Inspection on 22/02/08 for 41 Bryndale Avenue

This inspection was carried out on 22nd February 2008.

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

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

Other inspections for this house

41 Bryndale Avenue 12/07/06

41 Bryndale Avenue 31/01/06

41 Bryndale Avenue 13/09/05

41 Bryndale Avenue 18/01/05

41 Bryndale Avenue 16/09/04

41 Bryndale Avenue 17/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Bryndale Avenue, 41 Flats 13, 14 & 18 Kings Heath Birmingham West Midlands B14 6NQ Lead Inspector Susan Scully Key Unannounced Inspection 22 January 2008 10:00 Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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 Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bryndale Avenue, 41 Flats 13, 14 & 18 Address Kings Heath Birmingham West Midlands B14 6NQ 0121 441 3982 F/P 0121 441 3982 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) www.sense.org.uk Sense, The National Deafblind and Rubella Association Vacant Care Home 3 Category(ies) of Learning disability (3), Sensory impairment (3) registration, with number of places Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service Users must be aged between 18-65 years The service may provide personal care only for three (3) persons with a learning disability and sensory impairments That the manager undertakes a minimum of 21 hours dedicated management/administration time a week. 12th July 2006 Date of last inspection Brief Description of the Service: Flat 13, 14 and 18 Bryndale Avenue are part of a complex of flats which have been purpose built by Moseley and District Housing Association. A number of the flats are leased by SENSE in the Midlands and registered as care homes. The flats accommodate three service users with a sensory disability. The accommodation is situated on the first and second floor of the block and the flats each comprise of a hall, bedroom, bathroom, lounge and kitchen. The main staircase can gain access to the accommodation. The flats are situated amongst other registered and non-registered provision. Disabled access is poor; the flat is not suitable to anyone with mobility difficulties. To the front of the flats there is off road parking. There is a small communal garden, which is shared with other SENSE registered flats at Bryndale and Shalnecote Grove. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 Star. This means the people who use this service experience excellent quality outcomes. The focus of inspections undertaken by us is upon outcomes for the people who use the service and their views of the service provided, meaning they tell us if the home is meeting their needs, if the home is flexible and suits their lifestyle, and if the home enables them to maintain their independence, preferences and choice of how they want to be supported. This process considers the homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We the commission completed a un announced visit to the service over one day. The home did not know we were coming. As part of the inspection process we talk to people using the service, sample records and send surveys to randomly selected people who have used the service over a period of time. This helps us to build up a history of the service provided. In addition to this, information is looked at during the inspection such as polices and procedures, and the general operation of the home in relation to meeting peoples needs. We also contact other professionals involved with the home who can give us their views of how the home has delivered the service to people to meet their needs. The home is also required to complete an annual quality assurance assessment (AQAA). The Commission sends this document to the provider before the inspection. The AQAA shows what the home is doing well and if and what the home could do better. The completion of the AQAA is a legal requirement that the provider must complete. This had been completed as part of the inspection process by the home. What the service does well: The home ensures people’s needs are met in the way they choose by listening to people’s views, gathering information about the individual and focusing on outcomes for people. The home constantly reviews it practise to improve the service further. Regular visits are completed by a representative of the organisation to ensure the service provided focus on the people who live in the home. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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 Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service provided demonstrates how the service will meet peoples needs by way of completing a full needs assessment before the person moves into the home. This means the home has the information to ensure people needs are met the way they choose. EVIDENCE: We looked at the information available for people wishing to move into the home to see if they would be able to make a decision based on the information provided. The service users guide tells people what service is provided and by whom, what qualifications the staff hold, the history of the organisation and what the person moving in to the home can expect. The information is available ranging from, written; CD roms audiotape, and picture form to ensure people identified needs have been accounted for. There have been no new admissions to the home since the last inspection. When a referral is made from the placing authority a full needs assessment is completed, this involves the person visiting the home to see if it is the right place for them to live. In addition to this a risk assessment and full needs assessment is completed involving the individual person, advocates, relatives, social workers, and medical professionals. The information is then transferred in to a plan of care. