Inspection on 21/11/06 for Carnatic Road (16)

This inspection was carried out on 21st November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 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

Carnatic Road (16) 30/01/06

Carnatic Road (16) 27/09/05

Carnatic Road (16) 08/11/04

Carnatic Road (16) 23/04/04

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 Carnatic Road (16) 16 Carnatic Road Mossley Hill Liverpool Merseyside L18 8BZ Lead Inspector Les Hill Unannounced Inspection 21st November 2006 13:30 Carnatic Road (16) DS0000025235.V309260.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 Carnatic Road (16) DS0000025235.V309260.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. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carnatic Road (16) Address 16 Carnatic Road Mossley Hill Liverpool Merseyside L18 8BZ 0151 724 4856 0151 724 4856 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.c-i-c.co.uk. Community Integrated Care Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2006 Brief Description of the Service: 16 Carnatic Road is a small care home registered for three adults with learning disabilities. The home is part of Community Integrated Care, which is a registered charity caring for people with special needs and the elderly. The home has been registered since 1999, and is situated in a quite residential area of Mossley Hill, Liverpool 18. The home is domestic in setting and as it is a bungalow, all of the bedrooms are on the ground floor. There is a lounge and separate dining room, kitchen and a utility room/office that houses the laundry facilities. There is a private enclosed garden to the rear and garden to the front of the house. Twenty-four hour care available at the home that includes waking night staff. The home does not provide nursing care. Fees are set through contract arrangements with the placing authorities. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of 16 Carnatic Road was undertaken on Tuesday 21st November 2006 over a period of two hours. It involved the examination of some records, meeting with staff on duty, meeting the residents and a tour of the building. The acting manager had completed a pre-inspection questionnaire that gave essential information about current residents, staffing, polices and procedures and safety checks. The inspection was undertaken as part of the Commission’s responsibility to visit and report on all registered care homes. What the service does well: What has improved since the last inspection? What they could do better: No requirements have been made following this inspection however, staff are advised to develop the reviews of care plans to include reference to any changes in the health or welfare needs of residents; and, to request that the supplying pharmacist amends the MAR sheets to give the appropriate advice for individual medicines and to remove those medicines no longer in use. Please contact the provider for advice of actions taken in response to this Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Carnatic Road (16) DS0000025235.V309260.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 Carnatic Road (16) DS0000025235.V309260.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 site visit to the service. Information is available and assessment procedures are in place, to ensure prospective residents and their families have the information they need to make an informed choice about the home. EVIDENCE: The home’s statement of purpose and service user guide were examined during the CSCI inspection in September 2005 and found to be well written and comprehensive. A copy of the service user guide is located in each resident’s bedroom. A further copy is provided to their family. Two of the residents have lived in the home since it was opened in 1990. The third resident moved in approximately four years ago. Each of them has an Essential Lifestyles Plan (ELP) that has been prepared by staff in the home. The original assessment documents have been archived but in the preparation of ELP’s, staff produce an up to date assessment of need in conjunction (where possible) with the resident and using information already available. Assessments on the sample ELP’s seen during the visit were detailed and gave a clear picture of the resident, their needs and the goals to be achieved. The three residents living in 16 Carnatic Road have complex needs that require constant support and supervision from staff. It was clear that staff are aware Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 9 of their needs and have developed appropriate ways of providing care and support. Although it is some time since a new admission has been accepted at the home, procedures support the need for a process of introduction that is set at the pace most appropriate to ensure the prospective resident is comfortable with the move. Copies of costed contracts are kept on the individual resident’s care file. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. Residents are supported to ensure their needs are met safely and are included, wherever possible, in the development of their plan of care. EVIDENCE: Care plans are constructed from the assessments and they form part of the ELP. The examples seen are comprehensive and contain detailed instructions about the ways in which support should be provided. The plans are written from the perspective of the resident and include signs and signals that they use to communicate their feelings. From reading the files it is possible to gain a good understanding of the individual resident and their needs. Monthly reviews are undertaken. The examples seen were mainly concerned with a review of the previous months goal or activity and planning an activity for the next month. This process is useful but should be developed to include a review of the residents needs against the care plan. It would be helpful to note, for example, whether a resident has had an increase or reduction in the number of seizures, whether their appetite has reduced, whether they are showing more signs of discomfort or whether they appear more content. Staff Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 11 said that they do have these discussions on a monthly basis but they are recorded elsewhere. It would be more helpful to record the progress or regression of residents on the review form on their individual files. The three residents living in the home have limited communication skills. Nevertheless throughout the visit, staff were observed to talk with them, to ask if they wanted what was being offered and to explain what they were doing. Staff have developed a rapport with residents through which they can understand most of what they want to communicate, what they like and what they don’t like. Two of the residents are unable to assist with aspects of running the home but one enjoys spending time with staff in the kitchen passing vegetables etc for them to prepare. Risk assessments are in place to support staff and ensure the safety of residents in particular areas of activity. Staff were advised that they should undertake an assessment of risk on the use of bedrails. CIC has polices to protect the confidentiality of information held on behalf of residents that staff are expected to follow. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected 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 site visit to the home. Staff have an understanding of the residents personal and leisure time interests and use a full range of opportunities to ensure they enjoy the experiences provided. EVIDENCE: ELP’s identify the interests of individual residents and the things they enjoy most. All three residents are dependent upon the support of staff for mobility and participation in any activity. It is a challenge for staff working with severely impaired people to provide a range of stimulating and enjoyable experiences but relatives told CSCI at the previous inspection that staff work hard to ensure residents are provided with activities that they enjoy. Staff said that they go out to the shops, to local pubs for meals, to places of interest, to the theatre and to the cinema. CIC has a sensory room in Hoylake and residents have time allocated to enjoy the “light” experience. One of the residents is identified as being blind but relatives are taking him to the opera. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 13 Staff take residents out into the local community. Sefton Park is a short walk away and they use the local shops. Visitors are welcomed at any time though in practice most let them know when they are to visit to ensure the resident will be there. Relatives were consulted during the previous CSCI inspection and commented that they were invited to attend any of the functions held at the home and are kept updated on matters affecting the health and welfare of the resident. Photographs and mementos of activities that have specific relevance for individual residents are kept in a box in their bedroom. Staff also write some notes in a booklet that identifies the significance of the items and can be used later to remind the residents of these events in their life. All three residents need assistance to eat their meals. The home’s menu contains foods that are acceptable to the resident and can be prepared and presented easily. Staff were assisting two of the residents to eat their lunch during the course of this visit. They did so discretely and in an unhurried way. One of the residents requires foods to be cut into small pieces. The acting manager was advised to ensure that the care plan specifies the approximate size of those pieces of food so that any new, agency or “bank” members of staff would be advised of the safe food arrangements. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected 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 good. This judgement has been made using available evidence including a site visit to the home. Staff support residents in the ways they prefer and require. Some amendments to the ways in which the pharmacist provides MAR information would improve the audit of medicines. EVIDENCE: All three residents require the interventions of staff to meet their personal care and support needs. One resident can assist with some elements of dressing and undressing and this is recorded in his care plan. All three require assistance to manage their incontinence, their personal hygiene and their daily life experiences. From conversations during the course of the visit it was clear that staff are aware of the likes and dislikes of residents and the ways in which they prefer to be supported. It was also evident that staff are aware of the need to preserve the privacy and dignity of residents when carrying out basic care functions. In addition to the physical care needs of residents, staff described the ways in which they can tell whether and individual resident is unhappy, or in pain, the ways in which they attempt to ascertain the reasons for these displays of emotion and the actions they take. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 15 None of the residents are able to manage their own medicines. The home has polices and procedures in place for the management of medicines that meet standards set by the Royal Pharmaceutical Society. An examination of the processes found them to be generally in good order. One of the medicines that staff knew to be taken “as and when necessary” had different instructions on the Medicine Administration Record (MAR). Staff should discuss this with the pharmacist and agree the process for attaching the correct instructions. Creams that are identified to be applied once (or twice) each day should also be confirmed through a signature on the MAR sheet. MAR sheets also contain information about medicines that are no longer in use. Staff draw a line through the item but again the pharmacist should be approached to ensure the details are removed from future supplies. The home is benefiting from arrangements with the pharmacist to collect the prescriptions from the GP, to make them up and then deliver them to the home. However, good practice should ensure that the home has sight of the prescriptions before they are “made up” by the pharmacist. In this way the home can be assured that the medicines to be supplied are the ones that have been requested. Records are maintained in the home of contacts with GP’s, medical Consultants and other health care professionals. Staff said that residents receive a good service from their GP. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected 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 site visit to the home. Staff are responsive to the reactions of residents and know when they are unhappy. Training is provided to ensure staff are aware of the need to report any adult protection concerns. EVIDENCE: The home has a complaints policy that is given to residents and their relatives. As reported previously the residents living in 16 Carnatic Road do not have good verbal communication skills and it is unlikely that they would be able to make a formal complaint. Relatives spoken with during the previous CSCI inspection confirmed that they were confident any concerns they had would be listened to and acted upon. The home has received one formal complaint during the past twelve months that was dealt with quickly by managers supporting the home. Annual quality assurance questionnaires are sent to relatives to gain feedback on their views about the care and support provided at the home. Records confirm that staff are provided with adult protection training at induction and that it is updated from time to time. There have been no adult protection concerns referred from, or about the home, in the past twelve months. Carnatic Road (16) DS0000025235.V309260.