Inspection on 06/08/08 for 59 Hatherley Road

This inspection was carried out on 6th August 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

59 Hatherley Road 30/08/07

59 Hatherley Road 10/01/07

Similar services:

Honeybourne House

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 59 Hatherley Road 59 Hatherley Road Gloucester Glos GL1 5LB Lead Inspector Mr Paul Chapman Unannounced Inspection 6 and 13 August 2008 09:00 th th 59 Hatherley Road DS0000067434.V364000.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 59 Hatherley Road DS0000067434.V364000.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. 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 59 Hatherley Road Address 59 Hatherley Road Gloucester Glos GL1 5LB 01452 537633 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.holmleigh-care.co.uk Holmleigh Care Homes Ltd To be appointed Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (1) of places 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. For one named service user over the age of 65 to reside at the home. Date of last inspection 30th August 2007 Brief Description of the Service: The home is registered to provide accommodation for up to 3 people with learning disabilities. It is a terraced property that has been adapted to provide registered accommodation. Communal accommodation is provided on the ground floor with a lounge, dining room and kitchen. Upstairs are 3 single bedrooms and a bathroom. To the rear of the home is a flat, secure garden with some well maintained flowerbeds and a pond. To enable people to access facilities the service users have access to a car. 59 Hatherley Road DS0000067434.V364000.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 quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The acting manager completed the AQAA (Annual Quality Assurance Assessment) document for the CSCI. On the whole this was completed well, except that the sections entitled “our planned improvements for the next 12 months” was missed. This was brought to the attention of the acting manager. This inspection site visit took place in August 2008. It included 2 visits to the home on 6th and 13th August. The acting manager was in attendance throughout the visits. The AQAA was supplied prior to the inspection. We received completed questionnaires from the 3 people living at the home, 1 parent and 2 healthcare professionals. Time was spent observing the care of people and their interactions with staff. 2 of the people living at the home were spoken to. No bedrooms were seen on this occasion. The care of 2 people was looked at in depth, this included looking at their financial, medication and personal records. 2 staff were spoken to about the care they provide. Other records examined included staff files, health and safety information and quality assurance records. What the service does well: People living in the home lead active lifestyles led by their choices. The home’s recruitment procedures do not put people at unnecessary risks. Risk assessments are comprehensive and minimise the potential risks to people while going about their everyday lives. The home provides people with a homely, comfortable and friendly atmosphere that meets their current needs. The staff team are appropriately trained to meet the people’s current needs. Food hygiene procedures minimises potential risks to people. People living in the home are encouraged to be involved in the day-to-day chores around the home. 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. 59 Hatherley Road DS0000067434.V364000.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 59 Hatherley Road DS0000067434.V364000.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): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home’s admission procedure minimises the risk of a person being admitted to the home whose needs cannot be met by the staff. EVIDENCE: There have been no new admissions to the home since the previous inspection was completed. The home’s policy meets the criteria of the standard but it is impossible to judge how an actual process is managed. 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Not all of the care plans in place provide staff with sufficient information to meet people’s needs consistently. People living in the home are given the opportunity to make decisions about their lives and staff will support them to do this where it is needed. Potential risks to people are identified and minimised wherever possible to enable people to go out about their day-to-day lives. EVIDENCE: The AQAA completed by the acting manager states that the care plans are in the process of being re-written to provide more details about individual’s needs. We examined the care files for two people living in the home in detail. Both of the files examined provide the reader with a good level of information about 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 10 each person. One of the files chosen was yet to be re-written in the new style proposed by the acting manager. Both of the files examined provided care plans covering the following areas of their lives: • Communication • Maintaining a safe environment • Mobility • Eating and drinking • Emotional needs • Daily living skills • Social skills • Cultural needs • Health • Medication • Personal hygiene • Accommodation requirements • Financial management • Managing behaviour • Activities All staff are asked to sign confirming they have read and understood care plans. All of the care plans examined had been reviewed regularly and the person to whom they belonged signed a number of the plans. Whilst examining the plans we had a discussion with acting manager about the plans. There is a need to review each of the plans to ensure that they are person centred and contain enough information to enable staff to provide a consistent approach when meeting people’s needs. This becomes a requirement of this inspection report. Both of the files we saw contained Person Centred Plans (PCPs). Both of the documents were in need of review, goals were identified but there was no evidence of progress towards meeting them. In addition to this there was little evidence of either person being involved in creating them. It becomes a recommendation of this report that all 3 PCP’s are reviewed. Records showed that people are able to make choices about the activities they are involved in. Observations during the 2 site visits supported this. We returned for the 2nd site visit to speak with people living in the home as they were out for the 1st day of the site visit. Comments from people living in the home were limited, but people appeared happy. The files we examined contained a wide range of risk assessments for the person identifying potential risks and providing guidance on minimising those risks. The acting manager said that they plan to review how risk assessments are written in the future with the aim of making them simpler. It is 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 11 recommended that where risk assessments are linked to care plans this is noted on the care plan. (A Person Centred Plan is commonly known as a PCP, this approach empowers people to make changes in their lives, achieve their goals and ensure that resources are in place to meet their future needs). 