Inspection on 17/01/07 for 50 Vassal Road

This inspection was carried out on 17th January 2007.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

50 Vassal Road 20/12/05

50 Vassal Road 18/02/05

50 Vassal Road 09/06/04

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 50 Vassal Road Fishponds Bristol BS16 2LW Lead Inspector Melanie Edwards Key Unannounced Inspection 17th January 2007 09:00 50 Vassal Road DS0000026581.V327287.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 50 Vassal Road DS0000026581.V327287.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. 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 50 Vassal Road Address Fishponds Bristol BS16 2LW 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) 0117 9586515 0117 9709301 admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Mrs Linda June Purnell Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 6 residents aged between 19-64 years Date of last inspection 20th December 2005 Brief Description of the Service: 50 Vassal Road is operated by the Aspects and Milestones Care Trust and is registered to provide accommodation and personal care to six people aged 1864 with learning disabilities. The house is situated in a residential area close to local shops and amenities. It provides single occupancy accommodation with two lounges. The fees charged to stay at the service are £766.85 a week. 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Please note some of the residents have difficulties verbally expressing their views. The inspector met three of the six residents who live at the Home and spent time observing residents and staff together. One support worker, and the acting manager Mr Rogers, were consulted about their roles and responsibilities, their training needs, and how they assist and support residents. The two staff on duty were observed assisting residents with their needs. A sample of records relating to the day-to-day running and management of the Home were inspected. One resident’s care records and care plan was inspected. The environment was viewed throughout. The Home was operating within required conditions of registration set down by the Commission. The conditions of registration set out the type of care and the needs of residents the Home can provide personal care for. What the service does well: What has improved since the last inspection? What they could do better: Action must be taken so that the bedroom identified at the inspection is clean and free from strong odour for the benefit of the person occupying the room. 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 6 The Home must be able to demonstrate residents are provided with a varied and nutritious diet. An up to date menu must be kept to show what meals residents are provided with. To ensure residents’ medication is administered safely staff should be trained for medication administration on an at least an annual basis. This is in accordance with the Trusts own medication guidance policy. Residents’ health and safety would be better protected if household cleaning products were stored securely in accordance with health and safety guidelines. There should be hand towels and hand cleaning products available at sinks in the toilets. This is so that residents, staff, and visitors can maintain good basic hygiene in the Home. 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. 50 Vassal Road DS0000026581.V327287.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 50 Vassal Road DS0000026581.V327287.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): 1,2,3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed and are met by the Home. Prospective residents are provided with the necessary information to help them to find out about the service provided at the Home. EVIDENCE: To find out how residents are able to find out about the Home a copy of the service users guide was reviewed. Each resident has their own copy of the guide, so that they have access to helpful information about life in the Home. The guide is largely made up of photographs of residents, the Home, and the community. The words and views of residents are also included throughout, and the guide has been written from resident’s perspectives. The Home is to be commended for ensuring residents are actively included in devising the service users guide. The guide includes information about the service, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aims to meet resident’s needs is also included. The complaints procedure is also in the document so that residents know how to complain about the service. To find out how effectively residents are supported to meet their needs one care plan was inspected. There was a detailed personal profile, completed for 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 9 the resident. This included their personal history, information about their physical and mental health history, as well as a record of the important people such as family and friends for the individual. There was also an informative plan of care for them to address their physical, mental, and social needs. The care plan aimed to promote the independence of the person in their daily lives. There was evidence written in the record that the resident had been consulted in the care planning process. There was evidence that the care plan had been evaluated and updated on a regular basis. Staff were observed to be assisting residents in a sensitive and calm manner, and were meeting residents needs in the manner stated in care plans. 50 Vassal Road DS0000026581.V327287.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): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed and their care plans reflect how needs are met. Residents are supported to make decisions and to take risks in their daily lives. EVIDENCE: 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 11 To find out how well residents are being supported to meet their needs one care plan was inspected. The care plan contained detailed information, and included easy to follow instructions showing how best to assist the resident to meet their range of care needs. Mr Rogers and the staff team had evaluated the plan of care on a regular basis, which helps to demonstrate residents changing needs are being monitored and reviewed. Residents’ files also contained relevant letters and assessments from the specialist psychiatrist who will see residents when required. To find out how residents are supported to maintain their safety in a range of activities one residents risk assessment record was reviewed. There was detailed information included about any potential risks the resident may face, and any risk behaviours they may exhibit. The risk assessment record clearly and simply set out the preferred approaches staff needed to follow to support the resident. There was information written in the resident’s record that showed staff support the person to maintain independence in their daily lives. Residents were observed being supported by staff to attend a range of community based social and therapeutic activities during the inspection. There was also information written in the residents records that showed staff aim to support the residents to maintain their independence in various daily living activities both in and out of the Home. This helps to demonstrate how residents are supported to make decisions and maintain their own independence in their daily lives. Residents go out with staff in the Homes’ shared car on a regular basis to attend a range of social and therapeutic activities. This is a good example of how residents are being encouraged to take appropriate risk in their daily lives. Residents are consulted about their preferred meal options on a weekly basis. This is one example of how residents are supported to take an active role in the day-to-day running of the Home. Residents get up at different times during the morning, which helps to demonstrate how their choices and different preferences are respected There are regular residents meetings where residents can set their own agenda for these meetings. 