Inspection on 25/06/08 for Linby Drive

This inspection was carried out on 25th June 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Linby Drive 10/06/09

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Linby Drive 14 Linby Drive Strelley Nottingham NG8 6QH Lead Inspector Meryl Bailey Unannounced Inspection 25th June 2008 1:30 Linby Drive DS0000071128.V367216.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 Linby Drive DS0000071128.V367216.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. Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Linby Drive Address 14 Linby Drive Strelley Nottingham NG8 6QH 01159764652 01773 765915 wesleyw@norsaca.org.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) Nottingham Regional Society for Adults and Children with Autism Mr Wesley Williams Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following category: Learning Disability - Code LD. 2. The maximum number of service users who can be accommodated is: 8 This is the first inspection of this service Date of last inspection Brief Description of the Service: The premises of 14 Linby Drive were purpose built as a care home in 1995 and are situated on a residential estate, west of Nottinghams city centre. The accommodation is provided on two floors and consists of 8 single rooms with washbasins. There are four bathrooms, three fitted with showers and one with a bath. There is an additional bedroom for staff. A through floor lift is provided and there are toilet facilities suitable for physically disabled people on each floor. A CCTV system is operational around the outside of the building and there is a high fence with electrically operated gate to increase security from intruders. The current service opened in January 2008 and is aimed at young adults with needs relating to autism. Staffing is provided according to needs and this can be on a full time 1:1 basis. Nottingham Regional Society for Adults and Children with Autism provides a detailed guide to the services at Linby Drive and fees are given as commencing at £1141.00 per week. Fees for additional 1:1 support are £13.50 per hour. Linby Drive DS0000071128.V367216.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 key inspection involved one inspector. The site visit was unannounced and took place during the afternoon on 25 June 2008. We were able to see all four of the people who currently live there. Inspections focus on outcomes for people that use the service and in order to do this, the main method of inspection used at the site visit was ‘case tracking’. This meant three people were selected and their support was tracked through some discussion with them, supported by signs and gestures. Also we checked their care records and observed their interactions with staff. Five staff members were seen and spoken with. A sample of staff records were looked at to make sure staff members are checked before commencing employment and are trained to meet people’s needs. The registered manager for this service was not available during the inspection, but a senior support worker and another manager from the organisation attended for discussion and feedback. Information about a home that is collected before the site visit is also used as evidence to make judgements. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well and what they need to improve. During the inspection we were informed that this had been completed, but it had not been received at the Commission and no copy was available to aid planning the visit. We received it after the inspection visit and it has been taken into consideration within this report. What the service does well: Appropriate information is individually designed for people who may move into the home and comprehensive assessments are carried out to ensure the service can meet needs. People who use this service are helped and encouraged to make choices in their lives and risks to their wellbeing are managed. The staff use signs and gestures to help people understand information. People who live at Linby Drive are supported in maintaining an appropriate lifestyle with structured activities. One person told us he liked swimming and some people were enjoying the attention of a reflexologist. Another returned from a day service during the inspection. Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 6 A healthy menu is provided which is based on the preferences of the people living there. We observed people thoroughly enjoying their evening meal. People are provided with a generally clean, homely and comfortable environment, which is adapted for their safety. Staff are supported to develop their skills and 50 have achieved a National Vocational Qualification at level 2. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Linby Drive DS0000071128.V367216.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 Linby Drive DS0000071128.V367216.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): 1 and 2 Quality in this outcome area is good Appropriate information is individually designed for people who may move into the home and comprehensive assessments are carried out to ensure the service can meet needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information for the people who currently live in the home was prepared with assistance of the Speech and Language Therapist. Examples of the information containing photographs and symbols were seen and were personal to the individuals concerned. Three of the four people living there moved in together from another service owned by the same organisation and full comprehensive assessments had already been obtained. Some of the staff had been working with these people for several years and knew their needs well. There was evidence of regular reviewing and reassessments of their needs. Linby Drive DS0000071128.V367216.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 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service are helped and encouraged to make choices in their lives and risks involved with activities are managed. EVIDENCE: Four people were currently live at the home. The records of three of these were inspected in detail. The full assessments of need led to detailed individual care plans for two of these and the third one was being developed. A process had been started to improve the format of the individual plans. There were records of how the plans had previously been reviewed and adjusted and all information contained in them was current. The plans were securely stored to ensure that the resident’s confidentiality is maintained at all times. Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 10 People living at the service require assistance in making some decisions and there were examples of how information is given in pictorial formats. We observed some choices being made around food and activities. Risk assessments were completed for each individual with respect to their daily activities and included in the care planning. The outcome of some risk assessments showed that increased staffing is indicated when a person is out in the community to ensure safety and manage behaviour. Staff confirmed that this happens in practice and that three staff are used to accompany one person to the General Practitioner as there would be a driver and two escorts. Linby Drive DS0000071128.V367216.