 6 Alicia Avenue, Kenton Harrow Middlesex HA3 8AL Lead Inspector Andreas Schwarz Key Unannounced Inspection 29th September 2008 09:00 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 Mayfield DS0000017548.V365963.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 Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Mayfield Address 6 Alicia Avenue, Kenton Harrow Middlesex HA3 8AL 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) 020 8907 7908 020 8907 5777 rinku@farringtoncare.com Mr Kiran Nathwani Mr Paren Nathwani Vacant Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 23 14th January 2008 Date of last inspection Brief Description of the Service: The Mayfield is a care home providing personal care and accommodation for up to 23 older people. The group of people living at the home at the time of the inspection were mixed gender. There were four vacancies at the time of the inspection. The home is owned by Messrs Nathwani of Farrington Care Homes Ltd. The organization owns two other homes in the local London region, and is expanding nationally. The home is located in a residential area of Kenton; fifteen minutes walk from an underground station. Nearby on the main Kenton Road there is a parade of small shops, with a hairdresser, cafes, pubs, churches, and a temple. There is a bus route close by. There is unrestricted parking outside of the home. The home is a large converted and extended house. Accommodation for people using the service is provided on the ground and first floor. Upstairs can be accessed by stair-lift or stairs. All of the bedrooms, except one, are single occupancy. Most of the bedrooms have en-suite facilities and are fully furnished. Communal toilets are located close to the two separate lounge areas. The home has one bathroom upstairs and a shower room downstairs. At the rear of The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 5 the house is a patio and a large garden. The current scale of charges, as of 01/04/07, is £505 to £526 a week. Additional charges include for the hairdresser, and private chiropody and dentistry. The home did not have a registered manager at the time of this key inspection. A new manager, Ms Tolentino, has been employed since November 2007. The Mayfield DS0000017548.V365963.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 stars. This means the people who use this service experience good quality outcomes. This unannounced key inspection took place in September 2008 and lasted 7 ½ hours. The acting manager Mrs Tolentino was available during this key inspection. We spoke to the Operation Manager Mrs Anderson and both directors. We assessed four care plans, four staffing records and other documents made available to us during this inspection. We spoke to two members of staff, joined residents for lunch and spoke to one relative visiting the home during this inspection. Five service users surveys and six staff surveys have been returned to us. The home returned a completed but basic Annual Quality Assurance Assessment within the given timescale. We would like to thank everybody involved in this unannounced key inspection. What the service does well: What has improved since the last inspection? We undertook a random inspection on 21 April 2008 and noted a considerable amount of improvements these improvements have continued and the home has met all requirements made during the key inspection on 14 January 2008, and random inspection on 21 April 2008. The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 7 The home has provided manual handling training to staff using a DVD provided by Mulberry House Training. The manager and operation manager have viewed the trainers DVD and are able to judge if staff is competent with supporting residents who need support around their mobility. The home has replaced all windows with double-glazing. 57 of staff employed by the home hold or work towards their National Vocational Qualification in Care, this ensures a trained a skilled workforce support people using the service. The home has send out surveys in June 2008 and feedback received was overall very positive. All residents who are at risk of tripping and falling have a detailed falls assessment in place. We viewed four care plans and all records have a picture of the person on file. The home is using the waterflow assessment to assess people who are at risk of developing pressure sores. 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. The Mayfield DS0000017548.V365963.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 Mayfield DS0000017548.V365963.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): We looked at National Minimum Standards 3 and 6 during this inspection. People using the service experience good outcomes in the area. This judgement has been made using available evidence including a visit to this service. A qualified person is assessing the needs of any prospective people using the service to ensure the home is able to support them appropriatly. EVIDENCE: We assessed two care plans of people recently admitted to the home; both documents had detailed assessments in place. We also noted that information collected during the assessment has been included in the current care plan. One of the people, who have been assessed, told us that she was involved in the process and the operation manager visited the home she previously lived in. The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 10 The home does not provide intermediate care. The Mayfield DS0000017548.V365963.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): We assessed National Minimum Standards 7, 8, 9 and 10 during this inspection. People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care plans are person centred and people using the service are involved in the review processes. People using the service are protected by appropriate assessments from falls, developing pressure sores or any other healthcare problems. Medication procedures are of good standard and protect residents from mistakes being made in the administration of medicines. EVIDENCE: We assessed four care plans during this inspection. The manager or an allocated key worker reviews care plans monthly. Care plans viewed are detailed and have improved since the last key inspection. Care plans are done holistically and address areas such as mobility, religion, social activity, The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 12 medication, personal care, etc. Residents and relatives spoken to confirm that they know about their care plan and are involved in the review process. Previous care plan folders did not include the picture of the person; all care plans viewed during this inspection included a picture. Residents are registered with their own General Practitioner, who will visit the home if required. We viewed falls assessments and risk of pressure sore assessments. The manager told us that none of the residents at the home have pressure sores and we noted that