Inspection on 04/06/08 for Faraday House

This inspection was carried out on 4th June 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Faraday House 18/03/09

Faraday House 31/05/07

Faraday House 06/04/06

Faraday House 04/10/05

Faraday House 06/04/05

Faraday House 09/09/04

Faraday House 30/04/04

Faraday House 15/01/04

Faraday House 07/07/03

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Clovelly House Residential Home Ltd

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Cherry Tree House

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Faraday House 16 Faraday Road Acton London W3 6JB Lead Inspector Sarah Middleton Key Unannounced Inspection 4th June 2008 09:40 Faraday House DS0000027704.V364125.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 Faraday House DS0000027704.V364125.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. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Faraday House Address 16 Faraday Road Acton London W3 6JB 0208 248 4599 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) mrrajgopal@hotmail.com Mrs Solony Gopal Mr Runjith Gopal Mrs Solony Gopal Mr Runjith Gopal Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (0) Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents to be accommodated on ground and first floor only. Date of last inspection 31st May 2007 Brief Description of the Service: Faraday House is a home for residents with mental health needs. The home is situated in a residential area and in close proximity to Acton town centre, a mainline railway station and major roads into London. The Proprietors/ Registered Managers and their immediate family reside at the home, occupying part of the ground floor and top floor of the building. Residents are accommodated in single bedrooms. There is a small lounge, bathroom and separate toilet for residents on the first floor. There is a small garden to the rear of the home. The home offers twenty-four hour support and care to the residents, accessing local resources such as the Community Mental Health Team. Other community amenities, such as shops and libraries are also available near to the home. Fees range from £ 520-£570 per resident per week. Faraday House DS0000027704.V364125.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 1 star. This means the people who use this service experience adequate quality outcomes. This was an unannounced inspection carried out between 9.40am-4.40pm. We met with one resident and the three main members of staff who work and live in the home. The Registered Manager will be referred to as the Manager in this report. The Staff team had updated and completed the Annual Quality Assurance Assessment. Relevant comments from this have been included into this report. There was one resident vacancy at the time of the inspection. The twelve previous requirements had been met and nine new requirements were made at this inspection visit. All of the key National Minimum Standards were assessed. What the service does well: What has improved since the last inspection? Residents are now involved in the development of their care plans. Residents are able to have keys to their bedroom and front door keys, unless there are recorded reasons why this is not possible. An adaptation had been fitted to assist a resident to access the bath more independently. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 6 The staff team had begun to develop an induction programme for any new staff joining the team. The home had obtained the views about the home from the residents. 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. Faraday House DS0000027704.V364125.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 Faraday House DS0000027704.V364125.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are assessed before moving into the home. EVIDENCE: Members of staff in the home are in the process of assessing a prospective resident. The pre-admission assessment was viewed and this had started to assess the prospective resident’s social, personal and health care needs. If there are additional reports and documents to inform the staff team, then these will be obtained. The staff team are keen for the prospective resident to visit the home so that an informed decision can be made. The Annual Quality Assurance Assessment stated that prospective residents would be invited to the home to look round and introduce them to the other residents. The staff team spoken with confirmed that any prospective residents would be encouraged to visit the home before making a decision. Faraday House DS0000027704.V364125.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 good. This judgement has been made using available evidence including a visit to this service. Residents would benefit from having clear care plans completed that would identify residents’ individual needs. Residents are supported to make daily decisions. Residents are supported to take risks and these are assessed. EVIDENCE: One member of staff completes care plans and evidence was seen that residents had been involved in the development of these plans. Care plans had been reviewed every six months. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 10 A placement review carried out by Social Services seven months earlier was viewed. Several recommendations had been made but these had not been followed up. The staff team were advised to contact Social Services in order to see when the recommendations would be carried out. The staff team also felt that another review needed to be arranged as the resident’s needs were slowly changing. One care plan was viewed and this gave some information about the resident’s care needs. However, it was noted that there were still gaps in the detail, for example the care plan viewed did not record the support a resident needed with their personal care. There have been ongoing various shortfalls regarding the details provided in the care plans. This was discussed with the staff team and a requirement was made for care plans to be written in a clear and informative way. Samples of daily notes were viewed and these provide some information about what each resident has done with their day. The home supports the residents in making daily decisions. Residents are supported with their personal finances, as they are not able to fully manage this independently. One resident continues to have contact with an independent advocate. Resident meetings are held so that residents have the opportunity to talk about the home. Samples of risk assessments were viewed. Overall these had been completed in detail. Those viewed looked at the potential risks posed to the resident and to others. Risk assessments are regularly reviewed and updated as and when needs change. A moving and handling risk assessment had been completed regarding one resident, who has particular mobility needs. Discussions took place with regards to involving residents in the completion of the risk assessments. Faraday House DS0000027704.V364125.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): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social and practical activities, both in and out of the home, are available for the residents. Residents are supported to maintain social relationships. The residents’ rights are respected and recognised. The meal provision is healthy and aims to provide a balanced diet for the residents. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 12 EVIDENCE: One resident attends a local day centre twice a week. Over a period of time the staff team have assessed that this resident can now travel back alone from the day centre. Procedures are in place for the home to check if the resident is late from the centre, so that swift action can be taken to ensure the resident is found and is safe. The other resident attends a drop-in centre and here they can engage with other people and take part in any of the activities on offer. The home has introduced some day trips and this will increase over the summer months. The staff team described how one resident had slowly been carrying out tasks and chores in the home. The staff team are keen not to push residents into taking an active role in the home, but rather they support and motivate residents if they choose to take part in an activity or task. Both the residents living in the home have not wanted to attend a place of worship. Although residents do watch a weekly religious programme on the television. The staff team recognise that the residents need encouragement and support to maintain social interests and have opportunities to meet other people. Feedback from a postal survey from a professional said the staff appear to have a good relationship with the residents and offer the support the residents need. Contact with family and friends are promoted within the home. The residents could meet with family or friends as they so wish, either in private or in the communal areas. The Annual Quality Assurance Assessment stated that the home involve family members although this could not be evidenced as the two current residents have little contact with family members. Both the residents receive their own personal mail and this is usually passed back to the staff team. Residents, if risk assessed, are able to have keys to their own bedrooms and front door. As the home is small the staff team are regularly interacting with the residents. One member of staff was seen taking a resident out to an appointment. Both the members of staff living in the home and the residents use the kitchen. Menus were viewed and overall these were varied. The home seeks to provide healthy options for the residents. The residents are encouraged to make a drink and if possible, their own breakfast and lunch. Fresh produce was seen in the home. The resident spoken with said they enjoyed the meals in the home. Faraday House DS0000027704.V364125.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents receive support with their personal care in their preferred way. Residents’ health needs were recorded and were being met. The shortfalls in the medication systems could place the residents at risk. EVIDENCE: The staff team offer personal care support to the residents. One resident needs minimal support, whilst the other needs more support to ensure they are safe. The home had fitted a handle to assist the resident in and out of the bath. It was recommended that an Occupational Therapist completes an assessment to ensure the resident has all the equipment they need to live an independent life. This would ensure that the resident has all the adaptations they need to live safely in the home. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 14 Both residents have a GP and medical appointments are recorded onto a separate form. The Annual Quality Assurance Assessment stated that the home could support residents to book their own health appointments. Samples of the medical appointment forms were seen. Health needs had been recorded on the care plans. Both residents had not seen a dentist for sometime and it was advised that this is carried out as soon as possible. We were satisfied that this would be addressed. Medication systems were viewed. The Manager mainly administers the medication. There were no controlled drugs in the home at the time of the inspection. Due to recent changes in legislation, it was recommended for the home to purchase a separate lockable controlled drugs cabinet. This would ensure, should a resident be prescribed a controlled drug, that the home is appropriately prepared. Recently two of the members of staff went on training regarding medication. We discussed that the new prospective