Inspection on 23/05/07 for 111 Eastbourne Road

This inspection was carried out on 23rd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

111 Eastbourne Road 13/09/06

111 Eastbourne Road 22/02/06

111 Eastbourne Road 08/11/05

111 Eastbourne Road 01/02/05

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 111 Eastbourne Road Lower Willingdon Eastbourne East Sussex BN20 9NE Lead Inspector June Davies Key Unannounced Inspection 23rd May 2007 10:00 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 111 Eastbourne Road Address Lower Willingdon Eastbourne East Sussex BN20 9NE 01323 482174 01323 482174 111eastbourne@regard.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Regard Partnership Limited Mrs Dawn Robbins Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is nine (9). Only service users diagnosed with a learning disability are to be accommodated. Service users will be aged between eighteen (18) and sixty-five (65) years on admission. Date of last inspection Brief Description of the Service: 111 Eastbourne Road is a large detached two storey property situated off the main road between Eastbourne and Polegate. The home is a short walk from local amenities and a car journey from the main town of Eastbourne. The home is registered to provide residential care to nine younger adults with learning disabilities. Service user accommodation is provided by nine single bedrooms, all of which have en-suite facilities. An additional communal bathroom is situated on the first floor. Communal areas comprise of a large lounge, separate dining room and a games/activities/quiet room. A large and well-maintained garden is situated to the rear of the property. Parking is available at the front of the home. The Registered Providers of the service are The Regard Partnership. This organisation owns a large number of homes across England and Wales. Information received from the Manager details that the current range of fees at 111 Eastbourne Road is £1348.59 - £1827.08 per week. More detailed information about the services provided at 111 Eastbourne Road can be found in the home’s Statement of Purpose and Service User Guide copies of these documents can be obtained directly from The Regard Partnership. Latest CSCI inspection reports are on available on request from the home. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out over a period of five hours on 23rd May 2007. The inspector spoke with three service users, two members of staff on duty, the registered manager and looked at all documentation relevant to the standards inspected. Observations were also made of staff interaction with service users, and a tour of the home and garden took place. Service users all stated that they were very happy living in the home, and that staff helped and assisted them to lead the lifestyle they choose. Staff said that they were happy working in the home; they felt committed, and enjoyed working with the service users. The inspector also spoke with one relative and a care manager on the telephone both stated that they were more than happy with the standard of care provided to their respective service users, they also praised the manager and staff for the kindness, respect and interest they show towards the service users in the home. What the service does well: What has improved since the last inspection? Care planning has improved since the last inspection and steps are now being taken to ensure that all care plans are person centred, and where possible written by the service users themselves. Before this is introduced into the home all staff will be trained in the proper used of person centred care planning. Risk assessments are in place for all service users activities, which 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 6 may place the service user or service users at risk. Nutrition records are kept for all service users. On the day of the key inspection there were no unpleasant odours in the home. Since the last inspection the manager is now a registered manager. The registered manager has developed external stakeholder questionnaires, which are now being integrated into the homes quality assurance system. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 and 4 Quality in this outcome area is excellent. Each service user is aware of their role and responsibilities in the home. Service users move into the home knowing that their needs can be met and that their independence will be maximised and promoted. Service users know that their goals and aspirations will be supported by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Regard Partnership has developed a holistic pre-admission assessment for prospective service users. All three pre-admissions viewed showed that very detailed information had been gained prior to the service user moving into the home, and together with Care Manager assessments gave excellent information as to the care needs of the service users, and also provided good information on which to base a care plan. Part two of the pre-admission assessment is completed when prospective service users visit the home. The initial visit of the prospective service user only last a few hours, these visits are then built up to overnight stays, and any further information gained during these visits is then recorded onto part two of 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 9 the pre-admission assessment and again used in the initial drawing up of the care plan. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 Quality in this outcome area is good. Service users know that their personal goals are reflected in their individual plans and that potential risk are managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two care plans viewed showed that they had initially been developed from preadmission assessments. The care plans were well ordered being sectioned off which made access to information easy. Both care plans showed detailed information relating to the aspirations, health care needs, mental health needs, monitoring charts, personal care needs, stakeholder involvement including visits, risk assessments, consents and targets for each service user. Evidence was also available to show that the service user, families and care manager had been involved in the drawing up of these care plans, with signatures of those involved. Some parts of the care plan were in pictorial form to assist the service user in understanding what their care choice are. The care plans 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 11 showed that they are initially reviewed in the first three months followed by six monthly reviews. The home is in the process of developing a more person centred care planning system, giving the service users more involvement and understanding. All staff will be trained in person centred planning prior to this being introduced into the home, and evidence was available to show that these training sessions have been booked. Each care plan viewed showed that the service users are given the opportunity to make decisions relating to their everyday lives – which college courses they wish to attend, trips out into the community, food likes and dislikes, where to go on holiday, and what activities they would like to be involved in. Key workers are then available to support