Inspection on 19/03/10 for Hall Park Drive (67)

This is the latest available inspection report for this service, carried out on 19th March 2010.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hall Park Drive (67) 22/11/05

Hall Park Drive (67) 02/11/04

Hall Park Drive (67) 15/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 25/04/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Hall Park Drive (67) 67 Hall Park Drive Lytham St Annes Lancashire FY8 4QZ     The quality rating for this care home is:   three star excellent 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: Tony Brindle-Wills     Date: 1 9 0 3 2 0 1 0 This is a review of 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 2 1 0 stars - excellent stars - good star - adequate 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. that people have said are important to them: They reflect the things 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 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Hall Park Drive (67) 67 Hall Park Drive Lytham St Annes Lancashire FY8 4QZ 01253737917 01253737917 kay.bishop@fyldecommunitylink.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Fylde Community Link Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 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: Learning Disability - Code LD The maximum number of Service Users who can be accommodated is: 6 Date of last inspection Brief description of the care home 67 Hall Park Drive is a small care home for adults with learning disabilities, registered for six people. The well-established voluntary organisation, Fylde Community Link Ltd is the registered provider. The home is a large detached bungalow with wellmaintained garden areas, including a secluded rear garden. The main living area consists of a large open plan lounge/dining room. Bedrooms are all single and are decorated and furnished to a high standard and according to individuals needs and preferences. The home has specialist bathing facilities suitable for people with mobility difficulties. The staff team support individuals in all aspects of daily living and personal care, according to their assessed needs and as identified via the care planning process. People living at the home are supported and encouraged to maintain and develop their independence and take part in all aspects of community living. The staff team are Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 6 Brief description of the care home supported by an experienced and established team of managers and an organisation, which has developed a variety of community based services for adults with learning disabilities in the Lytham St Annes area. Care Homes for Adults (18-65 years) Page 5 of 26 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: three star excellent 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 peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. Our visit was unannounced and lasted approximately six hours. Prior to this visit, the registered manager sent us her Annual Quality Assurance Assessment (AQAA - a self assessment form completed by the provider). It was detailed, and of a high standard. Questionnaires were sent out prior to our site visit, and many were returned. The comments we received about the service were positive. Whilst at the home we looked a number of records; care assessments and care plan files, care reviews, personnel and training records, staff meeting minutes, health and safety records. We talked to people who live at the home. We also spoke to the staff who work there. We also watched how the staff interact and support people living at the home. Care Homes for Adults (18-65 years) Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 26 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 8 of 26 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. The approach to the way admissions would take place makes sure that that peoples care and support needs are assessed before a decision is made as whether they can move in. Evidence: The project leader explained in detail the admissions process that would be followed if someone wanted to move into the home. He said that this would involve obtaining a local authority care needs assessment (if one was available) so that the staff could familiarize themselves with the persons needs. Opportunities would be created for staff from the home to meet with the potential new person and their family, and the services own detailed assessment would also be completed. Visits to the home by the prospective new person would also take place so they could have a look around the house and meet the people living and working there. This would give everyone involved in the move an opportunity gather as much information as possible about the property and the persons needs so that a decision could be made about whether the move would be appropriate or not. The records show that no new admissions to Hall Park Drive Care Homes for Adults (18-65 years) Page 9 of 26 Evidence: have taken place for some time. Care Homes for Adults (18-65 years) Page 10 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples individual needs are met, and people are given opportunities to express choices. The existing system for assessing risk and developing ways to minimize those risks in order to maintain peoples safety and independence, should be enhanced to ensure that risk assessments are tailored to peoples specific and individual needs. Evidence: The Project Leader explained that consideration of the full assessment of need and risk assessments carried out before admission to the home is undertaken when care plans are developed. He added that if possible, discussion with the person about their care needs takes place, and discussion about their short and long term goals, aspirations, skills, abilities and healthcare needs. The records show that this information is currently being updated and adapted to meet peoples needs in a more person centred manner. held in different ways. Risk assessments are kept available for the staff to read and familiarize themselves with, care plans in the form of an Essential Lifestyle Plan have been developed, and other records relating to the person are held on computer. The project Leader explained that the development of the Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: Essential Lifestyle Plans have been interesting and helped the staff to work closely with people in looking at the ways they want to live. One staff member said that put the plans together has helped to discover what is important to a person in everyday life, and has really helped in identifying what support the person requires and any issues of health and safety particularly from the perspective of the person. The Essential Lifestyle Plans were found to be written in a person centred manner and contain good levels of information relating to peoples specific health and social care needs, and are used by the staff to provide individualized care. The Project Leader explained that information is continually added to the documents as the staff learn more about a person or when their needs change, adding that they are a working document. We found up to date and risk assessments that relate to various tasks and activities that people take part in. Some risk assessments were found to need