Inspection on 12/05/09 for Albany Lodge Nursing Home

This inspection was carried out on 12th May 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report Care homes for older people Name: Address: Albany Lodge Nursing Home 201 St Jamess Road Croydon Surrey CR0 2BZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Michael Williams     Date: 1 2 0 5 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. that people have said are important to them: They reflect the things 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. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Albany Lodge Nursing Home 201 St Jamess Road Croydon Surrey CR0 2BZ 02086844994 02086832128 mailto:albany@lrh-homes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): London Residential Healthcare Ltd, (T/A LRH-Homes) Name of registered manager (if applicable) Mrs Ellen Teresa Ryan Type of registration: Number of places registered: care home 100 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Albany Lodge is new care home, registered by the Commission on 18 December 2008. It is owned and managed by London Residential Healthcare Ltd trading as LRH Homes. The home is located on St Jamess Road in Croydon and is within easy reach of public transport and shopping centres. The home caters for up to 100 residents and is registered to care for older people with nursing care needs and for older people with dementia. The home accommodation is spread over four floors each with its own communal spaces such as lounge and dining areas. All bedrooms are to modern standards and include ensuite facilities including toilet and shower, Each room also has a telephone Care Homes for Older People Page 4 of 26 Over 65 55 100 0 0 Brief description of the care home point and wall mounted television. The home has all the facilities of a nursing home including offices, laundry, kitchen, clinic rooms and so front. The home has wide corridors and a range of aids and adaptations in order to be able to safely support residents with mobility problems. Fees in May 2009 were from 557 to 900 pounds. Care Homes for Older People Page 5 of 26 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We visited this new service to meet residents, visitors, staff and managers. We checked documentation including statutory records. We toured the premises and we checked any information we have received since the service opened in 2008. We also distributed questionnaires to people involved in the service and noted the homes own quality assurance surveys. Care Homes for Older People Page 6 of 26 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 7 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 26 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. Prospective residents have a comprehensive assessment carried out by staff qualified to do so prior to their admission so that the home can demonstrate that it can meet the needs of residents. Evidence: A sample of residents case files were used to cross-check or track information. Carers and nursing staff contributed in the assessment of this standard as did the manager and head of care. The residents and several visitors also assisted in confirming the findings. All prospective service users have a full assessment prior to admission and a trained Nurse or Care Manager undertakes these assessments. Each resident then has an individual and comprehensive care plan drawn up in collaboration with the resident if this is possible or their relatives if it is not. Some residents are self funding and do not require the assistance of the local authority social services. In these cases the home can undertake its own assessments to ensure the home can meet their needs. It is evident that significant time and effort is spent making admissions to the home Care Homes for Older People Page 9 of 26 Evidence: personal and well managed. Prospective residents and their families are treated with dignity, respect and with an understanding for the life changing decisions they need to make. Family and friends are consistently involved in the admission and subsequent care planning of each resident. Care Homes for Older People Page 10 of 26 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. All social care and health care needs are assessed prior to admission and are translated into care plans that are reviewed and revised periodically. So this ensures residents will know that staff in the home know how to meet their changing needs. Evidence: Residents and their visitors explained how the home involves them in all aspects of their care. Each resident has a well thought out care plan using a standardised format. The home has effective systems in place to ensure care plans are reviewed and updated monthly and arranges additional more formalised reviews when changes in health take place. Innovative methods such as the use of translations, hearing and visual support devices can be used to enable residents to participate and communicate their views to the development of the care plan and the review process. One practical and amusing example of this translation came from the trainer who gave a demonstration in semaphore which was read and understood by at least one ex sailor in the home. A second excellent example was a resident who has reverted to her mother tongue but several staff are able to communicate with in that language. Robust quality monitoring systems are evident such as the positive use of owners Care Homes for Older People Page 11 of 26 Evidence: visits and questionnaires, 36 such survey forms have so far been received by the home and they are all very complimentary of the home, food, staff and management team. The care plans are simple in design making them easy to use by all levels of staff and it is clear they are being used as daily a working tool. Much