their service users in achieving their decision making, and recording their achievements. Service users are encouraged to manage their own finances, and personal allowances are paid directly to them. Each service user has a locked secure unit in which to keep their money. Where a service user chooses that the registered manager should look after their personal allowance for safekeeping, stringent protocols are in place to ensure that the service users money is kept safely and well accounted for. The care plans viewed showed that each service user is risk assessed for activities they wish to perform, with clear guidelines for staff to ensure the level of risk is kept to a minimum. Through discussion with one service user who had set themselves an achievement goal, a clear risk assessment had been developed, which involved minimal support from staff in the first instance of this goal being achieved leading to less staff invention as the service user became more confident and aware of their own risks. The home has a written missing person policy and procedure, which at the time of this visit was in the process of being reviewed by ‘The Regard Partnership.’ 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15 and 16 Quality in this outcome area is good. Service users are supported to maintain their own interests, and links with the community and this enriches the social and educational opportunities. The meals in the home are good offering both choicer and variety and catering for special diets. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Through conversation with service users, staff and information contained with service users individual care plans; all service users attend college to participate in their chosen programmes. Each year service users are sent a programme of college courses from Seaford Head College, a co-ordinator from the college then visits the home to help each service user draw up a plan of 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 13 courses they would like to attend for the next year. One of the service users in the home has achieved ‘The most improved student’ award for this year. Two service users in the home are involved in voluntary employment. All the service users are involved in the local community, visiting the local shops, supermarkets, going to the bowls centre, theatre trips, mencap club nights, trips out into the community, walking in local parks. All activities were recorded in the service users individual care plans. The home has it’s own transport, which is generally used by the service users, but they also have access to local buses and occasionally use a train. Service users also have the choice of flying abroad for annual holidays. Service users family links are maintained. One service user said that they have daily contact with their family, and return to their family home every two months; another service user said that they were about to visit their family for a week’s holiday. Three service users said that their families were welcomed into the home. The registered manager arranges several parties during the course of a year and families are always invited and do attend to support the home. Through conversation with service users, it became evident that they are able to develop personal relationships if they wish to. The service users, staff, care plans and evidence in the form of task lists show that service users are very much involved in housekeeping tasks around the home, such as cooking, cleaning their own rooms and communal rooms, doing their own laundry and keeping the garden neat and tidy. Two service users stated that they were able to lock their own bedroom doors and that staff always knock before entering their bedrooms. Service users are able to open their own mail, and key workers are available to read and explain to service users who are not fully able to understand the contents of their letters. Care plans state the service users preferred term of address. Through observation the inspector saw evidence that staff interact on a one and collective basis with the service users. All service users have access to a safe and secure garden area, and are also able to entertain their visitors in the garden if they wish to. Menus showed that service users are offered a varied and nutritious diet. These menus are developed by the service users in their own meetings, which is chaired by one of the service users. All service users are offered three meals a day, breakfast, lunch and high tea. Service users are able to choose whom they eat with and when they eat. All care plans had weight charts and nutrition is checked regularly, one service user is on a weight loss programme supervised by a dietician, and evidence was available to show that the diet being followed is successful. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good. Personal care is offered in a way to protect the service users privacy and dignity and promote independence. The health needs of the service users are well met with evidence of good multi disciplinary working taking place on a regular basis. The systems of medication administration are generally good, but some improvements need to be made to ensure that service users are not placed at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual care plans give detailed information as to the extent of personal support that each service user needs, most of the service users are able to carry out their own personal hygiene with discreet supervision from staff. Service users are able to choose clothing that reflects their personality, and on the day of this key visit were well dressed. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 15 Care plans detailed the level of support that each service user requires to maintain their own healthcare needs. Detailed records are kept of all visits to and from healthcare professionals. The Regard Partnership has developed good policies and procedures relating to the administration of medication and self-administration and epilepsy guidelines. Consents were available within the MAR sheet folder signed by the service users and giving permission for staff to administer medication and to the use of homely remedies agreed by the G.P. Medication is supplied in blister packs by the pharmacy. Medication was seen by the inspector to be generally well managed, but staff must ensure that there are no gaps on MAR sheets and that mid cycle medication is entered correctly onto the MAR sheet. Only two staff have not received medication training and are not allowed to administer medication to the service users. Training for these two staff has been arranged to take place within the next two months. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. The home has an excellent complaints system with evidence that service users feel that their views are listened to and acted on. Staff have good knowledge and understanding of adult protection issues, which protects the service users from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are clear policies and procedures relating to the making of complaints. The complaints book and file show that four complaints have been made since the last inspection. All complaints had been appropriately recorded and investigated and replied to within the timescale set out in the complaints policy and procedure. A signed response in agreement to the action taken is requested from the complainant, and these signed responses are also kept on file. The Regard Partnership has developed its own protocols and guidelines relating to the protection of vulnerable adults and the home also has a copy of the East Sussex County Councils guidelines and protocols for the protection of vulnerable adults. There has been one issue since the last inspection, this was evidence as being investigated and dealt with appropriately and the adult protection alert lifted by East Sussex Adult Protection Unit. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 17 The home does not use physical intervention on the service users, but all staff have received training on restraint should an incident occur. All staff have received POVA training. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good. The standard of the environment within the home is good providing service users with an attractive and homely place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users bedroom accommodation is provided in nine single well-sized bedrooms with en suit facilities, all but one of the en suite facilities have shower and one service user has easy access to a communal bathroom. All bedrooms reflected service users individual tastes and interests. On the day of the visit the home was bright, cheerful, hygienic and well maintained throughout. There is an annual maintenance and renewal programme to ensure that the home is kept to a good standard of repair and decoration. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 19 The home does not use CCTV cameras. There are no offensive odours in the home. The laundry is sited in a room at the rear of the home and access is via a door in the back garden. The laundry provides two washing machines and two tumble driers, which service user have access to for their own personal laundry. There are policies and procedures in place to ensure that bodily and chemical spillages are cleaned up appropriately and do not place staff at risk. Liquid soap and paper hand towels are provided throughout the home. Staff are provided with protective clothing, to prevent the spread of cross infection. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 34 and 35 Quality in this outcome area is good. Staff morale is high resulting in an enthusiastic workforce that works positively with the service users to improve their whole quality of life. Staff are multi skilled ensuring a good quality of care and support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Regard Partnership holds all staff files in head office therefore the inspector was unable to view staff files to check on recruitment practices, but the inspector was able to have contact with the Provider Relationship Manager for The Regard Partnership who reported that the company has made excellent progress in their recruitment procedures, but still has a little more work to do. The registered manager at the home was able to show the inspector that she had an up to date list of all CRB checks carried out on all employed staff in the home. The registered manager has developed a staff training tracker, and this showed that both mandatory training and job related training has been 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 21 undertaken by the majority of staff working in the home with the exception of the newest recruits who do have their mandatory training book, the inspector did note however that none of the staff have received infection control training and a requirement is being made to ensure that staff do receive this training. The Regard Partnership does provide a lot of training in its own right, but where training is not available through the provider the registered manager accesses an outside training company. All employees will be expected to complete Skills for Care induction package together with an initial induction, which is run by The Regard Partnership. At the present time 33 of staff working in the home have an NVQ qualification with a further two staff in the process of gaining a NVQ qualification. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is Excellent. The registered manager has a good understanding of what needs to improve in the home. Planning is in place and sets out how these improvements will be resourced and managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has gained her NVQ level 4 and RMA. She has worked in the home for several years in a carers and deputy managers’ position and in a manager’s position for the last 14 months. The registered manager works hard to ensure that all relevant documentation is kept up to date and that staff are kept well informed or reviewed policies and procedures. Both service users and staff spoke highly of the registered manager and said 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 23 that she was approachable and managed the home well. The office was well ordered with all documentation filed in a safe and orderly fashion. The Regard Partnership and the registered manager have developed excellent quality assurance systems to ensure that the views of the residents, relatives and stakeholders are sought. Together with excellent monitoring systems in place the registered manager is aware of what aspects of care within the home need to improve and is in the process of working towards this. The Regard Partnership have published brochure, which shows the results of the 2006 Quality Assurance outcomes. The home has good policies and procedure in place to ensure that there is a safe environment for both the residents and the staff working in the home. All appliances in the home had up to date maintenance certificates, and recorded evidence was available to show the weekly fire checks and hot water checks are carried out. In some instances that hot water temperatures taken from hot taps was low and the registered manager said that she would get this checked and temperature control valves adjusted accordingly. Also available were recorded weekly safety checks on each room in the home together with external checks and weekly checks of the homes transport. All staff with exception of recently recruited staff have received most mandatory training with exception of infection control, which has been referred to earlier in this report. All staff receive induction training in line with Skills for Care specification. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 3 X 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 4 X 4 X X 3 X 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) 17 Requirement The registered person must ensure that all administered medication is recorded, and that mid cycle medication is entered appropriately onto the MAR sheet. All staff must receive mandatory infection control training. Timescale for action 24/07/07 2. YA35 18 (1)(c) 01/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA42 Good Practice Recommendations The registered manager to ensure that hot water delivery from taps in the home is 43ºC. 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 111 Eastbourne Road DS0000061489.V337206.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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