Inspection on 05/12/06 for Aykroyd Lodge

This inspection was carried out on 5th December 2006.

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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Aykroyd Lodge 05/12/07

Aykroyd Lodge 01/11/05

Aykroyd Lodge 10/05/05

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 Cresecent Reedley Nr Burnley Lancashire BB10 2LX Lead Inspector Mrs Julie Playfer Unannounced Inspection 5 December 2006 09:30 th Aykroyd Lodge DS0000054542.V308457.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 Aykroyd Lodge DS0000054542.V308457.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. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aykroyd Lodge Address The Cresecent Reedley Nr Burnley Lancashire BB10 2LX 01282 449004 01282 698920 aykroyd@reedley4321.fsnet.co.uk 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) Voyage Ltd inc. Thelma Turner Homes Ms Kate Louise Openshaw Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for six service users in the category of LD (Learning Disability under the aged of 65). 1st November 2005 Date of last inspection 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 home has a statement of purpose and service users guide, which informs the current and prospective residents about the services and facilities available at the home. At the time of the inspection the level of fees ranged from £1,165 to £2,208 per week. Additional charges were made for chiropody (£20 a visit), Hairdressing (£7 - £10 for men and £15 - £20 for women), toiletries (approximately £5 a week) and activities (approximately £10 a week). Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Aykroyd Lodge on 5th December 2006. During the visit the inspector looked at written information including policies, procedures and records, spoke to the residents, registered manager and staff and conducted a partial tour of the premises. Not all the residents were able to make verbal comments about the home and their views were obtained from observation of their reactions and communications with staff. As part of the inspection process the inspector used “case tracking” as a means of gathering information. This process allows to the inspector to focus on a small group of people living at the home. Prior to the inspection the registered manager completed a questionnaire about the home, which provided useful information for the inspection. What the service does well: What has improved since the last inspection? Since the last inspection the written documentation designed for the residents had been revised and updated. The format of the service users guide was Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 6 written in plain English and included pictures. This made the guide more accessible to read and understand. The induction training for staff had been revised to ensure the training encompassed recognised standards. This meant the staff received appropriate training to enable them to carry out their roles effectively. Improvements had been made to the recruitment and selection procedure of new staff, to ensure all the relevant checks and documents were in place before a person commenced work in the home. This ensured that all staff were properly vetted and the residents were protected. The quality assurance process had been developed and satisfaction questionnaires had been distributed to the residents’ families and funding authorities. The results and outcomes of the process were identified in a development report, which set out the planned improvements for the service. 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 DS0000054542.V308457.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 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 the following standard(s): 1, 2, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The admission process was well managed. The resident’s needs were fully assessed and they were given good opportunities to experience life in the home prior to admission. EVIDENCE: Since the last inspection, the statement of purpose and the service users guide had been updated. Both documents met regulatory requirements and had been written in an accessible format with the use of symbols. The registered manager explained there were plans to make an audiotape of the guide, to enable residents to listen to the information. Prior to admission, prospective residents’ individual needs were assessed by a social worker and the Voyage Senior Care Planner. Information was also sought from the previous carer and professional staff as appropriate, for instance a psychologist. One resident had been admitted to the home since the last inspection. It was evident from the case tracking process that the registered manager had visited the resident in their former placement and the resident had been invited to visit the home prior to admission. All residents had been issued with a contract, which detailed their terms and conditions of residence. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 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 the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents’ individual needs were addressed and they were consulted about their daily choices. EVIDENCE: The case tracking process demonstrated that each resident had an individual plan of care, which provided an overview of their needs. The plans were supplemented by risk assessments, behaviour management strategies and a variety of records including care provided, activities, medical and evaluation sheets. Whilst the residents’ needs were addressed the systems in place, were complicated and difficult to follow. This was also the experience of staff spoken to on the day of inspection. The plans were reviewed at least every six months with the resident and any supporter or professional who needed to be involved. However, the actual plans were not always updated in line with changing needs. The registered manager was aware of the difficulties with the care planning system and explained that a new care planning format was due to be introduced, which amalgamated much of the existing paperwork into one comprehensive document. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 10 It was the practice of the home to support responsible risk taking and as such written policies stated that the role of staff was to facilitate independence, wherever possible. Detailed risk assessments and management strategies covered activities indoors and in the wider community and were included on residents’ plans. The risk assessments included control measures in order to minimise or eliminate the assessed risk. During the inspection, it was evident the residents were consulted about their choice of activity and food. Staff were observed to carefully explain what options were available to the residents. The residents were supported with their financial affairs and detailed written records were maintained of all transactions. A random check of money deposited with the home for safe keeping corresponded accurately to the records. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 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 the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents were provided with good opportunities to engage in a wide range of appropriate activities and were supported to use community facilities. 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 pursued an extensive range of activities both inside and outside the home, which was detailed on a board in the office. The registered manager and staff confirmed that when planning the activities, care was taken to ensure each resident had the same opportunities to pursue activities on individual basis. The activities were evaluated to monitor the residents’ level of participation and enjoyment. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 12 Activities outside the home included; bowling, trips to Towneley Park, walks in the local area and shopping in Burnley town centre. Information was available about resources in the local area, which provided ideas for the staff. The staffing levels allowed for more individual and small group activities. On the day of inspection, two residents went to the library and shopping, one person went swimming and one person attended college. All the residents were supported by members of staff. Since the last inspection, the residents had been away on holiday. Three people had been to Filey and three people had been to Disneyland Paris. The residents were supported to maintain relationships with their families and where necessary the staff assisted with transport. The residents were also able to use the telephone to contact their families. 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. The meals followed a weekly menu, which provided the residents with a variety of different food. The inspector observed residents being consulted about their preferences for the lunchtime meal and noted that the residents were presented with a range of options to assist them with their choice. The staff maintained individual records of meals served to the residents. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The residents healthcare and personal support needs were met, however, systems in place to manage medication had the potential of error. 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 documentation. There was evidence to indicate the residents had access to NHS services and the advice of specialist services had been sought as necessary. There was a set of policies and procedures in respect of medication and appropriate records were maintained of receipt, administration and disposal of medicines. However, there were various shortfalls in the overall management Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 14 and record keeping and there were no arrangements in place for controlled drugs. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Systems were in place to ensure any concerns of residents would be acted upon. However, in order to protect the best interests of the residents, the vulnerable adults procedure should be reviewed. EVIDENCE: The complaints procedure was included in the service users guide and had been verbally explained to residents. The residents were consulted on a daily basis and their views were listened to and acted upon. 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. The home had not received any complaints since the last inspection. A system was in place to record any complaints. The home had a copy of “No Secrets in Lancashire” and staff had access to a whistle-blowing procedure. An internal procedure was available for staff; however, this did not include contact details of the relevant agencies and made no reference to the role of the Police Public Protection Unit. It was also noted the procedure did not clearly set out the role of the registered manager, who under the Care Homes Regulations 2001, would have the responsibility of initiating the adult protection procedure. The registered manager and staff had completed training courses on safeguarding vulnerable adults and were aware of the procedures involved in the event of any allegation, suspicion or evidence of abuse or harm. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 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 the following standard(s): 24, 25, 26, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. 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 and at the time of the inspection, one room was being redecorated, following one resident’s move of room. Residents were able to use their rooms at any time, should they wish to spend time pursuing their own activities. The furnishings and fittings were domestic in character and of a good standard throughout. Appropriate arrangements were in place to carry out repairs and maintenance. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 17 The premises were comfortable and clean in all areas seen, however, there was a noticeable offensive odour in one area of the ground floor. Aykroyd Lodge DS0000054542.V308457.