59 Hatherley Road DS0000067434.V364000.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): 12, 13, 15, 16, 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home lead active lifestyles that are led by their wishes and interests. People living in the home are encouraged to be involved in the dayto-day running of the home which enables them to learn new skills whilst maintaining others. EVIDENCE: At the time of the 1st site visit everyone was off to Weston Super Mare on a day trip. Speaking to the people at the 2nd visit they said that they had enjoyed themselves. Staff complete activity sheets for each of the people living in the home that detail what they have been doing. The AQAA completed by the acting manager states that over the next 12 months they wish to increase the amount community activities that people are able to take part in. Currently people attend day services in Gloucester and Cheltenham and there were numerous 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 13 examples of people going out individually with staff to complete activities. There are regular house meetings where people are given the opportunity to make suggestions about activities they would like to complete. Some of the activities people regularly complete included baking cakes, in house activities (bingo, DVD nights), completing domestic chores (cooking, washing and cleaning) and maintaining hobbies including puzzle books and tapestry. All 3 people have regular contact with their relatives. People are supported by staff to maintain these relationships as required. This may include helping with transport, making phone calls and writing letters and cards. The home uses the safer food, better business package to minimise potential risks. Records were available to show what people eat. One of the people that spoke to us said that they enjoy helping prepare meals with the staff. All 3 people living in the home are involved in shopping for the ingredients for their meals. When speaking with people they confirmed, “the food is nice” and “we can have something else if we don’t want what is on the menu”. People living in the home have agreed to save a small amount of the home’s food money each week to enable them to go out for meals regularly. Speaking to 1 person this very popular and they spoke about recently going out for a Chinese meal. 59 Hatherley Road DS0000067434.V364000.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 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. In some of the care plans there is insufficient detail to enable staff to meet people’s needs consistently. People’s physical and emotional needs are met by appropriately qualified professionals but health assessment documents need to be reviewed to ensure that they are up to date. Medication administration is generally well managed but there are some identified areas which cause unnecessary risks to people. EVIDENCE: As with other care plans the plans to meet people’s personal care needs are being re-written. We looked at care plans yet to be re-written, and others that had been. As previously mentioned in this report the acting manager must be mindful of the level of detail in these plans, ensuring that they contain sufficient detail to allow staff to meet people’s needs consistently. It becomes a requirement of this inspection report that these plans are reviewed. 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 15 Each of the files we saw contained a range of documents to address people’s health needs. All documents had been thoroughly completed but had not been reviewed in the previous 12 months. This was brought to the attention of the acting manager. It is recommended that these documents are reviewed to ensure they are still up to date. Records of appointments with health professionals are kept, and notes are available describing what the appointment was about. The AQAA completed by the acting manager states that an aim for the next 12 months is that where possible people will be supported to start managing their own medication. Current medication administration was examined, looking at current practices there is an issue of secondary dispensing by staff in the home. It becomes a requirement of this inspection report that this practice stops. We recommended that acting manager speaks to the GP to see whether the time the medication is given could be changed to solve this problem. Another recommendation is for the acting manager to seek the consent from each person in the home to allow staff to manage their medication at present. The acting manager must be aware that topical creams and ointments are labelled with the dates they are opened. 59 Hatherley Road DS0000067434.V364000.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Potential risks to people are minimised through a robust complaints procedure and being supported by staff that have completed training in safeguarding adults. EVIDENCE: Since the previous inspection site visit there have been 3 complaints made to the home. Records showed that the previous registered manager had appropriately addressed these. There have been no complaints since the acting manager has been in post. We checked the records of income and expenditure for each person. The staff and people to whom the money belonged signed all entries. Receipts for spending were also available in most cases. We checked 1 person’s money which was correct to the balance on the record sheet. Training records showed that staff have completed training in safeguarding adults. 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is clean, homely and comfortable and meets the current needs of the people that live there. EVIDENCE: The standard of decoration, fixtures and fittings in this home has greatly improved over the previous 2 years. People now live in a home that is decorated to a good standard throughout and provides a high standard of fixtures and fittings. Over the past 2 years the bathroom and kitchen have been replaced and new carpets have been fitted throughout. Communal areas include a lounge/diner with a 3-piece suite and a dining table. The lounge has a digital TV, DVD player and stereo. None of the bedrooms were seen on this occasion. 