previous pressure sores have healed. The home has good relationships with the community nursing team who visit and treat pressure sores when required. Outcomes and actions from visits by health care professionals are clearly recorded. A dentist and optician regularly visit the home. Peoples’ weight is regular monitored, the manager told us that this helps the home to see if anything is wrong with the person and health issues can be addressed quickly by health care professionals. We noted that one person who recently moved in to the home has not been included in the foot and nail care list. She was however visited by the chiropodist on 13/08/08. One of the surveys received informed us that the care received is excellent and a relative is happy with the care provided by the home. Staff have received in-house manual handling training using a DVD provided by a national training provider. The manager and operation manager assess staff’s competence after they viewed the DVD. We checked medications for three people using the service, all Medication Administration Sheets were complete and allergies were recorded. A signatory list of staff competent administering medication is in place. Liquid medication is signed and Royal Pharmaceutical Society guidance is followed. The home does currently not store any controlled drugs. When checking blister packs we noted in one blister pack three Paracetamol tablets on Saturday of week one; there should only be two Paracetamol tablets. The manager told us that staff check medication when delivered by the pharmacist, which was confirmed by the signature on the Medication Administration Sheet. We informed the manager that she should contact the dispensing pharmacist and inform him of the mistake. Residents spoken to confirmed that staff treats them with respect and personal care is provided privately. During this inspection we observed staff interacting with residents professionally and support provided by staff seemed naturally. For example one person was sitting on her chair and the blanket fell off and staff asked the resident if she would like to be covered again. The Mayfield DS0000017548.V365963.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): We looked at all the above standards during this inspection. People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service have limited choices to take part in stimulating and interesting activities. Residents can receive visitors regularly and food provided by the home is healthy, nutritious and culturally appropriate. EVIDENCE: Three service users surveys informed us that the home does not provide adequate stimulation to people using the service. The home has an entertainer visiting on a fortnightly basis for Karaoke and occasionally the home has Bingo sessions. Residents told us that the home does not have the necessary equipment such as working pens and score cards for these sessions. Staff confirmed that there is a lack of activities in the home and told us that it was much better when the home had an activity co-ordinator employed. Residents told us that staff sit down with some residents to play cards, this is not planned and happens if staff have time and are available. We discussed this in The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 14 detail with the manager and operation manager, who informed us that they are aware of this and currently looking into ways of improving this. Previously the home was using the second lounge for residents from Asian background. The home had a shrine in that lounge, which allows residents to pray. The shrine has been removed. We spoke to one Asian elder who was in the past looking after the shrine; she informed us that she does not mind that the shrine has been removed. We think the home should ask all Asian residents if they would like second lounge for their use and want to have an area to do their prayers. Residents informed us that some people go out to purchase newspapers, this is however depending if they are physically able to do so. A priest visits the home to provide Holy Communion for residents who choose to do so. The home has an open house policy and relatives and friends were observed visiting the home throughout this inspection. A local school visits the home weekly. Residents told us that they could meet visitors in their room if they wish to do so. Residents’ family manage finances and provide the home with money for additional costs as stated in the service users guide. Residents told us that they can choose what they want to eat and if they want to go back to their room to read the paper or watch television on their own. This was observed during this inspection. Two residents invited us to view their room, the rooms were nicely decorated and personal pictures and ornaments were displayed. We were invited by residents to join them for lunch. The home provides Asian and English dishes for residents to choose from. During the day of this inspection lunch consisted of Gammon, potatoes and vegetable, and rice, dhal, etc. Residents told us that they are happy with the food and can choose from two different meals, if they don’t like the meals offered they could ask the home to prepare a separate dish. We sampled the Asian lunch during this inspection, which was nicely presented and very tasty. The Mayfield DS0000017548.V365963.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): We looked at National Minimum Standards 16 and 18 during this inspection. People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. The policies and procedures for safeguarding adults are available and give clear specific guidance to those using them. Training of staff in safeguarding is arranged by the Home, but not all staff has attended the training. EVIDENCE: The home has a complaints policy in place, residents and relatives told us that they know about the policy and are aware whom to complain to. The home has received six complaints since the last inspection. All complaints have been clearly recorded and dealt with by the manager. The home records compliments received from relatives and residents, these have been very positive and statements made: “Excellent standard of care”, “thank you all for the kindness and support you have given my mother”. The home have not made a Safeguarding adult’s referral since the last inspection. Eleven out of twenty-three staff has taken part in Safeguarding adults training. The manager told us that training is on going, and we were The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 16 shown a list of staff attending Safeguarding adults training on 18/10/08. The manager told us by this date all staff will have received Safeguarding adults training. Staff spoken to told us that they would contact the manager if they witness abuse or made aware of Safeguarding adults’ issues. The Mayfield DS0000017548.V365963.