Inspection on 15/09/09 for 10 Exmoor Crescent

This is the latest available inspection report for this service, carried out on 15th September 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

10 Exmoor Crescent 24/07/06

10 Exmoor Crescent 12/01/06

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Extracts from inspection reports are licensed from CQC, this page was updated on 24/11/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: 10 Exmoor Crescent 10 Exmoor Crescent Durrington Worthing West Sussex BN13 2PL The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Edward McLeod Date: 1 5 0 9 2 0 0 9 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. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 30 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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. 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 Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: 10 Exmoor Crescent 10 Exmoor Crescent Durrington Worthing West Sussex BN13 2PL 01903693050 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Outreach 3 Way Name of registered manager (if applicable) Ms Ann Sheppard Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 learning disability Additional conditions: The maximum number of service users to be accommodated is 3. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home 10 Exmoor Crescent is a care home registered to provide accommodation for up to three adults with a learning disability. The property is a detached bungalow with three bedrooms situated in a residential area of Durrington. The garden is at the side of the property with an enclosed paved area to the rear. The establishment is close to some local shops and is approximately five miles from Worthing town centre. Outreach 3 Way owns the service. The responsible individual on behalf of the providers is Ms Catherine Sweeney. At the time of our visit there was not a manager registered for the service. The current weekly fees are 1763 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home The visit was arranged to update our assessments of the homes compliance with the Key National Minimum Standards for Care Homes for Adults 18-65 and the Care Homes Regulations 2001. The visit took place on the 15th September 2009 and lasted from 12.45 p.m. until 4 p.m. In preparing for this visit we looked at all the information that we had received or asked for since the last key inspection and 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. The AQAA was received by the due date and included the information we asked for. We also took into account what the service has told us about things that have happened in the service, what other people have told us about the service and relevant information from other organisations. Some of the information received before our visit has been included in this report. Care Homes for Adults (18-65 years) Page 7 of 30 During our visit we spoke with two people living in the home, a member of staff and the manager. Records and policies and procedures we sampled during our visit included the pre admission assessments for two people living in the home, the care plans for two people living in the home, recruitment records for two members of staff and training records for four members of staff. Records including health and safety, complaints, medication and provider visit report records were also sampled. We observed interactions between staff and people living in the home, including during the serving of lunch. What the care home does well People are receiving good care and being enabled to be as independent as possible. People are receiving support with doing things they enjoy. A consistent level of care is being provided by staff who receive appropriate training and support. There is a homely and relaxed atmosphere Care Homes for Adults (18-65 years) Page 8 of 30 which people benefit from. One person living in the home was described as never having looked so happy and relaxed. What has got better from the last inspection What the care home could do better Medication arrangements could be made safer by written advice being provided for staff on the circumstances under which each persons as required medicines can be admininstered. Care Homes for Adults (18-65 years) Page 9 of 30 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Edward McLeod The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 01622724950 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 set out 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. Care Homes for Adults (18-65 years) Page 10 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this 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 are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about htem, what they hope for and want to achieve, and the support they need. Evidence: The people accomodated have been living at the service for the past four years. We sampled the pre-admission assessments completed for two people, and found that their needs had been assessed and recorded before admission. The homes annual quality assurance assessment (the AQAA) tells us that the three people accomodated have a copy of the contract agreement between the funding authority and the service. This tells people the arrangements made for their care. The AQAA tells us that information on the service, such as the Service User Guide, is provided in an accessible format, and that where a person has been referred for admission part of the introduction to the service would be to attend two tea visits so they Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: can try out the home environment. Care Homes for Adults (18-65 years) Page 13 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is becuase the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. Evidence: We looked at the care plans for two people living in the home, which told us how the person is being supported with their care and achieving their goals. A member of staff we spoke to told us that the key worker records a monthly review of the care plan, and that the care plans are always referred to at the daily handover meetings to check that all the persons assessed needs are being addressed. We are told in the AQAA that staff support the clients to choose which clothes they wish Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: to wear, and what