Inspection on 29/08/07 for Kings Road (61)

This inspection was carried out on 29th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Kings Road (61) 20/09/06

Kings Road (61) 15/03/06

Kings Road (61) 19/04/05

Kings Road (61) 26/10/04

Kings Road (61) 10/06/04

Kings Road (61) 18/09/03

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Kings Road (61) 61 Kings Road Harrogate North Yorkshire HG1 5HJ Lead Inspector Mrs Irene Ward Unannounced Inspection 29th August 2007 09:30 Kings Road (61) DS0000007889.V346176.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 Kings Road (61) DS0000007889.V346176.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. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kings Road (61) Address 61 Kings Road Harrogate North Yorkshire HG1 5HJ 01423 561408 01423 541889 maggie.pattison@hsbp.co.uk 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) Henshaws Society for Blind People Mrs Margaret Lee Pattison Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2006 Brief Description of the Service: 61 Kings Road is operated by Henshaws Society for Blind People and is registered to provide residential care for 5 younger adults aged 65 years and under that have learning disabilities with an additional visual impairment. The house is situated within walking distance of Harrogate town centre and there are local amenities nearby. It is a large three storey Victorian terrace with a small garden to the front. All the bedrooms are designed for single occupancy. The weekly fees on 29th August 2007 range from £646.09 to £800.00 and do not include costs for hairdressers, beautician, toiletries, leisure activities and leisure transport. This information was supplied to the Commission For Social Care Inspection via the Annual Quality Assurance Assessment form received on the 22nd August 2007. People who use the service their relatives and other interested parties are able to have access to inspection reports by requesting them from the home. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • A review of the information held on the homes file since its last inspection. Information submitted by the registered provider in the Annual Quality Assurance Assessment report. Surveys received from three people who use the service, four relatives and three health care professionals. Surveys were sent to care managers however, non were returned. An unannounced visit by one inspector to the home lasting two and a half hours. This visit included a tour of the premises; examination of records, observation of care practices and talking to two people and care staff. Looking at three people’s care files in detail. A visit was also carried out to the support services office to look at staff files. • • • What the service does well: The staff at 65 Kings Road continue to provide a clean, warm and comfortable home for people to live in. The home provides excellent care for people and supports them to maintain their independence. Staff are good at helping people to carry out their normal daily living tasks. People who use the service made positive comments such as: “ Everything is ok. I like living here – having my own space.” Another person said, “All right living here. Able to do what I want”. Relatives also were positive and said: “Choice and flexibility are a feature of the regime at Kings Road”. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 6 And “61 Kings Road almost always gives the impression that it is a genuine “home” rather than an institution. We acknowledge that this is quite a challenge given that my relative is inclined to routine and reluctant to take risks or accept change. Despite this they are offered a stimulating environment with choices and variety. Over time they have been able to respond positively to this which has been of great benefit to them”. Health care professionals made comments such as: “Cater for my clients individual needs promoting choice and control i.e. developing their social activities”. And “It is a specialist service for visually impaired people and dual diagnosis (visually impaired plus learning disability in case of my client). They run a very imaginative and stimulating programme of day care”. It is fine as it is excellent value”. And “The staff of Kings Road and Henshaws Community Housing, along with the staff at Henshaws College have been marvellous in working together to ensure my clients transition has been successful. A short respite break also highlighted the skills and dedication of the staff at Kings Road to their clients”. What has improved since the last inspection? What they could do better: Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 7 The staff at Kings Road should make sure that they follow the organisations procedures regarding the administration of medication. Attention should be given to the signing of medication records by staff when people’s medication is given to them. This makes sure that people are protected from harm by checking that the correct medication is given to them at the right time. 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. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 8 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 Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 9 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 only. People who use the service experience excellent quality outcomes in this area. People’s needs are properly assessed prior to admission, this makes sure 61 Kings Road is the right place for them to live. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has a Statement of Purpose and Service user guide. Both these documents are available on audiotape, Braille and large print. There has been one new admission into the home since the last inspection. The support worker on duty at the time of the site visit confirmed that the person was given the opportunity to visit the home as and when they wished to do so. They were also given the choice of staying for a week’s trial to see if they would like living there. Three people’s files were looked at. All of the files held initial assessments, care plans or (Individual Service plan) and risk assessments, which had been carried out before the person moved into the home. A care needs assessment from local authorities was also in place where necessary. This information would enable the staff to make sure they had the equipment and skills necessary to look after the person properly when they moved in. Kings Road (61) DS0000007889.V346176.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 and 9. People who use the service experience excellent quality outcomes in this area. The care provided to people was of s high standard and encouraged them to make their own decisions about how they wanted to live their lives. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Whilst staff were supporting people during the morning it was clear they understood individuals needs. They supported people sensitively and encouraged them to make choices. People looked well cared for and made comments about the care they received. One person said: “ Everything is ok. I like living here – having my own space.” Another person said, “All right living here. Able to do what I want”. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 11 The care plans of three people who live at the home were looked at. One of which was someone who had recently moved into the home. All detailed how needs had been assessed and what actions were needed to meet these identified needs. Care plans also detailed people’s likes and dislikes, history and medical appointments, daily and weekly programmes and if people are able to spend time alone in the house. One care plan had a communication summary in place and was very detailed in how staff had to communicate with one person through their body language. Individual risk assessments had been carried out to promote independence and safety. People’s care plans are written with them where possible, reviewed regularly and audited monthly by the homes manager. The organisations scheme manager also audits them regularly. Through discussion with the support worker on duty at the time of the visit and the contents of the care plans it was clear that people are able to make clear choices. One person has recently been supported in changing from attending a specialist centre to attending a college course. People who use the service are continually consulted on a regular basis about how the home runs and have the opportunities to voice their views. Kings Road (61) DS0000007889.V346176.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 and 17. People who use the service experience excellent quality outcomes in this area. People who use this service are able to make choices about their lifestyle and are supported by staff to carry these out. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who live at 61 Kings Road have the opportunity to attend specialist day centres and college courses such as music history also astronomy, and communication class. People also have days at home to participate in personal shopping, laundry and household tasks. People also have opportunities to pursue other interests outside of the home such as going to the cinema, walking, swimming, horse riding, going out for meals, going to the pub or into town for a coffee. They also have the opportunity to go away on holidays Four people went on holiday to Skegness. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 13 People have also been on holiday and are due to go on holiday to France, Spain, Cyprus and Bournemouth. Observation of care practices in the home shows that people living at the home are encouraged as much as possible to make their own decisions, although for some people this is more difficult due to their complex needs. There is written information in Individual Service Plans on how people spend their days. These arrangements are discussed with people who use the service and their representatives and staff. Details about family, friends and significant events are recorded in the plans. As part of living skills people living at the home prepare their lunch with support from staff. The evening meals are prepared and cooked by the staff team. Menus were looked at and those seen were varied giving people plenty of choices. Menus also showed healthier options that individuals had chosen. Relatives commented positively about the home in surveys sent to them and said: “Choice and flexibility are a feature of the regime at Kings Road”. “61 Kings Road almost always gives the impression that it is a genuine “home” rather than an institution. We acknowledge that this is quite a challenge given that my relative is inclined to routine and reluctant to take risks or accept change. Despite this they are offered a stimulating environment with choices and variety. Over time they have been able to respond positively to this which has been of great benefit to them”. “On the whole we have been more satisfied with the service. It has been particular gratifying to acknowledge that our relative now views Kings Road as their ‘home’. They are well established there and increasingly takes a more positive and active role”. Health care professionals also commented positively about the service and said: “Cater for my clients individual needs promoting choice and control i.e. developing their social activities”. “It is a specialist service for visually impaired people and dual diagnosis (visually impaired plus learning disability in case of my client). They run a very imaginative and stimulating programme of day care”. It is fine as it is excellent value”. Kings Road (61) DS0000007889.V346176.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 and 20. People who use the service experience good quality outcomes in this area. People’s personal and healthcare is provided appropriately and sensitively according to individual needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staff aimed to promote the independence of people who use the service and to provide support in a sensitive manner. People’s preferences as to how they wished to be supported were recorded within individual care plans. Daily record entries reflected the care that was being provided. Each person living at the home had a GP and access to chiropody, dental and optical services. People living at the home attend Harrogate District Hospital for all A & E (Accident and Emergency) and for most out patient appointments. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 15 The home has the Dossett box system in place, which is dispensed by Lloyd’s chemist. Four people living at the home have medication that is looked after and given by staff. There is a policy in place for the storage and administration of medication. The Medication Administration Records were not up to date as that morning’s medication had been given to people but records had not been signed by staff to say that they had. This was discussed with the support worker as to the importance of signing medication records when medication has been given to a person. Medication was securely stored in a locked cabinet. All staff that administers medication have undertaken accredited training. The home does not hold any controlled drugs. Relatives commented positively on surveys sent to them such as: “We liaise regularly with staff on the one occasion my relative was admitted into hospital a staff member went out of their way to be helpful and supportive.” Kings Road (61) DS0000007889.V346176.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 and 23 People who use the service experience excellent outcome in this area. People who use the service have access to an effective complaints procedure and are protected from harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People who use the service are provided with a complaints procedure, which is produced in different formats such as Braille, large print or audiotape. The complaints procedure is also summarised within the service user guide and people knew whom they needed to speak to if they had a complaint and felt confident that any concerns would be addressed properly. The Commission For Social Care Inspection and the home have received no complaints. There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. All staff receives training in adult protection issues during induction and further training organised by the organisation. The recruitment procedure continues to be robust, and ensures that only suitable people are employed, which helps to safeguard people from abuse. Kings Road (61) DS0000007889.V346176.