more detail in them so that they were personalized and specific to the person e.g. the size of sling to be used if a hoist is used to transfer a person, or, details of how frequently a persons blood sugar levels should be checked. The records show that whenever possible and depending on a persons capabilities, details about risks are given to people so that informed choices can be made by them about activities they take part in. When a person is unable to fully understand the information or risks presented to them, then the records show that appropriate considerations are made and discussions take place with the relevant third parties regarding any restrictions placed upon individuals so as to promote their health and welfare. Feedback supplied by people who completed our survey showed that they were satisfied with the way peoples health and personal care needs are met. One relative said, The staff are very good at what they do and They always want to do the right thing for my relative. Care Homes for Adults (18-65 years) Page 12 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The social needs of people at the home are well met, and the meals on offer meet their dietary needs. Evidence: The Project Leader told us that people take part in a variety of activities both inside and outside of the house, however, this is very much dependent on their capabilities, age and health. These include craft work, cooking, meals out, leisure pursuits shopping, walks and holidays. The records showed that people take part in a variety of community based and in-house activities linked to their individual needs and interests. Feedback from people our survey showed that they believed there to be a wide range of activities on offer to people at Hall Park Drive with one saying person saying ,My relative gets to go out and theres always something to do. Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: The menus were seen to offer people a variety of meals, with a good nutritional balance, and in some cases very specialized and individualized to take account of specific health issues. Staff confirmed that some people do take part in meal preparation, and people told us that they can access the kitchen at all times, with help if needed. Care Homes for Adults (18-65 years) Page 14 of 26 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. Peoples healthcare and personal care needs are met by the staff team. The use of pharmacy supplied medication administration records would further enhance the systems relating to the administration and safe keeping of medication held at the home. Evidence: The Project Leader told us that peoples individual personal and healthcare needs are documented within their care plan records and risk assessments. He added that people are supported to attend healthcare appointments with their local GP, or other healthcare professionals. The records were found to be in good order, and we found that the service does use Health Action Plans (an individual plan, belonging to a particular person, that explains that persons health needs.) These were found to be in good order, accurate and up to date. We checked the systems relating to the way medication is looked after for people living at the home. Information held within the staff training records show that staff have had training in this area. We checked the stock balances of 4 different medications and found them to be correct. We checked the record sheets relating to Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: the medication held at the home, and found these to contain the correct information. However, we did find that the service does not currently use the Medication Administration Records (MARs) that are routinely provided by their dispensing pharmacist. We advised the Project Leader that the use of these MARs is seen as a point of good practice, as the sheets accurately contain all the details of the various medications supplied to the home, and the design of the MARs allows staff not only to record when medication has been administered, but when medication is not given or refused, and more importantly, the reasons why. We added that using this system helps when counting medication, checking on totals if disposals are needed, and when medication audits take place. The Project Leader made enquiries with the pharmacists, and arrangements are in place for the new MARs to be delivered once a new batch of medication is delivered at the start of April. The care plan files of two people showed there is record of peoples personal and healthcare needs, that is clearly presented, in a person centred, positive and detailed way. We talked to the staff about peoples needs, and they showed a thorough awareness of peoples individual needs and requirements. We saw that the staff respond to people in a sensitive and responsive manner, showing them respect and enabling them to take the lead in the care and support they receive. People who completed our survey said that they are very satisfied with the way people are supported with their healthcare needs. Care Homes for Adults (18-65 years) Page 16 of 26 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. Peoples concerns and complaints are dealt with effectively and there is good awareness by staff in relation to safeguarding issues. Evidence: People who completed our survey said that they fully understood the complaints procedure. The Project Leader told us that the procedure for complaining is displayed in the home, and is given to people within the homes Service User Guide. He added that the service has not received any formal complaints since the last inspection in 2007, however, if people at the home, or their relatives have concerns or issues about the care and support offered at the home, then both and offer staff members are always available to deal with these immediately. Appropriate records relating to this were found in peoples files. One staff member explained that that for some people, complaining may be difficult due to either a reluctance to do so, or a lack of capability. She told us that the staff are trained to look for signs of when people are feeling uncomfortable or worried, unsettled or upset. She said that staff would try and discuss issues with people and deal with their problems. If needed, they would also make efforts to access relevant agencies such as advocacy services, or the persons social worker. The detailed adult safeguarding procedures operated at the home were found to be satisfactory, and the staff training records show that staff have had training in Care Homes for Adults (18-65 years) Page 17 of 26 Evidence: safeguarding, and other training such as de-escalation techniques when dealing with people who challenge the service. Two staff members gave a clear and detailed explanation of what to do if they suspected abuse or if it were alleged that someone had been abused. People who responded to our survey said that they believed their relatives to be safe living at Hall Park Drive. Records held by the Commission and by the service show that in 2009 an investigation took place at the home into alleged financial abuse. The financial accounts of several people living at the home were scrutinized, and evidence to indicate that improper financial transactions had taken place was collected. Following this