Inspection on 18/12/08 for Fiennes House

This inspection was carried out on 18th December 2008.

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

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

Other inspections for this house

Fiennes House 09/01/07

Fiennes House 15/11/05

Fiennes House 16/06/05

Fiennes House 19/01/05

Fiennes House 09/09/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Fiennes House Drakes Park North Fiennes House Wellington Somerset TA21 8SZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jane Poole     Date: 1 8 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Fiennes House Fiennes House Drakes Park North Wellington Somerset TA21 8SZ 01823661529 01823662319 s.mudway@seeability.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: SeeAbility care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability sensory impairment Additional conditions: Registered for 7 persons in categories LD, PD and SI. Date of last inspection Brief description of the care home Fiennes House is registered with the Commission for Social Care Inspection to provide personal care for up to seven people under the age of 65. It is registered in the categories of sensory impairment, physical disability and learning disability. The registered manager is Mr Steve Mudway and the providers are See Ability, a registered charity. The home is purpose-built and situated close to all the amenities of Wellington. All bedrooms are single occupancy, all have en-suite facilities. The home is surrounded by well maintained landscaped gardens, including a sensory garden. The gardens are fully accessible for wheelchair users. In addition to the home, there is an activity and resource centre adjacent to the home that people living at the home can access. This is known as the Bill Cooke Centre. The fees at the home range from 92,000 pounds to 104,000 pounds per year. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 0 7 7 7 Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The focus of this inspection visit was to inspect relevant key standards under the Commissions Inspecting for Better Lives 2 framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are:- excellent, good, adequate and poor. This inspection was carried out over a one day period by one inspector. During the day the inspector was able to meet with people living and working at the home, tour the building and view records. People living at the home have limited verbal communication and a large proportion of the inspection was spent observing care practices and interaction between people living Care Homes for Adults (18-65 years) Page 6 of 29 and working at the home. Prior to the inspection the manager completed an Annual Quality Assurance Assessment. This gave comprehensive information about the home, their achievements over the last 12 months and their plans for the future. 4 people living at the home were assisted to complete questionnaires and some responses have been incorporated into this report. The following is a brief summary of the inspection and should be read in conjunction with the rest of the report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 29 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are policies and procedures in place to ensure that anyone wishing to move to the home has their needs fully assessed. Evidence: No new people have moved into the home since the last inspection, therefore these standards could not be fully assessed on this occasion. The statement of purpose for the home sets out the criteria for admission and states that anyone wishing to move in would have a transition period. The transition period would include offering people the chance to spend time in the home and the first three months of anyones stay would be an assessment period to ensure that Fiennes House is the right place for them. People who completed questionnaires prior to the inspection stated that they had been able to visit the home and that information had been provided to them and their families. The homes AQAA states that all information about the home can be made available in Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: audio or braille formats. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff assist people to communicate using various methods and there is a strong commitment to ensuring people are able to make choices about their day to day lives. Care plans are disjointed and do not always give clear information to enable staff to assist people in a consistent manner. Risk assessments are in place but are not incorporated into individuals plans of care. Evidence: Everyone living at the home has a care plan which is personal to them and is kept in the home. Further information and copies of care plans are retained in the managers office, which is in a separate building. There is also a handover book which gives up to date information about each person and details the meals eaten each day. Two care plans were viewed in detail and one more briefly. The format of the care Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: plans is disjointed and in places gave limited information. For example in one care plan it was stated that staff needed to use a consistent approach but the nature of the consistent approach was not documented within the document. There was also evidence that care plans did not cover the persons full needs. Staff talked of a specific behaviour that they had consulted outside professionals about but this was not evident in the persons care plan. Weights are recorded in the care plan kept at the home. One care plan demonstrated that the individual had lost a considerable amount of weight and needed to be weighed on a fortnightly basis. The last recorded weight was recorded in October. However there was evidence that a nutritionist had been consulted and carried out an assessment. Each person now has a brief profile that is written in a simple format and gives basic information about them. This forms a separate document. Staff spoken to demonstrated a very good knowledge of each person living at the home but care plans gave limited information for new staff or those working on a more temporary basis. Risk assessments are carried out for individuals to ensure that they are able to safely take part in activities. These risk assessments are contained within a separate generic file and do not form part of the care plan. Staff encourage people to make choices about their day to day lives and this is facilitated by individual communication methods. It was observed that staff interacted well with the people who live at the home using various communication methods that included speech, observing body language and behaviour, touch and some hand over hand signs. People living at the home were assisted to complete questionnaires before the inspection and in many instances the persons personal form of communication was written down by the person who assisted them. It was noted that peoples personal non verbal responses were noted down during residents meetings. The home has a strong commitment to ensuring that people are able to make choices about their lives and express themselves. Staff work extremely hard to communicate effectively. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this 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 have access to a wide range of activities and good access to community facilities. People are assisted to maintain contact with family and friends. Evidence: On the same site as the residential home there is a day centre that is independently staffed and provides activities and experiences for people living at the home and people from the wider community. Everyone who lives at the home has access to a wide range of organised activity and are able to take part in ordinary every day life. People use local facilities for shopping, hairdressing, sports, church and meals out. There is a mini bus, which is able to Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: accommodate wheelchairs, to enable people to access facilities further away. Recently people have been supported to go Christmas shopping and have meals out. On the day of the inspection people living at the home went out with care staff and with the day centre. Everyone living at the home has had a holiday away with staff and people have breaks away from the home with family members. Everyone who completed a questionnaire said that they were able to choose what they did during the day, in the evenings and at weekends. Two people wrote on their questionnaires that outings at weekends can be limited due to staff numbers. People are assisted to take part in household chores to learn and develop independent living skills. This includes helping with laundry and cooking. Currently no one living at the home attends college or has paid or unpaid employment. Staff gave evidence that they work around peoples preferred routines and there are no set times to get up or go to bed. People are able to spend time in communal areas or in the privacy of their personal rooms. There is a four week menu which gives a wide variety of food. Staff stated that the menu has been created using peoples known likes and preferences. The main meal of the day is in the evening with a light snack at mid-day. It was observed that people were provided with specialist equipment to enable them to eat independently and some people were supported by staff to eat their lunch. Staff assistance was given in a way that maintained peoples dignity. Cupboards were seen to be well stocked with good quality food products. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 living at the home have access to healthcare professionals in line with their individual needs. Individual protocols should be in place for the use of all as required medication to ensure that people do not suffer unnecessary pain or discomfort. Evidence: There is evidence that people have access to healthcare professionals and advice is sought by the home when appropriate. Staff assist people to attend appointments outside the home and the reason for the appointment and the outcome is fully recorded. These records are maintained in the personal file kept in the managers office. Staff also gave evidence that they had supported someone during a hospital stay. Care plans give details of the level of support people require with personal care. One care plan seen gave a clear morning routine for the person. The majority of staff in the home are female but some male staff are employed which gives people some choice Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: about the gender of the person who assists them with intimate personal care. People are assisted with personal care in the privacy of en-suites or the fully adapted bathroom. People are supported to go out to shop for their own clothes and therefore make choices about what they wear. On the day of the inspection one person went to the hairdressers in the local town. The home uses a Monitored Dosage System (MDS) for medication. Currently no one living at the home self administers their medication. Staff receive in house training to ensure they are competent in this area. The manager stated that SeeAbility is currently looking into other training courses in the safe administration of medication. The home has suitable storage facilities for medication and keys are held by a member of staff at all times. The Medication Administration Records (MARs) were viewed and found to be well maintained. All medication is signed for when it arrives at the home and when administered to an individual. This gives a clear audit trail. There are up to date medication profiles on each person living at the home and these detail how to assist people to take their medication. It is recommended that these be placed with each persons individual MAR sheet and included in the care plan. It was noted that opened bottles of medicine did not have a date of opening or expiry written on them and there were not clear protocols in place for the use of all as required medication. This is particularly important in instances when people are unable to request specific medication. Protocols should include details of individuals behaviour that may indicate that they are in pain or discomfort. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are policies and procedures in place to minimise the risks of abuse to people who live at the home. Evidence: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. The home also has an up to date copy of the local policy on safeguarding vulnerable adults. All staff undertake training in the protection of vulnerable adults. Staff spoken with on the day of this inspection were aware of the whistle blowing policy and the ability to take serious concerns outside the home. The home has an open and relaxed atmosphere and staff felt that they could approach the manager with any concerns. People who completed questionnaires all answered YES to the question Do you know who to talk to if you are not happy? Many of the people who live at the home do not have verbal communication and staff gave evidence that they are familiar with peoples non verbal communication methods and would be able to recognise if a person was not Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: happy and act accordingly. To ensure people have access to money, to enable them to make purchases when they wish to, the home assists people with personal finance. Individual records are maintained and receipts are obtained for all spending. A sample of personal finance was viewed and records kept correlated with monies held. There is a robust recruitment procedure which includes carrying out appropriate checks on new staff before they begin work. The home maintains a complaints log. No complaints have been made since the last inspection. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Fiennes House provides a homely environment for the people who live there. The house has been fully equipped to meet the needs of everyone who lives there. Additional hand washing facilities need to be provided to promote good infection control practices. Evidence: Fiennes House is a purpose built, single storey, home in a residential area close to the town centre of Wellington. All areas of the home are accessible to people using wheelchairs. All areas are fitted with a fire detection and emergency lighting system which is regularly tested. The home is fully equipped to meet the needs of the people who live there but retains a warm homely feel. There is a comfortable communal lounge and a large kitchen/ diner. There is also a quiet conservatory room. Outside there are large gardens with furniture, which is appropriate to the people who live at the home. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: All bedrooms are for single occupancy and have en-suite facilities. Five of the en-suites have level access showers in addition to a toilet and wash hand basin. There is also a large bathroom with assisted bathing facilities for communal use. A sample of bedrooms was viewed. All were bright and cheerful and had been personalised to reflect the tastes of their occupants. It was observed that people had unrestricted access to their rooms and the communal areas. There is a well organised laundry which is appropriate to the needs of the people living at the home. On the day of this inspection all areas seen were clean and fresh. Care staff are responsible for all cleaning, laundry and cooking duties as well as their care role. It was noted that there are limited hand washing facilities for staff. To promote good infection control practices the home must ensure that all areas where staff assist people with personal care, and the laundry area, are fitted with appropriate hand washing equipment such as paper towels and liquid soap. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this 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 living at Fiennes House are supported by a well trained and motivated staff team. Robust recruitment procedures minimise the risks of abuse to people living at the home. Evidence: The home employs 14 care staff, 9 (64 ) have a National Vocational Qualification in care at level 2 or above. (Figures taken from AQAA completed by registered manager.) All staff complete a comprehensive induction programme and records of this were viewed in recruitment files. In addition to the induction there are excellent opportunities for ongoing training. Staff complete all statutory training in health and safety issues and many training sessions which assist them to care for the people who live at Fiennes House. These include courses in visual impairment, values and positive lifestyles, disability, equality and human rights, cerebral palsy and rehabilitation. All staff spoken with were very happy with the quality and frequency of training provided. Staff observed were very well motivated and demonstrated a good Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: knowledge of the people living at the home. People living at the home appeared very comfortable with the staff who supported them. The home is adequately staffed and additional staff from the day centre assist people to take part in activities and make use of community facilities. There are 3 or 4 staff on duty in the home each morning and 3 staff in the afternoon. Overnight there is one waking night staff and one person sleeping in. The home has a group of bank staff who cover any gaps in the rota to ensure that people are supported by staff who are familiar with their abilities and needs. Care staff in the home are also responsible for all cleaning, laundry and cooking. Each shift a shift liaison person is nominated who co-ordinates the shift. Staff spoken with felt that there was a very good atmosphere in the home with all staff working as a team. There are regular staff meetings in the home that staff felt was an opportunity to voice opinions and express their views. During the inspection 4 recruitment files were viewed. These gave evidence of a robust recruitment procedure which includes formal interviews, obtaining written references and carrying out Criminal Records Bureau and Protection Of Vulnerable Adults checks. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this 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 registered manager of the home has the skills and experience to effectively manage the home. Systems are in place to ensure the health and safety of people living and working at the home. There is a commitment to seeking the views of people using the service and to ongoing improvements. Evidence: The registered manager of the home is Steve Mudway, he has many years experience of working with people who have a learning difficulty and has worked for SeeAbility for 6 years. He holds the Registered Managers Award (NVQ level 4). Staff spoken with felt that the manager was open and approachable one person said the managers door is always open and he is always ready to listen to your point of Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: view. On the day of the inspection interviews were being carried out for a deputy manager. This is a newly created post and will replace a senior care role. The home has various ways to monitor the quality of care and promote ongoing improvements. Annual quality assurance questionnaires are sent to people living at the home and their relatives. The audited results of this years surveys were seen and demonstrated a high level of satisfaction with the service and facilities offered. SeeAbility carries out monthly unannounced visits in line with regulation 26 and written reports from these are available in the home. On the day of this inspection 3 representatives from SeeAbility carried out an unannounced visit. The home operates a comprehensive system of health and safety audits, records in relation to fire safety were viewed. There is a fire risk assessment in place and a plan for each person in the event of a fire. The home has arranged to use another care home nearby if the home needed to be evacuated. Fire safety checks show that fire alarms are tested weekly and emergency lighting is tested monthly. The system is serviced by outside contractors. The AQAA gives details of up to date servicing of equipment. As previously mentioned all staff receive up to date training in health and safety matters. Up to date certificates of registration and insurance are displayed in the office. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 30 13 (3) The home must ensure that suitable hand washing facilities are available throughout the home. This is to promote good infection control practices and reduce the risk of the spread of infection within the home. 30/01/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 The manager should review the care plan format and storage arrangements to ensure that all information about a persons needs and abilities is easily accessible to staff. This will enable staff to assist people in a consistent manner. It is recommended that medication profiles and protocols for all as required medication are placed with individual MARs and included in the care plan. The date of opening and expiry should be written on open bottles of medicine. 2 20 3 20 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!