resident might wish to self-medicate. This would need to be risk assessed and closely monitored by the staff team, as they would still have a duty to ensure the resident is taking the medication. Checks were then carried out. It was noted that for one resident, there were some Vitamin B tablets in the blistered pack and some in a box, therefore it was difficult to carry out a check on the amount that should have been in the home at the time of the inspection. The quantity was not written on the Medication Administration Records for three medicines. This issue was raised with the Manager, as the records need to clearly show what medication has been delivered into the home, so that accurate checks can then be carried out on a regular basis. A requirement was made for quantities to always be written on Medication Administration Records. It was noted that Clozopine that comes from the hospital and not from the local Pharmacist, had not been written on the Medication Administration Records. This is a requirement as all medication given, regardless of where it has come from, must at all times be recorded on the records and signed for by a member of staff each time it is administered. Without this record satisfactory checks cannot be carried out on this medication and there is no evidence that this medication has ever been administered. Another medication initially counted, Perindopril, was found to have some tablets missing, the majority of these were later found by the Manager. These had been stored in a different part of the medication cabinet. However it did not account for the few that were still unaccounted for. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 15 Overall the above shortfalls could place a resident at risk. Although the Manager showed evidence that regular counts and checks had taken place, these checks had not been an accurate way to ensure medication systems were robust and accurate. Errors would have been noted if the checks had been more through. A requirement was made for detailed regular checks to be carried out on the medication and the Medication Administration Records. Faraday House DS0000027704.V364125.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints procedure is in place to respond to residents’ views and concerns. The home’s adult abuse policy needs to be detailed in order to protect the residents. EVIDENCE: A resident had raised two concerns and the Manager had quickly dealt with these concerns. These were recorded in a small complaints book. We discussed with the Manager the benefit of devising a complaint file. This would enable there to be a clear audit trail, noting details of the complaint along with any investigation that is carried out. The complaints policy had the previous contact details of the Commission and this needs to be updated. The home had not updated their adult abuse policy. This needed to include details of visitors that occasionally stay in the home with the staff team. The policy was once again looked at during this inspection visit and it was found to be basic. A requirement was made for this policy to be reviewed, written in more depth and completed in conjunction with the Local Authority’s adult abuse policy. The staff team need to ensure they are fully aware of the adult abuse policy and follow this if there are any concerns. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 17 The home had not yet obtained the Local Authority’s policies on abuse, although the Annual Quality Assurance Assessment stated that the home had these up to date policies. It was recommended that this be addressed as soon as possible. We checked the two resident’s personal finances and these were correct at the time of the inspection. During the inspection, a resident, who had made previous allegations to the staff team, made another allegation. We informed the staff team and immediate action was taken to inform the relevant persons. Following on from this inspection, Social Services carried out their own investigation and found no evidence to substantiate either allegation. Recommendations were made by Social Services to the home. This would then aim to protect all those concerned. As noted above, the staff team need to respond more swiftly in the future should there be an allegation made about the home, another resident or any other persons. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 18 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 residents would benefit from the home being presented in a homely and more welcoming manner. The home was clean and free from unpleasant odours. EVIDENCE: The ground floor bathroom had improved and was now more appealing for the residents. The lounge was viewed where three different styles of chairs were seen. The lounge is small and needs to be made as homely as possible. Within the limitations of this room, the staff team need to ensure they are making this communal area as welcoming as possible. A requirement was made for this to be addressed. The staff team keep the home clean and tidy. Faraday House DS0000027704.V364125.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, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team is competent and effective to support the residents. Recruitment procedures are in place to protect the residents. The training provided for staff needs to be regular and relevant in order to meet the varied needs of the residents. EVIDENCE: One member of staff has completed NVQ level 2, whilst another continues to study for an NVQ level 4. As noted in this inspection report, the staff team is small and consists of the family who live in the care home. Therefore the staff team are aware of the needs of the residents and can support them appropriately. Due to the staffing arrangements, a consistent staff team works together, this ensures there is good communication between the staff team. Staff stated they meet regularly together. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 20 There have not been any new members of staff join the team. Therefore staff employment files were not viewed at this inspection visit. We discussed that if the home and staff team expands, the Manager must ensure there are robust recruitment procedures in place. The Manager agreed that this was important and would ensure that systems are in place to protect the residents. Training records were viewed. The home is in the process of developing an induction for potential new members of staff joining the team. This covered a range of subjects, such as adult abuse, health and safety and communication. It was general in places and needed to be more relevant to the home. The staff team agreed to work on this and as staff have not been employed to work in the home this was not made a requirement. The staff team had attended various training courses, such as, moving and handling and mental health. Fire awareness and food hygiene training were outstanding and a requirement was made for this shortfall to be addressed. The staff team need to receive regular quality training on an ongoing basis to ensure they are kept informed of subjects that are relevant to caring for the residents safely and appropriately. The home had some information about the Mental Capacity Act and now need to consider how this would be implemented into the home. Faraday House DS0000027704.V364125.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. So that residents’ views are considered and included as part of the development of the home quality reviews about the care provided in the home need to be recorded in a report. To ensure residents are protected, a detailed fire risk assessment needs to be completed. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Manager has no managerial qualifications, although he spoke of considering studying for a relevant managerial qualification in the future. The Manager has owned and run the home for several years and is looking at the possibility of expanding the home in the next twelve months. The home had gained the views of the residents and one completed survey was seen. One GP had also completed a survey. We discussed with the staff team the benefit in producing an action plan following on from any comments made by those who complete the home’s surveys. The home had yet to produce an annual quality review report recording the improvements and development of the home. Although it is recognised that the home has a number of internal quality assurance systems in place, a report would clearly show the staff team had considered how the home operates and what areas need attention. A requirement was made for the home to produce a short report that is then made available to residents and for inspection. Maintenance records were viewed. Records and checks regarding Legionella, Gas Safety and Portable Appliance test were all up to date. The fire officer had visited in January 2008 and had made two recommendations. One had yet to be actioned. This was in relation to a detailed fire risk assessment needing to be completed. The Manager showed a basic fire checklist that is completed, but this did not provide sufficient evidence that the main potential hazards in the home had been risk assessed. In addition, the home did not have a floor plan of the home outlining where fire doors and fire exits were. A requirement was made for these shortfalls to be addressed. The home holds regular fire drills and fire equipment had been tested. Faraday House DS0000027704.V364125.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 3 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 2 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 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 2 x 3 x 2 x x 2 x Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15(1)(2)(b) Requirement Timescale for action 30/06/08 2. YA20 13(2) 3. YA20 13(2) To support residents appropriately, care plans must be clear, detailed and outline current needs. To protect the residents, 04/06/08 Medication Administration Records must clearly record all medication being given. In order to safeguard the 05/06/08 residents, the quality of the medication spot checks must be carried out more thoroughly. To protect the welfare of residents, the quantities of medication in the home must be clearly recorded on the Medication Administration Records. To protect residents the staff team must follow the home’s policy on adult abuse. This policy must be detailed and dovetail with the Local Authority’s adult abuse policy. 05/06/08 4. YA20 13(2) 6. YA23 13(6) 30/06/08 Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 25 7. YA24 23(2)(b) 8. YA35 To provide the residents with a welcoming living room, the furniture in this room must be updated. 18(1)(a)(c)(i) In order to meet the residents’ needs staff must receive training on fire awareness and food hygiene. 24(1)(2) Residents would benefit from the Registered Person establishing a report, which brings together information about the home, such as improvements made and views of residents. 31/08/08 01/09/08 9. YA39 30/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA18 YA20 YA23 Good Practice Recommendations It is recommended that a referral be made for an Occupational Therapist to visit the home. It is recommended for the home to purchase separate lockable storage for controlled drugs. It is recommended for the home to obtain the Local Authority’s current policies and procedures on adult abuse. Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Faraday House DS0000027704.V364125.R01.S.doc Version 5.2 Page 27 - 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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