Inspection on 24/07/06 for 3 & 4 The Rise

This inspection was carried out on 24th July 2006.

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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3 & 4 The Rise 20/11/09

3 & 4 The Rise 15/08/07

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 08/07/2008.

CARE HOME ADULTS 18-65 3 & 4 The Rise Shipton Oliffe Cheltenham Glos GL54 4JQ Lead Inspector Kath Houson Unannounced Inspection 24th July 2006 10:00 3 & 4 The Rise DS0000066767.V302595.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 3 & 4 The Rise DS0000066767.V302595.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. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 3 & 4 The Rise Address Shipton Oliffe Cheltenham Glos GL54 4JQ 01242 820654 01242 820654 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) www.brandontrust.org The Brandon Trust To be Appointed Care Home 6 Category(ies) of Learning disability (6), Physical disability (4) registration, with number of places 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: 3 & 4 The Rise or “The Rise” is a detached house that is located in the village of Shipton Oliffe in Cheltenham Gloucestershire. The home is registered to provide care for up to five residents with learning disabilities. The home can be described as two chalet style houses that has been transformed into one building with adaptations and equipment provided to meet the needs of the residents. The home is located in a peaceful setting surrounded by countryside. The new providers are Brandon Trust and Advance Housing manages the property. The home and The Brandon trust are currently reviewing how best to provide information about the home to prospective service users. The weekly fees charged by Brandon Trust are £61.35 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The unannounced inspections took place in July 2006. The registered manager was not available for the first half of the inspection but as able to provide assistance to conclude the inspection. Twenty-two key standards were examined. This included an examination of documentation; two service users were case tracked, a tour of the environment and a short succinct feedback was given to conclude the inspection visits. A short discussion with two staff members formed part of the inspection. The inspector would like to extend her thanks to the service users, staff and management for their assistance with the inspection. What the service does well: What has improved since the last inspection? There has been a new appointment of a registered manager who is developing links with other agencies in order to make improvements 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 6 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. 3 & 4 The Rise DS0000066767.V302595.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 3 & 4 The Rise DS0000066767.V302595.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The quality for this outcome is good. This judgement has been made using available evidence including a visit to this service. The admissions process is thorough and individualised which ensures that only individuals whose needs can be met by the home are admitted. EVIDENCE: The home is currently in the process of assessing a potential service user. This can be seen as an advantage to test out the home’s admissions process. The procedure for potential residents follows an admissions pathway in which a formal process takes place. This task is based on the best interest meeting where representatives for the service user provide initial support. The representatives include key-workers from the previous home, social worker, family, friend or advocate. This process is particularly good especially if the service user is non-verbal and a standard of support can be provided. The potential resident will be given the opportunity to try out the home for a month. The manager has stressed that the admission procedure must be a phased process. This will give service users time to consider and be armed with the information to make an informed choice about their place of residence. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 9 Best interest notes from a resident whose file was not being case tracked confirm that these meetings take place and play a role in the provision of support for residents. The manager is confident that the service provided meets the assessed needs of potential residents, and will consider the application together as a team. This can be seen as good practice as it involves the team as a whole unit. The manager has recently completed and provided an updated copy of the Service User Guide and the Statement of Purpose. This document clearly sets out the role and responsibility of the service and the provider. The statement of purpose is easy to read and provides detailed description of what the service can offer. The manager is motivated to ensure that these documents are available in a range of formats to make it widely accessible. 3 & 4 The Rise DS0000066767.V302595.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 The quality for this outcome is good. This judgement has been made using available evidence including a visit to this service. Good systems are in place for care planning and for assessing and managing risk which promotes resident’s independence choice and individuality. EVIDENCE: Two residents files were case tracked which confirm that good practices exist in managing care and risks. Clear guidelines inform support workers of resident’s likes and dislikes. One resident enjoys being smartly dressed and will spend time with support choosing her clothes. There was evidence of regular reviews that provide updated information on resident’s changing needs. The care plans additionally focused on how to further develop their skills and consider their future goals. For instance, one resident who was being case tracked has had a number of changes made in consultation with a service user. The home has a development plan that is individualised to service user needs. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 11 One service user has the option to attend the activities sessions on an ad hoc basis. This provides the resident with greater opportunity to exercise choice. Residents care plan includes a comprehensive risk assessment, which takes into account the personality of the resident. Thus making the risk assessment individualised with regular review based on the resident’s changing needs. Additionally the risk assessments include clear behaviour task programme. This approach is based on extending the service users life skills. For instance, providing support within the risk-taking arena. An action plan is then devised; to include long, medium and short term plans. This also has input from other healthcare professionals. The new care planning system will be transferred to the healthcare action plan which are being introduced by Brandon Trust in the near future. This plan is currently under review. 3 & 4 The Rise DS0000066767.V302595.