activities they wish to do. The AQAA tells us that staff keep a record of how the client has made choices or how they make themselves heard. During our visit we observed staff patiently sitting with people trying to understand their gestures, and staff were then able to meet the persons needs once the need had been understood. Staff we spoke to gave examples of how each persons independence is encouraged as far as possible, such as mobility and independence skills. The AQAA also tells us that one person is supported to do some of their room cleaning and laundry. Care Homes for Adults (18-65 years) Page 15 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow their personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have opportunities to develop their social, emotional, communication and independent living skills. Evidence: People have the opportunity to attend day centres and outside activities. For example, Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: one person has staff support in going bowling and to the pub and for walks on the seafront. One person had been supported to go shopping for new clothes the previous week. People had also taken up opportunities to receive therapies such as foot massage. The AQAA tells us that transport is provided to local events, shops, libraries, and leisure centres. Information about local events is discussed with people, and people have been supported to attend events like the local air show. Staff told us that invitations for open events in the home are sent to neighbours. The AQAA tells us that outings to local garden centres or tea rooms are discussed with people, and that people are supported to keep in contact with their families where possible. Visitors including family and friends are welcomed to the home and a room is available if people wish to meet privately. The AQAA tells us that people will sometimes enjoy being in the kitchen and helping prepare meals or loading the dishwasher. Staff are trained in food hygiene, and on the day of our visit two members of staff had been attending food hygiene training. For nutritional needs and specialist diets, the home has accessed information and/or training from local specialist teams and catering advisors. The AQAA tells us that balanced menus are produced based on client choice and nutrition and dietary needs and that mealtimes are flexible according to the persons choice and other things they are doing. One person who needs their food blended has each food item blended separately so individual flavours can still be recognised. People have a choice of where to eat if they sometimes wish to eat on their own. The home makes use of fresh ingredients in the meals. Lunch on the day of our visit was scrambled eggs and toast which were freshly cooked and well presented. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 personal support from staff in the way they prefer and want. Their physical and emotional healh needs are met because the home has procedures in place that staff follow. The home could do more to ensure that people are supported with managing their medication as safely as possible. Evidence: It was our observation during our visit that although people living in the home are often unable to verbally communicate their needs, that staff take the time to understand how people wish to be helped. Staff we spoke to also gave examples of how training in communication skills and disability awareness was helping them to better understand and meet peoples needs. Care records we sampled indicated that the persons health care needs were being regularly assessed and care plans were addressing health care needs. A member of staff we spoke to said that key workers took responsibility for ensuring that Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: health care appointments such as GP and chiropody visits were arranged and attended. During our visit we sampled records for the administration of medicines, and discussed with staff the arrangements for medication training, the receipt and return of medicines. We also sampled records for as required (PRN) medicines. We found one example where advice for staff (received from a district nurse) was recorded concerning how and when one type of one persons medication was to be given. We looked at the records for two other sets of PRN medication which were recorded for one person. We discussed with the manager that there did not appear to be recorded advice for staff on how and when the medication should or can be given. This would support the medication being administered safely and consistently by staff. A requirement has been made concerning this. Arrangements are in place for the safe and secure storage of medicines held in the home. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. If people have concerns about their care they or people close to them know how to complain. Their concern is looked into and action taken to put things right. The home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. Evidence: The service has a complaints policy and procedure in place. We sampled the record of complaints and found that complaints received were being recorded and investigated, and that the outcome of the investigation and any action taken was being given to the complainant. We looked at the arrangements for protecting people living in the home from harm. The manager told us that Mental Capacity Act assessments have been carried out for each person, and judgements about capacity have been reached. The manager told us that a specific assessment on each persons capacity to manage their finances is to be carried out by a social worker. We found that the home has a whistle blowing policy which staff we spoke to were aware of, and that staff have a copy of the local safeguarding procedures which they can refer to. Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: Training records we sampled indicated that staff are continuing to undertake training in safeguarding vulnerable adults, and staff we spoke to were aware of their responsibilities for reporting suspected or observed abuse. No safeguarding referrals have been made and no safeguarding investigations have been undertaken since our previous visit. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this 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 stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. Their room feels like their own, it is comfortable and they feel safe when they use it. Evidence: Improvements to the premises since our previous visit include the building and furnishing of a conservatory which is used for activities with service users and staff meetings and supervisions. A new carpet has also been laid in the hallway and lounge, and the hallway has been painted. We found that the home environment, including the gardens and grounds, are being well maintained and that arrangements are in place for repairs and renewal to be carried out when needed. We found that the communal areas are used flexibly for meals, meetings and activities, Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: and allow people to spend time together or on their own if they wish. We visited the three bedrooms in the home, which were all spacious, uncluttered and free of hazards such as trip hazards. Bedrooms have clear space that would be needed for use of a wheelchair or assistance with mobilising. Bedrooms had been decorated according to the persons preferences, and had been personalised with pictures and personal items which reflected the persons interests and personality. All bedrooms have en suite facilities, and equipment such as tracking hoists and specialist beds where these were needed. The AQAA tells us that all doors are wide enough for wheel chairs to go through, and that all adaptions and equipment are routinely checked and maintained as required. The communal bathroom is also spacious and equipment includes a specialist bath. The AQAA tells us that weighing scales have been obtained and a shower chair purchased. All areas of the home visited were found to be clean and odour free. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this 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 safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. Peoples needs are met and they are supported because staff get the right training, supervision and support they need from managers. Evidence: During our visit all three people accomodated were present, and we was observed that there were sufficient numbers of staff available to ensure that each persons individual needs were being met. It was our observation that staff had the skills, including the communication skills, to ensure that each persons needs could be met. We are told in the AQAA that in the past 12 months all new staff have had satisfactory pre-employment checks. We sampled the recruitment records for two members of staff employed since our previous visit and found that the required checks and references were being obtained for staff before they commenced work in the home. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: The AQAA tells us that when recruiting staff the importance of respecting the diversity of each individual, and promoting equal opportunities, respect and dignity are being emphasised. We are told in the AQAA that policies and training in place show the services commitment to equality and diversity. We are told in the AQAA that all staff are receiving training in communication skills, such as LDIA and dysphasia. This supports staff in understanding the communication needs of people living in the home. We sampled the training records for four members of staff and found that staff are continuing to receive the training they need, including training in topics such as autism and equality and diversity to assist them in meeting peoples needs. The AQAA tells us that 7 staff have achieved the National Vocational Qualification (NVQ) in care at level 2 or above. Staff we spoke to told us that they are receiving the training they need, and that they are receiving regular one to one supervision. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this 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 confidence in the care home because it is run and managed appropirately. Peoples opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. Evidence: At the visit we spoke with the manager for the service who has been in post since the 22nd June 2009, and she advised us that she has applied to be registered as manager of the service. The AQAA tells us that the manager has attained the NVQ in care at level 4 and the Registered Manager Award. Training records seen indicated that the manager has continued to update her knowledge and skills. A member of staff we spoke to said that there was a good atmosphere, people were very Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: relaxed, and this was encouraged by the homely environment. The AQAA tells us that the manager monitors the quality of the service provided by carrying out an annual quality audit, which includes obtaining the comments of people receiving a service. The manager told us that a specific assessment on each persons capacity to manage their finances is to be carried out by a social worker, and that independent appointeeship is being applied for where appropriate to protect people and assist them managing their finances. The AQAA tells us that there is an action plan in place for preventing the spread of infection, and that seven staff are trained in the control of infections. The AQAA tells us that six staff have undertaken training in safe food handling, and seven staff have been trained in nutritional assessment. Training records we sampled indicated that other health and safety training, for example fire training and moving and handling, are provided for staff. The home carries out a monthly health and safety audit and we sampled the audit carried out in August 2009. This indicated that health and safety arrrangements are being checked for all areas of the home, and things such as fire records, personal finances records and medication records are being checked. The AQAA advises of the most recent checks and services carried out on equipment in the home. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 20 13 The registered person shall make arrangements for the safe administration of medicines in the home. 23/11/2009 We found that clear advice to staff on administering as required (PRN) medicines to the individual was not always being recorded. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or 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. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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