Inspection on 05/12/08 for 117 Mount Gould Road

This inspection was carried out on 5th December 2008.

CSCI 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

117 Mount Gould Road 06/12/07

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 117 Mount Gould Road 117 Mount Gould Road Mount Gould Plymouth Devon PL4 7PX two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Antonia Reynolds Date: 1 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: 117 Mount Gould Road 117 Mount Gould Road Mount Gould Plymouth Devon PL4 7PX 01752295406 01752301933 emtillprojects@bt.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Emtill Projects Ltd Name of registered manager (if applicable) Mr Shane Hircock Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to male service users 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 3. Date of last inspection 0 6 1 2 2 0 0 7 A bit about the care home 117 Mount Gould Road is owned by Emtill Projects Ltd. The home does not have its own parking space but on street parking is available nearby. Information about the home and copies of inspection reports can be obtained from the Registered Manager, Shane Hircock. The house is the same as other houses in the street. Three people live at the home. There are some steps in the house so it is not suitable for people who use wheelchairs. The house is close to shops and the city centre. There is a bus stop near the home where people can take buses into the city centre or other places. People can use trains and taxis to go to other places. There are two lounge rooms on the ground floor. There is a large kitchen/diner on the ground floor. Each person has their own bedroom on the 1st floor. Noone has to share a bedroom. There is a bathroom, shower and toilets on the 1st floor and a toilet on the ground floor. There is an enclosed courtyard at the back of the house. Fees levels start from £1196 per week but vary depending on individual assessment and need. 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 How we did our inspection: This is what the inspector did when they were at the care home This inspection was carried out by one inspector who visited the home without telling anyone she was going to come. She was there from 9.20am until 12.40pm on Friday, 12th December 2008. Throughout this report, the term we will be used as the report is written on behalf of the Commission for Social Care Inspection. We talked to one person who lived in the home. We talked to one staff member and the Registered Manager, Shane Hircock. One staff member completed a survey form and posted it to us. One survey form for a relative was left in the home for them to complete if they wish to. We looked all round the home. We looked at the care records of the person living in the home. We looked at other records that told us about how the home is run. This included staff records and health and safety records. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. Procedures tell people how to follow the rules. Before the inspection an Annual Quality Assurance Assessment (AQAA) was completed by the Registered Manager. What the care home does well The Registered Manager and staff provide a specialised service for men with a learning disability, who may also have mental health needs and possible offending behaviour. 117 Mount Gould Road is comfortable, clean and homely and people like living there. People feel safe living in the home. People’s rights, diverse interests and individual lifestyles are supported and respected. Where restrictions on choice or liberty are imposed, due to peoples specific needs, they are aware of the reasons. People take part in various activities in the community. Everyone chooses what they want to do each day. The use of public transport is encouraged and promoted. It is easy to get into the city centre. Most of the staff have a qualification in care and participate in various training courses. What has got better from the last inspection No one was living in the home at the time of the last inspection so outcomes for people were not assessed and no requirements or recommendations for improvement were made. What the care home could do better The information that is given to people about the home needs to be more detailed. All assessments of needs should be kept in the home. Tablets should not be taken out of the labelled packaging from the pharmacy. The number of tablets coming into the home should be written down. There should be a policy in the home about keeping people safe and whistleblowing. It would be useful to write down the names of everyone who attends fire safety training and fire drills. The Registered Manager needs to find out if the electrical wiring in the home has been tested to make sure it is safe. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Antonia Reynolds CSCI Colston 33 33 Colston Avenue Bristol BS1 4UA 0117 930 7110 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 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 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who choose to live in the home can be confident that their support needs are assessed prior to admission and they will have opportunities to visit the home to meet the other people who live there and the staff team. Evidence: The home has information to give to people who may intend to live at the home - the Service User Guide. The purpose of a Service User Guide is that it should contain information about the home so that people know what to expect. However this guide was general to the organisation as a whole, rather than specifically to this home, therefore did not contain all the required information. The home also has a Statement of Purpose which contains information about the home but this was out of date, for example, it said that smoking is allowed in the home. Discussions with the one person living in the home and the Registered Manager confirmed that people who wish to smoke have to do so outside. The Registered Manager confirmed that the organisations processes ensure that any people who are considering coming to live in the home are assessed prior to admission so that their needs are clearly identified. This also ensures that the staff team have the skills and competence to meet those needs. This process includes meeting and consulting with the person concerned, their relatives or representatives and any other professionals involved in the persons care, such as social and learning disability services. One person who had been admitted to this home since the last inspection said that consultation took place prior to the move and that information about the home was provided. He also said that he had visited the home before he came to live there to have a look round. The Registered Manager said that all the pre-admission assessments are documented but that they are kept in the organisations head office Evidence: rather than in peoples personal files in the home. 