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. Residents live in a safe, comfortable environment that is equipped and maintained to support their needs. EVIDENCE: 16 Carnatic Road is situated in the Mossley Hill area of Liverpool within a short walking distance of Sefton Park and close to local shops and bus routes into the City and nearby localities. It is a three bedroom bungalow owned by Maritime Housing and leased through contracts to CIC and the individual residents. There is a small garden to the front of the home and a large, well laid out and enclosed garden to the rear. The rear garden has lawns, patio and paved areas and a raised sensory bed. Garden furniture and a barbeque are provided. The gardens are well kept. The home has benefited from redecoration and is fitted out with good quality furniture and homely accessories. Flooring to most of the house is non-slip laminate that enables the easy movement of wheelchairs. The lounge and Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 18 dining rooms are bright and airy and enable staff to supervise and support residents as individuals and as a group. Residents have their own bedrooms that are well fitted out with special beds and good quality furniture. They have been personalised to the interests of the individual resident. Hoist tracking rails have been fitted to the ceilings where appropriate. A WC/shower room laid out to accept assisted showering facilities is in place. The home’s kitchen is showing signs of wear and tear and staff said that it is programmed for replacement in the 2008/09-budget allocation. A washing machine with sluice facility and an electric clothes dryer are provided in the conservatory (that doubles as an office) at the rear of the home. At the time of this inspection there were no offensive odours present anywhere in the home. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 19 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 site visit to the home. Residents are supported by a team of staff that have been recruited through safe procedures, are trained in essential skills and are supported through ongoing formal supervision. EVIDENCE: The main file for staff employed by CIC is kept in the organisations offices. However, some information is also kept in the home. An examination of a sample of staff files confirmed they are provided with a job description that outlines the expectations of managers and the responsibilities of employees. They also contain training certificates and records of supervision. Four of the home’s six care staff have an award at NVQ level 2 or above, in care. From time to time the home uses “bank” staff (casual employees of CIC) and has used some agency staff. The acting manager said that when she approaches one of these workers she asks about their current pattern of employment to ensure they are not working an excess amount of hours and are not working in another home immediately before they would be required at Carnatic Road. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 20 Staff files held in the home confirmed that an application form had been completed and they contained copies of confirmation of identity documents. References are maintained on the main file in the organisations head office, as are the results of Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks. However the home’s files include a form that confirms references have been received and the date, specific identity number and outcome of the POVA/CRB checks. The files also contained a record of induction and ongoing training undertaken by the individual member of staff. The acting manager said that CIC has introduced a distance learning type of induction training that is completed through the computer but still provide basic training in food hygiene, first aid, health and safety, fire awareness and adult protection. Additional training has been provided in Learning With the Disabled, Total Communication Awareness and Planning With People Who Do Not Speak. A folder containing records of staff supervision meetings was also held in the staff files. Staff said that supervision is provided six times each year. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 21 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, 40, 41, 42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. Residents best interests are protected and safeguarded by the staff approach to the provision of support and by the maintenance of records, polices and procedures and good health and safety practices. EVIDENCE: Since the CSCI inspection in September 2005 the registered manager has left the home. One of the staff is acting in the role of manager and said that the post is due to be advertised. In her “acting” role she has been provided with training in Leadership Skills, Managing Meetings and the Role of The Manager. CSCI have been officially notified of the arrangements. Throughout the visit staff were observed to get on with their work without constant reference to the acting manager for direction. It was clear that staff work well as a team and are confident in what is expected of them. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 22 From records available in the home and from discussions with staff during the visit it is evident that they have the best interests of residents as the focus of their work and that day-to-day routines are organised for the benefit of residents and not to make the work easier for themselves. Policies and procedures are in place to cover all aspects of the work. CIC reviews the documents on a regular basis and makes amendments as appropriate. Record keeping examined during the visit was detailed and up to date. Any recommendations for improvement are contained in the body of this report. Staff are trained in health and safety matters. The homes gas safety certificate was renewed in May 2006 and the electric wiring safety certificate was issued in 2003. The electric wiring certificate did not contain a date when it is due for renewal and staff are advised to confirm the new date with Maritime Housing. Safety certificates are in place for checks on the water storage systems, the hoists and other equipment used in the home. The fire alarms are checked weekly and fire equipment is checked at appropriate intervals. No major concerns are expressed from this visit about the service at Carnatic Road, but CIC managers are advised of their responsibility to appoint a manager to run the home as soon as possible. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 23 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 CONCERNS AND COMPLAINTS 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 Standard No 22 23 Score 3 3 3 3 3 3 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000025235.V309260.R01.S.doc LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Carnatic Road (16) Score 3 3 3 X 3 3 3 3 3 3 3 Version 5.2 Page 24 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 2 Refer to Standard YA6 YA20 Good Practice Recommendations The manager should develop the care planning review procedures in the home to ensure they include a review of the individual resident’s plan of care. The manager should consult with the pharmacist to ensure the process for supplying medicines is supportive to the staff and is safe. Carnatic Road (16) DS0000025235.V309260.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Carnatic Road (16) DS0000025235.V309260.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. 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