Inspection on 12/09/06 for 76 Highlands Road

This inspection was carried out on 12th September 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

76 Highlands Road 16/09/08

76 Highlands Road 29/12/05

76 Highlands Road 11/07/05

76 Highlands Road 09/11/04

76 Highlands Road 08/06/04

76 Highlands Road 16/12/03

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Fairways

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

CARE HOME ADULTS 18-65 76 Highlands Road Fareham Hampshire PO15 6BZ Lead Inspector Marilyn Lewis Unannounced Inspection 12th September 2006 10:00 76 Highlands Road DS0000012367.V307629.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 76 Highlands Road DS0000012367.V307629.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. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 76 Highlands Road Address Fareham Hampshire PO15 6BZ 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) 01329 230121 www.c-i-c.co.uk. Community Integrated Care Mr Michael Wearn Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users are only to be admitted between the ages of 30 and 50 years. 29th December 2005 Date of last inspection Brief Description of the Service: 76 Highlands Road is a registered care home, providing personal support and accommodation for three young adults with learning disabilities. It is a bungalow set back from the main A27 road to Portsmouth in Fareham. Community Integrated Care (CIC) are the registered providers, and the manager, is in the process of applying to CSCI for registration to become the registered home manager. Knighstone Housing Association own the home which comprises of three single bedrooms, a communal lounge, dining room, kitchen and a laundry/staff sleep in room. An enclosed garden is situated to the rear of the property. The registered manager stated on the 12th September 2006 that the fees for the home were £1181.93 per week. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 12th September 2006. The inspector toured the home and met with the three service users, two support workers and the registered manager. The care plans were seen for each service user and records including those for medication, accidents, staff recruitment and training were assessed. What the service does well: The home looked clean and homely and there was a relaxed atmosphere. Good interaction was observed between staff and service users. The three service users care needs had been reassessed and the assessments provided good information on the service users needs and wishes. Each service user had been provided with a written contract that gave the terms and conditions for living at the home. The care needs assessments formed the basis for the individual care plans. The plans gave clear information on the care needs of the service users and the actions required to meet those needs. Service users likes and dislikes were included in the plans and also their interests and hobbies. The plans were reviewed monthly, when a staff member had a one to one meeting with the service user. Risk assessments had been undertaken for daily living and social activities that supported the service users to take risks as part of an independent lifestyle. Staff had taken into account the interests of service users when arranging holidays and day trips. One service user enjoyed boat trips and a holiday had been organised for the Isle of Wight where there was the opportunity for boat rides. Service users were able to choose what they wished to do each day and on the day of the inspection one service user went shopping, one watched television and the third helped prepare lunch and chatted with staff in the garden. Menus seen indicated that service users had a choice of well-balanced meals. A service user said that they enjoyed the food provided and were never hungry. Service users were supported and encouraged to maintain their independence while undertaking daily living activities, such as washing and dressing. Records seen indicated that service users health needs were being met. A letter in one of the service user’s files praised staff for their hard work in 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 6 meeting the needs of the service user and their ability to work well with the community health team. The home has a complaints policy in place that indicates who will investigate the complaint and timescales for the process. Staff support service users to voice any concerns and work with them to rectify the issue. Staff have received training in the prevention of abuse. Two adult protection issues have been investigated since the last inspection. Both have not been upheld. The manager is a qualified learning disabilities nurse who has applied to register with the commission. It was evident during the inspection visit that she had a good rapport with service users and staff said that they received support from her. What has improved since the last inspection? What they could do better: Individual medication records seen contained some gaps where staff should have signed to confirm they had administered medicines. The manager arranged to speak with the staff concerned. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 7 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. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 8 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 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 9 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 and 5 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Good care needs assessments are in place that provide information on the service users needs and aspirations. EVIDENCE: The manager said that she was currently reviewing the home’s Statement of Purpose and Service User Guide. The documents were being produced in a format suitable for each resident, one in Makaton, one on video and the third using photographs. The three service users have lived at the home for a number of years so there were no new pre admission assessments available. However the manager had reviewed the care needs assessments for the residents in May 2006 and these were seen. The assessments were very detailed and covered all aspects of care including personal hygiene, social care and communication. Each service user had a written contract giving the terms and conditions for living in the home in their file. The contract stated what services were included in the fees and services available at an additional cost such as their own telephone, clothing, toiletries and hairdressing. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 10 The documents were not available in a format other than written. The manager said that the contracts were discussed with relatives at the time of the service users admission to the home. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 11 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, 8, 9 and 10 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Care plans provide clear information on the changing needs of the service users. Service users are supported to make decisions, take risks as part of an independent lifestyle and know that their confidences are kept. EVIDENCE: The care needs assessments are used as the basis for the care plans. Care plans seen for the three service users provided good information on all aspects of care needs. The care plans recorded the service users preferences for participation in daily living activities including what time they usually liked to get up and go to bed and what name they preferred to be known by. Communication methods were also documented and for one service user who used the Makaton system, a list of signs and symbols frequently used were included in the care plan. The care plans showed evidence of regular review by care managers. Relatives were also involved in the review of the plans and one to one meetings were held with the service users to identify their wishes. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 12 The manager said that service users joined staff meetings, if they wished, when daily life at the home was discussed. Any changes to the routine of the home such as new staff members were discussed on a one to one basis with a support worker and a service user. Risk assessments for all aspects of daily living and social activities were included in the care plans. Assessments stated the risks and the actions required to minimise the assessed risks, while allowing the service users to maintain their independence. Risk assessments seen included those for challenging behaviour, environment and travel. The home had a policy for confidentiality and staff spoken with knew that all personal information regarding service users was to be kept confidential. Staff were also aware of the need to share information with an appropriate person if abuse was suspected. One service user said that they felt discussions with staff were treated as confidential. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 13 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, 14, 15, 16 and 17 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Staff treat service users with respect, support them to participate in daily and social activities and provide a choice of well-balanced meals. EVIDENCE: During the inspection visit it was evident that service users were able to choose what they wished to do. A staff member took one service user out to the shops; another of the service users spent time watching television and the third helped prepare lunch and spent time chatting to staff in the garden. Two of the service users had recently been away with staff members for holidays and the third service user, who did not wish to go away for a holiday was being taken out for day trips as a break from the routine. A service user spoken with said that they had enjoyed their holiday very much. The service users interests were recorded in their files and their daily records indicated that their interests were taken into account when arranging their 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 14 social activities. For instance one service user who enjoyed boat trips was taken to the Isle of Wight so that there were opportunities for boat rides. Visits by relatives and friends were also recorded in the service users records. The manager said that a more structured activities programme was being developed for each of the service users as at present many of the activities were decided on a daily basis. Records seen for each service user indicated that a review was completed monthly, when a one to one meeting took place between a staff member and a service user, to identify activities that had been enjoyed and which ones were not successful. The information gained was used when developing the following months activities for the service user. During the inspection visit staff were seen to knock on doors and wait before entering rooms and spoke with the service users in a friendly, respectful manner. Service users preferences for food items were recorded in their care plans. The manager said that the service users had all been resident at the home for some time and their preferences for foods were known to staff and taken into account when organising the menus. Meal times were flexible and when the inspector arrived at the home one service user had breakfasted early, one was just finishing breakfast and another was sitting down to start their meal. At lunch service users were offered a choice of meals and each chose a different option. Food for one service user was pureed and was served with each food item pureed separately to allow for the texture and taste of each item to be tasted. Menus seen indicated that service users were provided with a choice of wellbalanced meals. Fresh vegetables were used in the preparation of meals and fresh fruit was available for service users. Staff were observed to assist service users in a caring manner. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area was good. The judgement was made using available evidence including a visit to the service. Service users receive support in the way they prefer and their health care needs are met. The manager is addressing the issue of staff not completing medication records as required to ensure the risk to service user’s health is minimised. EVIDENCE: Service users preferences for participating in daily activities were recorded in their care plans. The plans seen indicated that service users were encouraged to maintain as much independence as possible. One plan stated that the service user was able to wash themselves but was not to be left alone in the bathroom as they were at risk due to epilepsy. Attendance at health clinics and visits by GPs and other health professionals including dentists, opticians, psychiatrists and speech and language therapists were recorded in the service users care plans. One service users file contained a letter from a clinical psychologist praising staff at the home for their hard work in supporting the service user and for working well with the community health team. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 16 No service user at the home is able to administer their own medication. The home has clear procedures for handling medicines including recording medication brought into the home and on disposal. The manager has received training in the administration of medication, which includes an assessment from an outside agency, and she then provides training for staff. Individual medication records seen contained some gaps where staff should have completed the form when administering medicines. The manager arranged to speak with staff who had not signed the documents as required while the inspection was in process. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Staff support service users to voice any concerns and they have received training in the prevention of abuse. EVIDENCE: The home has a complaints policy in place that indicates who will investigate the complaint and timescales for the process. A staff member said that if any of the service users indicated they were unhappy the issue was discussed on a one to one basis and due to communication difficulties it was sometimes necessary to use a trial of a new method for completing tasks and monitoring the service users reactions until a method was found that was acceptable to the service user. One service user was able to voice their opinions and staff were observed spending time with the service user so that there was opportunity for their views to be obtained. Staff at the home had received training in the protection of vulnerable adults and both staff members spoken with were aware of the procedures to be followed should abuse be suspected. Since the last inspection two adult protection issues had been investigated. Both had been not substantiated. 76 Highlands Road DS0000012367.V307629.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, 25, 26, 27, 28, 29 and 30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. 76 Highlands Road provides a clean and homely environment for those living and visiting there. EVIDENCE: At the time of the inspection the home looked clean and homely. The home is a detached bungalow situated in a residential area of Fareham. Service users are accommodated in single rooms, one of which has en-suite facilities. The other two service users share a bathroom. Service users rooms looked clean and cheerful and contained many personal items. The bedrooms have recently been redecorated and service users had been able to choose the colour schemes for their rooms. A resident said that they liked their room. The lounge and dining area had also been redecorated since the last inspection and looked homely. Furniture and fittings looked in a good state of repair and the lighting in the rooms was good. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 19 There is an enclosed garden to the rear of the property that has seating for service users. A service user said that they had enjoyed a Barbeque held in the garden recently. During the inspection visit one resident spent time sitting outside chatting with a staff member. At the time of the last inspection the footpath in the garden was uneven. This has since been repaired. The exterior of the property had also been redecorated. The home’s kitchen is domestic in appearance and accessible to service users with supervision from support workers. Risk assessments for service users use of kitchen appliances were contained in their files. Service users at the home do not require specialist equipment such as hoists. However items such as specially designed cutlery were available for the service users who required them. 76 Highlands Road DS0000012367.V307629.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, 33, 34, 35 and 36 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Service users are supported by staff who are recruited through robust procedures, who receive supervision and the training required to do their jobs. EVIDENCE: Since the last inspection there have been a number of changes in the staff employed at the home, with some staff leaving the organisation and others transferring to other care homes. Only the manager and two support workers are on the permanent staff with four agency staff members making up the team. The home always employs the same agency staff so that they know the service users and the home. The manager said that the home is currently recruiting new permanent staff members and interviews were due to be held shortly. The manager and the two permanent staff said that they felt there were enough staff on duty for each shift. On the day of the inspection visit, an additional staff member was on duty to allow for staff to accompany a service user to the shops. The two permanent staff members were on duty on the day of the inspection visit. One holds a National Vocational Qualification (NVQ) level 2 and the other is due to commence the training course later in the month. The manager is a qualified learning disabilities nurse. 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 21 Recruitment records seen for the two staff members contained all the information required including two written references and proof of identity. Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had been completed before the staff members had commenced work in the home. Records for agency staff contained a letter from the agency that CRB and POVA checks had been completed and the staff members carried identity cards. Training certificates for the two permanent staff members indicated that they had received training in all aspects of care provision including the protection of vulnerable adults, first aid, principles of care, appraisal skills, medication and crisis intervention. Both staff members had also received training in autism awareness and epilepsy. Staff had not received training in Makaton but the manager has attended training courses and has instructed staff in the use of the basic Makaton signs used by one of the service users. The manager has contacted the organisation requesting a training course for staff. Training records were not available for all agency staff. The manager said that one agency provides the information and another does not. The manager said that she would contact the agency to obtain confirmation of the training staff had received. Staff spoken with said that they received regular supervision and records seen confirmed this. 76 Highlands Road DS0000012367.V307629.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, 38, 39, 40, 41 and 42 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The manager runs the home in the best interests of the service users who are protected by the safe working practices operated there. EVIDENCE: The manager of the home is a qualified nurse specialising in learning disabilities. She has managed the home since March 2005 and has applied for registration with the commission. Two staff members spoken with said that the manager was very supportive and it was evident during the inspection visit that she had a good rapport with staff and service users. The manager said that meetings were not held specifically for service users but that they were able to attend monthly staff meetings if they wished, where confidential issues were not discussed but there were general matters concerning life at the home on the agenda. During the visit one service user 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 23 chatted easily to staff and made his feelings known about how daily activities in the home should be arranged. The manager said that the opinions of the service users were also obtained through one to one discussions. The manager said that there was regular contact with relatives of the service users and there were many opportunities for them to give feed back on the quality of care provided at the home. The home’s policies and procedures were mainly developed through the organisation. The manager had recently reviewed all the documents to ensure they were relevant to the home. The documents were readily available to staff and a staff member said that the policies and procedures were discussed during staff supervision. Records for service users and staff were kept up to date and were stored securely in the home. Fire records seen indicated that checks on fire safety equipment were undertaken as required. Records for staff attendance at fire drills had been lost and a new record book had been started. It was therefore not possible to confirm that all staff had attended fire drills. The manager said that fire drills would be held to ensure all staff had attended a drill and that a fire officer was due to visit the home in October for a formal inspection. Fire risk assessments for the building and for each service user were being reviewed. Training records seen indicated that staff had received training in health and safety including moving and handling, food hygiene and first aid. During the visit hazardous substances such as cleaning fluids were stored securely. Health and safety information was displayed around the home. Records seen indicated that all accidents were recorded. The records showed that the manager audited the accident reports and took action as necessary, such as reviewing medication and obtaining physiotherapy for a service user who has a number of falls. 76 Highlands Road DS0000012367.V307629.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 3 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 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 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 3 3 2 x 3 3 3 3 3 3 x 76 Highlands Road DS0000012367.V307629.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. Standard YA20 Regulation 13 (2) Requirement The registered person must ensure staff follow the procedures for the administration of medicines, including the completion of medication records. Timescale for action 31/10/06 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 76 Highlands Road DS0000012367.V307629.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 76 Highlands Road DS0000012367.V307629.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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