Inspection on 18/04/07 for 186 Meadow Way

This inspection was carried out on 18th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

186 Meadow Way 30/05/08

186 Meadow Way 09/05/06

186 Meadow Way 04/11/05

186 Meadow Way 29/06/05

186 Meadow Way 26/02/05

186 Meadow Way 26/08/04

186 Meadow Way 15/03/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOME ADULTS 18-65 178 Meadow Way 178 Meadow Way Jaywick Clacton On Sea Essex CO15 2SF Lead Inspector Brian Bailey Unannounced Inspection 18th April 2007 11:15 178 Meadow Way DS0000017724.V335593.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 178 Meadow Way DS0000017724.V335593.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. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 178 Meadow Way Address 178 Meadow Way Jaywick Clacton On Sea Essex CO15 2SF 01255 431301 F/P 01255 431301 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) Mr S T Lewis Mr S T Lewis Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2006 Brief Description of the Service: 178 Meadow Way is a small care home, which is registered to provide accommodation, support and personal care to three people with a mental health disorder. The home is located in a residential area at Jaywick Sands and within close proximity to the beach, shops, cafés and a public house. A local bus service provides access to the nearest town of Clacton on Sea, approximately 2 miles away, for local amenities such as day centres, local hospital, sports centre, swimming pool, library and colleges and the town centre. Information about the service is provided to prospective service users in the homes Statement of Purpose. The current scale of charge is £525.00 to £580.00 per week, all-inclusive. Previous inspection reports are available from the home and from the CSCI website www.csci.org.uk 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection looking at the core standards for the care of adults. This report is based on a range of information that has been accumulated from our inspection records, a site visit to the home that took place on 18th April 2007 at 11:30am, discussions and observations with the Registered Person, Mr Lewis, who is also the Registered Manager, residents, staff, questionnaires issued by CSCI and the records kept at the home. The home is registered to provide accommodation and care to three people who have mental health needs. At the time of the site visit, the home had one vacancy. The inspection process was able to engage with one person only during the visit and therefore the views of the service were limited to one person’s experience. Four questionnaires were returned to us at the end of May 07 and the feedback was positive about the care provided. What the service does well: What has improved since the last inspection? What they could do better: The scope and range of this inspection was again limited on the basis that only one service user was available throughout the visit of inspection. Based upon previous inspections and information obtained at this site visit, the home still needs to explore all ways of enabling service users to make decisions about their lives and encouraging a more independent lifestyle. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 6 Some aspects of staff training and staff recruitment procedures need to be progressed. 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. 178 Meadow Way DS0000017724.V335593.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 178 Meadow Way DS0000017724.V335593.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): 1, 2 & 4. Quality outcome in this area is good. This judgement has been made using available evidence including a visit to the service. Written information is provided for prospective service users and their families, enabling them to make an informed choice. The home promotes the opportunity to visit the home as an essential part of the pre admission process. Pre admission assessment documentation prospective service users needs. provided information of the EVIDENCE: The home currently accommodates two people only. The person who has lived at the home since 2004 was not available to discuss the home and the care provided. However, a person who had chosen to live at the home more recently was available and happy to participate in the inspection process. The Statement of Purpose and the Service User Guide documents contained all the relevant information required to enable prospective service users to make an informed choice with regard to the services and facilities the home offers. Prospective service users are offered the opportunity to visit the home and stay on a trial basis. Evidence was available to show that information about the home had been sent to a prospective service user prior to admission. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 9 Care records checked confirmed that a copy of a pre admission assessment of needs completed by the manager was included in the service users file. Also a copy the assessment completed by the placing authority, which was detailed and comprehensive. The manager described a thorough pre admission process, through which an assessment is carried out to ensure the home was able to meet the individual’s needs and ensure compatibility with the current service user. 178 Meadow Way DS0000017724.V335593.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): 6, 7 and 9. Quality in this outcome area is adequate. Service users could be confident that their care plans were sufficiently detailed to ensure staff support them to meet their needs. Service users are supported and encouraged to be independent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The two service user care records were examined. They provided clear information and were developed according to assessed needs, detailing how the service user is to be supported in achieving outcomes. The record of the person that had more recently moved into the home contained a good range of objectives. Evidence was available of a good needs assessment having been provided by the placing authority and of risks being identified. The daily living skills identified objectives that were being progressed and the last assessment of daily living skills was completed in January 2007. A review of one person had taken place at six weeks following admission and again in March 2007. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 11 The care plans incorporated risk assessments and risk management strategies detailing how the individuals required support in managing their own safety and protection. A service user spoken with confirmed that they have been enabled to access the community independently and to use public transport. The staff on duty were well aware of where the person was going and approximately at what time they would return. Service users were supported in the decision making process relating to day to day choices but further development is still required in assisting and recording decisions about their life. 178 Meadow Way DS0000017724.V335593.