50 Vassal Road DS0000026581.V327287.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): 11,13,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well supported to take part in a range of appropriate leisure activities. They are further supported to be a part of the community and to have opportunities for personal development. However it is unclear if residents are consistently offered a varied well balanced diet. EVIDENCE: 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 13 One of the aims of the Home is to support residents to be able to access community facilities as independently as possible. The staff said they often accompanied residents to the local pub and to a nearby coffee shop or to the shops. This helps ensure residents are able to be a part of the community and lead a fulfilling life away from the Home. On the day of the inspection a small group of residents went to a local pub to celebrate one resident’s birthday. One resident said that they regularly go to the local shops on their own to buy groceries for the Home, and they liked doing this. An aromatherapist also visits the Home on a regular basis to provide one to one relaxing treatments for residents. Three residents also have part time employment. One resident has a part time cleaning job and two residents undertake a regular newspaper delivery round. Staff reported that the residents concerned gained much satisfaction from the work they do. Three of the residents were absent from the Home on the day of the inspection attending day care activities. A copy of the current menu was reviewed to find out what sort of meals residents are provided with and if they are offered choices. There were dishes recorded as being available for some days and there was evidence that demonstrates residents likes and dislikes are included when menus are planned. However the menu had not been completed on a number of days, and there were entries written for meals that simply said `roast.’ This fails to demonstrate if residents are being provided with a varied and well balanced diet. This information is required so that the Home is able to demonstrate residents are provided with a varied and nutritious diet. 50 Vassal Road DS0000026581.V327287.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 good. This judgement has been made using available evidence including a visit to this service. Residents are supported to meet their needs in the way preferred by them. The systems in place for the handling, administration, storage and disposal of residents’ medication are safe. However, residents could benefit if staff had more regular training in medication administration. EVIDENCE: During the inspection one resident was being supported by a support worker to attend a dental appointment. This is good evidence that demonstrates how residents are supported to meet their health and dental care needs. There was information in the daily records that staff monitor and observe the health of residents and call the doctor, if they were concerned about the resident. There was information seen that showed residents receive support and treatment as required from the specialist Psychiatrist. This helps to demonstrate that residents’ health care needs are being met. Mr Rogers conveyed in discussion that he aimed to monitor residents’ physical health as well as to provide emotional support. 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 15 There was information in the residents’ records explaining the way in which a resident should be helped to meet their care needs. It was evident that residents were able to exercise choice about the time they got up and the manner in which they were assisted by staff. Staff talked to residents in a calm and patient manner when supporting them with their needs. Residents looked relaxed and comfortable with staff and were approaching them to speak to them. This helps to demonstrate residents are cared for by staff who they feel relaxed and comfortable with. The procedures for the administration, storage and disposal of medication were reviewed to monitor if there safe systems in place. Medication to be dispensed was stored in a locked wall mounted cabinet in the kitchen. The Home uses the boxed pack dispensing system to assist staff to administer medication safely. There is a photograph of the resident maintained with each record for ease of identification purposes. The medication stock was satisfactorily organised and demonstrated a safe system for storing medication. The charts were up to date, legible and contained the signature of the member of staff dispensing the medication, as well as the reasons for any omissions. The Trust own policy states that staff need to be retrained on an at least annual basis to be able to demonstrate that they are safe and competent to administer medication. However the staff training records showed staff had not been trained in safe medication administration for two or three years. 50 Vassal Road DS0000026581.V327287.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): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to make complaints about the service. Also the systems in place to protect residents from abuse are effective in helping to protect residents. EVIDENCE: The complaints book record could not be located at the inspection. This will be requested at the next ‘key’ inspection of the service. However Mr Rogers said that there had been no new complaints recorded since before the last inspection. The procedure for residents to make a complaint was also displayed, and included the contact details for the Trust and the area office of the Commission for Social Care Inspection. A copy of the Trusts complaints procedure was kept accessible Staff conveyed that they would advocate for residents and ensure their views were made known to the manager of the Home. 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 17 The Home has a copy of the Trusts’ policy in place addressing the protection of the vulnerable adult from abuse. Policies were kept accessible to staff in the policies and procedures file. This helps to protect vulnerable adults who live at the Home, if staff can access the necessary information to ensure their protection. There was written information in the staff training records (see also standard 30) confirming Staff has attended recent training in 2006 on ‘the protection of vulnerable adults from abuse.’ 