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 . People who live in the home are well supported by the staff team. They are involved in devising their own support and care plans and are enabled to participate in, and make decisions about, all aspects of their lives. Evidence: Discussions with the one person living in the home, a staff member and the Registered Manager, demonstrated that the running of the home, and all routines and activities, are organised around the wishes, choices and needs of the people who live there. The person living in the home described his activities during the week and said I can do what I want each day, but I need to let staff know when Ill be back. The person living in the home has a personal file that contained information about his care and support needs, including risk assessments and guidelines about particular activities. The person concerned is aware of these guidelines and knows why they are in place. Discussion with the person living in the home, a staff member and the Registered Manager confirmed that staff are fully aware of his needs. The Registered Manager said that a more person centred plan will be drawn up when the person is ready to do this. The person living in the home participates in all aspects of the day to day running of the home, including domestic activities and tasks, with staff support where necessary. Staff support him to make decisions and choices about his lifestyle, activities and movements both inside and outside the home. Discussions with the person living in the home and the Registered Manager confirmed that people are encouraged to administer their own finances, with staff support if necessary. At the time of this inspection the home was not looking after any money on behalf of the person who lived there. 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 who live in the home are supported to lead active lives, participate in community and leisure activities, choose their own daily routines and maintain regular contact with their families. Evidence: Discussion with the person living in the home, a staff member and the Registered Manager, as well as documentation, showed that people are enabled to live as full a life as they wish to. People have opportunities for personal development, risk taking and decision making. People are encouraged to participate in all the domestic activities in the home and to take part in leisure activities of their choice. In addition to people receiving their own personal monies, the organisation provides the home with additional money for each person, administered by staff, so that they can participate in more leisure activities. The person living in the home said he does whatever he wants to such as going to football matches, shopping, walking and spending time with his partner. He commented that he could do other things if he wished to such as going to the pub, to church, on holiday or look for paid employment, but he does not want to do these and his choices and wishes are respected by the staff. The Registered Manager confirmed that, where a holiday is organised by the staff, the costs will be shared between the people who live in the home and the organisation. The person who lives in the home said that he has regular contact with relatives and friends and this is supported and encouraged by staff. Visitors are welcome to the home but, if visits are not possible, for example, due to distance, people are Evidence: encouraged to maintain contact by telephone and letter. Privacy is respected, bedroom doors have locks and the person living in the home said that he had a key to his own room. The person who lived in the home said that there is no set menu for meals because he chooses what he wants to eat each day. Because he does not wish to go shopping or do the cooking, these tasks are carried out by staff. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who live in the home can be confident that personal support is provided in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. Evidence: The person living in the home said he did not require help with personal care but was confident that any personal support would be provided in the way that people prefer and require. He has a support plan that provides information about personal, social, emotional and physical and mental health care needs. He also said he has contact with representatives from Social Services, mental health services, doctors, dentists and various other healthcare professionals and consultants. Information contained within personal files, as well as discussion with the manager confirmed that external professional advice and guidance is sought when necessary from local health care professionals or social services. The person living in the home said that he decides what time he gets up and goes to bed, has meals, bathes and goes out during the day or evening. Through discussion and observation it was clear that timings are flexible and the choice of the people who live in the home. Medication was locked away safely and regular medication reviews with health professionals take place. The person who lives in the home said that he prefers not to keep medication in his