Inspection on 12/11/08 for 78 Stubbington Lane

This inspection was carried out on 12th November 2008.

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

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

78 Stubbington Lane 08/05/07

78 Stubbington Lane 01/09/06

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Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 78 Stubbington Lane 78 Stubbington Lane Stubbington Hampshire PO14 2PE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Laurie Stride     Date: 1 2 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 78 Stubbington Lane 78 Stubbington Lane Stubbington Hampshire PO14 2PE 01329668701 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Constance Sian Gardner Type of registration: Number of places registered: Care Management Group Ltd care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability - LD Date of last inspection Brief description of the care home 78 Stubbington Lane is registered to provide care and accommodation to five people between the ages of 18 and 65 who have learning disabilities. Each service user has a single bedroom, and shares the use of two bathrooms. Service users share the use of a lounge, dining room and kitchen. There is an enclosed garden to the rear of the home that service users are able to access. The current range of fees is 1,885 to 2,283 pounds sterling per week, depending on the assessed needs of individuals. This information was obtained at the time of the inspection visit. Members of the public may wish to contact the care home for up-to-date information about fees. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 5 Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection visit lasted approximately seven hours, during which we, the commission, looked at how well the home is meeting peoples needs and supporting them to have a good quality of life. We were accompanied for a part of this visit by an expert-by-experience, someone who has personal experience of using social care services. During this visit we looked at samples of records and spoke with the registered manager. We met three of the people who currently live in the home and spoke with them, however our communication was limited due to the nature of the individuals disabilities and/or the fact that they were busy. We also spoke with four of the staff team and observed them interacting with people who use the service, which they did in Care Homes for Adults (18-65 years) Page 6 of 27 a respectful and friendly manner. Further information used in this report was obtained from the previous inspection report for 08/05/07 and annual service review (ASR) report for 08/05/08, the homes annual quality assurance assessment (AQAA) and from notifications the home had sent us between the inspection visits. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a suitable assessment and admissions procedure to ensure that people are matched with the right service to meet their needs. Evidence: Care Management Group have an assessment and referrals team who work with each service to find suitable prospective people to live in the home. The manager confirmed that there have been no new admissions since the last inspection. All of the people who currently use the service were admitted prior to Care Management Group becoming the service providers. Through looking at a sample of two individuals records we saw that their assessed needs were being kept under review. For example one person who wishes to move to other accommodation was being supported to explore possible options, through meetings with their care manager and others including staff from the home. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The review of care planning provide staff with appropriate information to meet the needs of people who use the service. The use of communication tools enables people who use the service to participate in the day to day running of the home. Evidence: The previous report identified that care plans were detailed and linked to risk assessments and individuals likes and dislikes. The sample we saw during this visit of two individuals care planning records provided information and guidance for staff. This included behavioural strategies and guidelines, procedures for supporting people who have epilepsy and risk assessments. The records indicated that the manager keeps them under review and staff members we spoke with demonstrated their knowledge of individuals needs and wishes. Communication tools and guidance are used to support people to make choices on a day-to-day basis. There was a communication board in the office that the manager said was going to be fixed to a wall in the communal area. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: In May 2008 we had undertaken an annual service review (ASR) of the home, which included obtaining the views of three people who use the service, two relatives and a care manager. Through this we had been made aware of concerns that care plan guidelines for one individual were not being followed correctly by staff. Since then the home has worked closely with the individuals care manager on reviewing guidelines and working practices and staff we spoke with understood the persons needs. Throughout our visit we saw members of staff supporting people who use the service to make decisions and choices. One individual had stated that they did not want visitors to the home to go into their bedroom and staff made sure that the persons wishes were respected. As mentioned in the previous section, one person who uses the service had expressed a wish to move to alternative accommodation and this was being explored through meetings between the service user, their relative, care manager and the homes manager. Another service user had a review with their care manager scheduled for the end of this year. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have opportunities for personal development and to participate in social and recreational activities. Evidence: The homes annual quality assurance assessment (AQAA) told us that the home promotes a structured plan to provide daily activities that are specific to individuals who use the service. We saw evidence of this in peoples care planning records, for example weekly plans showed what activities had been offered to someone, whether they had accepted or declined to do the activity and what alternatives were offered. Each individual has a section of their care plans called My Life Now, which records the activities people enjoy. This includes guidance for staff on providing flexible support for individuals who prefer unplanned activities. An external activities co-ordinator is also involved once a week. The AQAA told us that two people had started college, although Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: one had since decided they did not wish to attend. The other person looks forward to college days. The two individuals whose records we saw had been away on short breaks this year. At the time of the homes annual service review in May 2008 we had received information detailing concerns about the homes ability to consistently meet a service users assessed needs. This included concerns that staff were not following the guidance about an individuals diet