Inspection on 05/11/09 for Walton Lodge

This is the latest available inspection report for this service, carried out on 5th November 2009.

CQC found this care home to be providing an Good 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

Walton Lodge 30/04/09

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

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John Street Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 18/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Walton Lodge 316 Bawtry Road Doncaster S Yorkshire DN4 7PD     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: Sarah Powell     Date: 0 5 1 1 2 0 0 9 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 25 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) 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 25 Information about the care home Name of care home: Address: Walton Lodge 316 Bawtry Road Doncaster S Yorkshire DN4 7PD Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Wendy Lloyd Type of registration: Number of places registered: care home 13 Walton Lodge Ltd Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Walton Lodge is a care home for adults ages 18 - 65 with severe learning disabilities and autism. The home can accommodate up to thirteen clients. The home is a converted large modern bungalow with extensive and secure gardens. It has been extended and separated into two units. One unit is for four clients to practice independence skills. The home is on the bus route into town and close to some local amenities such as shops and pubs. The home also has a minibus. The home provides staff over twenty-four hours. They also employ a maintenance person. The current weekly fees were £1650 - £2578 however these vary depending on peoples needs, for further information you should contact the home. Additional charges are made for outings, toiletries and various activities. 1 5 0 5 2 0 0 9 13 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 25 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 peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been revised or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced visit, which took place on 5th November 2009, commenced at 09:30 and finished at 15:30 hours. Since our last key inspection the registered managers employment had been terminated. A management consultant was employed by the provider in the role of acting manager until a new manager is appointed. Care Homes for Adults (18-65 years) Page 5 of 25 A random visit also took place on 8th September 2009 to check compliance with the requirements detailed in the warning letter sent following the last key inspection on 15th May 2009. At the random visit good progress had been made with the requirements and quality outcomes for people had improved. We had also assisted Doncaster safeguarding during their investigations following a number of referrals and visited the home on 15th June 2009 and 25th June 2009 with a contracts and monitoring officer. This inspection visit included talking with people living at the home, a number of professionals, the acting manager and seven staff. During the visit we also walked round the building to gain an overview of the facilities. We also checked a number of records. We sent out survey to gain peoples view and three were completed and returned. We also received reports from Doncaster Contracts Officers and a Public Health Officer. The acting manager had completed an annual quality assurance assessment (AQAA). The AQAA focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. The information in the AQAA was detailed and comprehensive. Full feed back was given to the acting manager during the visits and at the end of the visit full feedback was given to the two deputy managers, finance manager and acting manager. Care Homes for Adults (18-65 years) Page 6 of 25 What the care home does well: What has improved since the last inspection? Care plans have all been rewritten the ones we looked at were comprehensive identified peoples needs and had measures in place to meet those needs. Contracts officers from Doncaster Council had also looked at care plans they told us, the care plans are very good, the people placed from Doncaster have been reviewed and all actions from reviews were captured in care plans, which were regularly reviewed to reflect changing needs. Community links and social activities had improved with peoples choices taken into consideration. The acting manager also told us this was being improved further to make it person centered ensuring peoples needs were met. Health care needs were identified and met, health care professionals advice was sought and recommendations followed. Evidence of this was seen in the care plans we looked at. Information was clearly recorded in well organised plans of care, so staff could see any changes that had occurred and input form health care professionals. Safeguarding procedures had improved all staff had received training and staff we spoke to understood safeguarding procedures and what do do should an alleged incident occur to protect people. The building work following the fire had been completed and the redecoration programme had commenced providing a well maintained home for people who live there. Staff training had commenced, most staff had completed the mandatory training and specific training was also being identified and implemented to ensure a well trained staff group look after people. Recruitment had also improved with all necessary check carried out prior to someone being offered a job. This ensured people were protected. The home had benefited from good leadership in the last few months with the acting manager. Staff told us we seem to be back on track now things are much better and we are doing things correctly now. Care Homes for Adults (18-65 years) Page 7 of 25 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 8 of 25 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 9 of 25 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. Peoples individual aspirations and needs are assessed to ensure they can be met. Evidence: We looked at three peoples files and the assessments had been reviewed to ensure all peoples needs had been assessed and identified. The people had all also received a recent review from the placing authorities, these were seen in the plans of care we looked at. This enabled staff to see the information and if necessary review care plans with any changes to the persons needs. The acting manager had rewritten the admissions policy and had produced a new service user assessment, to be used for all new perspective clients. We looked at these documents, the assessment was comprehensive and would enable all needs to be identified. The admissions policy clearly detailed the people who would be able to live at Walton Lodge, which was in line with the homes equality and diversity policy.This will ensure people are properly assessed and their needs identified to ensure Walton Lodge can meet their needs before a place is offered. Care Homes for Adults (18-65 years) Page 10 of 25 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 were detailed in a plan of care and they were supported