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, and 17 Quality in this outcome area is good People who live at Linby Drive are supported in maintaining an appropriate lifestyle with structured activities. A healthy menu is provided which is based on the preferences of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the people living at the home returned from day centre during the afternoon and discussed what had been happening there. The others were at home and had each spent some planned time with a visiting reflexologist, which was timetabled for every Wednesday afternoon. There was a minibus available and staff told us they accompanied people to various parks (Shipley, Wollaton, Bestwood, Arnold) to give plenty of opportunities for walking exercise. One person told us of an interest in swimming and staff reported that two different swimming pools were used in order to meet different people’s needs Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 12 and preferences for the alternative facilities available. Interests and preferences were recorded in Individual Plans. There were times when people wanted to spend time alone in their rooms and there were two separate lounges so that they could choose different areas to spend their time watching television or listening to music. Some had visits from family members and had overnight stays with their families. There was a cook employed each day until after the evening meal. This meant that support staff were available at all times and not distracted by cooking. We observed the evening meal being served, which was a choice of Stewed Beef, Potato Croquettes, Roast Vegetables and Cabbage or Vegetable Kievs and Curry Sauce. Staff sat and ate with people that live at the home, assisting with cutting food where required. Fresh fruit was available. Staff confirmed that a choice of meal is always made available and drinks and snacks are readily available on request. Preferences, likes and dislikes were recorded within the individual plans. Linby Drive DS0000071128.V367216.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 and 20 Quality in this outcome area is adequate People living at the home receive appropriate attention to their personal care and health needs, but current medication practices could pose risks to health and wellbeing. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were records of visits to General Practitioners and of the involvement of other professionals in assessing individuals and guiding staff in meeting needs. The manager told us in the Annual Quality Assurance Assessment that there were plans to arrange well-person health checks. The individual plans showed evidence of some consultation with the people concerned and preferences regarding personal care were recorded. We found that all medication was stored securely and kept at the right temperature. One prescribed medication had not been required for several months and this should be returned to the pharmacist. There was a photograph of each person and a list of their medication held with the medication records. However, by checking against what was prescribed, we found that these lists were not all up to date and could mislead staff about Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 14 what medication should be given. There was no list at all for one person. There was further misleading information about how one person wanted medication to be administered. The instruction said to put it in a drink, but the person wanted to take it with the drink. The Medication Administration Records had mostly been completed correctly, but on one occasion a staff member had marked the record with a dot, but not signed after people had taken their medicines. A check of the stocks showed that these had in fact been taken. The current records were for just two days. An examination of previous records also demonstrated that there had been some occasions when the record was not fully completed. There were also occasions when people were visiting their families, but the record showed gaps. Padded bags were provided for people to take their medication with them when they went out. A staff member told us that staff responsible for medication had received training from their own organisation and from a Boots Pharmacist. Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is adequate Staff respond to the views of people who live at the home and protect them from harm, but procedures are not up to date. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are pictorial representations in the Service User Guide and this includes an “Easy Read” complaints procedure for people to follow if they want to complain. However, the procedure was not displayed on the notice board. Staff told us that people at the home would let staff know if they were unhappy about anything and through observation we found that staff were responding to people’s wishes and choices. Records showed that one complaint had been received and was responded to immediately. The manager stated in the Annual Quality Assurance Assessment that the organisation’s policy regarding concerns and complaints was last reviewed in November 2002. This should be reviewed to ensure it remains appropriate to people that live at Linby Drive. Some people at the home have challenging behaviour and this means that staff need to be aware of how to protect people from self harm and harming others. We found that staff were trained in dealing with challenging behaviour and the environment was adapted to protect people (see environment section). Staffing records showed that staff are thoroughly checked before commencing work to ensure they are fit to work with vulnerable people. The staff we Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 16 spoke with said they would report any suspicions of abuse to senior managers, but there was no up to date copy of local Safeguarding Adults procedure on the premises. Linby Drive DS0000071128.V367216.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): 24,26,27 and 30 Quality in this outcome area is good People are provided with a generally clean, homely and comfortable environment, but with some restriction in order to keep people safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live at the home benefited from two fully furnished lounges on the ground floor, one with television and one with music, which both had patio doors opening onto the rear, enclosed garden. There was a raised flowerbed, which the people there had helped to create. The dining room, kitchen and laundry were fully furnished and equipped. There was an additional kitchen next to the main kitchen and people at the home used this for training purposes. However, the only access to this was via the main kitchen and it could only be used when no other food preparation was taking place. Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 18 There were a total of eight bedrooms for people who live at the home, but just four of these were currently occupied for sleeping and two others were used to store people’s belongings. Two of the bedrooms were fully furnished and individualised, but the other two were very sparse. They each contained a bed and had frosted windows in place of curtains. This was as a result of risk assessments in order to keep people safe from self-harm. Both these people were seen in their rooms and indicated that they were satisfied with their immediate environment. They each had a locked toilet opposite their bedroom and had full support to access these when needed. One bedroom was without a door as the person concerned had broken the door. A new one had been ordered. No other person was accommodated on the same corridor, which meant the person still had some privacy. The person did not wish to move to another room. There are no ensuite facilities to bedrooms, but the people at the home had the use of four separate bathrooms, three fitted with showers and one with a bath. Toilets were included in the bathrooms and there were an additional two toilets. There were picture signs on all doors of bathrooms and toilets and also on the kitchen and laundry doors. All areas of the home were found clean and hygienic. The support workers and night staff are responsible for all the cleaning and we saw that spillages were dealt with immediately to keep the home clean at all times for the people living there. Linby Drive DS0000071128.V367216.