room. Overall the practice of administering medication, described by the Registered Manager, was found to be safe for this person as he knows exactly what medication he needs to take. However the number of tablets received from the pharmacist was not being documented so it was not clear exactly how many tablets were being held in the home at any one time. Also, the Registered Evidence: Manager was taking tablets from the pharmacys original packaging and putting these in a dosette box for staff to administer and it was not obvious whether medication had been given or not. Discussions with a staff member and the Registered Manager showed that they knew what to do in the event of someone refusing their medication and that unused or contaminated medication has to be returned to the pharmacy for safe disposal. The Registered Manager said that staff had received medication training but there was no documentary evidence in the home to support this statement and it was not recorded in the staff records. 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 who live in the home are protected from abuse, neglect and self-harm. People can be confident that any concerns or complaints will be listened to, taken seriously and acted upon immediately. Evidence: The person living in the home said he feels safe there, he trusts the staff, and would tell the Registered Manager if he had a problem or concern. This discussion, as well as discussions with a staff member and the Registered Manager, demonstrated that the open culture of the home and the recognition of peoples rights, ensure that people are protected from harm. All staff have undertaken training in safeguarding adults and also attend the training provided by the Local Authority. Discussion with a staff member confirmed that she knew what action to take should she suspect that any person in the home was being abused or not treated respectfully. However, there was no written guidance in the home for the staff to follow should they need to. The home has a complaints procedure and the person living in the home said that he knows how, and to whom, to make a complaint if he needs to. He also confirmed that he can raise any issue at any time and these are dealt with immediately by the staff. The Registered Manager was clear about the processes to follow to safeguard vulnerable adults, and the effects of discrimination and the rights of individuals to be treated respectfully in a non-judgemental way. 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 is spacious, clean, safe and comfortable and the standard of the decor is good, providing people with an attractive and homely place to live. Evidence: The person living in the home said he likes living there, the home is comfortable and there is plenty of room. The home was also found to be safe, clean and well maintained, providing a homely environment for the people who live there. The house is no different from any other house in the area and blends well into the neighourhood. Each person has a single bedroom on the 1st floor, none of which have en suite facilities although they all have wash hand basins. Bedrooms are individually furnished and decorated, containing many personal possessions. Bedroom doors are fitted with locks, that can be opened from the outside in an emergency because staff have a master key, and each person may have a key to their own bedroom, depending on risk assessment. Bathroom and toilet facilities are adequate for three people and staff. The home has a bathroom on the 1st floor consisting of a bath, toilet and wash hand basin; a shower room; and there is a separate toilet as well. There is also a toilet on the ground floor although the Registered Manager said this is not always used because the room does not have a wash hand basin. The bathroom and toilet doors are fitted with locks that can be opened from the outside by staff in an emergency. There are shared rooms on the ground floor consisting of a kitchen/diner and two living/lounge rooms. All these rooms are attractive and homely, well furnished and clean. There is an office on the 1st floor that is also used as a sleeping in room for staff. There is a washing machine and tumble dryer in the kitchen and people are encouraged and supported to do their own laundry. There were no concerns at this inspection about the risk of any cross infection, based on the needs of the people living in the home. The home does not have a garden but there is an enclosed courtyard at the back of Evidence: the house where people can smoke if they wish to, as this is not allowed in the house. 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 . Recruitment procedures are robust and people who live in the home benefit from a consistent, well supported and supervised staff team. Evidence: The person living in the home said he liked the staff and described them all as very good and said he gets on well with them. He said they are there to help him if he needs it but they also leave him alone if he wants to be private. The Registered Manager confirmed that, because there is only one person living in the home, there is a small staff team and the home is only staffed from 4pm until 8am with a staff member sleeping in at night. This is because the person living in the home does not need to have someone there all the time and goes out a lot on his own. The organisation keeps the main staff files in the head office but there were staff records in the home that were inspected. These contained all the required information such as confirmation of written references and criminal records bureau checks. Discussion with the Registered Manager confirmed that no-one is employed until satisfactory references and checks have been received. Discussions with a staff member and the Registered Manager, as well as documentation, confirmed that staff meetings are held regularly and each person has regular 1:1 supervision meetings with the Registered Manager to discuss work practice, training and developmental needs. The organisation operates an on call system, where members of the management team are available both in and out of office hours. The organisation has a designated person responsible for staff training and information from two staff members, as well as training records, showed that staff are expected to attend a variety of training relevant to their roles including qualifications in working with people with learning disabilities and offending behaviours. The AQAA showed that six out of seven staff members have achieved a level 2 or above National Vocational Qualification, with one other staff member Evidence: working towards this, which is an excellent record of staff training. 