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 The quality for this outcome is good. This judgement has been made using available evidence including a visit to this service. Appropriate support is provided to residents to participate in activities which reflect their needs and interests. This encourages residents to lead a full and independent life. Assisting residents to maintain and develop important friendships with their peers. Residents additionally benefit from flexible and routine approaches to their choice and individuality. A balanced, healthy diet is provided which caters for individual and specialist needs. EVIDENCE: Residents are able to participate in activities internal and external to the home. The home has an in-house activities programme provided by an activities coordinator. This was being observed during the inspection in which there was enthusiasm from both the co-ordinator and the service users. The home can be seen as jolly with a number of the service users joining in the activities. The 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 13 day of the inspection was music day and some service users were playing instruments. This is good practice as this encourages residents to participate within their own home. Some of the residents attend The National Star College, where support is provided and the choice and quality is beneficial for the service users. The home is part of a small local community where the residents are surrounded by countryside. The residents are able to enjoy a full and stimulating lifestyle. For example some residents are members of the rambling group, which is ideal given the location. Additionally, the home has made advanced plans for the autumn day trips, such as walking, rambling. The manager is arranging other types of trips with the residents the activities programme confirmed this was under discussion. The home has the use of its own vehicle that provides service users with added freedom of independent transportation. The residents are encouraged to maintain relationships with family friends and advocates. The home operates an open door policy in which representatives of service users are able to have unlimited access to visitors and phones calls which is encouraged. Care staff were found to be respectful and sensitive towards residents. This was observed during lunchtime on the day of the inspection. The staff team were considerate towards service users who find it difficult to eat and provide assistance. The care staff were also aware of the importance of feeding at the pace of the service user and made the resident comfortable in a relaxed manner. Lunchtime was a calm and caring manner in which the residents were relaxed and not rushed. The staff team demonstrated good team-work. The home operates a four weekly rotational menu option. The menu was creative containing healthy and balanced range of foodstuffs. The menu appeared colourful and appealing. Lunch was being prepared with a service user providing assistance. Lunch was presented in an appealing manner, providing colour and different textures. The care staff were aware of individual service users tastes and prepared their food accordingly. The residents were handled with care and demonstrated dignity by cleaning their faces after meals. The residents were comfortable and appeared to enjoy the interaction with the staff members who explained and informed the service users of what was happening. The care staff displayed a skilful and considerate approach when providing assistance. 3 & 4 The Rise DS0000066767.V302595.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 The quality for this outcome is good. This judgement has been made using available evidence including a visit to this service. The home provides appropriate support with personal and healthcare needs, which maintains the dignity and wellbeing of the residents. Reasonable systems are in place when handling and administering resident’s medication. Further discussion is needed to avoid and minimise the potential for errors being made. EVIDENCE: The case tracked care files described how support could be given when providing personal care. The staff team were responsive to the varied and individual needs of the residents. It is set out in the homes statement of purpose that residents have the right to privacy. This was demonstrated during the inspection when a service user requested some assistance, this was offered and privacy maintained. Resident’s healthcare plans were insitu with immediate actions dealt with appropriately. This is good practice and the staff team are aware of when to manage any health issues. The residents have access to other health professionals and can be accessed via the home or an appointment can be made outside the home at the resident’s request. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 15 The system for administering medication was satisfactory and a good clear audit trail was seen. The medication cabinet is of good quality and the standard was clean and tidy. Medication is placed in an orderly fashion with easy access to the individualised prescription. However, the administering of medication is a task where distraction needs to be kept to a minimum in order to avoid the possibility for error. It was good practice to see that the external homely medications were kept separate to oral prescribed medications. It is good practice to see the date of opening placed on the boxes to ensure that correct rotation of the medicines is being performed. The home is taking steps to minimise the potential for drug errors. All members of staff are qualified to administer medication. 3 & 4 The Rise DS0000066767.V302595.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The quality for this outcome is good. This judgement has been made using available evidence including a visit to this service. A clear complaints procedure is in place. The complaints procedure must be available in a range of formats. Frameworks are in place to ensure that staff training is kept up to date and to protect residents from abuse. EVIDENCE: The home’s complaints policies and procedure were seen and are included in the Statement of Purpose. The manager must ensure that the home’s complaints procedure is available in a variety of formats. This will ensure that the equalities and diverse needs of the residents are being met. For instance this could is to include large print, other languages symbolic and Braille versions each format depending on the type of clientel in the home. No formal complaints or verbal concerns have been made against the home. This is a good reflection that the stakeholders are satisfied with the service provided. The home has good relationships with the relatives and representatives. The home additionally has a made good links with the local community learning disabilities team and provide support when necessary. Residents meeting take place to ensure that their voices are being heard. The manager is aware that these meetings can be difficult due to the nature of the clientel and will use other resources such as key workers, and health professionals to provide assistance. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 17 Brandon Trust has recently been taken over as the new provider. The vulnerable adults training programme was seen and the home is waiting for the dates to be confirmed. No referrals have been made which is a good indicator that residents are kept safe and protected. The home has an open and inclusive culture. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The quality for this outcome is good. This judgement has been made using available evidence including a visit to this service. The environment is clean comfortable and homely which enhances the wellbeing and quality of life of the residents. EVIDENCE: The physical layout of the home is suitable to the need of the residents. Those more able residents are given room upstairs and those less able bodied have rooms adapted to meet their needs. This show consideration and awareness of individual need (s). The building is well maintained. However the manager is regularly persistent with Advanced Housing in order to get work completed. All interested parties must ensure that the physical environment of the resident’s home will need regular up keep in order to maintain a homely and comfortable environment which is of benefit for the service user. The home on the whole is pleasant and is located in a village that many of the buildings are predominately made from Cotswold stone. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 19 The bedrooms and communal areas far exceed the National Minimum Standard. The specialist equipment is regularly checked. The home had a recent flood in one of the rooms. There was a little inconvenience as the incident affected the whole house. Due to a recent meeting with Advanced Housing the manager has been informed that the carpet will be replaced. This will be monitored at the next inspection. The home has a notice board that inform the service users who will be on duty and additionally include service users daily activities. This is good practice as the board is seen as another form of communication that includes pictures of both residents and members of the staff team. One of the rooms is currently being shared and this was agreed. Screens were provided to enhance privacy. However the manager is reassessing the resident as their needs have changed. All relevant health professionals are also involved. Residents are encouraged to personalise their room. The home’s fixtures and fittings are of good standard and meet the resident’s needs. The home keep a repair log, which details the length of time repairs, take to be completed. This is good practice as this documentary evidence when attempts are being made to maintain the home’s general up keep. The environmental requirements made by the home to Advanced Housing is currently remain outstanding and are persistently being pursued via the housing association. This information has been notified to the Commission during the home’s regular monthly visits. The home is clean; tidy, safe with no offensive smells detected. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35 The quality for this outcome is satisfactory. This judgement has been made using available evidence including a visit to this service. The staff team are skilled, caring and competent. A training programme is in place with regular updates. The home’s recruitment procedures are good, and the manager ensures that only suitable staff are employed. EVIDENCE: The staff team are close to being 100 qualified in a mixture of qualifications that adds to a good skill mix. The staff team are qualified to LDAF accredited training with other higher qualifications. Training matrix seen indicated that regular updates have been consistent with staff development. The staff induction programme is a ten-week programme and is being reviewed under the new providers. The staff team is long standing and committed to maintaining standards of the home. Systems are in place for care workers who require a little more time to settle in and are regularly reviewed. The home has a staff signature sheet, which is good practice, which provides identity of all the staff members hand-writing. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 21 The service has a good recruitment policy, which includes the Human Resources the homes Community Service Manager, and the home’s manager work together during the recruitment process. Recruitment procedures were discussed and staff files were examined. The documentation appeared to be in order with the added information sheet that details the role and responsibilities of shift leader. The manager is pleased with the staff team and is aware that providing a service for residents requires teamwork. The manager has delegated some responsibilities to other team members which would indicate that the team are additionally involved in the daily tasks within the home. Staff who have been recruited into the home are clear about their role and responsibilities within the home and the provision of service. The manager has arranged staff meetings for August 2006. The notes were not available at this time. This will be monitored at the next inspection as this manager is recently new in his role. However the staff have a communication work which is well utilised and displays all staff signatures when messages have been shared. During the inspection a discussion with team members pointed out “if there is not enough staff members on shift. It then has the potential to become unsafe, for instance 1:4 (one staff member to four residents).” The manager must ensure that enough staff are on duty to meet the needs and maintain safety of the residents. As a result the manager makes alternative arrangements to ensure that the shifts are covered and that safety is maintained. Recent regulation 26 provided evidence to confirm that this was an issue to be addressed. The manager ensures that regular supervision meetings take place with the staff team notes seen of meetings and sessions. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 The quality for this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The home is managed well, promoting positive outcomes for the residents and thus resulting in an effective team of staff. Systems are being developed to self-audit the service. Health and safety of the home is managed well and regular safety checks are completed. EVIDENCE: The manager is qualified approachable and effective cares about the residents and staff and has relevant experience to manage the home. The manager is aware that improvements have to be made and is willing to work with the Commission. The home has a handover shift sheet that provides detailed events that have occurred during the days shift. This is good practice. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 23 The service is focused on the resident and works in partnership with families and professionals. The homes Statement of Purpose provides clear aims of the services objectives. Systems are being developed to self-audit the service. This will be monitored in the next inspection. The home has developed a health and safety policy that provides clear guidelines, which meets the needs of the health and safety requirements. The home’s safety checks are consistently recorded. The manager is in regular discussion with the council to repair the road that runs outside the home. The work has not yet been completed. 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 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 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 25 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 The Registered person must ensure that when administering medication that safe handling is practiced to avoid the potential for error The registered person shall ensure that at all times the home has experienced persons in sufficient numbers on shift for the health and welfare of the residents. The registered person shall establish and maintain a system for reviewing quality assurance within the home. Timescale for action 11/09/06 2. YA35 18 (a) 11/09/06 3 YA39 24 (1) (a) 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 3 & 4 The Rise DS0000066767.V302595.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 3 & 4 The Rise DS0000066767.V302595.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. 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