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The organisation’s recruitment procedures minimise potential risks to people living in the home. The organisation provide staff with comprehensive training to meet their developments and the needs of the people living in the home. Staff are available in sufficient numbers as not to put people in the home at unnecessary risks. EVIDENCE: There are comprehensive training records available for each of the staff, training needs are identified and courses are arranged to meet those needs. Holmleigh provide staff with a wide range of courses, staff commented, “there is lots of training available”. Examination of 4 staffs’ personal files showed they contained all of the documents required by these regulations. This minimises potential risks to people living in the home. 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 19 The staffing rota for the past 3 months was seen and showed that there is a minimum of 1 staff on duty at all times. The acting manager works a number of shifts and this enables the home to be staffed with 2 staff on some shifts. Comments received from staff included, “The staff and manager are very good and are always available if need them”. “The company could be more approachable”. 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The acting manager has substantial experience working in this field and this shows in the goals they have identified to achieve in the future which should improve outcomes for people living in the home. Quality assurance is being addressed with people being given the opportunity to give their opinions but further development is required to ensure that all people’s needs are being met. The acting manager and staff take health and safety seriously, the regular checks minimise the potential risks to people. EVIDENCE: The acting manager has been in post for a number of months and was the deputy manager of another of the organisation’s homes before starting at this 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 21 home. They explained that they have worked in this field for a number of years, with the last 5 years specifically supporting people with learning disabilities. They have completed the Registered Manager’s Award (RMA) and will be starting the National Vocational Qualification (NVQ) level 4 in Care in the near future. The manager summarised their style of management as leading by example. The acting manager is in the process of applying for registration with the CSCI. It becomes a requirement of this inspection report that their application is submitted within 3 months of the date of this report. We spoke to 2 staff during the site visits, both said that they enjoyed working at the home and that they felt the service was led by the needs of the people living in the home. Both staff were asked about the activities people are regularly involved in and confirmed the records we have seen. Observations during the site visits showed friendly and respectful relationships between the staff and people living in the home. Under Regulation 26 of the Care Homes Regulations (2001) where a provider is not in day-to-day charge of the home monthly visits must be completed by someone from outside the home. The organisation employs someone to do this and examination of the reports they complete after each visit show they are thorough, providing detailed feedback to the acting manager and setting targets for them to achieve. These reports form part of the home’s quality assurance procedure, in addition to this the regular house meetings give people the opportunity to comment on the service they receive. The acting manager stated that the organisation’s head office were due to send customer satisfaction questionnaires to families and other professionals. We recommended that records of setting goals with people living in the home, and evidence of them being achieved is also a good way to show the quality if the service being provided. The previous inspection report made a requirement that the manager acts upon the information received as part of the quality assurance procedure. The house meetings provide an example of this happening, but we will examine the findings of the questionnaires used as part of the organisation’s survey of families, etc to see whether this practice continues. The acting manager has developed a weekly cleaning checklist for staff to follow. This minimises the risk of tasks being forgotten. Each month a member of the staff team has the responsibility for completing a health and safety audit. Records showed that these had been completed regularly and covered areas including: - building and estate, equipment and facilities, kitchen and food hygiene and fire safety. In addition to this monthly audit other audits being completed included medication practice and vehicle safety. The previous inspection report made a requirement that the staff monitor the home’s fire safety equipment. Records seen on this occasion showed that staff now do this regularly. 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 22 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 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 X 2 X 2 X X 3 X 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15, 12(3) Requirement All care plans must provide the reader with sufficient detail to enable them to understand the person’s needs/wishes. And, provide the person with a consistently high standard of care that meets those needs/wishes. All care plans must provide the reader with sufficient detail to enable them to understand the person’s needs/wishes. And, provide the person with a consistently high standard of care that meets those needs/wishes. Staff should not secondary dispense people’s medication. All medication must be labelled with the date it is opened. This requirement is repeated from the previous inspection report as it was not met within the timescale 28/09/07. Timescale for action 07/11/08 2. YA18 15, 12(3) 07/11/08 3. 4. YA20 YA20 13(2) 13(2) 03/10/08 03/10/08 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 24 5. YA37 8, 9 The acting manager must submit an application to the CSCI to become a registered manager. 13/11/08 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 YA6 Good Practice Recommendations All the PCP’s should be reviewed to ensure that the identified goals are still valid. People should then be supported to achieve these goals. All work towards these goals should be recorded. Where a care plan presents a risk the associated risk assessment should be linked to that care plan. All of the health assessments should be reviewed to ensure that they are up-to-date. The acting manager should speak to the GP about the possibility of moving the time at which a person’s medication is administered to stop secondary dispensing. All of the people living in the home should be asked for their consent to allow staff to administer their medication. People’s goals should be identified and all progress recorded to support the home’s quality assurance system. 2. 3. 4. 5. 6. YA9 YA19 YA20 YA20 YA39 59 Hatherley Road DS0000067434.V364000.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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