Inspection on 26/11/08 for Lomack House

This inspection was carried out on 26th November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lomack House 11/07/06

Lomack House 13/10/05

Lomack House 03/05/05

Lomack House 29/11/04

Lomack House 18/05/04

Similar services:

Coopers Mill Ltd

Pocklington House

Bramley Avenue (73)

Paradise Lodge

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Upaya Ananda

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Kings Lane (32)

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Lomack House 29-33 Elstow Road Kempston Bedfordshire MK42 8HD     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: Neil Fernando     Date: 2 6 1 1 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. that people have said are important to them: They reflect the things 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 28 Information about the care home Name of care home: Address: Lomack House 29-33 Elstow Road Kempston Bedfordshire MK42 8HD 01234840671 01234840671 lomackhouse@lomackhealth.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Lomack Health Co Ltd Name of registered manager (if applicable) Mrs Elizabeth Susan Jane Hargreaves Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability sensory impairment Additional conditions: Date of last inspection Brief description of the care home Lomack House was registered in August 2001 and provides care for nine adults with learning disabilities. The two-storey detached home was converted from two private dwellings. The home does not have a passenger lift. Lomack Health Company manages the home. The home is located in the quiet Kempston residential area of Bedford. The accommodation consists of nine single bedrooms, a conservatory, a spacious lounge, dining room and a kitchen. Since the last inspection in July 2006 a new activties room has been created giving residents a dedicated space to use for sewing, music and art and craft. There are bathing facilities and toilets on both floors. The general/staff office is situated on the ground floor and the managers office is on the first floor. The home has a large, attractive garden to the rear of the property. The Care Homes for Adults (18-65 years) Page 4 of 28 care home 9 Over 65 0 0 0 9 9 1 Brief description of the care home home presently has one vacancy. The fees for this home range from £800.00 to £1600.00 per week. Care Homes for Adults (18-65 years) Page 5 of 28 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 quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We, the Commission for Social Care Inspection, undertook this unannounced key inspection on 26 November 2008; an annual service review was carried out on 19 March 2008. The inspection was carried out by two inspectors - the standards covering Lifestyle, Personal and healthcare support and the environment were assessed by the other inspector and the remaining standards, by the lead inspector. We spoke with 4 residents, the manager and 3 staff members. We spent a significant amount of time discretely observing residents and staff care practices. We had a look Care Homes for Adults (18-65 years) Page 6 of 28 round the accommodation and viewed a range of records the home must keep. At the time of the visit, there were 8 residents accommodated with 1 vacancy. The completed AQAA (Annual Quality Assurance Assessment - a document, which gives the manager the opportunity to tell us how well outcomes are being met for people living in the home) has been received; it provides comprehensive details about the service. We have also received surveys from 5 residents and 7 staff. The manager was present throughout the inspection. What the care home does well: What has improved since the last inspection? What they could do better: There is one requirement and two recommendations arising from this report, which need addressing. Regulation 26 5 (b) requires that a copy of the monthly visit reports must be provided to the registered manager. This is so that the manager is aware of issues arising and Care Homes for Adults (18-65 years) Page 8 of 28 take remedial action as required. Recommendations: Handwritten additions to the MAR (Medication Administration Record) sheets should be signed, dated and checked by another staff member; thus ensuring the new instruction is safe and correct. Equally, the date on which liquid medication bottles are opened should be recorded; thus ensuring a higher degree of safety for residents. 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. 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 28 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 28 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. The home has good processes in place to ensure it can meet peoples needs by getting detailed information about them, prior to being offered a place. Evidence: The manager said that She undertakes a full assessment of the prospective resident, in order to ensure if the home is suitable to their identified needs. The needs of the service user are therefore taken into account before a placement is agreed or offered. Transitionary visits are planned and assessments are person centered to meet the individuals needs and aspirations. All of the eight residents bar one have lived at Lomack House for a number of years; indeed, there has been only one new admission to the home in the last year. Care files for three people were viewed and they show that when the home receives a new referral, a detailed assessment of needs is completed involving the manager, potential resident, family and significant other people. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: We learn from the manager, staff members and residents that the potential resident and their family have the opportunity to visit the home for a cup of tea, a meal or over night stays until a decision could be made about whether they could live at the home or not. I think I came for the meal, then I had decent weather I like it. I had no overnight stay reflected one resident in their survey. Other people who have visited the home also include the social worker and the key worker from the residents previous placement. A copy of the service user guide and the statement of purpose, together with an information pack is made available to the prospective resident and their representative. The service user guide is in a pictorial format suitable for all residents bar one; the manager said that she is considering to use a makaton format to meet the needs of this particular resident. Staff are clear that they would help the prospective resident decide if the home is suitable for them. Overall, evidence shows that the home is careful to only offer a place to the resident whose identified needs can be met. Each resident has been issued with a copy of the accommodation agreement; this is appropriately signed by the resident and or their representative. This practice ensures that the rights of people living at this home are being upheld. Care Homes for Adults (18-65 years) Page 12 of 28 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. A detailed care plan setting achievable goals and a system to review the care for each resident are in place; this ensures that agreed needs are addressed