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): 11, 12, 13, 15, 16 & 17. Quality in this outcome area is adequate. Service users benefit from flexible routines and staff support to engage in leisure activities. Service users are encouraged and supported to maintain family relationships, which contributed to a fulfilling lifestyle. Mealtimes are flexible and prepared to the individual’s choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As already indicated in the in report, the home had completed an assessment of daily living skills for a service user. From discussion, it was evident that this assessment of need is flexible according to how planned objectives are achieved and met by the service user. A service user described their impressions of the home, their likes and dislikes about living in the area, daily routines and new skills learnt whilst living at the home. The person appreciated the support and guidance that had been provided and was pleased to show a crocheted blanket they had made during their leisure time. Dance classes were planned and the person was looking forward to the summer when 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 13 more visitors would be around in Jaywick. The winter months in Jaywick were considered to be too quiet. A service user spoke of how they had been supported to obtain a bus pass and that this was used frequently to travel to Clacton. One service user was in bed for the duration of the inspection. Staff explained that it continued to prove very difficult to motivate the service user to engage in every day activities. It was not possible therefore to seek the views of the person about life at the home. It was evident from observation and discussion with a service user that mealtimes were flexible and prepared to the individual’s choice. The service user considered the meals to be good and said that a choice was available. Good food stocks were available in the kitchen. 178 Meadow Way DS0000017724.V335593.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): 18, 19 & 20. Quality in this outcome area is adequate. The healthcare needs of service users are recognised and addressed. Service users can be confident that they will and be treated them with dignity and respect. Service users cannot be certain that staff have been adequately trained to administer medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As already indicated, only one service user was present during the visit of inspection to the home. From observation, it was evident however that staff interacted with the person in a very relaxed and helpful manner. They had clearly discussed plans for the day and knew what was expected of each other. An early lunch was served to enable a service user to go independently to Clacton and later to Jaywick for a medical appointment. Records contained evidence of when and how people’s health care needs were being met. Weight records were being kept. A service user spoke of trying to give up smoking but this was made rather difficult by staff smoking. Although staff only smoked in the designated area, this was immediately adjacent to lounge where the service user was sitting. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 15 Staff interaction with the service user was observed to be friendly, supportive and understanding. The service user was relaxed in the company of staff throughout the time spent at the home and was free to come and go as they pleased. Neither of the current service users looks after their own medication. All medication is kept in a locked cupboard. Policies and procedures relating to the safe administration and handling of medication were in place to guide staff. Staff had received medication training accessed from the local pharmacist, focusing mainly on the supply system used. However, further training on medication needs to be provided to ensure staff are assessed as competent to administer medication. The training is based on the Skills for Care Knowledge Sets. The medication administration records were completed and dated accordingly. 178 Meadow Way DS0000017724.V335593.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): 22 and 23. Quality in this outcome area is good. Arrangements for responding and acting upon any complaints were satisfactory. The homes adult protection policy and procedure enhanced service users protection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a detailed complaints policy and procedure, which is included in the Service Users Guide for reference. A service user spoken with said that if there were any concerns they would most likely speak to their social worker or a named member of the staff. Survey forms returned to CSCI indicate that people do know how to make a complaint or raise concerns about the service. No complaints had been received by the home or the CSCI in the last twelve months. Policies and procedures were in place to guide staff as to how to respond to an allegation or suspicion of abuse to vulnerable adults. Staff had received training in this area. According to the manager the last POVA training was provided on 20/11/06. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 17 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): 24 and 30 Quality in this outcome area is good. The home was suitable for its stated purpose, accessible, safe and maintained to a high standard, meeting service user’s individual and collective needs in a comfortable and homely way. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The property is in a residential area and blends in well the local community. It domestic and unobtrusive, and offers access to local amenities, local transport and relevant support services. The home provided a calm and homely environment, maintained to a high standard of cleanliness and hygiene. The bedrooms had been refurbished to a high standard including new sinks with tile splash backs, individual door bells and locks and lockable wall safes, each room offered sufficient space and furnishings suitable to meet service users needs and lifestyles. Bedrooms promoted individuality, decorated 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 18 according to the individuals’ choice and personalised with service users belongings. An additional bathroom had been installed. Communal areas included a lounge/dining area and a large conservatory. The conservatory providing a pleasant additional sitting room that overlooked the meadow at the back of the house. It also provided the added benefit of an unobtrusive, purpose built kitchenette facilities for service users to prepare their own snacks and drinks. This room is the designated smoking area but the manager was aware that from 1st July 2007 staff will not be permitted to smoke in this area. Central heating provided heat to the conservatory enabling continued use during the winter months, although a service user had commented that the room was cold during the winter months. It was not possible to assess the effectiveness of the heating, as the weather was warm on the day of the site visit. A small quiet room was also available if a service user wanted to be alone and away from their bedroom and other people. A loft conversion was now completed and provides an office and separate room for night staff to sleep and separate staff washing facilities and shower room. The laundry is housed in a newly built extension to the front of the house, equipped with a washing machine that has a disinfectant programme and two separate sink facilities; one for rinsing soiled clothes and one for hand washing. Mr Lewis needs to ascertain whether building regulation approval and certification is required for the building works carried out in relation to the loft conversion. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 19 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): 32, 34, 35 and 36. Quality in this outcome area is adequate. People living at this home need to have the confidence that staff are well trained to meet their needs and are recruited appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and one member of staff were on duty supporting the service users. The staff team was small and comprised of the Registered Manager, the deputy manager, one day support worker and one sleep in support worker during the night. An annual training programme identified mandatory training received and planned for staff during the current year. A sample of staff files examined contained reference to training sessions undertaken by individuals during their employment, such as first aid, food and hygiene, Health & Safety and fire safety. Training in these area was also provided in February 2007. At the time of inspection, the service had still not achieved an adequate proportion of carers having attained or commenced a National Vocational Qualification (NVQ). One person does have a NVQ at level 3. The manager stated that 3 staff were taking NVQ 3. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 20 The previous inspection identified staff having been provided with some basic training but little further training on an awareness of the factors that lead to mental illness and the impact mental health problems have on daily living. Training that has been provided was on activities linked to mental disorder, which was held on 18/1/07. The sample of staff files examined during the inspection contained Criminal Records Bureau (CRB) disclosure checks for staff, proof of identity, training information and employment history but did not contain two references each. The homes induction arrangements is mainly service focused and although it provided the support new staff required and informed them of the culture of the home, it was not in line with a Skills for Care programme. The sample of staff records confirmed they received formal supervision, which reflected most of the elements necessary to support staff in developing and sustaining their working practice. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 21 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): 37, 39 and 42. Quality in this outcome area is adequate. People need to be confident that the home’s Quality Assurance system is sufficiently developed to incorporate peoples views and that these form the basis of the way the home operates. People benefit from the home ensuring that health and safety matters are taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Proprietor/manager position is unchanged and Mr Lewis has managed a service for people with mental health problems for many years. Mr Lewis has yet to complete NVQ level 4 in care and management. It was again evident throughout the inspection that the manager had established a good working relationship with his staff and the staff enjoyed working at the home and felt part of a good team. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 22 The home has conducted Quality Assurance system surveys and results obtained in December 2006 and February 2007 indicates that people consider a good service is being provided. However, the previous inspection report identified the need for the manager to focus more on evaluating the quality of life experienced by people at the home and for the feedback to form the basis of plan for the future. A total of seven CSCI questionnaires have been returned to us from people at the home, relatives and other people with an interest in the home. Generally people were very positive about the service provided including a comment that the person had seen a remarkable improvement in the service user, which is attributed to the care and support provided by the service. Another person stated “My….seems to have improved since they to this care home”. Some recommendations were made such as “More female staff needed”, “More interaction with social worker needed”. Measures taken to promote the health and safety of service users and staff were satisfactory and proportionate to the size of the home. Comprehensive policies relating to health and safety and appropriate risk assessments were in place, reviewed, dated and signed. Evidence was available to show that equipment and services were being serviced at the appropriate intervals and were up to date. Various health and safety training courses were provided to staff during February and March 2007. The CSCI is still awaiting confirmation of a satisfactory building regulation inspection (including fire safety) in relation to completion of building works; loft conversion and installation of new bathroom and shower room. Mr Lewis, the proprietor/manager is in day-to-day contact with the home and therefore a monthly inspection visit in line with Regulation 26 is not required. Employers public liability insurance was up to date, the expiry date is 28/1/08. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 23 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 3 2 3 3 X 4 3 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 2 33 X 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 2 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 2 X 2 X X 3 X 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 24 Yes Are there any outstanding requirements from the last inspection? 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 YA6 Regulation 15 Requirement The Registered Person must demonstrate that service users are involved in their care plans and that care plans reflect all assessed needs, review and evaluation within the care planning process. Service users must be fully consulted on and encouraged to pursue their aspirations and assessed needs, to take part in valued and fulfilling activities to reach potential and a purposeful lifestyle. Previous timescales not met. Timescale for action 01/09/07 2 YA11 16 (m) 01/10/07 3 YA34 19(4)b Staff recruitment procedures 01/01/09 must include obtaining two references for each staff member to ensure services are safeguarded. All staff must be provided with structured induction training to sector skills specification (Skills for Care) and opportunities for further qualification training to ensure service users are in DS0000017724.V335593.R01.S.doc 4 YA35 18 (1) c 01/09/07 178 Meadow Way Version 5.2 Page 25 competent safe hands. 5 YA43 24 (3) Information obtained from Quality Assurance system surveys must be used to assist with the development of annual plan, which would ensure service users have contributed to. 01/09/07 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 2 Refer to Standard YA19 YA20 Good Practice Recommendations Service users should be offered annual health checks to promote general well being. Staff that administer medication should be assessed to ensure they are competent to carryout these duties and have an understanding of medication prescribed for mental health problems including use, side effects and the need for monitoring. 178 Meadow Way DS0000017724.V335593.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 178 Meadow Way DS0000017724.V335593.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!