Inspection on 10/05/05 for Aykroyd Lodge

This inspection was carried out on 10th May 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Aykroyd Lodge 05/12/07

Aykroyd Lodge 05/12/06

Aykroyd Lodge 01/11/05

Aykroyd Lodge 30/11/04

Aykroyd Lodge 20/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Aykroyd Lodge The Crescent Reedley Burnley BB10 2LX Lead Inspector Julie Playfer Unannounced 10 May 2005 9.15 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 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 Stationary 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. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Aykroyd Lodge Address The Crescent Reedley Nr Burnley Lancs BB10 2LX 01282 - 449004 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Voyage Ltd inc Thelma Turner Homes Mrs Michelle Jones Care Home 6 LD 6 Category(ies) of Learning Disabilities registration, with number of places Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home, must at all times, employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection 2. The home must maintain the following staffing levels as a minimum at all times: One support worker to every two service users during the waking day One support worker on waking watch duty and one support worker on sleeping duty during the night Date of last inspection 30th November 2004 Brief Description of the Service: Aykroyd Lodge is registered with the Commission for Social Care Inspection to provide accommodation and personal care for up to six adults (aged 18 - 65) with a learning disability. The home comprises of a large detached property, set in its own grounds, in a residential area in Reedley, Burnley. Spacious accommodation is provided in six single bedrooms, all of which have an ensuite facility. There are two lounges, a dining room and a dining kitchen. The garden is extensive, well maintained and accessible to residents. There is wheelchair access to the home at the main entrance, which is on the side of the building. There are limited car parking facilities. The home is located approximately half a mile from Brierfield town centre. The staffing levels form part of the conditions of registration. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the first unannounced inspection of 2005 and took place over one day. At the time six people were living in the home. During the course of the inspection the inspector met with all the residents. Some were able to engage in discussions and make comments about the home. The views of other residents were gained from observation of their reactions and communications with staff. The inspector spoke with the registered manager and the staff on duty. A partial tour of the premises took place and a number of documents and records were viewed. What the service does well: What has improved since the last inspection? Since the last inspection the frequency of staff meetings had been increased and the staffing levels had been increased in the afternoon, evening and during the night. These improvements promoted teamwork within the staff group and enabled the residents to pursue individual activities. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 6 The care plans had been expanded and developed to include action plans, these provided details for staff to respond appropriately to challenging behaviour. A physiotherapist had carried out an assessment of the residents’ needs for aids and adaptations. The registered manager had maintained a clear record of complaints, which included details of the investigation, actions taken and the final outcome. Staff recruitment records had been collated in line with legal requirements. The registered manager had introduced monthly management checks to see how systems were working in the home for instance the review of care plans. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1-5 The admission procedure was well managed. Each resident was fully involved in the transition plans and along with the flexible approach taken by the registered manager and staff to the number and type of introductory visits, this ensured the resident remained central to the process. Information was given to residents in ways, which were meaningful to them. EVIDENCE: Written information was available for residents in the form of a service users guide. The guide was presented in a suitable format. In addition, an audiotape had been made for residents to listen to. The staff also confirmed they had discussed the contents of the service users guide with the residents. One resident had been admitted to the home since the last inspection. It was clear from the written documentation seen a full assessment of needs had been carried out by the previous carer and the social worker. The registered manager had collated this information and produced an overall assessment. Specialist services had been involved and consulted. There were comprehensive transition plans, which involved a series of introductory visits, to ensure the resident was comfortable with their move into the home. Emphasis had been placed on “getting to know” the residents in order to provide a service which best met their needs. All residents had been issued with a contract/terms and conditions. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6-9 There was effective use of individual care plans and behaviour management guidelines to ensure the delivery of care and support was consistent. The risk assessment and management arrangements supported residents to take responsible risks. Consultation with residents about everyday life in the home was mostly informal. EVIDENCE: The residents had an individual plan, which reflected their health and welfare needs. Detailed instructions were set out for staff to ensure all needs were met. Where necessary the care plans were supplemented by behaviour management guidelines, which were designed to provide a consistent response to behaviours, which challenged others and the service. The guidelines focussed on positive behaviour and the use of distraction. The residents were involved in their care plan as much as possible and where a resident couldn’t indicate their verbal agreement, close observations were made and the plan was reviewed as necessary. The plans were reviewed at least every six months with the resident and any supporter or professional who needed to be involved. Plans were reviewed at other times if the residents’ needs changed. It was the practice of the home to support responsible risk taking and policies stated that the role of staff was to facilitate independence wherever possible. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 10 Detailed risk assessments and management strategies covered activities indoors and in the wider community and were included on residents’ plans. Staff were observed to consult residents about their preferred activity for the day and what meal they would like. However, consultation was informal and it was recommended the registered manager consider the introduction of residents meetings. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 - 17 Residents were provided with very good opportunities to engage in a wide range of appropriate activities and were supported to use community facilities. The residents maintained strong links with their families, which were supported by the manager and staff. Arrangements were in place to ensure the residents participated in the life of the home and their rights were respected. EVIDENCE: The individual plans and care records demonstrated that residents had opportunities to maintain and develop practical life skills. Where necessary tasks had been broken down and achievable goals had been set. Residents had a good access to an extensive range of activities both inside and outside the home. Activities outside the home included; bowling, trips to Towneley Park, walks in the local area and shopping in Burnley town centre. On the day of inspection one resident went to the library. All residents had an activity schedule, which was displayed in the home. Staffing levels had recently been increased in the afternoon, which enabled the residents to pursue individual leisure interests. The registered manager was monitoring the number and scope of individual activities by the use of evaluation sheets, to Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 12 ensure the best use of staff time and activities were provided which were meaningful for the residents. The residents were supported to maintain relationships with their families and where necessary the staff assisted with transport. During the visit one resident telephoned her relative in the privacy of the office. The residents had unrestricted access to the home and grounds. The residents were also able to use their room at any time should they wish to spend some time in private. This was observed during the inspection with one resident spending time in her room to practice her keyboard skills. The meals followed a six week menu, which provided the residents with a variety of different food. The inspector saw residents being consulted about their preferences for the lunchtime meal and noted they were presented with a range of options to assist them with their choice. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18- 20 The residents’ healthcare needs were identified and met. Personal support was provided in a manner, which respected the residents’ rights to privacy and dignity. The management of medication was poor and in order to safeguard the residents some practices and record keeping must be improved. EVIDENCE: The residents’ individual care plans set out the personal support each resident required and provided details of how this support was to be delivered. The home had an intimate care policy and procedure for each resident, which emphasised the residents’ rights to privacy and dignity. Staff told the inspector the routines were flexible and were primarily designed to meet the needs of the residents and their plans for the day. Healthcare needs were appropriately assessed and were included in the care plan. There was evidence to indicate the residents had access to NHS services and the advice of specialist services had been sought as necessary. As such, since the last inspection a Physiotherapist had assessed all the residents in respect to their needs for appropriate aids and adaptations. Referrals had also been made to speech therapy and staff were in the process of developing communication systems with the residents using symbols and pictures. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 14 Appropriate policies and procedures were in place to manage medication in the home. However, it was evident that the medication administration record of some residents did not correspond exactly to the prescription label and there was an instance where staff were not administering medication in line with the prescriber’s instructions. It was also a concern that prescribed medication for two residents was not available in the home and in one case some medication had not been available and therefore not administered for ten days. Protocols detailing when medication prescribed “as necessary” were outstanding and there was no clear information of when this type of medication should be administered to the residents. There were also no instructions on where to apply prescribed cream. Not all medication had been recorded as being received into the home, so it was not possible to follow a clear audit path. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 - 23 Systems were in place to ensure any concerns of residents would be acted upon. Appropriate policies and procedures and staff training were in place to respond to any allegations or suspicions of abuse. EVIDENCE: The complaints procedure was included in the service users guide and was verbally explained to residents as necessary. The procedure had also been recorded on audiotape and this had been played for some of the residents. The manager had received six complaints over the last twelve months, none of which had been made by the residents or their families. All the complaints had been recorded and appropriately investigated. One complaint had been received and investigated by the Commission. The complaint was not upheld. The residents, who were not able to communicate their views verbally, were closely observed and their reactions noted. There was evidence of these observations in the care notes and in the placement reviews. Staff had received training in the protection of vulnerable adults. Written policies and procedure were also available for reference. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 - 30 The residents were provided with a spacious, comfortable, safe and wellmaintained home. EVIDENCE: Aykroyd Lodge is a large detached house set in it’s own grounds. It is located in a residential area in Reedley, near Burnley. Accommodation is provided in six single bedrooms, all of which have an ensuite facility. There is a bath in each of the ensuites. Communal space is provided in two lounges, one dining room and a dining kitchen. All rooms provide facilities in excess of the National Minimum Standards. The bedrooms had been decorated and furnished according to personal taste. One resident said she had chosen the colours used to decorate her room. Residents were able to use their rooms at any time, should they wish to spend time pursuing their own activities. Assessments had been carried out by the physiotherapist and appropriate equipment had been provided to assist the residents for instance bath chairs. The home had a good standard of cleanliness in all areas. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 17 The grounds were well-maintained and provided plenty of space for any outdoor activities. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 - 36 The procedures for the recruitment of new staff were robust and ensured protection for the people living in the home. Good arrangements were in place for the induction of staff. The wide range of staff training opportunities gave the staff a good understanding of their role and the needs of the residents. However, the systems in place to support staff on an individual basis should be improved. EVIDENCE: Since the last inspection the staffing levels have been increased to four members of staff on duty during the day and evening and two members of staff on waking duty during the night. This level of staffing was in line with the needs of the residents and enabled the residents to pursue individual activities. Records indicated a low turnover of staff, although to facilitate the recent increase in staffing levels agency staff were used, until more permanent staff can be employed. Staff files demonstrated that prior to the employment of new staff, appropriate records had been collated and checks had been carried out in line with the Regulations. Staff had been issued with a job description, which was commensurate with their role. Staff had received induction training which was the equivalent to Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 19 “Skills for Care” (formerly TOPSS) training. This training was supplemented with additional training on the management of challenging behaviour. One new member of staff spoken to confirmed that the training provided by the organisation was useful and informative. Each member of staff had a training assessment and profile and there was an overall training development plan for the staff team as a whole. It was evident staff had access to a broad range of training courses. At the time of the inspection four staff had completed NVQ level 2 and a further five staff were working towards this qualification. The frequency of staff meetings had been increased since the last inspection and this gave the opportunity to staff to share experiences and develop teamwork. The staff received supervision, but had not had six supervision sessions in the last year. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 - 43 The absence of formal consultation with the residents and their families, means that it is not possible for the service to fully demonstrate the home is meeting the needs of the residents. The management approach promoted positive relationships between the staff and the residents and the overall atmosphere was open and friendly. Whilst appropriate health and safety training was in place, the registered manager must ensure all equipment is serviced to ensure the residents’ safety. EVIDENCE: The registered manager had the overall responsibility for the management of the home and had a job description, which reflected the aims and objectives of the home. The manager had completed an NVQ level 4 in Care and the Registered Manager’s Award, Mrs Jones had also undertaken periodic training to update her knowledge and skills. The management approach was consultative and there were systems in place to consult both staff and residents. Relationships within the home were positive and staff spoke about the residents with respect. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 21 Since the last inspection the registered manager had introduced a monthly audit to monitor systems within the home, for instance the review of care plans. However, an annual development plan based on continuous selfmonitoring had not been developed. Satisfaction surveys had not been distributed to residents, their families/representatives or professional staff involved with the residents. There was a full set of policies and procedures, which had been signed and dated by the registered manager. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. Documentation was seen during the inspection which, confirmed gas and electrical systems were serviced at regular intervals. To minimise the risk of scalding all water outlets were fitted with preset valves. Window restrictors and radiator covers were fitted as appropriate. The fire log demonstrated staff and residents had participated in regular fire drills. However, it was noted the fire extinguishers required servicing. The home had public and employers liability insurance cover in place against loss or damage to the assets of the business and business interuption costs. At the time of the inspection the organisation had not allocated the budget and there was no financial plan available for the forthcoming year. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 2 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 4 4 4 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Aykroyd Lodge Score 3 3 1 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 2 2 F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 23 yes 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 20 Regulation 13 Requirement The medication administration record must accurately correspond to the prescription label. (Previous timescale of immediate - not met). All medication must be administered in line with the prescribers instructions. Timescale for action Immediate and ongoing from the date of inspection. Immediate and ongoing from the date of inspection. Immediate and ongoing from the date of inspection. Immediate and ongoing from the date of inspection. Immediate and ongoing from the date of inspection. Immediate Page 24 2. 20 13 3. 20 13 All medication prescribed for residents must be ordered in good time and be available on the premises for administration. A record must be maintained of all medication received into the home. 4. 20 13 5. 20 13 The medication administration record must include instructions on where to apply prescribed creams. Staff must receive individual F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc 6. 36 18 Aykroyd Lodge Version 1.30 supervision sessions a minimum of six times a year. 7. 24 39 8. 24 39 9. 42 23 An annual development plan must be produced, which is based on systematic cycle of planning, action and review reflecting aims and outcomes for residents. Satisfaction questionnaires must 1st August be distributed to residents and or 2005 their families/representatives and professional staff invovled with the residents. Results from the questionnaires should be collated, published and inform future planning for the home. All fire extinguishers must be Immediate serviced. and ongoing from the date of inspection. 1st August 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 8 20 20 43 Good Practice Recommendations Consideration should be given to the introduction of Residents meetings. Protocols should be devised for medication prescribed as necessary, which includes clear details of when a medication should be administered to the residents. Arrangements should be put into place for the storage and administration of controlled drugs, should residents be prescribed this medication in the future. A financial plan should be devised for the home. Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Unit 4 Petre Road Clayton-le-Moors Accrington BB5 5JB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Aykroyd Lodge F57 F07 S54542 Aykroyd Lodge V224989 10.5.05 Stage 4.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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