Inspection on 19/07/07 for Albert Promenade Care Home

This inspection was carried out on 19th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Albert Promenade Care Home 22/06/06

Albert Promenade Care Home 22/11/05

Albert Promenade Care Home 17/08/05

Albert Promenade Care Home 07/03/05

Albert Promenade Care Home 23/11/04

Albert Promenade Care Home 30/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Albert Promenade Care Home 97 Albert Promenade Loughborough Leicestershire LE11 1RD Lead Inspector Ruth Wood Key Unannounced Inspection 19th July 2007 11:00 Albert Promenade Care Home DS0000001664.V341335.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 Albert Promenade Care Home DS0000001664.V341335.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. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albert Promenade Care Home Address 97 Albert Promenade Loughborough Leicestershire LE11 1RD 01509 235426 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) Mr Anthony Cliffe Mrs Hilary Cliffe Mr Anthony Cliffe Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 22nd June 2006 Brief Description of the Service: 97 Albert Promenade, (also called Cliffe House) is in Loughborough. Three people who have learning disabilities live at Cliffe House, as do the owners, Mr and Mrs Cliffe and their Ward. It is close to local shops, pubs and bus stops. There are three bedrooms, but two service users choose to share a bedroom. The third bedroom is used as a lounge and there are two other lounges and a dining room used by service users and the rest of the family. There is a patio garden behind the house. People who live at the home currently pay between £340 and £1,081 per week to live there. A copy of the home’s Statement of Purpose and Service User Guide is available from the owners by request as is a copy of the Commission’s last inspection report. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit took place on a weekday between 11:15am and 5:15pm. Mr and Mrs Cliffe (the home’s registered providers) were present throughout, together with their ward, who at 17 has recently been employed as a General Assistant at the home. A range of records was examined including each service users’ person centred plan, medication records, all staff recruitment records, service users’ financial records, fire and other maintenance records. The three service users returned home at 4pm and showed the inspector their rooms and some of the home’s communal areas. Interaction between the service users and Mr and Mrs Cliffe was observed and the inspector tried to find out from service users their opinions about living in the home. Before the visit the inspector had spoken with professionals who have contact with the service users and/or the home (such as community nurses, commissioners from the local authority and support workers from the day service) to ascertain their views. What the service does well: What has improved since the last inspection? Current service users’ support plans are now clearly distinguishable from earlier ones and some progress has been made in implementing a formal inhouse system to monitor the quality of service provided. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 6 What they could do better: The Statement of Purpose (the document that gives information about the home) must be updated to make sure that all the information in it is accurate. Mr and Mrs Cliffe also need to look at the service users’ guide to the home to see if they can present the information in a format that is easier for people with learning disabilities to understand. Several improvements are needed in the way that service users’ finances are managed: • Two service users have been unable to open a bank account, which means that their money has to be paid into an account in Mr Cliffe’s name. Mr Cliffe has made efforts to resolve this issue but it is suggested that he contacts the sponsoring authority (Leicestershire County Council) again, to gain assistance in opening an appropriate account for these service users. • The way that service users’ financial records are kept also needs improving, as it was difficult to see which receipt matched which record. On one occasion it appears that a service user had been charged for some items that the home should have paid for. Records should be checked and where this has happened service users should be reimbursed. Clear guidance must also be written and given to staff as to what service users should fund from their personal allowance and what is to be funded by the home. Several improvements are needed in the way that medication is managed in the home: • Medication must be stored in its original packaging; this helps to prevent any errors in administration and management. (This was recommended at the previous inspection and not acted upon) • All medication given to any service user must be recorded on the medication administration record; this includes remedies such as laxatives and painkillers. • Mr and Mrs Cliffe should contact the service users’ doctors to make sure that precise details about the dosage of medication are formally recorded on the prescription. Some improvements are also needed in the area of fire and health and safety: • Staff need training in fire prevention and any requirements made by the fire authority must be followed. It was unclear whether all requirements made at a previous fire safety inspection had been followed, therefore Leicestershire Fire Authority intends to visit the home in August 2007 to reassess the fire safety standards. • A qualified electrician needs to check that any portable electrical appliances used by the service users or staff are safe to use. Finally although Mr and Mrs Cliffe have put some measures in place to monitor the ongoing quality of the service provided by the home they should look again Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 7 at the questionnaire used with service users to see if it can be made easier to understand and also look at ways of gaining feedback from people like nurses and social workers who are visit the service. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Albert Promenade Care Home DS0000001664.V341335.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 Albert Promenade Care Home DS0000001664.V341335.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is adequate Information about the home needs updating and making accessible to ensure that service users can make an informed choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As no new service users have come to live in the home the assessment procedures (which were assessed as being good at the previous inspection) were not assessed on this occasion. Several errors in the information provided within the current Statement of Purpose were identified and these must be change to ensure the document is an accurate reflection of the services provided by the home. The Statement also needs updating to reflect the training and experience of current staff members. The Service User’s Guide is only available in a standard written format that cannot be accessed by two of the existing service users. Other people with learning disabilities who wish to know about the home may also find it difficult to understand. It is recommended therefore that the Guide be produced in different formats, suitable for current and prospective service users with learning disabilities. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is adequate Service users’ needs are accurately reflected in their person centred plans but improvement is needed in how service users’ finances are recorded and managed to ensure service users’ best interests in this area are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the three service users has an up to date person centred plan and a more conventionally written care plan; these are easily distinguishable from previous plans as recommended at the previous inspection. Person centred plans are written from the perspective of the service user and contain photographs and relationship maps which service users have participated in collating. Plans appear to be an accurate reflection of service users’ needs and the way they are met. Risk assessments pertinent to individual service users are also in place together with documented reasons for any restrictions placed on behaviour. Two service users require full support with managing their finances and have been unable to open a bank account because they do not possess the required evidence of residency that banks now demand. Mr Cliffe said that Leicestershire County Council acts as their appointee and is aware that the Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 11 service users do not have a bank account; the service users’ personal allowance and mobility allowance is paid directly by the Council to Mr Cliffe. which in turn is placed in a separate account in Mr Cliffe’s name. Bank statements showed only cash withdrawals being taken from this account and these appeared to tally with the amounts stated in the service users’ account books. Although expenditure was written down and a running balance kept, the records were difficult to read and it was not clear, for example, when a service user had a ‘negative’ balance. Receipts were in place but it was difficult to relate these directly to the records, as they were not numbered. One service user’s records indicated that on one occasion they had been ‘charged’ for items such as toilet paper. It was difficult to ascertain whether this was a single, genuine mistake as the accounts were unclear. There was also a lack of clarity and inconsistency as to what service users should pay for out of their personal allowance and what was to be paid for by the home, particularly in relation to meals out. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good Service users have access to a range of social and vocational opportunities that meet their needs and they are served good food in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with one of the service users, examination of photographs, timetables of activities and reading service users’ daily diaries indicates that service users have a full vocational and social life. One of the service users commented that they enjoyed attending college and working at a recycling project. Two service users receive additional one to one payments from their sponsoring authorities and their activities with one to one carers are detailed in their care plans. One service user stated that they enjoyed these activities and said that they visited local shops and cafes. Two service users attend religious services with the providers and provision is made for the third service user to spend time with a member of staff on a one to one basis as they have chosen not to attend these services. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 13 Interaction between the service users and Mr and Mrs Cliffe was observed; the service users appeared relaxed and were asked about what they had done during the day and what they would like for tea. Mr Cliffe is a trained chef and cooks all meals; service users appear happy with the food and records indicate that it is of a good nutritional standard with fresh vegetables regularly served and fruit being freely available. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is adequate Service users receive appropriate support with personal and health care. Improvements are required in aspects of medication administration and management to ensure consistent, safe practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have health action plan detailing their healthcare needs. How personal care needs should be met is clearly documented in personcentred plans. There is documentary evidence that service users have access to opticians, dentists and GPs and discussion with community psychiatric nurses, social workers and day centre workers prior to the inspection visit indicates that there are no ongoing concerns with regards to the management of the service users’ health care needs. Several concerns were identified relating to the management and administration of medication: • A recommendation was made at the previous inspection that medication should always be kept in the packaging in which it was dispensed. This recommendation has not been acted upon. One service user’s ‘as required’ medication was stored without its packaging in the medication cabinet; this medication was also past its expiry date. DS0000001664.V341335.R01.S.doc Version 5.2 Page 15 Albert Promenade Care Home • • The dosage for one medication for one service user was not specified on the Medication Administration Record (MAR). Paracetamol and lactulose when administered ‘as required’ for one service user is not recorded A record is available of when one service user has received ‘as required’ medication and the reasons why it has been administered – this is good practice. A letter on file from the service user’s physician gives consent for them to receive this medication. Certificates are in place stating that three people have received training in administering medication (Mr and Mrs Cliffe and one other). Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good Service users are listened to and protected by current practice in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mr and Mrs Cliffe demonstrated awareness of current guidance with regards to Adult Protection and were aware of the relative responsibilities of different agencies including the police and social services. No complaints have been received by the service since the previous inspection. One complaint was received by CSCI and this was passed to Leicestershire Social Services for investigation under vulnerable adults procedures (still ongoing). Consideration should be given to presenting the ‘Complaints Procedure’ in a more accessible format for people with learning disabilities. Guidance is in place as to how to respond to challenging behaviour from service users and detailed records are kept of any incidences; responses detailed appear appropriate. Information from community psychiatric nurses and records demonstrate that regular advice is sought as to the best way to meet an individual service user’s needs in this area. Recruitment practices protect against inappropriate people working with service users. The Criminal Records Bureau check for one volunteer has been submitted but not processed. Mr and Mrs Cliffe stated that this person never worked without supervision, was the daughter of an existing staff member and had been known by the service users and themselves for years. Service users were observed to have an open and friendly relationship with Mr and Mrs Cliffe who display a good understanding of each individual’s communication needs. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good Service users live in a clean and comfortable environment, which meets their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users showed the inspector their bedrooms and the facilities available for storing clothes and personal belongings. Two service users share a room by choice and are very proud of the new decoration and furniture in this room. All bedrooms are clean and comfortable and appropriately furnished. The home appeared clean and tidy throughout and the garden and communal areas are well appointed and accessible to all service users. Bathrooms contain appropriate equipment for meeting service users’ personal care needs. Laundry is not done on the home’s premises but is sent out to a commercial laundry service. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is adequate Service users are supported by staff who have received some relevant training and undergone largely satisfactory recruitment processes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Recruitment records for all staff are in place with the exception of one volunteer’s Criminal Records Bureau check (See Standard 23). Mr and Mrs Cliffe stated that the volunteer does not work unsupervised in the home. Contracts and job descriptions are in place for all staff. Mr and Mrs Cliffe’s ward (who has lived at the home for a number of years) has recently been employed to work in the home. He stated that he was not involved in direct care and showed the inspector a list of his duties; these were wholly domestic. Mrs Cliffe has completed a National Vocational Qualification (NVQ) in care at level 2 and the Registered Managers Award. She stated that three staff members were currently engaged in completing an NVQ award at level 2 but that progress in obtaining these qualifications had been hindered because of problems obtaining appropriate assessors. Certificates demonstrated that Mr and Mrs Cliffe and other staff members have received training in health facilitation, person-centred-planning and effective communication. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is adequate Improvements are needed in aspects of health and safety practice and quality monitoring to ensure that service users’ safety is consistently promoted and that the home is run in their best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Cliffe (one of the registered providers) has completed the Registered Managers Award and is waiting for the Award to be verified. Both she and Mr Cliffe (the registered manager) attend relevant training courses to update their skills. Mr and Mrs Cliffe have made efforts to implement a system of quality assurance within the home, which includes a formal questionnaire for service users. It is recommended that the questionnaire used for service users be reexamined to see if one, more appropriate to their communication needs can be designed and used. They should also re-examine ways to acquire feedback Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 20 from other stakeholders of the service such as commissioning social workers and community nurses. Fire records showed that a fire officer last visited on 13/06/05 and made a number of requirements. Some of these have been met (such as the removal of combustible materials from underneath the stairs and the replacement of certain fire doors). However there was no evidence that the fire risk assessment had been updated or that all staff working in the home had received fire safety training. CSCI has contacted Leicestershire Fire Service and they have arranged to visit the home again in August 2007. Records state that the fire alarm system is regularly tested; the system was last serviced on 08/06/06 and should be serviced again later this month. There was no evidence that testing of portable electrical appliances had taken place and this must be arranged. Certificates were in place to demonstrate that staff had received training in food hygiene and infection control; Mr Cliffe, the registered manager has previously received training in first aid but this training now requires updating. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 21 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 1 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 1 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 2 X X 1 X Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 22 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 YA1 Regulation 4 Requirement Timescale for action 30/09/07 2 YA7 20 3 YA7 17 (Schedule 4) 4 YA7 17 (Schedule 4) The statement of purpose must be comprehensively reviewed to ensure that it accurately reflects the facilities and services provided by the home to enable service users to make informed decisions. A copy of the updated Statement must be forwarded to the Commission. The Registered Person will (in 30/10/07 consultation with the service users’ sponsoring authority) seek to secure an appropriate bank account for the two identified service users. The Registered Person will 14/08/07 examine the financial records of all service users and ensure that any errors, whereby service users have been charged for items that the home should have reasonably provided, are rectified and that service users are reimbursed appropriately. Service users’ financial records 31/08/07 should be kept in such a manner that it is clear when money has been spent, for what purpose, and the balance remaining in the account. DS0000001664.V341335.R01.S.doc Version 5.2 Albert Promenade Care Home Page 23 5 YA7 17 (Schedule 4) 6 YA20 13 (2) 7 YA20 13 (2) 8 YA20 13 (2) 9 YA42 23 (2) (c) 10 YA42 23 (4) (d) 11 YA42 23 (4) The registered person shall ensure that clear guidance is written and conveyed to all staff as to what service users should fund from their personal allowance and what is to be funded by the home. Medication must be stored in the packaging in which it is dispensed to ensure that errors in its administration and management do not arise as the result of information about the medication not being readily available. The registered person should ensure that precise details of the dosage of each medication prescribed appear on the medication administration record. All medication administered to service users must be recorded on the medication administration record. The registered person shall ensure that portable electrical appliances used by service users and staff are tested to ensure their safety. The registered person must make arrangements for persons working at the care home to receive suitable training in fire prevention. The registered person must ensure that requirements made by the fire authority are met. 31/08/07 19/07/07 31/08/07 19/07/07 31/08/07 30/09/07 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000001664.V341335.R01.S.doc Version 5.2 Page 24 Albert Promenade Care Home 1. Standard YA1 2. YA20 3. YA23 4 YA39 The service user guide (including the complaints procedure) should be produced in alternative formats suitable for and accessible to people with learning disabilities. It is recommended that the identified service user’s prescribing physician be contacted to formalise the protocol with regards to their ‘as required’ medication, to state under what circumstances the medication should be given and the dosage to be administered. It is recommended that the registered persons investigate the availability of current free training provided by the local authority about local area protocols for adult protection. It is recommended that the quality assurance questionnaire used for service users be re-examined to see if one, more appropriate to their communication needs can be designed and used. The registered persons should also re-examine ways to acquire feedback from other stakeholders of the service such as commissioning social workers and community nurses so that their views may also be part of the quality monitoring process. Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Albert Promenade Care Home DS0000001664.V341335.R01.S.doc Version 5.2 Page 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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