Inspection on 30/09/08 for Loxwood House

This inspection was carried out on 30th September 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Loxwood House 16/11/06

Loxwood House 10/01/06

Loxwood House 05/09/05

Loxwood House 02/03/05

Loxwood House 06/07/04

Loxwood House 01/08/02

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Thorndene

Insight - Eastchurch

Southfields

Magenta

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

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Loxwood House 17 Old Shoreham Road Hove East Sussex BN3 6NR     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: Lucy Green     Date: 3 0 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Loxwood House 17 Old Shoreham Road Hove East Sussex BN3 6NR 01273503586 01273503586 petermallinson@btopenworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Peter Mallinson Type of registration: Number of places registered: Loxwood House Ltd care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 12 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability - LD Date of last inspection Brief description of the care home Loxwood House is registered to provide accomodation and personal care for twelve adults with learning disabilities. The home is owned and managed by Mr Peter Mallinson. The home is located in Hove, with good access to local transport and amenities. Loxwood House is a large detached property set out over three floors. There are eight single bedrooms and two shared bedrooms and a range of communal space. Further information about the services and range of fees at Loxwood House can be found in the homes Service User Guide and Statement of Purpose, copies of which can be obtained directly from the Provider. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 12 Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Loxwood House are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, a review of the home’s Annual Quality Assurance Assessment and an unannounced site visit which lasted six hours and forty five minutes on Tuesday 30th September 2008 between the hours of 10am and 4:45pm. The site visit included a tour of the premises and an examination of some care, Care Homes for Adults (18-65 years) Page 6 of 29 medication and staffing records. The Inspector observed the interaction between staff and residents as they planned activities and observed the preparation of both the lunchtime and evening meal. Throughout the inspection process, the Inspector met and spoke with six of the ten people living at the home. Time was also spent individually with the Registered Manager and two support workers were interviewed in private. Surveys were also sent to residents prior to the inspection and nine were returned. The Inspector also viewed the questionnaires sent out by the home as part of their own quality monitoring systems and telephone feedback was received from one relative. What the care home does well: What has improved since the last inspection? What they could do better: In line with changes to legislation, the home must purchase a new medication cupboard that complies with the specifications outlined in the Medicines Act 1968 and the Misuse of Drugs Act 1971 to ensure that the home can safely store any medicines that come into the care home. In order to move the service further forward, the person led approaches need to be developed to evidence that residents have the maximum choice and control over their lives. A particular emphasis should be on the strategic setting and monitoring of Care Homes for Adults (18-65 years) Page 8 of 29 meaningful goals that enable residents to attain both short and long term objectives. 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 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents benefit from an admission process that ensures their individual needs and aspirations are appropriately assessed prior to moving into the home. Current residents enjoy living with a group of people they know and who they are compatible with. Evidence: The home has not had any admissions since the last inspection and therefore Standard 2 was not re-inspected on this occasion. The last inspection report confirms that the residents at Loxwood House have lived there together for a number of years, with no new admissions. The Registered Manager reported that should a vacancy occur, the home would use the same admissions procedure that has previously been assessed as good. The home’s admission policy includes giving prospective residents the opportunity to visit the home. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The majority of the people living at Loxwood House have been there many years and as such compatibility with existing residents would be key in the assessment of any prospective resident. Conversation with residents and staff and the observation of interaction between residents at the time of the inspection indicated that residents benefit from living with other people who have similar needs, interests and expectations. As such the atmosphere in the home was found to be relaxed and friendly. It was evident through discussion with the Registered Manager, staff residents and a relative that Loxwood House is viewed by all stakeholders as being like a family and as such the home has made appropriate adjustments to enable the service to continue supporting people as their needs change and wherever possible, offer a home for life. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans include detailed information about individual support needs and people are starting to benefit from the more person centred approach to reviewing their care. In order to further improve outcomes in this area, plans of care need to be more strategically used to formulate life goals and evidence the development of life skills. Evidence: The Inspector tracked the care for three residents, which included a partial examination of their care plans, a discussion with the staff and the Registered Manager and telephone feedback from one relative. The Inspector also met with each of these residents during the course of the inspection and had private conversations with two of them. The information in place provides detailed support guidelines about daily care needs, including a range of risk assessments and behavioural support needs. Since the last inspection the home has introduced movie pics as a means of more actively involving Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: residents in reviewing their care and developing the person centred approach. It was evident from the feedback from all parties that the care plans enable residents to receive care in a dignified and respectful way and that input from appropriate health care professionals is sought. There was documentary evidence that care plans are kept under constant review and that updates and amendments to care needs are made as they occur, rather than waiting for the next formal review. A range of risk assessments were in place for the residents’ whose care was tracked. Risk assessments were found to be directly linked to the care plan to ensure that support is provided in the safest way. It was discussed with the Registered Manager that in order to further progress the homes approach to care planning, more work is needed to demonstrate how the home supports residents to strategically formulate life goals and develop their life skills and independence. This same principle also applies to developing risk assessments to enable individuals to take as much control and choice over their lives as possible. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have opportunities to access the local community and to participate in social and other meaningful activities. Residents are supported to maintain relationships with other people and receive a range of food they like. Evidence: When the Inspector arrived at Loxwood House at 10am, eight residents had already left the home to attend their respective day centres. The other two residents were at home and received support from and interacted with one staff member and the Registered Manager. The Inspector joined the two residents who were at home for lunch and discussion with one resident provided information that he attends a regular day service and goes to various clubs, all of which he reported he enjoyed. This person told the Inspector I Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: never get bored here and spoke fondly of a recent holiday. Staff reported that regular outings out are organised at weekends, with recent trips to a Roman Palace at Fishbourne and to watch the Red arrows at Eastbourne. The photographic evidence showed to the Inspector of these outings evidenced the enjoyment that the residents get from these activities. A conversation with one resident on return from day centre, echoed this fact and confirmed I like the weekend trips. Similarly, feedback from one relative provided information that the home supports [residents name] to go out for meals and trips despite their complex health care needs. Feedback from all stakeholders saw the recurrent theme that Loxwood House operates like a family and clearly the residents enjoy being part of this unit. In order to further develop outcomes in this area however, the home needs to demonstrate how the activities undertaken are also linked to goal planning and person centred plans of care to ensure each person also receives the individual support and opportunity to achieve life goals and maximum independence. Residents are supported to maintain contact and relationships with families and friends and within reason, visiting times are unrestricted. A telephone conversation with one relative who has regular contact with the home provided very high praise for the service, including comments such as all the staff are willing and welcoming and nothing seems too much trouble for them. The Inspector observed the serving of the lunchtime meal and preparation of the evening food, both of which looked wholesome and appetising. Feedback from all of the residents spoken with confirmed that they liked the food they received. Discussion with the Registered Manager identified that the arrangement of meals at Loxwood House are currently in the process of being changed. As such, through the residents meetings forum, the home are compiling a four weekly-rotating menu. This is a positive step forward as the home will be able to more robustly evidence the range of foods available and ensure that residents have real input into the meals they receive. As the home have identified this issue themselves and are taking positive steps to implement an improved system, it is not reflected as a requirement. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported with their health and personal care needs in a dignified and respectful way. Evidence: Care plans provide documentary evidence that personal and health care needs are being met. It was evident that appropriate referrals are made to external professionals, including GP’s, district nurses, speech and language therapy and the like. There was evidence for the residents case tracked, that they are regularly weighed and records maintained. Personal care was observed to be being provided in a sensitive and respectful way during the course of the inspection. The home has not currently introduced health action plans in line with the Valuing People White Paper. Whilst care plans provide detailed information about health care support and evidence of annual health care reviews, it is recommended that these action plans are introduced. Medication systems were assessed by way of a review of records, storage and Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: discussion with the Registered Manager. The medication policy was not inspected on this occasion. The Registered Manager reported that staff undertake medication training with the supplying pharmacy and that no staff handle medication until they have successfully completed this training. The administration and recording of medication were judged to be satisfactory and guidelines were found to be in place regarding the use of ‘prn’ medication. Due to a recent change in legislation, the medication cupboard no longer meets the required specification and a requirement has been made for the home to research and source an appropriate replacement. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has systems in place to listen to residents views and safeguard them from harm. Evidence: The home has a complaints procedure in place, although the Registered Manager confirmed that no complaints have been received. The home seeks to obtain feedback about the service from a variety of stakeholders and this is evidenced by residents meetings and relatives and professionals questionnaires. Since the last inspection, the home has introduced a movie pics system of obtaining feedback from residents which is used to inform their person centred plans. The home has a number of systems in place to protect residents from abuse. New staff are employed subject to robust recruitment procedures and the necessary checks being undertaken. There are appropriate systems for supporting residents’ with their finances. The training files viewed for three staff identified they had received training in the safeguarding of vulnerable adults. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a safe and comfortable environment that meets their needs and is fit for the stated purpose of the home. Evidence: The Inspector undertook a tour of the home, which included the communal areas and bedrooms. Loxwood House is a spacious property that is laid out over three floors. Resident accommodation comprises of eight single bedrooms and two double bedrooms. At the current time, all rooms are being used for single occupancy. Each bedroom is decorated and furnished differently and two residents spoken with confirmed to the Inspector that they had chosen the colour and decoration of the room. The home provides two lounge / dining rooms and there is sufficient communal space to meet the needs of the people who live there. The home has an attractive rear garden and it was reported that the more active residents enjoy using this outside space. The access to the garden is not evenly paved and as such some residents require support to make full use of this area. The Registered Manager reported that he would consider landscaping this area in the future, but that at present this was not at Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: the top of the maintenance priority list. The Registered Manager confirmed that radiator guards have been fitted to all high risk radiators since the last inspection. Other safety measures include the thermostatic controlling of hot water outlets and the restricting of windows. Appropriate adaptations and equipment have been purchased to enable those residents with changing needs to continue to have their needs met. The home was found to be clean, tidy and hygienic at the time of the inspection. Feedback from residents and relatives confirmed that the home is always well kept. One relative told the Inspector the home is always clean and warm. There is evidence of an ongoing programme of maintenance and redecoration and whilst there are parts of the home that require attention, these are not currently impacting on health and safety and the Inspector is satisfied that there is an appropriate plan in place. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a dedicated and competent team of staff and are protected by the recruitment procedures. Evidence: At the time of the inspection, the atmosphere was observed to be friendly and relaxed and the positive relationships between staff and residents were obvious. The five residents spoken with all spoke highly of the staff team and comments such as they are a good laugh and they are nice, I like all of them were made to the Inspector. The home was staffed by the Registered Manager, and a Support Worker during the morning of the inspection and two support workers were on duty from mid afternoon when the residents returned from their day centres. It was expressed by the Registered Manager and staff that staffing levels are flexible according to activities, but that typically there would be three staff on in the morning (including the Registered Manager) and one or two staff at home during the day depending on how many residents are at home). In the evening, there are two care staff on duty, one of which usually undertakes the sleep-in duty at night. The Registered Manager or the Care Consultant (if the Registered Manager is on holiday) is always on call. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: Discussion with residents, staff and management provided feedback that staffing levels are currently adequate for the needs of the residents. The majority of the residents are self-caring and are out for most of the day during the week. Only one resident requires 2:1 support during personal care. Discussion with the Registered Manager and examination of three staff files identified that staff training is ongoing. There was documentary evidence that new staff members complete an induction programme in line with Skills for Care. Staff files also provided evidence of a robust system of recruitment being in place – with all the correct documentation and checks being in situ. Staff confirmed that they have access to the relevant mandatory training including; fire safety, first aid, safeguarding adults and moving and handling. The home has also demonstrated a commitment to National Vocational Training (NVQ) with four of the seven staff having completed a National Vocational Qualification in Care to at least level 2. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Loxwood House is owned and managed by a dedicated individual who works hard to provide a safe and well run service. Evidence: The Registered Manager has a significant number of years experience in owning and managing the home and continues to demonstrate a good knowledge of the daily running of a service for people who have learning disabilities. He has completed National Vocational Level 4 in Care and the Registered Managers Awards, along with attending other training courses to keep up to date. The management arrangements have altered since the last inspection, with the service being owned and managed by just one person now instead of two. Conversation with staff, residents and one relative provided positive feedback about how the home is being managed. Staff spoken with described the Registered Manager as approachable and he has a particular way of doing things, but does discuss ideas as a team. In relation to the changes that have occurred at the home over the past twelve months Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: the management style was described as being more open. All of the residents spoken with talked fondly of the Registered Manager and referred to him as the best and a good laugh. The relative spoken with was equally positive about the management of Loxwood House and stated I cant praise it enough. Throughout the inspection it was evident that the Registered Manager works in the home every day and undertakes not only the management of the service, but also plays a very hands on role in the daily running of the home. The Registered Manager reported that he has recently employed a Care Consultant to assist in some of the administrative aspects of his role and also to assist in keeping up to date with changes in the industry. This is a positive move that has allowed the Registered Manager the time and support to develop some new ideas. There are mechanisms in place for the Registered Manager to obtain feedback on the services of the home and to assess whether it is achieving its aims and objectives. These include: feedback questionnaires, residents and staff meetings. The Inspector viewed some of the questionnaires returned by relatives and professionals and all responses were positive about the quality of services provided to the people who live at Loxwood House. The Registered Manager confirmed that the home continue to undertake various health and safety checks. The Inspector did not have cause to question the way health and safety is maintained and therefore records in respect of health and safety were not inspected on this occasion. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 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 11 15 The Registered Person must ensure that service users are supported to set, monitor and achieve both their long and short term goals and aspirations. Service users need to be supported to identify goals that enable them to develop their skills and achieve maximum independence and control over their lives. 01/01/2009 2 20 13 The Registered person must ensure that medication is stored in accordance with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. The Registered Person must ensure the safekeeping of all medicines, including making provision for the safe storage of any controlled medication. 01/01/2009 Care Homes for Adults (18-65 years) Page 27 of 29 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 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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