Inspection on 19/12/05 for 25-27 Haymill Close

This inspection was carried out on 19th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

25-27 Haymill Close 29/08/07

25-27 Haymill Close 04/05/06

25-27 Haymill Close 24/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 25-27 Haymill Close 25-27 Haymill Close Greenford Middlesex UB6 8HL Lead Inspector Sarah Middleton Unannounced Inspection 19th December 2005 09.35 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 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 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 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. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 25-27 Haymill Close Address 25-27 Haymill Close Greenford Middlesex UB6 8HL 0208 998 8856 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) Ealing Consortium Limited Mr Peter Lee Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th August 2005 Brief Description of the Service: 25-27 Haymill Close was registered in 2004. It had been formally registered as Perivale Supported Housing and had comprised of four houses linked by an administration block. The service is for nine adults who have learning disabilities. One house, number 25 is for four female service users and the other house, number 27 is for five male service users. Male staff only work in the male service users house. A small office connects the houses. There is some parking to the front of the home and a communal garden that is shared with another registered home. This is mainly a lawn with a patio area. All bedrooms are single and are on both the ground and first floor of the home. The staff team consists of one Registered Manager for the two houses and one senior member of staff for each house and support workers. Number 25 & 27 Haymill Close is situated on a housing estate near to the Ealing Consortium Activities Resource Centre. Several service users attend this local resource centre where they take part in sessions such as Drama therapy. The houses are near to a main road into London and a short walk to a main road where there are buses into the towns of Ealing Broadway or Greenford. Ealing Broadway has good rail links for both in and out of London. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of almost five hours, 9.35am-2.20pm, was spent on the inspection process. The Inspector carried out a tour of the home and inspected service user plans, staff files and maintenance records. Two staff and one service user was spoken with as part of the inspection process. It must be noted that it is sometimes difficult to ascertain the views of service users with learning and communication difficulties. A Pharmacy Inspector carried out an inspection on the medication systems in the home on the 20/12/05 due to ongoing concerns about medication errors and the systems in place in the home. Their requirements have been incorporated into this report and will be looked at during the next inspection. What the service does well: What has improved since the last inspection? The service has made improvements and sought to meet the previous requirements. Care plans showed accurate details of the level of care service users needed and daily records indicated care provided and what the service user had done each day. The home now completes risk assessments prior to service users going on holiday with staff to identify and minimise risks to service users. The cleanliness of the kitchens, recording fridge temperatures and labelling prepared/opened food had improved, with staff taking care to follow health and safety and food hygiene procedures. The home was free from hazards and had made attempts to address the malodour identified at the previous inspection. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 6 The home had clearly labelled when medicine liquids had been opened to ensure out of date stock was not being used. There had been a reduction in the amount of over stock of medication kept at the home in order to minimise errors occurring. Fire alarms and fire alarm call point tests had improved and the fire alarm had not been going off unexpectedly as it had done in the past. Complaints records were viewed and found to include required information, such as action taken following a complaint. 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. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 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 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 Systems are in place to assess any prospective service user to ensure the home can meet their individual needs. Prospective service users are able to visit the home prior to moving in to ensure they have spent time with both staff and other service users and can make an informed choice about the home. EVIDENCE: No new service users have been admitted into the home since the last inspection. The Registered Manager confirmed they would obtain as much information from the referrer regarding a prospective service user and would then carry out their own assessment to gather a detailed picture of the service user. Any prospective service user and their representatives would be encouraged to visit the home and spend time there, with a possible over night stay, prior to moving in. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&9 The health and personal needs of service users had been identified and were being met. Improvements were noted with regard to the care plans. Those viewed accurately reflected the current needs of the service users. Risk assessments were in place and outlined current potential hazards and how to minimise those identified risks in order to safeguard service users. EVIDENCE: Individual service user plans were available and samples were viewed. These were comprehensive and detailed the service users’ personal, health and social care needs and how these would be met. These care plans were up to date, with monthly summaries viewed. Any changes in service users needs would be documented on the care plans. Daily records viewed detailed the care provided and any relevant information was documented to inform other members of staff. A sample of risk assessments viewed were up to date, having been reviewed recently. They covered a variety of potential risks to service users, such as moving and handling, eating and drinking and a holiday risk assessment. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 10 The Registered Manager said in the future all planned holidays with service users would have risk assessments completed to minimise the potential hazards that can occur on holiday. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 16 & 17 Social activities are in place to occupy service users and encourage them to have a varied life. Service users rights are respected and staff interact with service users in a positive way. Meals are varied and aim to provide a well balanced diet that also meets the preferences of service users. The kitchens were clean and tidy at the time of the inspection. EVIDENCE: Service users have individual daily activities to suit their preferences and abilities. The service users are not able to seek employment but take part in activities both in house and out in the local community. Service users can receive a massage from a qualified person in the home. Some service users attend day centres, whilst others have one to one support with a member of staff, where they might go out to do some personal shopping or for a meal. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 12 Staff spoken with could describe service users individual needs, likes and dislikes. Where possible staff aim to provide a stimulating environment for service users. Although staff acknowledged it could be difficult to always exactly know how a service user is feeling, as some service users have limited communication. However staff are aware of certain sounds or gestures service users make if they are unhappy. Staff were seen to interact in a sensitive and positive manner with service users. During the inspection one of the service users was not feeling well and staff were seen to support and care for this service user in a respectful manner and communicated the service users needs to each other to ensure all members of staff were aware of the current situation. Menus were viewed and reflected a variety of foods offered to service users. Staff said where possible, service users are consulted about the meals and preferences are incorporated into meals to ensure service users enjoy mealtimes. The home’s two kitchens were viewed and were found to be clean and tidy. Fridges were clean and food that had been opened had dates of opening/preparation written on them. Fridge temperatures had been taken daily and overall were within an appropriate range. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Service users are supported in a respectful way and personal care is offered in private. Service users health needs are recorded and addressed by relevant health professionals to ensure service users maintain positive health. There continues to be shortfalls in medication systems, although it must be noted there has been an improvement in medication errors and stock control. However close monitoring and training must be introduced in order to reduce medication errors further and to safeguard service users. EVIDENCE: On individual care plans there were guidelines as to how to support the service user. Personal care guidelines were also in place to illustrate to members of staff the level of support and assistance a service user would need. One service user and their family requested personal care support from female members of staff. This request has been acknowledged and addressed by the home to ensure the service user is comfortable with the member of staff giving the care. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 14 Health needs are addressed and health appointments are clearly recorded, with any action or treatment to be given following the appointment. Service users have the opportunity to see a variety of health professionals such as Dentists, Opticians and Chiropodists. Staff support and accompany service users to all appointments. The Inspector and the Pharmacy Inspector, who carried out a separate inspection the following day, viewed medication systems and found there was medication that had not been administered from the previous week that had been signed for by a member of staff. This must not occur and a requirement was made that medicines must be administered as prescribed. Members of staff had not either noticed this error or acted on this mistake by informing the Registered Manager, members of staff must be vigilant when handling and administering medication. Two carers now administer and witness the administration of medicines to minimise errors occurring. Liquid medicines all had dates of opening on them and the home had greatly reduced the amount of excess stock stored. Discussions took place with the Registered Manager regarding the training staff receive regarding medication. There has been the introduction of internal assessments on members of staff to review their knowledge and expertise on medicines. Those member of staff who have made several medication errors are stopped from administering medication until the Registered Manager is satisfied that they are competent to do so. Medication training is not deemed as mandatory and not offered on a regular basis as a refresher course. It is a requirement, from both the Inspector and Pharmacy Inspector, that staff must have further training on the safe administration of medicines and that they also receive regular updates. On the morning the Pharmacy Inspector visited the home, they found that medicines had been administered but had not yet been signed for. The Pharmacy Inspector made it a requirement that medicines must be recorded immediately after administration. Finally a requirement was made from the Pharmacy Inspector regarding recording when medicines have been received into the home. Quantities must be recorded in order to monitor stock coming into the home. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The home had a clear complaints procedure, although for some of the service users, due to their individual needs, making a complaint could be difficult. Systems are in place for the protection of vulnerable adults. EVIDENCE: The home has a complaints procedure and the Registered Manager stated they are actively encouraging service users and members of staff to complain if they are unhappy or wish to report something. The Registered Manager keeps details of complaints and responses locked for confidentiality reasons. This could prove difficult if the Inspector wishes to view complaints if the Registered Manager is not present. There have been no undue numbers of complaints recorded. The CSCI has not directly received any complaints. The Registered Manager said the home had sought to obtain independent advocates for some of the service users and are waiting to hear if there are any available. Some of the service users could find it difficult to understand how to make a complaint and many do not have relatives, therefore for these service users it is vital that keyworkers and other members of staff are aware of any changes in service users behaviour or reaction to situations or people, as this could be a sign that they are unhappy with something. The home has a clear procedure for the protection of vulnerable adults, (POVA). Staff are to receive training on this subject in early 2006. There is one outstanding POVA investigation that had been noted at the last inspection. Appropriate investigations have been taking place and this investigation will hopefully be resolved in the near future. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 16 Samples of service users finances were viewed, checked and counted. These were all correct at the time of the inspection. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 & 30 There was an improvement in the environmental standard of the home, providing a more safe and pleasant home for service users. Service users bedrooms reflected a personal and private space for them to relax and spend time in. The odour control in the home was improved offering a clean and inviting home to live in. EVIDENCE: A tour of the home was carried out and a sample of rooms viewed. These were being satisfactorily maintained. Overall the home was bright, clean and tidy. The home offers access to local amenities and transport that can take service users and staff into local towns and access rail links. Service users bedrooms, that were viewed, were spacious and individualised. Personal items were in their bedrooms and reflected their personal, cultural and physical needs. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 18 The home was free from malodours at the time of the inspection. There is a separate laundry room, which was clean and tidy. Procedures for the control of infection were visible in the laundry room. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Service users are supported by a competent staff team who receive training through studying NVQ courses, mandatory and additional training. These training opportunities ensure that staff gain the necessary knowledge and information to meet the individual needs of service users. The systems for the recruitment of staff were robust and safeguarded service users. Staff receive regular one to one supervision that offers them support and guidance in their role in supporting vulnerable adults. EVIDENCE: The majority of support workers working in the home for some time are studying the NVQ course. The home has had several new members of staff join the service over the past few months; these new members of staff have been going through the induction programme and studying the Learning and Disability Award Framework. The aim will be that they will enrol onto the NVQ courses soon after they have completed the initial courses. Where service users have specific needs, such as Autism or Epilepsy, staff would receive training and information about these conditions. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 20 Staff spoken with felt there were sufficient numbers of staff working in the home, in particular when some service users are at the day centre, this can enable some service users to have one to one support and time with a member of staff. Currently there are two full time staff vacancies; these hours are covered by either permanent members of staff working additional hours, or by regular agency members of staff. There are regular team meetings to enable staff to meet and discuss any issues, or share information as a whole team. The staff employment files viewed contained details of the applicants completed application forms, a photograph, two references, Criminal Record Bureau check numbers, medical declaration, plus terms and conditions of employment. There is a robust system in place for the tracking of each application and the obtaining of all required documentation. Individual training courses were viewed and indicated the mandatory, such fire safety, Health and Safety and moving and handling, and additional training each member of staff had attended. Senior member of staff attend training on supervision, to ensure they have the necessary skills to suitably supervise members of staff. The Registered Manager also informed the Inspector that a Senior Management course has been implemented and senior members of staff will also be able to attend this course. Staff spoken with stated they were happy with the type and level of training offered to them. Staff confirmed they receive supervision on a regular basis and staff stated they found their supervisor approachable. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 The home is well managed and the Registered Manager is enthusiastic in reviewing care plans and approaches in supporting the service users in the most supportive way. The quality assurance reports must be available for inspection to ensure both the Inspector and service users, can have access to them to ascertain where the home operates successfully and where there is room for improvement. Overall the servicing records were up to date and protected the health and safety of service users. However there was no up to date testing for Legionella available. This must be present for the Inspector to view to ensure there is no risk posed to service users. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 22 EVIDENCE: The Registered Manager is currently completing the Registered Managers Award. They are also a trainer in the subject of the protection of vulnerable adults and an NVQ assessor. The Registered Manager has been in post for just over a year. Staff spoken with stated the Registered Manager is approachable and maintains a regular presence in the home. He has implemented changes with the aim to benefit service users and staff and is keen to introduce new approaches when working with the service users. There are systems in place, through various methods, to review the quality of the care offered in the home. There has recently been a service user satisfaction survey carried out, although the findings of this survey were not available for the Inspector to view. In addition the Registered Manager compiles a monthly report that looks at the internal running of the home and sets out to action any areas needing attention. These reports are then given to the Service Manager. These reports were not available at the time of the inspection. This is a requirement as quality assurance reports must be available for the Inspector and service users. Servicing records were viewed at random. The Portable Appliance Testing and Gas Safety record was up to date. Fire call points are checked on a regular basis and the fire alarm has been checked, as it had historically been going off on a regular basis for no apparent reason. Fire drills/practices are recorded and provide all staff and service users with the opportunity to respond appropriately. The testing for Legionella was not available at the time of the inspection. This is a requirement. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 25-27 Haymill Close Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 x x 2 x DS0000044301.V261409.R01.S.doc Version 5.0 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 YA20 Regulation 13(2) Requirement Medicines must be accurately recorded immediately after administration. (Previous timescale 30/09/05 not met) Medicines must be administered as prescribed. Medicines must be thoroughly checked and quantities must be recorded when received into the home. Staff must receive further training on the safe administration of medicines and regular updates. Their competency to administer medication must be regularly assessed. The Registered Person must make available the quality assurance reports for the Inspector and service users. The testing for Legionella must be up to date and the certificate/report made available for inspection. Timescale for action 21/12/05 2. 3. YA20 YA20 13(2) 13(2) 21/12/05 01/01/06 4. YA20 13(2) 01/02/06 5. YA39 24(2) 01/02/06 6. YA42 13(4)(a) (c ) 01/02/06 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 25 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 YA20 Good Practice Recommendations That the Registered Manager regularly audits both recording in the home and the storage and stock control of medicines. 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST National Enquiry Line: 0845 015 0120 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 25-27 Haymill Close DS0000044301.V261409.R01.S.doc Version 5.0 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!