and activities. During this visit the staff we spoke with demonstrated knowledge of the persons needs, which was consistent with the care plan guidance. We also spoke briefly with the individuals care manager, who said that the homes incident reporting had improved and indicated that communication between the home and the individuals relative was an area being worked on. The manager told us that the individual had been referred back to a dietician and that relatives were informed of incidents. Comments we had received for the annual service review from another persons relatives indicated that they felt they were kept informed and that the home responded appropriately to any concerns. We saw that the home keeps a record of family birthdays, supporting individuals to keep in touch with their relatives and send cards on special occasions. The expert-by-experience spoke with two of the people who live in the home. One individual was having a review meeting and said he was busy. Another person was clearly interested in taking part in putting up the Christmas tree when the time came and said yes when asked if they were happy at the home. A third service user had become anxious due to the number of new faces present in the home on the day of our visit. Staff members calmed the persons anxiety by talking to them. The expert-by-experience was shown some craft work made by people who live in the home, which was hanging on the wall in the lounge. A member of staff told the expert that they go shopping with the residents at the supermarket and the local weekly market in town. The expert was also shown board games that are available for people to use. The AQAA told us that the home had introduced theme nights, which people who use the service enjoy, eating foods from different parts of the British Isles and certain parts of the world. The expert-by-experience saw that there is a map on the dining room wall that helps the residents to link their foods to the country that the food comes from. The AQAA said that the home has improved healthy eating menus with input from people who use the service. We saw that food menus indicated individuals choices. On Wednesday evenings members of staff ask people what meals they would like and the food shopping is done the following morning. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have access to health care when they need it and staff members provide personal care in the way that individuals prefer. The procedures for managing medication protect people who live in the home. Evidence: Records in the home showed that people who use the service have access to a wide range of healthcare specialists when they need them. Correspondence showed the home seeks the advice of relevant professionals when planning to meet individuals support needs, for example behavioural assessments and guidelines. Where applicable, weight records were being kept and we saw an exercise diary for one person, which indicated when exercise activities were offered and if these were refused. We saw epilepsy guidelines for another individual and advice from their doctor for staff giving medication. We saw that staff members provided support in a friendly and sensitive manner and they spoke positively to us about encouraging peoples independence. The home has a good mix of male and female, older and younger staff who bring a range of skills to their work. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: As mentioned in the preceding sections, prior to this visit we had been made aware of concerns about staff members understanding of an individuals health condition and a lack of suitable activities and diet. Through looking at samples of the homes records and speaking with the manager and staff members, we saw that the relevant guidelines and practices were now being kept under review, including consultation with the individual, their relative and care manager. We saw that the home has secure storage and recording arrangements for medication. Staff receive training in the homes medication systems. A member of staff explained to us the procedures for giving people their medication, including as required medication. Two staff check and sign the records and there are clearly defined indicators of when individuals may need as required medication. There is a list of names of staff members who are authorised to handle medication. We advised the manager of recent changes to the regulations about the storage of controlled drugs and that the home needs to obtain a suitable updated storage facility. This is so that the home is properly equipped in the event that someone is prescribed a controlled drug. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to express any concerns they may have and are protected by the procedures for responding to any form of abuse. Evidence: The home has a complaints procedure that is also available in a picture format. We looked at the complaints log and this contained details of six complaints the home had received since the last inspection, together with records of actions taken and outcomes where applicable. The home also keeps a record of positive feedback from stakeholders such as relatives. The manager said that the relatives of people who use the service will telephone the home if they have concerns. We saw the results of the homes quality assurance survey, which showed the three relatives who had responded knew how to make a complaint. The AQAA told us that people who use the service are supported by their key workers to understand and use the complaint procedure if necessary. The AQAA stated that there had been one safeguarding referral, which we were already aware of and Adult Services were continuing to monitor the situation. We spoke with a member of staff who was clear about their role and responsibilities under the safeguarding and whistleblowing procedures. The homes records indicated that relevant training is provided. The AQAA told us that there had been no incidents involving restraint. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: During our visit we looked at the homes arrangements for managing peoples money. The organisation provides each service user with an activities allowance and this is kept and accounted for seperately from individuals personal money. With the manager we looked at a sample of two service users records and balances. Full records were available of payments, credits and withdrawals. The home uses a system of double signatures and regular management checks for both activity and personal money. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from a homely well-maintained environment that is suited to their needs. Evidence: The previous inspection report identified that people who use the service lived in a clean and homely environment, although there was room for improvement in completing maintenance tasks in a timely fashion. The AQAA told us that the service endeavours to keep up with maintenance. On our brief tour of the communal areas of the home there were no visible hazards or outstanding maintenance issues. The manager informed us that since the previous inspection the kitchen, lounge, conservatory and some individuals bedrooms had been re-decorated. People who use the service are encouraged to choose colours for decorating the home. The expert-by-experience was shown around the home by a member of staff. Each person who uses the service has their own bedroom that is equipped with en-suite toilet and washbasin. The expert noted that the driveway to the home was of a good design for people with sight and balance problems. Both the front and backyard of the home were neat and tidy. There is a good size garden at the back and part of this is used for growing vegetables. The fire alarm procedure is written in bold print and Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: photo symbols with different colours, which the expert-by-experience said was good and could be further improved by using a bigger font size and type for easy reading. The home has a notice board that shows the menu for the day, the whereabouts of residents and the staff rota. The expert said this was also good but again could be written in bigger type and with symbols. The expert-by-experience suggested that food bag clips are used to seal bags of food kept in the freezer. The expert-by-experience noted during the day that some areas of the home were not clean, for example the kitchen and the floor in the downstairs bathroom. We spoke with the manager about this, who showed us the cleaning rota, which is undertaken by the night staff. We saw that staff are provided with protective gloves and aprons and the training programme includes infection control. We also saw that cleaning materials, knives and sharp objects were stored safely in line with the homes procedures and risk assessments. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported by suitable numbers of staff to meet their needs. The service could be improved through more frequent opportunities for staff training in relevant specialist subjects and regular recorded supervisions. Evidence: There were four members of staff on duty and the expert-by-experience thought this staffing ratio was good. The expert noted that staff members were friendly and gave their assistance when needed and there was a relaxed atmosphere in the home.Staff we spoke with were positive in the way they viewed their work and throughout our visit we observed a good rapport between staff and people who use the service. One staff member talked to us about the team working well and giving consistent support to people who use the service. At our previous visit to the home we saw that the service carried out thorough staff recruitment checks. During this visit we looked at the personnel records for two recently recruited staff and these showed that the home continues to protect people who use the service through its recruitment procedures. The records contained evidence of Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks, written references and employment histories. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: We saw that the home uses Skills for Care induction workbooks for new staff members. There is a staff training programme that includes mandatory health and safety subjects as well as more specialised training, for example the management of challenging behaviour. We saw that the manager keeps a record of the dates training is provided to individual staff members and certificates of attendance are also held on file. Not all staff had received training in Autism and the availability of training was not very frequent. The last training dates for this had been July 2007 or before. Training in epilepsy had been obtained from the community learning disability team in November 2007 for the staff working at that time. The manager sends a monthly list of training needs to the head office and said that the organisation is currently re-structuring the training programme. The manager reported that six out of ten staff members had completed or were currently undertaking National Vocational Qualifications (NVQ) in care at level 2 or above. Another staff member had enrolled for the training. We saw a record of when supervisions are scheduled and through discussion with the manager it was evident that not all supervisions are documented. We saw that this had also been identified as an action point during the organisations quality assurance visit in October, therefore a requirement has not been made. The manager told us that the deputy manager usually does the formal supervisions but was not currently available. We spoke to a member of staff who had recently transferred from another home and who was being inducted into the home, who told us they felt supported in their role. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is run in the interests of the people that use it and there are systems in place to monitor its effectiveness. Safe working practices are promoted in the home so that the people who live there, staff and visitors are protected. Evidence: The manager was registered with the commission in October 2006 and has the NVQ level 4 Registered Manager Award. The manager has the support of a deputy and there is now a senior manager for the organisation based locally. There is a business plan for the service for 2008-09. Care Management Group has a corporate quality assurance system that includes stakeholder surveys. The manager told us that service user questionnaires were being typed up at another service. We saw survey responses from the relatives of three people who use the service. Two were positive and one was more critical about the quality of service in relation to such things as communication, review processes, health, finances, care and visiting. We were aware that the organisation was discussing the issues with the relative and Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: external professionals. The home had also undertaken a staff questionnaire. We saw evidence that regulation 26 monitoring visits are undertaken by the organisation on a monthly basis and actions are drawn up for the manager to improve the service. The last report for October had highlighted action points in relation to incident reporting, all staff receiving formal supervision by the end of November, supervision training for the deputy manager, a review of the managers working hours and for communication boards to be put up in the house. A sample of the homes staff training records showed staff receive training in mandatory subjects such as fire safety, emergency aid, moving and handling and infection control. We saw that records are kept of regular fire drills and the names of those attending; weekly inspections of the means of escape in the event of a fire; fire equipment checks and services. Fire safety risk assessments were in place and are reassessed annually. Contractual arrangements were in place for the servicing and testing of gas, electrical and water appliances. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 The home must make sure that a suitable storage facility is available for any controlled drugs that individuals may be prescribed, in line with changes to the legislation about peoples medication. This is to ensure that the proper and legal safeguards are in place when care workers give controlled drugs to people who use the service. 13/02/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 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. 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