Inspection on 16/10/07 for Daubeney House

This inspection was carried out on 16th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Daubeney House 05/03/07

Daubeney House 24/01/06

Daubeney House 20/06/05

Daubeney House 18/11/04

Daubeney House 24/06/04

Similar services:

1 Marten Road

Three Gables

Aldwick House

49 Glendale

The Springs Community

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

CARE HOME ADULTS 18-65 Daubeney House Bersted Street Bognor Regis West Sussex PO22 9QE Lead Inspector Val Sevier Unannounced Inspection 16 October 2007 10:30 th Daubeney House DS0000039774.V352569.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 Daubeney House DS0000039774.V352569.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. Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Daubeney House Address Bersted Street Bognor Regis West Sussex PO22 9QE 01444 459517 01444 453413 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) Sussex Oakleaf Housing Association Limited Ms Lynda Peggy Strange Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of one (1) person in the category MD(E) (mental disorder excluding learning disability over 65 years). 5th March 2007 Date of last inspection Brief Description of the Service: Daubeney House is a care home registered to provide accommodation and personal care for up to ten people between the ages of eighteen and sixty-five years who have mental disorders. The registration provides for one of the ten persons to be over the age of sixty-five. The service is provided by Sussex Oakleaf Housing Association Ltd, and the Registered Manager is Mrs Lynda Strange. The Responsible Individual operating on behalf of the organisation is Mrs Tracey Faraday-Drake. The property is a large detached house, situated in a quiet residential area near to the town centre of Bognor Regis. Accommodation for residents is on ground and first floors. A second floor provides additional office space and staff sleep-in accommodation. All resident’s rooms are for single occupancy only and have en-suite facilities. A TV lounge, quiet lounge and open plan dining room/kitchen provide communal space for residents at ground floor level. There is a spacious garden to the rear of the house and an enclosed garden area in the centre of the building. Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These included: the Annual Quality Assurance Assessment (AQAA) completed by the home, and an unannounced visit to the home, which was carried out on the 16th October 2007, during which the inspector was able to have discussions with staff and have interaction with the residents at the home. During the visit the inspector looked around the home, which included a sample of bedrooms and bathrooms. Staff and care records were sampled and in addition to speaking with staff and residents, their day-to-day interaction was observed. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. What the service does well: The home welcomes people who will use the service and their families or representatives, to visit the home and assess the facilities of the home. The manager actively seeks information from external healthcare professionals as part of the assessment where necessary, to ensure that the home is able to meet assessed needs. People moving into the home are assured that the home that they are entering will meet their needs. For example, staff are well trained and show perception and professionalism in the way they deliver care, which enables people who live at the home to feel safe and enjoy a varied and companionable way of life. Staff treat people who live at the home with respect; they share their companionship and give support sensitively. Detailed records were in place that gave nursing and care staff information that enabled them to provide the help that individuals need. Health care was promoted through the use of tools that assist with monitoring the nutritional needs of individuals when that was necessary. The home has also developed good working relationships with healthcare specialists. Daily routines in the home were flexible and people who use the service being encouraged to make choices for themselves and exercise personal autonomy as far as was reasonably possible. People who live at the home were positive about the food that the home provided and were pleased with the range of activities in which they could participate and the condition of the accommodation that they occupied. Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 6 People at the home, relatives and staff had confidence in the effectiveness of the home’s manager. Systems and procedures in the home worked well including, dealing with complaints, quality monitoring, and health and safety. 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. Daubeney House DS0000039774.V352569.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 Daubeney House DS0000039774.V352569.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): 2 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering using the service are given appropriate information about the service to enable them to make an informed choice. People that use the service can feel assured that their needs will be assessed and that the home has an understanding of their needs using the assessment process. EVIDENCE: All care is taken in assessing prospective residents to fill any vacancies at the home as this ensures a well-balanced community. The staff are aware of the needs of service users and of how their needs and aspirations can best be met. An information pack is given to individuals where an interest in the service has been perceived. It contains all the information necessary for someone to make informed decisions as to whether the care offered at the service is for him or her. The inspector sampled two files and they all contained pre admission assessments. Information was also available from social services and health professionals as appropriate. It was seen that the individual circumstances had been addressed with the assessment as one individual was moved in a short space of time due to a Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 9 home closure and one was able to have an overnight stay at the home before deciding whether they wanted to move there. However it was seen on the assessments and records that staff at the home had had discussions with both individuals about the move and any worries or anxieties that they had, there was also action and support by staff noted on these records on how they would assist the individuals to move into Daubeney. Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service receive the level of support and guidance they need in order to meet their specific requirements, with staff giving information to enable the individual to make decisions and understand their care plans. People who use the service are supported to take risks in their daily lives. EVIDENCE: The inspector sampled three care plans on this occasion and was able to speak with several residents about their care programme. The care plans that have been developed for the residents were seen to be a working tool, with records of daily life and monthly evaluations by the key worker. There were several examples of evidence indicating that there is participation by the residents in forming their care plan, one example was seen where the staff had shown the individual a draft of the care plan and the individual had disagreed with the way something was written. The care plan is referred to Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 11 daily with a record of activities that the individuals carry out as part of their plan. This file contains the views of the individual their life story, what they hope to achieve, goals and ambitions and the assessment by their key worker. It also contains their progress. The residents are closely involved in all aspects of life at the home, where more rigid frameworks are required for the wellbeing or safety of a resident, for example these instances are identified, recorded, agreed and reviewed. Individuals at the home are involved with their care plans and risk assessments, several examples of risk assessment were seen all had been written around individuals issues and concerns and related to the individual, the community and / or others. The residents spoken with said that although they were living in a care home, they had a say in what happened both as a group and as an individual. They were happy that staff on occasion had to make a decision and when this happened, an explanation was given as to the decision. So although they may not have liked the decisions, they are least given an opportunity to understand why it had been made. Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to fulfil their personal development and leisure activities, which are based on their individual abilities and aspirations. People who sue the service are supported in the preparation and choice of their meals, with specific dietary needs also being addressed with encouragement to carry out these tasks on their own. EVIDENCE: The residents have a wide range of mental health issues which need constant support from staff, to prevent or minimise what would be regarded as “challenging” behaviours elsewhere, to do this staff need up-to-date knowledge of each resident. Individual activities and interests are agreed and are met by the local community, with no resident being dependent on attendance at local authority Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 13 or private day centres. On the day of the visit, some residents were at home, being supported by staff to carry out household activities such as food preparation, laundry and cleaning/tidying; whilst others had gone out either with support from staff or independently. All bedrooms are decorated and furnished to individual tastes and requirements, and reflecting the individuals specific and general interests. Routine activities that have been agreed with residents take place and are amended from time to time or at short notice depending on the disposition, health and continuing abilities/aspirations of the individual. Residents explained that they could go where they like either with support or on their own, if able. There was evidence where one resident who was new to the area was supported to travel to meet family however due to the area being new and individual anxieties, there had been occasions when they had gotten lost. The situation was reviewed and following discussion with the individual, support has been rearranged to enable the individual to travel independently and safely. The rapport and communication between the staff and residents was evident through observation, and confirmed by the residents. Mealtimes are variable depending on the individual daily activities of the residents. Residents are able to have their meals or snacks where they wish. Staff may join the residents for meals and the group tries to meet up once a day to ‘catch up’ on what has been happening. Residents are supported to cook/prepare their own lunches with the tea time meal being more communal, although individual choice was evident with alternatives being prepared. There was evidence that individuals are supported through prompts where due to their poor mental health they may forget to eat; staff seemed to offer support with empathy and understanding of the individual. Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and emotional needs of people who use the service are known, well met and reviewed with evidence of good multidisciplinary working taking place on a regular basis. Individuals are enabled where possible to look after their own medication. EVIDENCE: The inspector was able to see from care pans and from discussion with both staff and residents that needs are being met. The individuals at the home have a wide range of needs, including mental health difficulties and/or physical needs including poor sight and depression that for some has lead to other behaviours for example self-harm. The residents have access to GP’s, community psychiatric nurses and other healthcare services such as opticians, dentists and chiropody. Care plans seen at the visit have detail on how mental and physical healthcare needs are identified and met. The medication record file also had the individual’s medication care plan and medication agreement and assessment for individuals to self medicate. It was Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 15 noted that the individual has signed these documents. These also identify where an individual may be mentally ‘poorly’ they may refuse their medication, what action may or may not be taken on their behalf. The home uses a monitored dosage system arranged with a local chemist. Medication records and storage were seen and were appropriate to the needs of the residents and in line with the homes policy. Regular checks of stock are undertaken by staff to ensure that there is no over ordering and that medication remains in date. Individuals who self medicate have safe and locked storage for these medicines. It was noted that there were 9 gaps where there was no indication whether medication had been given or not. There were four ‘post it’ notes on the relevant pages reminding staff to sign. This was discussed with the manager at the time of the visit and she stated it would be bought to the staff’s attention the next day at the staff meeting. She said that as part of the auditing, afternoon staff were looking at the medication records when they were giving medication to see that everything was signed for, and that ‘post it notes’ should not be used. There was evidence from talking to both residents and staff that individual health care needs are addressed. With a conversation heard on the day of staff liaising with a sight specialist to work with the key worker and the individual in managing in the community with poor sight, and how equipment could be used to strengthen the safety and independence of the individual. Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are protected through the open complaints process and the staff’s knowledge and understanding of Adult protection issues. EVIDENCE: The homes complaints procedure was seen to be available in the information given to people who use the service. There was also a copy of the complaints procedure on the homes notice board. There have been no complaints received by the home or the commission since the last inspection visit in March 2007. The manager advised that the home promotes an open door approach to relatives and people who use the service, to help resolve complaints and issues effectively. The home uses the West Sussex safeguarding adult policy and staff were seen to have training in adult protection as part of their induction as well as regular updates. Any concerns raised by people who use the service, staff, relatives or others, have been recorded with action taken, staff are aware of the adult protection policy and whistle blowing. Daubeney House DS0000039774.V352569.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have a pleasant, safe and homely environment to live in. EVIDENCE: The inspector looked around some of the home and was able to see communal areas such as the dining room, kitchen, bedrooms and bathrooms. There are good internal and external facilities. Communal areas enable residents and staff to have space, comfort and privacy. All residents have access and use of the kitchen and laundry and they are supported to be as independent as they can in their own care and daily household activities. The bedrooms seen were brightly decorated and had evidence of individual personalities with posters and the resident’s photographs on the walls, and other personal effects. People who live at the home are encouraged to furnish Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 18 the room with personal belongings such as furniture and pictures, to make it feel like home. Music was heard in the home where an individual likes to play rock music, others were either resting in their rooms or in the communal lounge watching television. Comments from residents about the condition of the premises included: • “I like the lounge but I don’t always get to watch the programmes I like as it’s up to all of us to decide what to watch”. Daubeney House DS0000039774.V352569.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the services have their needs met by staff who are trained, supportive and sufficient in numbers. People who use the services are protected through the home’s current recruitment procedure. EVIDENCE: The staffing structure provides a broad spread of experience and professionalism: manager, deputy manager and support workers. The organisation and other health care professionals support the team externally. The duty rota showed how staff are deployed at the home and accompany residents in the community; there are 2 members of staff on duty between 8:00 am – 8:00 pm. At night there is one member of staff awake and another sleeping in. The AQAA sent by the manager stated that: “Staff have access to a training programme developed by Sussex Oakleaf. Staff are up to date with all legal training requirments and have access to Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 20 other relevant training for their job roles. All staff have completed at least an NVQ level 2 or 3 or equivalent. The management ensure all new staff complete a comprehensive induction, which meets the sector skills training specifications. Staff are motivated and committed to providing each resident with the best possible care”. Thos was confirmed when the inspector sampled training files for staff and through speaking with staff on the day. The training matrix indicates that all members of staff are encouraged to achieve training in topics relevant to residential care e.g. safe moving/handling, understanding reasons why people become agitated or upset, food hygiene and first aid. The inspector was able to sample the recruitment process and the manager home was able to evidence that the recruitment process has been followed. Daubeney House DS0000039774.V352569.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 &42 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from a well run home; with systems and procedures in place which monitor and maintain the quality of the service provided and promotes the safety and welfare of everyone living and working in the home. EVIDENCE: The manager has many years of experience in this field of work, evidenced by the observed interaction between the staff and residents, the record keeping sampled and the comments from residents and staff as to her qualities of leadership and management. During the inspection visit, it was clear from observation and sampling records such as care plans, that residents needs were identified and individual Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 22 programmes of care were agreed and in place, with their needs and aspirations being an important part of their personal development. The staff when spoken with, had clear information on how to meet individuals needs, they said that they felt supported even if things did not always go to plan and teaching by the manager using her experience was as needed, in addition to the formal training that the manager carried out. Staff said that they felt that their development needs were met and that they had regular supervisions as well as yearly appraisals. The manager had completed the AQAA and returned it the commission, which detailed that all necessary safety checks and associated certificates were in place. This information was sampled and it was found that a file is maintained in which such safety certificates/information are kept. The manager was confident that all safety checks have been carried out. There was evidence of risk assessment procedures being in place and training standards are such that the vulnerabilities of residents are known and addressed in operational activities. The AQAA also stated the improvements since the last visits and planned areas of development for the coming year. The service carries out a quality survey using questionnaires the results of which were made available to the inspector at the visit. The questionnaires are sent to residents, staff and relatives, comments where discussed with the manager and she was able to show any action that had taken pace as a result of the comments. The provider Sussex Oakleaf Housing Association sends out the questionnaires. The manager holds regular meetings with residents during which they are able to contribute to the running of the home and mention any issues they are concerned about. The manager also gives new residents a questionnaire after approximately three months of living in the home, which asks about the admission process for them. Residents are also asked if they would like to be involved in recruitment of staff to the home. Daubeney House DS0000039774.V352569.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 CHOICE OF HOME Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 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 4 X 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 2 X 4 X 4 X X 4 X Daubeney House DS0000039774.V352569.R01.S.doc 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. 1 Standard YA20 Regulation 13 (2) Requirement Accurate and timely records of the administration of medication must be kept to protect people that use the service. Timescale for action 16/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Daubeney House DS0000039774.V352569.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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