investigation, the procedures relating to financial transactions have been changed and strengthened in order to reduce the possibilities of financial abuse taking place in the future. Care Homes for Adults (18-65 years) Page 18 of 26 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 live in a clean and tidy home that suits their needs. The planned redecorating of some parts of the home would further enhance the living environment at Hall Park Drive. Evidence: A look around the home found that people live in comfortable, clean and tidy environment. The Project Leader explained that the people living at the home had been involved in deciding a new colour scheme for the communal areas, as these areas were in need of redecorating. He added that work to re-decorate these areas will take place soon after quotes for the work had been received. We found appropriate infection control measures in place such as hand-washing and laundry facilities. Two people let us have a look in their bedrooms, and there were found to be personalized. The registered manager explained that people can access the kitchen, and get involved in meal preparation. This was confirmed by people living at the home. People have access to to the garden at the rear of the home which is tastefully laid out and accessible to people with mobility problems. Care Homes for Adults (18-65 years) Page 19 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are competent and receive regular training, this enables them to offer support to people which inclusive and individualized. Evidence: The Project Leader explained the recruitment procedure in detail, indicating that not only is he and his management team are involved in acsessing a persons suitability to work in the home, but the people living in the home get involved in this also. Records relating to these were seen. The records show that people undertake an induction when they start work, and are on probation for 6 months to assess their suitability for the job. Prior to starting work, employment checks are undertaken such as a criminal records bureau check and a check against the Protection of Vulnerable Adults List. Records relating to these were seen and found to be satisfactory. Discussions with staff at the home confirmed that they have been involved in induction training and that pre-employment checks take place. The staff rotas showed that the staffing levels are very good, and this was confirmed through observations made on the day. People who completed our survey said that they believed there to be a very good ratio of staff to people living at the home. Relatives and social workers see this as positive Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: as it means that a number of opportunities can be created to support people with activities. The staff training records show that the staff have been involved in a number of training courses specific to the work they do. The staff who were spoken with confirmed that they received formal supervision on a two monthly basis, and this was confirmed with information contained within peoples personnel records. The records show that more than half the staff team have a relevant NVQ II qualification in care. People who completed our survey said: the staff are wonderful; the staff always want to do their best for everyone; the staff are always doing training but always find the time to do their work as well; there are always enough staff around the place. We did receive surveys from staff members at the home who said that there should be a group of bank staff who could be called upon if needed, particularly if people at the home need to attend hospital appointments. We discussed this with the Project Leader who explained that if extra are required then the existing staff team usually pick yup the hours as extra, or a request is made from within the organisation for staff from other establishments to come to work at the home. He added that this system seems to work quite well, and that staff appear to be satisfied with it. However, he did say that he would keep an eye on the rotas and also encourage the staff team to talk about this issue via staff meetings and individual supervision. Care Homes for Adults (18-65 years) Page 21 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well run by a manager and management team that are approachable, and fully aware of the need to keep people safe. Evidence: The manager of the home is registered with the Commission and has the appropriate qualifications and experience required by those who manage a service. The records held at the home shows that there are good quality assurance systems in place for auditing and monitoring the work undertaken at the home by the staff. The Project Leader explained that alongside these, spot checks on medication, care plans, money and the food prepared in the home are undertaken and records kept. These were found to be accurate and detailed. Staff also explained that the registered manager and her team often undertaken observations of care practice in order to give feedback on the work they are doing. Records at the home show that Effective quality assurance and quality monitoring systems are followed. The Project Leader was unsure as to if surveys are sent out to Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: stakeholders on an annual basis in order to obtain their views about the quality of care and support offered at the home. He explained that he would look into this issue with a view to ensuring that if surveys are not sent out, then they would be. Following the inspection, he confirmed that surveys are sent out to people, and supplied copies to the Commission as evidence. The Annual Quality Assurance Assessment document we received from the home was detailed and contained good levels of information that we able to cross reference with evidence in the home. The accurate and up to date records showed us that appropriate health and safety checks are undertaken by staff at the home, and any issues that arise as a result of these are dealt with appropriately. The personnel and training records showed us that staff undertake relevant health and safety, and fire training. People who completed our survey said that the service was well run, with one relative saying, the management team are excellent. A healthcare professional said,this service is well run, and the management team are very approachable. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R 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 24 of 26 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 Requirement 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 Requirement Timescale for action 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 1 9 The existing system for assessing risk and developing ways to minimize those risks should be enhanced to ensure that risk assessments are tailored to peoples specific and individual needs. The use of pharmacy supplied medication administration records would further enhance the systems relating to the administration and safe keeping of medication held at the home. The planned redecorating of some parts of the home would further enhance the living environment at Hall Park Drive. 2 20 3 24 Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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