to take risks. This meant peoples individual needs and choices were met. Evidence: We looked at two peoples plans of care in detail. The plans had been rewritten since the last key inspection and were very good. The care plans were comprehensive, had identified all needs and how to meet them. Risks had also been identified and risk management measures in place to ensure people were able to lead the life they wanted. Peoples limitations due to their disabilities were clearly recorded and people we spoke to told us that staff understood their problems and how to look after them. The plans had established procedures in place for people who were likely to present with challenging behaviour to ensure staff were fully aware of what to do if this occurred and safeguard people. The plans were drawn up with the involvement of the person and their families, the Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: plans were made available in formats that people were able to understand ensuring peoples goals and aspirations were included. This showed that people were able to make decisions about their lives. Staff we spoke to told us that the care plans were really good they now understood what was written and how to meet peoples needs. They also told us that the recording of any changes was always carried out. The new systems for recording changes had been made simple and was easily referenced in care plans, ensuring staff were always aware of any changes to peoples needs and their care. The acting manager had also included evidence that the mental capacity act had been taken into consideration, with regard to peoples capacity and choices this ensured peoples needs were identified and met allowing them to make choices and decisions regarding their care. The acting manager also told us she was aware people needed to be reviewed for deprivation of liberty to determine whether an assessment was required. This would ensure people were not being unlawfully deprived. Care Homes for Adults (18-65 years) Page 12 of 25 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. People had a say about how they lived their life and were supported to achieve goals and aspirations. This meant that people had a lifestyle they were happy with. Evidence: The acting manager had implemented new activities arranged daily for the people based on their choices. The acting manager told us that the staff were organising pictures of activities to provide a picture based activity board for people. This would enable people to choose different activities by looking at the pictures. The activities introduced were varied and met peoples needs. The staff were also looking at appropriate jobs or training that would meet peoples needs.This would ensure that people are given the opportunity to gain skills on college courses and to do voluntary and paid work within the local community. Staff supported people to have relationships with family and friends and some people Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: had regular contact with family, ensuring their needs were met. Staff spoken to were aware that relationships had to be appropriate to protect people due to their learning disabilities they were not always able to make an informed decision. People were offered a healthy diet and often did the shopping with a support worker. Some people depending on their disabilities helped prepare their meals and were able to get a drink from the kitchen when they chose with help from staff. We looked at records of meals provided the choices were varied and showed people had choices. There is a full time cook employed who prepares the lunches and evening meals, this allows care staff to continue to support people and not have to prepare meals. The staff told us it is much better having a cook to organise the meals and meals are much better than before. The records we saw showed a varied, wholesome, nutritious and flexible diet had been provided to meet peoples needs. Staff told us people enjoyed their meals and mealtimes, they were able to choose what they wanted to eat, although a healthy diet was promoted and encouraged. Ensuring the people ate a balanced diet. A visit by the local Environmental health officer had been carried out in August 2009, we were shown a copy of there report, they had awarded Walton Lodge a 3 star good rating. Care Homes for Adults (18-65 years) Page 14 of 25 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 health care needs were met and they were supported in the way they preferred. Medication procedures protected people. Evidence: The health care needs of the people we looked at in detail were met and regular input from health care professionals obtained. This was clearly documented in the plans of care by staff and the visiting professionals. Any change in needs was clearly evident in records to ensure staff were aware of any changes ensuring peoples needs were met . Personal support was offered to people according to their individual needs and what was recorded in their care plan. Staff promoted peoples independence by encouraging self help and making choices. People had access to health care services. The records showed that staff supported people to attend appointments and visit local health care services. There was evidence that staff received training in relevant health care matters. This meant staff had knowledge to help them support people appropriately. Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: We spoke to two health care professionals they were very pleased with the improvements in the care provided. They told us it is like a different service now, staff are well trained, understand peoples needs and would certainly consider placing people at Walton Lodge. This is in complete contrast to what was happening six months ago when peoples needs were not being met. We observed People treated with respect and privacy and dignity upheld. During the visit we observed staff interacting well with people. One person told us the staff are lovely I am happy. Medication procedures were good, the acting manager told us all staff who administered medication had received medication training and the acting manager regularly checked competencies to ensure safety of people. We looked at medication records there was good records of medication received, administered and disposal. This ensured people received their medication as prescribed to meet their needs. Some records we looked at did not always put the amount of medication carried over from the previous medication administration record. This could cause some confusion as to the number in stock, or when a repeat prescription is required. The acting manager told us this would be rectified and all medication carried over, to ensure staff were aware of correct supply in stock to ensure peoples needs are met. The medication store room was monitored for room temperature the records showed it was at 24 - 25 degrees centigrade this was the maximum temperature some medication should be stored at. The acting manager agreed to monitor the temperature and look at methods of reducing the temperature should it go over the recommended temperature. This will ensure medication