and unmet needs, closely monitored. Evidence: Three of the residents care files were viewed. Daily records of relevant occurrences are comprehensive and accurate. This demonstrates the care and support being provided to the resident. The care plan is drawn up from a range of assessments including the social workers reports and staff on going assessment. The care plans for three residents were examined; each person has a detailed care plan, which identifies how their individual needs would be met. The information has been kept up to date and reflects the assistance being provided. We provide best quality care and support and promote rights, independence, choice, dignity and privacy etc. We provide care based on Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: person centred planning, indicated a staff member in their survey. The three care records seen through the case tracking undertaken on this inspection provide evidence of the involvement of residents in planning their care. The resident and their representative sign the care plan, which demonstrates their involvement in the care planning process and their agreement with its content. Residents are supported and are being encouraged to make choices about their lives with respect to, for example: food, social and recreational activities, culture and religion and other individual interests. My key worker helps me and so do the staff and the manager, indicated a resident. There is an internal review taking place regularly to update and action any changes; each resident also receives an annual review completed by the social worker from the placing authority. Evidence shows that a copy of the review minutes is given to the resident, their representative and other important people. The key worker quite appropriately takes the time and explain the content of review minutes to the resident, thus ensuring that they are fully aware of any changes made and how they would be met. The scope of risk assessments includes all circumstances under which the residents choices are limited. The risk assessments seen reflect and make clear the assessment surrounding this and the reason for the limitation on the residents choices. Care Homes for Adults (18-65 years) Page 14 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A wide range of social and recreational activities is available to residents. This clearly promotes their social skills and at the same time maintains a good level of stimulation for residents. Evidence: Residents live busy and active lives. Many attend day centres or college where they undertake courses in life skills, literacy and numeracy; some volunteer at a local gardening project and one resident has a work placement at a local charity shop. One resident told us she enjoys going to church every week. Residents have recently attended a number of celebrations including a Halloween Party and a Community Fete. One resident told us she was very much looking forward to seeing Jason Donovan in concert on 3 December as a well as going to a Christmas fair on 6 December. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: Staff work hard to promote residents independent living skills and we saw many examples of this throughout our visit. One resident told us staff were helping her learn to cook and she could just about prepare a baked potato, chili con carne and salad for herself. Other residents told us that staff had helped them learn to use mobile phones and to use public transport independently. Staff support residents to have a summer holiday and this year 3 residents went to Tenerife and two went to a Pontins holiday camp. The previous year some residents went to Disney Land Paris for a holiday and one resident told us she had greatly enjoyed meeting Mini Mouse and Pluto there. Residents we spoke to told us they enjoyed their food and ate what they wanted. There are weekly residents meetings where the menu for the following week is decided by all who attend. We viewed the homes menu for the current week which indicates that residents receive a varied and nutritious diet. All foodstuffs we viewed in the homes fridge had been labelled and stored correctly. Care Homes for Adults (18-65 years) Page 16 of 28 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. Procedures followed by staff ensure that residents receive good quality personal and health care support; residents are treated with dignity and respect. Evidence: As part of their care and support plan each resident has an OK Health Check List that clearly states their needs in a range of health issues including their feet, oral hygiene, epilepsy and mental health. We viewed residents medical appointment record sheet which indicates that residents see a range of health care professionals including a chiropodist. Residents are also weighed regularly to monitor their health and one resident has successfully been losing weight in the last few months. Residents told us they felt in good health and one reported that she had felt a lot calmer since moving into the home, and that her mental health has improved considerably over the years she has lived there. She also told us that she uses her own phone to ring NHS Direct and the Epilepsy Association, when she needs to. Residents told us that the staff help them in a way that they like and respect their Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: decisions, although one commented some staff are better than others. They reported that they decide what they do daily and that their daily routines are pretty flexible. The policy and procedure on medication (December 2007) is satisfactory. A senior care staff told us that all staff undertake medication training before they are allowed to administer medication to residents. We checked the homes medication storage and a sample of residents medication administration records (MAR). The quality of recording was very good, with staff clearly signing to show when they had given medication to residents. However, some handwritten additions to the MAR sheets had not been signed or dated or checked by another person to show that the new instruction was correct. Equally, the date on which liquid medication bottles had been opened had not been recorded. Stock control was good and the medication trolley was tidy and well ordered. The temperature of the room in which the medication is stored is regularly checked to ensure it does not get too warm. Care Homes for Adults (18-65 years) Page 18 of 28 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. The complaints and safeguarding procedures are being implemented to good effect; thus ensuring that residents are listened to if dissatisfied and protected from harm. Evidence: The homes complaints procedure has been updated this year. Residents are given information in writing and in pictorial form on on how to make a complaint if they are unhappy with any aspects of the service they receive. There is also a house advocate to support residents. Completed surveys from five staff indicate that they Know what they should do if a complaint is received; similarly, surveys from seven residents show that they feel able to make a complaint. I can speak to my key worker or any other member of staff or the manager, reflected