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 . The management approach is open, inclusive and positive, providing clear leadership and guidance. The rights, health, safety and welfare of people who live in the home are protected and promoted. Evidence: The Registered Manager, Shane Hircock, has several years experience of working with people with learning disabilities and has completed a qualification in care and management, namely the Registered Managers Award. He has managed this home since it opened in 2007 and has also managed another care home for the same organisation since August 2006. The person living in the home said he liked Mr Hircock, describing him as a good manager, a good bloke. He said he could talk to him about anything at all. This discussion, as well as discussion with a staff member, confirmed that the ethos of the home is very good because the management approach is open and inclusive with the home being organised to meet the needs and wishes of the people who live there. Feedback from two staff members showed that they feel well supported by the management and staff team. Lines of accountability are clear and the organisation has a management structure that enables it to cover absences when required, and provide an effective on call system to support staff. The organisation has a quality assurance system in place which includes consultation with the people who live in the home as well as their relatives and representatives. The home receives a visit once a month from a representative of the organisation who talks to the people who live in the home, the staff and the Registered Manager as well as checking that documentation is up-to-date and finding out if the home needs any maintenance or decorative work. Evidence: Health and safety checks, including fire equipment, gas safety and portable electrical appliances are carried out regularly. Health and safety audits are also carried out each month by office staff. However there was no documentation in the home confirming that the electrical wiring had been checked and tested for safety. Fire safety training is carried out with staff and discussion with a staff member confirmed that she knew what to do in the event of a fire. The person living in the home described what he would do in the event of a fire, that is, leave the home as quickly as possible. However the names of people who have received training in fire safety were not documented. Other fire safety checks are carried out regularly by a staff member. The Registered Manager, as well as staff training records, confirmed that all staff complete training in emergency first aid, health and safety and food hygiene. The Registered Manager confirmed that the hot water is not thermostatically controlled to reduce the temperature because this is not required for the person living in the home. All accidents and incidents are recorded and the Registered Manager monitors these to look at the cirumstances of each incident and look for any patterns that may emerge so that the staff team can take action to prevent a recurrence. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 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 1 The Statement of Purpose should be kept up to date so that people living in the home, or planning to live in the home, are fully aware of the homes services and facilities and the terms and conditions of living there. The Service User Guide should be amended so that it contains specific information relating to this home. This is so that people living in the home, or planning to live in the home, are fully aware of the homes services and facilities. A copy of the pre-admission assessment of needs should be kept in the home to ensure that ongoing plans for care and support take that information into account. The practice of removing tablets from the pharmacys original packaging and putting these in a dosette box should be reviewed as it increases the risk of mistakes happening. This is because staff may not know what they are administering and because it was not obvious whether medication had been administered or not. All staff training, including medication training, should be documented. This is to ensure that all staff receive relevant 2 1 3 2 4 20 5 20 training for their job and the Registered Manager will know if someone requires new training or an update. 6 20 The number of tablets received from the pharmacy should be recorded on the administration records so that there is a clear audit trail of medication received, administered or returned. There should be a policy and procedure in the home about safeguarding vulnerable adults and whistleblowing. This is so that staff know exactly what to do should an untoward incident of abuse, neglect or self harm occur. The names of people who attend fire safety training and fire drills should be documented. This is so that the management of the home know who has completed this training and the frequency of the training so that they can check if anyone has not completed it. The Registered Manager should establish whether the electrical wiring in the home has been checked by a competent person. This is to ensure that the electrical system in the home is maintained properly to help protect the safety of the people who live there. 7 23 8 42 9 42 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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. 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