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service involves individuals in the planning of care, which affects their lifestyle and quality of life. Staff understand the importance of the people using the service being supported to take control of their own lives. Individuals are encouraged to make their own decisions and choices. EVIDENCE: We looked at two care plans to see if the needs, preference and health care of the individuals were being met. There was excellent information in care plans giving good details about the person needs and how the choice of each person was to be met by staff. For example one file contained what the person likes and dislikes which is important as the people living in the home have difficulty with communicating their needs. Guidance in care plans showed staff the expression the person would make in the form of a picture to indicate their needs. Other expression that the person would make to indicate they required some assistance where also recorded in Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 10 the form of picture such as pain, food, social activities, when a person wanted to be left alone. New photos would be added when identified. Medical pictures were also including for things such as dentist, doctor, and hospitals. Pro-active strategies (meaning taking action before problems occur) were in place for challenging behaviour such as ensuing the person activities were closely monitored throughout the day. This meant that reactive strategies to challenging behaviour were reduced. People who use the service have the opportunity to develop and maintain important personal and family relationships. The staff practices promote individual rights and choice, but also consider the protection of individuals in supporting them to make informed choices. People’s files contain risk assessments identifying hazards associated with everyday living and related to people’s specific needs. Moving and handling risk assessments are in place including guidance for staff to follow when assisting a person who presents challenging behaviour. Daily records gave information about the person daily activities, such as going out, what activity they had completed during the day and most importantly how they had been in themselves. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home continues to support the service users to access a broad range of activities that promote their independence, provide opportunity for personal development and what they enjoy. The service users continue to be supported to maintain relationships with their family and friends. The service users are provided with a varied diet, that reflects their personal preferences and that they enjoy. EVIDENCE: Each person has an individual files were information is recorded about activities they do on a daily basis. Records sampled and discussion with the staff confirmed that the people living in the home continue to participate in a broad range of valued and fulfilling activities that reflect their preferences and are appropriate to their needs. These included going out, cinema, pubs, clubs and meals out. Records examined and discussions with staff confirmed that the people living in the home continue to be supported to maintain links with family and friends. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 12 The frequency and type of contact varies depending upon the needs and wishes of the individual person and their families. Feedback from relatives confirms that they are able to visit the home at any time and are made welcome by the staff. Observations made during the inspection and information detailed in the individual person care file confirms that staff respects the decisions made by the people living in the home. People’s likes and dislikes are recorded in their care plans and there is a file containing pictures that staff explained they use to help people to make mealtime choices. The “residents meeting” notes contain evidence to indicate that people are involved in reviewing their menu preferences on a regular basis. People’s records demonstrate that use has been made of the speech and language therapist to assess people for swallowing difficulties so that they can provide the correct level of support to eat safely. People living in the home experience a meaningful lifestyle and are offered a healthy and varied diet. Contact with family and friends are facilitated, both in and out of the Home. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support and health care needs are met in a way that people living in the home prefer, respecting the person privacy and promoting their dignity. The systems in place for the management of medications needs to be monitored to ensure safe working practise. EVIDENCE: Health action plans sampled contained detailed information as to how the people prefer their personal care needs to be met. Discussions with the staff confirmed that they are aware of the person personal care needs and how these are to be met, respecting the person choices as to how care is delivered. Discussions with the staff and observations during the inspection confirmed that the people are supported sensitively in a way that promotes their dignity. The people living in the home receive support from a variety of health care professionals including a consultant psychiatrist, community learning disability nurses, speech and language therapist, occupational therapist and dietician. Routine health screening is also carried out at the local GP surgery, dentist and Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 14 opticians. Appointments are recorded in the person care file with detailed information as to the outcome for the individual. Relatives confirmed that they are kept informed about their relative care and in the event that the person is unable to make an informed decision, they are consulted. The home retains responsibility for ordering, storage, administration and disposal of medications for the majority of service users. Medications are stored securely, and records maintained of medication administration. Records are also maintained of any medications that are received by the home and those that are returned to the pharmacy for disposal. During the visit it was identified that staff were not using the MAR (medication administration records adequately there were discrepancies in the medication prescribed. Discussion with the acting manager and team manager identified the problem quickly. The acting manager went to the GP surgery to rectify the problem immediately. It was pleasing to note the action taken during the visit, and by the end of the inspection information was correct and medication records reviewed. It must be noted the people living in the home were not at risk. The manager must ensure that audits are completed regular and staff training reviewed. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22&23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Suitable arrangements are in place to respond to people’s concerns and complaints and staff are being trained to recognise and respond to suspicions of abuse so that people are protected form harm. Financial procedures have been bolstered so that people are protected from financial abuse. EVIDENCE: The policies and procedures for safeguarding adults are available and give clear specific guidance to those using them. Staff working at the service know when incidents need external input and who to refer the incident to. The staff have received training in the protection of vulnerable people to ensure the action they taken when an allegation is made does not interfere with an external investigation. A recent safe guarding referral has been made that is currently under investigation. The outcome will be included in the next inspection report. The team manager has taken the appropriate action promptly to safeguard the people living in the home. The home holds some finances for the people living in the home records were sampled during the visit. Very good account procedures are in place to safe guard people from financial abuse. Receipts are kept that correspond to monies spent and audits take place regular. There have been no complaints to us about the home since the last inspection and the manager explained that no complaints have been made directly to the home during the same period. There is an accessible complaints procedure in place at the home with pictures to help people to understand the contents. A folder was seen containing pictures to help people express how they feel to Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 16 help them express happiness or discontent. The new Statement of Purpose contains the home’s complaints procedure. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. The well-maintained environment provides specialist aids and equipment to meet their needs. EVIDENCE: The home is made up of three individual flats. The people who live in the home have their own kitchen, lounge/diner, bedroom and bathroom. The flats were observed to be clean with no unpleasant odours noticeable. The standard décor of each flat was satisfactory and all were personalised according to the individual preferences and needs of the person living in the home. The bathrooms and toilets are fitted with appropriate aids and adaptations to meet the needs of the people who use the service, and are in sufficient numbers and of good quality. The home is well lit, clean and tidy and smells fresh. The home provides a physical environment that meets the specific needs of the people who live there. The home is comfortable and has a programme to improve the decoration, fixtures and fittings. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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 good. This judgement has been made using available evidence including a visit to this service. The service users benefits from receiving support from staff who have been trained supervised and have the knowledge and skill to enable them to meet the people needs. EVIDENCE: Information from the AQAA (annual quality assurance assessment) that the home had completed tells us that new member of staff undergo a comprehensive induction, this includes introductions to the environment, people, policies, procedures and practices, in house documentation, standards and codes of practice. Each new employee will be assigned a mentor to support their transition into the role and regular meetings with the home manager take place. NVQ and LDAF are provided by Sense once staff have completed their probationary period. Staff are also provided with the opportunity to receive bursary funding to support them in receiving external training such as BSL. (British Sign languish) Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 19 Recruitment and training records confirmed that staff have a full induction and training specific to the needs of the people living in the home. All staff have the necessary checks completed, such as two references, CRB (criminal records check that include POVA (protection of vulnerable adult checks) this ensures staff are suitable to work with vulnerable people. The staff files sampled showed that staff receive regular supervision in order to ensure safe working practise and their own personal development. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home regularly reviews its performance through a good programme of self-review and consultations with people living in the home and their relatives with evidence that the views expressed are addressed as part of the homes annual development plan. The home takes appropriate action to promote and maintain the health and safety of the people living in the home. EVIDENCE: The home uses a recognised quality-monitoring tool to assess the quality of the service that is provided. The registered manager has resigned from her post. There is a current nonregistered manager in post that will in the interim until a new manager has Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 21 been registered with the commission over see the day-to-day operation of the home with support from the team manager. The acting manager is not registered with the commission but demonstrated her skills and experience of managing the service during the inspection. A representative of the provider visits the home on a monthly basis to assess the quality of the service provided. Reports made following each visit are provided to the Commission. A sample of records relating to the health and safety of the home were examined. These related to fire safety, prevention of legionnaires disease and food storage. The records seen confirmed that the home takes reasonable action to maintain the health and safety of the people living in the home and staff. Risk assessments that were examined had been subject to regular review. Certificates were available to demonstrate that the gas appliances are fitted and checked each year by a CORGI registered tradesman. Some procedures that are relevant to the people living in the home have been provided in a pictorial format. These include the fire procedure, information on how to access their care plan and safety when opening the front door. Copies of policy statements relating to whistle blowing, Protection of Vulnerable Adults (POVA), disciplinary procedure, racial harassment, discharge arrangements, and management of service users finances have been provided to the inspector. The policy relating to the management of people financial affairs give instruction to staff and are robust to safeguard people using the service. Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 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 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.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. Standard Regulation Requirement Timescale for action 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 It is recommended the acting manager completes regular audits of the medication records and re visits staff training in this area Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham West Midlands B2 4UZ 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 Bryndale Avenue, 41 Flats 13, 14 & 18 DS0000017158.V360196.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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