of the information is codified for quick and easy use but the care plans can be readily used in an emergency by people who are not familiar with its content. Each care plan includes comprehensive risk assessments of key areas such as nutrition, skin care, mobility and so forth. The staff keep up to date with training, professional research and literature, in both the social care and clinical fields, for example on the day of inspection training was taking place in the home for staff to update their appointed first aid training. Nurses maintain their clinical skills and their registration with NMC, Nurse and Midwifery Council. Staff actively promote the residents right of access to the health and remedial services that they need, both within the home and in the community. Regular appointments are seen as important and there are systems in place to make sure residents are reminded and appointments are not missed. Records show that the home arranges for health professionals to visit frail residents in the home and provides facilities to carry out treatment. Staff keep a regular check on health aids, making sure they are working effectively and that each resident has the necessary aids to improve their quality of life Residents have choice over their personal care and are encouraged to be independent and responsible for their own personal hygiene where possible. The home operates to well developed and efficient medication policies and procedures. Staff all have access to the written information and understand their role and responsibilities. In auditing the medication we noted that many drugs come in boxed packs rather than in a monitored dosage system. In such cases it is advisable to include on the medication chart the actual number of tablets at the start of the chart or at the point when a new pack is started. The nursing staff on duty during our inspection agreed to this minor improvement to aid auditing and recommendation to this effect is made. The need to respect residents privacy and dignity when delivering health and personal care is a key principle of the homes aims and objectives and is stated in their Guide. Staff are aware that this also applies to all areas of the residents life. Residents are consulted and can help decide with the senior nurses which staff members they want to help them with their personal care. The registered person routinely observes staff attitude and approach to privacy and respect and constantly seeks and values residents views and experiences. This is a very large nursing home and management is shared between the registered manager Care Homes for Older People Page 12 of 26 Evidence: and a nurse appointed head of care and in this way they can get to know all residents and their regular visitors and those who spoke to the inspector described her as very approachable. The wishes of individual residents about dying and terminal care, and the arrangements they want after death can be openly and sensitively discussed with both the residents and their family during the development of the care plan. The home has prepared staff for this sensitive end of life care including talks by undertakers and Coroners as well as priests and other support staff that might be involved in end of life care. The home has a detailed policy, procedure and practice guidance to help staff when handling terminal care and death. All staff receive in house training and practical advice in caring for these residents, and have continuous support and opportunities to discuss any areas of anxiety and concern. Facilities are provided to allow relatives and friends to stay with the resident and to assist with their care if the residents want this. It is to the credit of the home that the head of care and visitors could point to several examples of residents arriving from hospital in a very poor state of health and wellbeing but have made remarkable progress since their admission to Albany Lodge. Care Homes for Older People Page 13 of 26 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. Residents can be assured that the home will give due regard to the social and emotional lives of residents so as to ensure residents lead as fulfilling a life as they are able. Evidence: Residents are able to enjoy a full and stimulating life style with a variety of options to choose from. The home has sought the views of residents and considered their varied interests and abilities when planning the routines of daily living and arranging activities. Routines are very flexible and residents can make choices in major areas of their life. The routines, activities and plans are resident focussed, regularly reviewed, and can be quickly changed to meet individual residents needs. The activity coordinator explained how this happens and includes daily contact with the residents to offer them choices about how the day will be spent. Television and daily newspapers were being used positively and constructively to keep residents it touch with news and world affairs. Residents are actively encouraged to keep in contact with family and friends living in the community. Visitors were on site and told us how they are welcome at any time and facilities are available for them to have a drink or a meal with the resident. Residents can choose to entertain visitors in their own rooms or perhaps a lounge or the delightful garden courtyard. This home has small kitchenettes Care Homes for Older People Page 14 of 26 Evidence: on each floor and they are on a domestic scale for the preparation of snacks and drinks and to serve main meals. In so far as it is possible residents are encouraged to be independent, for example to be responsible for their own money and medication. Staff give help when it is needed and have contacted advocacy groups and encouraged their involvement