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 and 30. People who use the service experience good quality outcomes in this area. People live in a clean, comfortable and safe home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home provides spacious accommodation for people. This includes a lounge, dinning room, kitchen and a utility room all on the ground floor. The home has one bathroom and a separate toilet on the first floor that were clean and well maintained. People who use the service all have single bedrooms. The home has a garden to the front and rear of the property. There is parking for one car at the rear of the property and there is on street parking to the front of the home. Two people showed the inspector their bedrooms, all rooms had been personalised with posters and their various possessions such as CD players, television and items they had collected and made. Rooms have been decorated and furnished appropriate for their age. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 18 All areas including the lounge, dinning room, kitchen and utility room were all clean, free from any odours and maintained to a good standard. A range of maintenance checks is completed on a regular basis to make sure that the house is safe and secure. Comments received by relatives from surveys sent to them were positive such as: “The care home is always clean and the staff are clearly very dedicated and do their utmost to make it a home that feels like a family home”. Kings Road (61) DS0000007889.V346176.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 and 35. People who use the service experience good quality outcomes in this area. Sufficient staffing levels, proper recruitment procedures and good staff training meant that people’s needs were met and their interests were safeguarded. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staffing levels were sufficient for meeting the needs of people. The duty rota showed two members of staff on duty both in a morning and evening when people are at home doing their living skills. This does not include the manager’s hours. In an afternoon through to the evening there are also two staff members on duty. This is increased at peak times such as evenings and weekends if people are going out, as staff rotas are based around what people are doing. This makes sure that people social activities are not compromised. At night there is one member of staff on sleeping-in duties. The organisation operates an on-call service in case there is an emergency. The staff files of two members of the staff team were looked at. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. All staff files are held centrally at the providers Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 20 support services office, which is now based on the campus of Henshaws College. Staff training records examined showed a good training programme. Staff have undertaken training in health and safety, fire safety, moving and handling, first aid, food health and hygiene, protection of vulnerable adults and equality and diversity,(VIAT) visual impairment awareness training. One staff has completed the (NVQ) National Vocational Qualification Level 2 in Care. Two staff are hoping to complete their NVQ Level 2 in October of this year. The registered manager has completed the National Vocational Qualification Level 4 Registered Managers Award and the Assessors Award. Staff receive regular supervision every 6-8 weeks and annual appraisals are carried out. Staff meetings are held regularly and minutes of meetings are recorded. The support worker on duty at the time of the site visit confirmed that the registered manager carries out regular supervision. A copy of the supervision record the support worker held also supported this. Surveys sent to relatives and health professionals were positive and comments made were: “Staff movements i.e. new staff and staff leaving is not always communicated to us although my relative I believe is always kept informed”. When relatives were asked if the service meets the different needs of people they said: “ Now there are male staff both permanent and supply”. “The permanent staff are always very welcoming and clearly have a great deal of time and patience for the service users”. “Staff are flexible in the support they offer and sensitive to my relatives needs.” “Generally staff are able to deal with any issues. They are always helpful”. “We have been pleased to see that there have been a variety of staff supporting clients. In particular the addition of younger men working with male residents. However we are hopeful that there will not be to many changes as this can be unsettling for clients.” “The staff of Kings Road and Henshaws Community Housing, along with the staff at Henshaws College have been marvellous in working together to ensure my clients transition has been successful. A short respite break also highlighted the skills and dedication of the staff at Kings Road to their clients”. Kings Road (61) DS0000007889.V346176.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 and 42. People who use the service experience excellent quality outcomes in this area. People benefit from a well managed home in which their needs and wishes are put first. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has a good and effective management team in place. The ethos of the home is open and positive. People who use the service, relatives and health care professionals all commented highly about the home. An accident book is maintained in line with the requirements of Data Protection. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 22 People’s finances were not checked at this site visit. Historical evidence from previous reports gives evidence that people’s financial interests are safeguarded. Quality Assurance systems are in place. A manager’s monthly visit is carried out and a report is written. This is carried out by one of the managers from another of the community houses. A copy of the report is then sent to the Commission for Social Care Inspection. The schemes manager carries out regular three monthly visits to the home and reports are completed and a copy sent to the Commission. Record keeping is of a consistently high standard. Information provided from the (AQAA) Annual Quality Assurance Assessment and the examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken. Kings Road (61) DS0000007889.V346176.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 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 4 X 3 X X 3 X Kings Road (61) DS0000007889.V346176.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations Staff should always sign medication records at the time of giving a person their medication. This protects people living at the home from any errors happening and people receiving the appropriate medication. Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Kings Road (61) DS0000007889.V346176.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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