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: Staff were issued with job descriptions, which set out their roles and responsibilities. It was evident the job descriptions were linked to meeting the needs of the residents. From discussions with staff during the inspection, it was evident they had a good understanding of the residents’ needs and knew the residents well. Staff referred to the residents in respectful terms and were observed to interact in a positive and pleasant way. The staff rotas indicated that the staffing levels were regularly reviewed and additional staff were placed on duty, where necessary, to meet the needs of the residents. However, it was noted that two members of staff left in charge of the home were under the age of 21. Further to this, the registered manager explained that both members of staff had sufficient experience and training to undertake this responsibility and they had a good relationship with the residents. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 19 The recruitment and selection of new staff was underpinned by the organisation’s Equal Opportunities Policy. The files of two recently employed staff were inspected. All three had completed an application form and had attended for an interview. Relevant checks had been obtained from the Criminal Records Bureau, two written references had been received prior to employment and all records had been collated in accordance with regulatory requirements. Staff were offered a range of training opportunities and information was available in respect to the care and support of people with a learning disability. There was an overall training and development plan available; however, the registered manager was in the process of implementing individual training assessments and profiles for each member of staff. Since the last inspection, a new programme of induction training had been introduced, which incorporated the “Skills for Care” standards. All staff spoken to felt they had access to a wide range of training courses associated with the care and support of the residents. At the time of the inspection seven members of staff had completed NVQ level 2 training, which equated to 44 of the staff team. A further five people were working towards this qualification. Staff meetings were held on a regular basis and minutes were seen during the inspection. The meetings gave the opportunity to staff to share experiences and develop teamwork. A programme had been established to ensure the staff received supervision at least six times a year and had an annual appraisal of their work. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The management approach promoted positive relationships between the staff and the residents and the overall atmosphere was open and friendly. The home had an effective quality assurance system and the health and safety of the residents was promoted and protected. EVIDENCE: Since the last inspection, the manager had successfully registered with the Commission. Ms Openshaw had completed NVQ level 4 in Management and was working towards NVQ level 4 in Care. She had four years experience of managing care homes in various residential settings and had undertaken a variety of courses over the last twelve months. 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 DS0000054542.V308457.R01.S.doc Version 5.2 Page 21 Since the last inspection, the registered manager had developed the quality assurance systems, to ensure there was continuous monitoring of the service. A report was made every month and submitted to the Operations Manager. In addition, satisfaction questionnaires had been distributed to the residents’ relatives and the funding authorities in April 2006. An annual development plan based on the outcomes of the monitoring processes had been produced, which identified the planned developments for the service. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. The 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 and the fire system was tested on a regular basis. Appropriate arrangements were in place to record any accidents or incidents in the home. The registered manager had formulated risk assessments for all safe working practice topics. Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 X 30 2 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 3 3 X X 3 X Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 23 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 YA6 Regulation 15 (2) (c) Requirement Following review of the service user’s plan must be updated to ensure staff are aware of how best to meet the residents’ needs. Specific instructions for the application of medicated cream must be included in the medication administration record to ensure staff are aware where to apply the cream. In the event of additional medication, all details from the prescription label must be accurately transcribed on the medication administration record, including the time and dosage. The entry must be checked and witnessed by another member of staff to minimise the potential for error. Staff must sign the medication administration record immediately following the administration of medication. A service user specific protocol and policy must be developed in relation to the covert administration of medication, to ensure this method of DS0000054542.V308457.R01.S.doc Timescale for action 01/01/07 2. YA20 13 (2) 05/12/06 3. YA20 13 (2) 05/12/06 4. YA20 13 (2) 05/12/06 5. YA20 13 (2) 15/01/07 Aykroyd Lodge Version 5.2 Page 24 6. YA30 16 (2) (k) administration is carried out in the best interests of the resident. All areas of the home must be free of offensive odours. 05/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations Arrangements should be put into place for the storage and administration of controlled drugs, should residents be prescribed this medication in the future. Protocols should be drawn up to detail the specific circumstances and/or symptoms when medication prescribed “as necessary” should be administered. The adult protection procedure should include the contact details of local agencies and details about the role of the Public Protection Unit. The procedure should also clearly specify the role and responsibilities of the registered manager in line with the Care Homes Regulations 2001. 50 of the staff group should achieve NVQ level 2. 2. 3. YA20 YA23 4. YA32 Aykroyd Lodge DS0000054542.V308457.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park 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 DS0000054542.V308457.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!