is kept at the required temperature. Care Homes for Adults (18-65 years) Page 16 of 25 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. People were protected by the homes complaints and safeguarding procedures. Evidence: There was a comprehensive complaints procedure. This was provided in writing and explained to people using the service and their relatives at the time of admission. The acting manager told us there was a complaints procedure for staff to follow and records would be kept of all concerns and complaints received. There was no complaints recorded and the acting manager told us there had been no complaints. In May and June 2009 following our key inspection it was identified by CQC, Doncaster contracts and Adult Safeguarding Officers that there had been a number of safeguarding issues that had not been referred, this put people at risk of potential harm. Consequently a large number of safeguarding referral were made, the reasons why they had not been referred were lack of staff training , little understanding of safeguarding and poor management. Following a meeting with the provider as part of the safeguarding process, the provider, following guidance from Commissioning Managers at Doncaster Council, appointed a management consultant to oversee the home and improve standards and care. The acting manager was appointed in July 2009 since this time referrals have gradually reduced. This is because staff are better trained and understood how to Care Homes for Adults (18-65 years) Page 17 of 25 Evidence: meet peoples needs. All referrals Since the appointment of the acting manager have been referred correctly and all necessary action taken to protect people. The appointed Safeguarding Manager at Doncaster Council told us she is satisfied all safeguards are in place at Walton lodge to protect people and has set a date to case conference the referrals and is hoping following this, it will be closed to safeguarding, this demonstrates the improvements made over the last three months. There was a robust safeguarding procedure in place and staff we spoke to were able to tell us the action they would take if an allegation of abuse was made or if they had any concerns about how people were being treated. They told us they had received training since our last inspection. This was supported by staff training records. This ensured people were protected. Care Homes for Adults (18-65 years) Page 18 of 25 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. The home was well maintained clean, pleasant and comfortable ensuring people lived in a safe environment. Evidence: There had been a fire at the home in March 2009 and following this major building work was completed. This had been finalised in September 2009 and following that the redecoration of all rooms had commenced. At the time of this visit most rooms had been completed, the main area still to be completed was the corridor to the bedrooms. The rooms had been redecorated in consultation with the people who lived there to ensure people were given choices and their views were listened to. The standard of cleanliness observed throughout the home was a good standard ensuring people lived in a clean environment. A new laundry room had been provided and food storage area this had been inspected by a public health officer who was satisfied with the arrangements put in place to ensure prevention of cross contamination and infection Care Homes for Adults (18-65 years) Page 19 of 25 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. Staff were appropriately trained, the recruitment procedures were robust ensuring people were in safe hands at all times, had their needs met and were protected. Evidence: Staff training had greatly improved since our last visit, staff told us they received the training they needed to do their jobs. The records showed that staff attended essential training. These included, first aid, food safety, fire safety, adult safeguarding, health and safety. Staff also received specialist training which helped them approach the more challenging elements of supporting people with confidence and competence. These included, autistic spectrum disorder and non abusive psychological and physical intervention (NAPPI). The recruitment procedures were robust. We looked at two staff files, they were well organised and contained evidence of all necessary checks being made. They included, criminal record checks, taking up references, interviews and verification of identification Care Homes for Adults (18-65 years) Page 20 of 25 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. Current management and administration safeguards people, good health and safety policies and procedures were in place ensuring the safety of people in the home. Evidence: The registered manager was no longer working at the home, the management consultant was employed in the role of acting manager by the provider and had been working full time in the home since July 2009. The acting manager told us that the Managers post was to be advertised the week commencing 9.11.09 and that they were looking for a highly experienced person with specific qualifications in learning disability and challenging behaviour. This would mean they could continue the work so far, to improve the standards and quality outcomes for the people living at Walton Lodge. The acting manger also told us she would stay at the home until the appointment of the manager and would then stay to familiarise the successful applicant through an induction programme. This would ensure the new manager was confident in post Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: before she left. The acting manager had recommenced quality monitoring to ensure people were listened to and there view underpinned any development in the home. The home had a comprehensive health and safety policy. We were able to evidence that regular maintenance of equipment and systems was carried out. Risk assessments were carried out on all safe-working practices, regular audits were carried out on the building and all accidents were properly recorded and reported ensuring people in the home were safeguarded. The recording of accidents and incidents had considerably improved all incidents we looked at were clearly documented and easy to find in an indexed care plan. All accidents were audited and any high number of incidents investigated to ensure people were protected. Care Homes for Adults (18-65 years) Page 22 of 25 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 23 of 25 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 2 3 4 5 20 20 24 35 37 The medication store room is kept below the recommended temperature of 25 degrees centigrade. Medication from the previous Medication administration sheet is carried over to current record. Continue the redecoration programme to ensure people live in a well maintained home. Continue the training programme to ensure all staff have received all training required to meet peoples needs. Appoint a registered manager who is appropriately qualified, competent and experienced to run the home. Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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