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): We looked at National Minimum Standards 19 and 26 during this inspection. People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is nicely decorated and has an ongoing maintenance and refurbishment programme in place. Residents live in a homely and wellmaintained environment. The home is clean and free of any offensive odours. EVIDENCE: Over the last two years the home has undertaken refurbishment and renovation work, which is almost completed. Since the last inspection the drive-way has been repaved, all windows have been replaced with doubleglazing and the hallways have been repainted. The manager told us that the renovation of residents’ bedrooms is nearly completed. One resident told us The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 18 that she is happy with her room since it has been done up. The directors informed us that they plan to re-landscape the garden. The home was clean and free of any offensive odours. Residents told us that the home is clean and staff immediately deals with spillages. The utility room has sluicing facilities and the washing machine and dryer were in good working condition. Residents told us that on occasions clothes have been damaged, which they raised with the manager. The manager told us that she is aware of this and will reimburse the resident for the damage. Cleaning materials are locked away safely. The Mayfield DS0000017548.V365963.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): We looked at all the above National Minimum Standards. People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service are supported by staff that is checked and safe to work with vulnerable adults. Training ensures that staff are skilled to support people using the service and their needs are met. EVIDENCE: The home has currently twenty-three staff employed. During the morning shift there is one senior and three carers working, during the afternoon one senior and two carers are on duty. Two waking staff work during the night. The home employs a cleaner, laundry lady and cooks, who work on a daily basis. Residents told us that staff respond to their needs, but acknowledge that they may have to wait a little longer during busy periods. The home confirmed in the Annual Quality Assurance Assessment that 62.5 of staff hold or work towards their National Vocational Qualification in Care. The four staffing files viewed confirmed this. The home does not employ staff under the age of 18. The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 20 We viewed four staffing files; all records had the required documentation such as references, Criminal Records Bureau checks, health questionnaires, passport photos, etc. in place. Staff spoken to confirmed that they had to provide documentation for Criminal Records Bureau checks, and two referees. Staff also told us that they had an interview. Staff confirmed that they received an induction when starting work at the home. Two staff spoken to confirmed that the manager is very supportive and on going training is provided by the home. The Mayfield DS0000017548.V365963.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): We looked at National Minimum Standards 31, 33, 35, 36 and 38 during this inspection. People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The acting manager has made a number of improvements and is supportive to care staff. Residents are involved in running of the home and protected by appropriate procedures from accidents and incidences, which could harm their Health and Safety. EVIDENCE: The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 22 The manager has made a number of improvements since the last inspection and demonstrated that she is skilled to manage the home. Staff spoke very positively about the support they receive from the manager. The manager informed us that she has withdrawn her application of registration and the operation manager confirmed that the home is currently in the process of recruiting a new manager. Staff confirmed that they have regular team meetings. The last meeting was held on 19/05/08. The manager told us that she discusses immediate issues during handovers. The home has sent out service users surveys in June 2008 and the operation manager confirmed having produced an annual development plan. The plan was still on the computer and must be sent to the Commission for Social Care Inspection. An up-to-date public liability insurance certificate was displayed. The home is not acting as an appointee for residents in the home and the families or next of kin manages finances. The home is keeping spending money for the residents, which is stored safely in the homes office and the manager records income as well as expenditures. The manager has started to regularly supervise staff and over the last six months the majority of staff received at least two supervisions. Staff confirmed that they have received supervision from the manager. We viewed a number of certificates during this inspection. The electrical installation certificate is valid until August 2010, Portable Appliances Test Certificate is valid until 19/08/09, Landlords Gas Safety Certificate is valid until 28/07/09, the stair lift was last tested on 26/02/08, the manager has requested to have the stair lift tested. Hoists have been serviced in April 2008. The home has a fire risk assessment in place and fire records are up to date. The manager is undertaking monthly Health and Safety checks. Staff told us that the home has a Health and Safety policy, which they read as part of their induction. The Mayfield DS0000017548.V365963.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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 2 X 3 X X 3 The Mayfield DS0000017548.V365963.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 OP12 Regulation 16(2)(m) Requirement The registered person must ensure that people using the service can choose from stimulating and interesting activities. The registered person must send a copy of the annual quality assurance report to the Commission for Social Care Inspection. Timescale for action 01/12/08 2. OP33 24(2) 01/11/08 The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 25 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. Refer to Standard OP8 OP9 Good Practice Recommendations The registered person should include all residents on the nail and foot care list. The registered person should contact the dispensing pharmacist and inform him of the mistake he made when dispensing medication to one of the people using the service. The registered person should fill the post of the activity co-ordinator to ensure activities for people using the service are organised and arranged. The registered person should ask all Asian residents if they want to have the second lounge for their use and want to have an area to do their prayers. 3. 4. OP12 OP12 The Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Mayfield DS0000017548.V365963.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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