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 and 35 Quality in this outcome area is adequate Staff are supplied in sufficient numbers during the day to meet needs, but when no staff person is awake at night there may be risk of people’s needs not being met. Staff are trained to meet the needs of people at the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In addition to the manager, there were three staff on duty between 7.30am and 10.30pm to provide care and support for four people. When medical appointments were arranged further staff were on duty to support these. At night two staff were provided. On examination of the rota we found that there was usually one dedicated night worker who stayed awake and a second person from the day support team sleeping in. However, the rota showed some nights recently where there was no one awake and both staff were sleeping in. There was one sleep in room and a spare bedroom had been used for the second person. Managers explained that there had been a vacancy for a night worker and that a new person had now been appointed, but was currently undertaking induction training at another service. They agreed that the needs of the people living at the home meant that a staff member was Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 20 required to be awake at night in order to promote wellbeing and protect people from harm and this could now be achieved. The rota itself was clearly set out with telephone numbers of managers for staff to contact if needed in any emergency. The staffing records were clear and demonstrated a robust recruitment procedure to protect people. There were records of training and supervision, though recent supervision records were missing. Staff confirmed that supervision meetings had taken place, but they had not seen the records of recent ones (See management section). Information provided by the manager, within the AQAA showed that the service has achieved a target of 50 of staff trained to National Vocational Qualification (NVQ) level two and above and others are currently undertaking the training. Three of the staff told us that they were well supported in their training and development and that they enjoyed working as a team. Another said she had great job satisfaction. Linby Drive DS0000071128.V367216.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, 41 and 42 Quality in this outcome area is adequate Management arrangements are in place, but these do not ensure all records are complete and up to date. Health and safety is promoted to protect staff as well as people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager had not been available for three weeks prior to the week of this inspection. The management arrangements in his absence were for two Senior (Grade 3) Support Workers to cover the management of the service with the support of a registered manager of another service when needed. We received information in the Annual Quality Assurance Assessment about regular quality networks meetings take place of which people who use the Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 22 service attend. Staff also said there had been some meetings with everyone and monthly team meetings, where the quality of the service was discussed. The form for the Annual Quality Assurance Assessment was completed briefly and more comprehensive information about how the service meets the Minimum Standards will be required before the next inspection of this service so that the Commission can plan the inspection and monitor the quality of the service for the people who live at Linby Drive. Most records relating to people who live at the home were up to date and held securely. As already reported there were some inaccuracies and out of date records relating to medication. Other records relating to incidents and accidents were kept and used in reviewing care and support needed. One serious incident had been reported to the Commission and had been dealt with appropriately. Staffing records were well kept with the exception of up to date supervision meetings. Health and safety was promoted by the provision of effective routine checks and maintenance and staff had undertaken safe working training as part of their induction. We saw that the cook kept records of fridge, freezer and hot food temperatures. Fire equipment checks were recorded and the fire alarm was tested each week. The CCTV system was seen in live operation around the outside of the building and there is a high fence with electrically operated gate to increase security from intruders. All window openings were also restricted for the safety of people living in the home. Linby Drive DS0000071128.V367216.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 3 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 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 1 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 1 X 3 X 2 X 2 3 X Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? This is the first inspection. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement Timescale for action 01/08/08 2. YA23 13(6) 3. YA33 18(1)(a) Ensure all staff comply with policies and procedures for the recording and administration of medication. This is so that people who use the service receive their medicines as prescribed to promote health and well being. Obtain a copy of the up to date 01/08/08 local policy and procedures for safeguarding Adults and ensure staff are trained in the use of these procedures. This is so that all staff fully understand the reporting and investigation procedures in the event of any suspicion of abuse and so that people are fully safeguarded. Ensure there is always one 01/08/08 member of staff awake at night on the premises in order to promote the health and welfare of people living there and protect them from harm. Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 25 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 YA22 Good Practice Recommendations Display the Complaints Procedure in an appropriate format on a notice board accessible to people who live there and their visitors. This is so that everyone is made aware of how they could make a complaint should they wish to. for safeguarding Adults Put a management system in place to monitor the medication records to ensure staff follow procedures and administer medicines as prescribed. The manager should complete records of staff supervision meetings to demonstrate that staff are supervised and that these meetings take place 6 times per year. 2. 3. YA41 YA41 Linby Drive DS0000071128.V367216.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Linby Drive DS0000071128.V367216.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. 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