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an environment that is mostly clean and satisfactorily maintained. The Home is suitable for residents to live in and suits their needs and lifestyles. EVIDENCE: 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 19 The Home is an older building set in a residential part of Fishponds near to the City of Bristol. It is close to local shops and residents access local amenities including the supermarket and coffee shops. The standard of the decoration and the quality of the fixtures and fittings was satisfactory. Each bedroom has a wardrobe, comfortable chair a bedside cabinet, and chest of drawers in. There are photographs, and pictures displayed in the home and in some individual rooms that help to create a more ‘personal’ feel to the rooms. One resident kindly showed the inspector their video collection in their bedroom. It was evident that the resident valued having their personal possessions around them in their bedroom. Only one bedroom has en-suite facilities, however there are toilets, and a bathroom located close to the bedrooms on each floor, which is convenient for residents use. There is a laundry room on the ground floor. It contains a washing machine with a sluicing programme, and one tumble dryer, for washing and drying residents’ clothes hygienically. There are two lounges which offers residents a chance of additional privacy if they so wish. The The and in a kitchen is located on the ground floor, next to the lounge/dining room. kitchen is a domestic style, and residents use the room to prepare drinks snacks with the support of staff. This helps to demonstrate residents live relaxed home where they can be independent if they wish to be. The environment was adequately clean, tidy and satisfactorily maintained in communal areas and in the majority of bedrooms. However, one bedroom has a strong unpleasant odour in it. Action needs to be taken to address this, to make sure the room is clean and odour free, for the benefit of the person occupying the room. 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by a sufficient number of competent, qualified staff who are being well supported and supervised in their work. EVIDENCE: 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 21 Staff from the Home access a range of training from the Trust. Training records that were reviewed demonstrated staff had attended a range of relevant courses relevant to residents needs over the last twelve months. There was also information seen in the office that demonstrated staff are booked to attend forthcoming training in food hygiene, first aid and fire safety. The staff observed during the inspection conveyed they were able to communicate and support residents in a sensitive manner. Mr Rogers undertakes the supervision of staff in the Home. The supervision records of one member of staff was looked at. This record demonstrated the staff member was being supervised on a regular basis. This benefits residents if staff feel well supported to be able to support, care, and understand residents and their needs. The staff meetings minutes record was looked at. These showed staff meetings take place on a regular basis and staff are consulted about a range of relevant matters related to the day-to-day running of the Home. 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,41,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a well run home and efforts are made for their views to be listened to and represented. However, action needs to be taken to protect residents’, and staff health and safety. EVIDENCE: Mr Rogers is a qualified learning disabilities nurse. His career record showed that he has a number of years of experience working with residents who have learning disabilities. He is registered with the Commission for Social Care Inspection as the manager of another Trust run Care Home. This demonstrates Mr Rogers is considered suitable and qualified to fulfil the role of manager. 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 23 The Home ensures residents’ records are kept in a locked cabinet in the office when not in use. The care records, and records seen relating to the running of the Home were satisfactorily written, legible, up to date, and well maintained. This helps to demonstrate resident’s confidentiality is being protected, and that legal records required for the effective running of the Home are being kept in order. The monthly monitoring visits of the Home that must be carried out by a representative of The Trust were being undertaken as required by law. There are records of these visits being sent to the Commission for Social Care Inspection. The records that have been seen, demonstrate that the designated individual responsible for the visits spends time consulting with residents, their representatives and observing staff. There are regular residents meetings and residents are encouraged to express their views about what they consider is important. There are allocated staff who oversee health and safety matters in the Home. Staff are provided with regular training in health and safety matters including first aid, and moving and handling practices. This should help protect residents’ health and safety if staff keep themselves up to date in health and safety principles and practices. However it was observed that there were no hand cleaning products or drying towels available at sinks in the toilets. This is required so that residents, staff, and visitors can maintain good basic hygiene in the Home, and reduce cross infection risks. It was observed that household cleaning products were not being stored securely in accordance with health and safety guidance. These items should be stored securely to prevent any undue health and safety risks to people. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. 50 Vassal Road DS0000026581.V327287.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 3 2 3 3 3 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 3 26 3 27 3 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 X 15 X 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 X X 3 2 X 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 25 no 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. 2. Standard YA30 YA17 Regulation 16.2(k) 16.2(i) Requirement Action must be taken so that the identified bedroom is clean and free from odour. The Home must ensure residents are provided with a varied and nutritious diet: Keep an up to date menu record to demonstrate what meals are provided. Timescale for action 23/01/07 17/01/07 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 3 Refer to Standard YA42 YA42 YA20 Good Practice Recommendations Household cleaning products should be stored securely in accordance with health and safety guidelines. There should be hand towels and hand cleaning products available at sinks in the toilets. Staff should be trained for medication administration on an at least annual basis in accordance with the Trusts own DS0000026581.V327287.R01.S.doc Version 5.2 Page 26 50 Vassal Road policy. 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 50 Vassal Road DS0000026581.V327287.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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