with individuals in the home. The homes policies, procedure, guidance and quality assurance systems ensure that service users are protected from financial abuse. The service is very clear about the rights of residents to be able to read their records and staff spend time with them making sure that they are fully aware of their care plans which are held by the home. Food is considered to be highly important and meal times considered a social occasion. The cooks in Albany are qualified and experienced in cooking for older people, and are seen as important members of the staff team and their records show they are well acquainted with the need to keep records dietary and cultural needs of each service user. The cooks are committed to involving residents in menu planning and making sure that they are able to enjoy the food they prefer and like. The menu is varied, balanced and nutritious. It has a number of choices including a healthy option, and includes a variety of dishes that encourage service users to try new and sometimes unfamiliar food. Food is served to meet the need of all service users including those who have swallowing or chewing difficulty. Staff giving assistance to those residents who need help to eat, were discrete and sensitive. Mealtimes are relaxed affairs, staff were patient and helpful, and gave service users the time they needed to finish their meal comfortably, encouraging them to serve themselves. We spoke to residents in the dining rooms and all the residents appreciate the good quality food they are served. They also appreciate being able to have a drink or a snack when they wish. They also enjoy being able to eat in their own room when they wish. Amongst the choices that service users can make known, or their family can assist them in making known, are the residents cultural and diversity needs. The home seeks to ensure residents can follow their religious and cultural beliefs whether that is in the form of worship, leisure pursuits or special diets. Care Homes for Older People Page 15 of 26 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owners, manager and staff have a positive approach and attitude to service users concerns, complaints and suggestions, which enables service users to feel free to make observations, both positive and critical ones. Procedures and staff training for the protection of vulnerable adults have been introduced to ensure service users are protected from abuse. Evidence: Albany has a complaints procedure that is up to date, clearly written, and is easy to understand. It can be made available in a number of formats including other languages, large print, audio tape to enable anyone associated with the service to complain or make suggestions for improvement. The complaints procedure is widely distributed, and has a high profile within the service, for example, it is on display in the entrance hall and in both the Statement of Purpose and residents Guide. Residents and visitors have a good understanding of how to make a complaint and they are very clear of what can be expected to happen if a complaint is made, several visitors explained that when they have had minor concerns they have been dealt with in a timely and helpful way. The policies and procedures regarding protection of residents are in place and regularly reviewed and updated. The service is clear when incidents need to be referred to the local Social service Department and or the police as well as other involved parties. The Manager confirms that there have been no such incidents requiring referral under Care Homes for Older People Page 16 of 26 Evidence: these procedures since the home opened last year. Training of staff in the area of protection is regularly arranged by the home. Residents and others associated with the Albany say that they are very satisfied with the service provision, feel very safe and well supported by an organisation that has their protection and safety as a priority. Several residents pointed out that it was joint family decision that they enter the home to ensure their own safety and expect to be kept safe from accident injury or abuse. The promotion of the individuals rights is central to the aims and objectives of the service and as a central plank of the homes statement of purpose, the homes documentation reflect the rights of the individual. Advocacy can be arranged if needed to support a resident. Staff ensure that residents can access places of worship or community facilities of their choice. Care Homes for Older People Page 17 of 26 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, 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. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with a very safe, well-maintained and comfortable environment. Evidence: Albany is a very large, new service. It was recently purpose built to modern standards and so meets and exceeds national minimum standards. Despite its size it still provides a very homely and pleasant welcome for visitors and gives an excellent first impression to prospective residents. The home has a well maintained environment, which provides aids and equipment to meet the care needs of the residents. It is a very pleasant, safe place to live with a wide variety of bedroom styles. Residents showed us that they have the choice to bring small personal items of furniture into the home. All the homes fixtures and fittings meet the needs of the residents and can be changed if their needs change. The shared areas, lounge and dining rooms, provide a choice of communal space with opportunities to meet relatives and friends in privacy or in their own rooms. Some residents say they would like to keep their bedroom doors open so each has a suitable safety device fitted to allow them to do so. There is a choice of bathing and shower facilities, for