a resident in their survey. There has been one recorded complaint made to the home from a resident with respect to a holiday trip abroad in February 2008. This matter was resolved satisfactorily. There have been no complaints made to the Commission for Social Care Inspection in the previous year. Overall, evidence shows that good systems are in place to ensure that any concerns expressed by residents or relatives would be listened to and acted on. The policy and procedure in relation to the safeguarding of vulnerable adults has been recently updated by the manager and staff team. Staff members spoken to and Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: records examined show that they have attended the required training in relation to safeguarding adults. There has been one incident referred to the local safeguarding team regarding the behavioral difficulties of one resident towards another. Information gained demonstrates that staff take swift and appropriate action to protect and promote the welfare of residents. Care Homes for Adults (18-65 years) Page 20 of 28 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. The standard of cleanliness in the home continues to be good and provides a pleasant environment for the residents to live in. Evidence: The home is situated in a residential area and looks no different to the other properties around it. It is in good decorative order; the furniture and fittings are good quality. Residents have access to a range of communal areas including a large kitchen, dining room, conservatory and living room. Since our last inspection a new activties room has been created giving residents a dedicated space to use for sewing, music, art and craft, much of which are displayed around the home. Residents have access to a pleasant and well kept garden to the rear of the house. Two residents showed us their bedrooms which are comfortable and decoarted to reflect their individual taste and preferences. Residents are able to lock their own bedroom doors, which upholds their privacy and security. The standard of cleanliness was good. There were no health hazards noted. Care Homes for Adults (18-65 years) Page 21 of 28 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. The homes recruitment process is robust, which means that residents are protected from harm. Receiving appropriate training ensures that staff are competent to deliver good quality care to residents. Evidence: Information from staff and duty rota for a period of two weeks shows that there are adequate numbers of staff available at all times to meet the needs of the resident group. In terms of skill mix, the staffing arrangements are appropriate to ensure that the needs of the people in residence could be met. The AQAA indicates that Staff are up to date with statutory training. Staff receive induction that covers mandatory health and safety training. Records and information from staff show that staff receive relevant training on a wide range of topics. Of the current twelve care staff ten hold an NVQ level 2 or equivalent including eight who have completed an NVQ level 3; one member is working towards an NVQ level 3. This means that the home has already achieved a ratio of 83.3 of staff with NVQ Level 2 or equivalent, which exceeds the national minimum standard. Examination of personnel files for three staff members shows that the required Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: documents including proof of identity, verification of employment history and Criminal Records Bureau clearance had been obtained. Staff interviewed said that the required checks including CRB checks and references had been obtained before they started work at the home. Evidence of recorded supervision sessions is available in staff files. 3 care staff members spoken with confirmed that they receive formal 1 to 1 supervision every month. This is an enthusiastic and committed staff team that have worked well to meet the needs of residents. Feedback from residents indicates a high level of satisfaction regarding the care and support they receive from staff. They always help me out; The staff support me to do most things and we also have to help ourself, refected two residents in their surveys. However, two residents told us that the manager and two members of care staff are about to leave and one described the effect of this as devastating to her . It was clear that both these residents were upset by these changes and found them very unsettling. Staff are providing support to residents as appropriate. Care Homes for Adults (18-65 years) Page 23 of 28 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 home is well managed and robust policies and procedures ensure that residents receive a good and safe standard of care. Evidence: The manager is experienced and skilled and provides a clear and supportive style of management. The manager reported that she would be resigning from her post towards the end of December 2008 to work for another organisation. The plan is for the deputy manager to take up post as the acting manager, until a permanent manager is recruited. The deputy manager is currently undertaking her NVQ level 4 in care. The organisation intends to confirm this in writing to the Commission for Social Care Inspection. Staff members spoken to confirmed that they are well supported by the manager and senior care staff. The manager can be approached at any time with any concerns or updates needed, reflected one staff in their survey. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: A formal quality monitoring system (form of annual surveys), based on seeking the views of residents, representatives and other stakeholders, in order to improve the quality of its service for residents has been introduced. Monthly visits have been carried out by the owner/company director, in order to ensure appropriate standards are being maintained; reports on these visits were not available at the home. Regulation 26 5 (b) requires that a copy of the monthly visit reports must be provided to the registered manager. A range of records were viewed and these are noted to be satisfactory. There are robust policies and procedures in place, which are being implemented to good effect. Evidence shows that Staff have received training relating to health and safety; their practice in this area is noted to be good, thus ensuring the safety of residents. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 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 1 43 26 A copy of the monthly visit reports must be provided to the registered manager. This is so that the manager is aware of issues arising and take remedial action as required. 01/01/2009 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 20 Handwritten additions to the MAR sheets should be signed, dated and checked by another staff member; thus ensuring the new instruction is safe and correct. The date on which liquid medication bottles are opened should be recorded; thus ensuring a higher degree of safety. 2 20 Care Homes for Adults (18-65 years) Page 27 of 28 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 © (2009) 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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