those that need assistance and those who do not such help, and there are a number of toilets strategically placed around the home for resident and visitors. Residents say that there is plenty of hot water at all times of the day and the temperature of bedrooms can be changed, on request. The place is well ventilated, the home is well lit, clean and tidy and smells fresh. The Care Homes for Older People Page 18 of 26 Evidence: management has a good infection control policy. They seek advice from external specialists, e.g. infection control, and encourage their own staff to work to the homes policy to reduce the risk of infection. The overall impression is of an excellent environment hat residents visitors and staff appreciate. Care Homes for Older People Page 19 of 26 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. Staffing levels, staff training and support are in place and there is sufficient staff with the necessary skills to meet the service users assessed health and care needs. Evidence: Residents tell us that they have confidence in the staff that care for them. Rotas are clear and simple and show how nursing and care staff are to be deployed and that adequate numbers of ancillary staff are also working in the home, indeed the ancillary staff, cooks, cleaners, maintenance and laundress were complimented for the important part they play in the running of the home. The home clearly defines the roles and responsibilities of staff through accurate job descriptions and specifications. Residents report that staff working with them are very skilled in their role, and are consistently able to meet their needs. There is little use of any agency or temporary staff. The service ensures that all staff within its organisation receives relevant training, including nursing and care qualifications, that is targeted and focussed on improving outcomes for residents. The service uses external providers to deliver this training if they have not got the appropriate skills within the organisation. This training can be small scale and individualised if necessary in order to promote the delivery of person centred services. The service has a good recruitment procedure that clearly defines the process to be Care Homes for Older People Page 20 of 26 Evidence: followed. This procedure is followed in practice with the service recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of residents. A sample of staff records were examined and staff interviewed to confirm good practice in recruitment processes. Care Homes for Older People Page 21 of 26 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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. This is a well managed care home, dedicated to providing a high standard of service for residents, with regards to both environment and personal care. Residents needs are the central consideration in the running of the home and their care and well being is seen as paramount. Evidence: The manager Mrs Ryan has the required qualifications as a nurse and manager and has considerable experience as a home manager so she is clearly very competent in running this new service, Albany Lodge. With her team, that includes a senior nurse as head of care and a senior nurse in charge of each floor, they are working to set the highest standards of service and provide an increased quality of life for residents, a point repeatedly confirmed by the residents. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is resident focused and leads and supports a strong staff team who are being recruited and trained to a high standard. The home has sound policies and procedures, which the manager effectively reviews and updates, in line with current thinking and practice. The manager is Care Homes for Older People Page 22 of 26 Evidence: regarded highly by other professionals. Staff are positive in their approach to translate policy into practice. Efficient systems are already in place to monitor staff adherence to policies and procedures during their practice. Management processes ensure that they receive feedback on their work. There are regular random checks to ensure staff are working to health and safety policies. The home has met relevant health and safety requirements and legislation, fire safety, hygiene and maintenance checks are all confirmed by the initial certification by the relevant authorities. Records are of a good standard and are routinely completed and samples were checked during the inspection to confirm this including, case files, staff files, safety records, food records complaints and accident records. Where issues have been identified, for example, in care plans, these have been acted upon successfully to ensure residents care is not compromised. The home has access to professional business and financial advice and has all the necessary insurance cover in place to enable it to fulfil any loss or legal liabilities. Residents are helped to take responsibility for managing their own money. They are provided with facilities to keep their valuables and money safe. Where the home is responsible for residents money it works to a very rigorous system, it maintains very clear records that are routinely kept up to date and can be used to track individual residents finances. Care Homes for Older People Page 23 of 26 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 Older People Page 24 of 26 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 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 1 9 It is recommended that the number of tablets held by the home is entered onto the adminstration chart. This is to enable an accurate audit of medication. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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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