Inspection on 21/01/09 for Lucy Glyn

This inspection was carried out on 21st January 2009.

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

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

Other inspections for this house

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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: Lucy Glyn 9 Evesham Place Stratford upon Avon Warwickshire CV37 6HT     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: Julie McGarry     Date: 2 1 0 1 2 0 0 9 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 29 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 29 Information about the care home Name of care home: Address: Lucy Glyn 9 Evesham Place Stratford upon Avon Warwickshire CV37 6HT 01789297353 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Clara Edmonds Name of registered manager (if applicable) Clara Edmonds Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 5. The registered person 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 are within the following categories: Learning Disability (LD) 5 Date of last inspection Brief description of the care home Lucy Glyn is a large Victorian Town house located close to the town centre in Stratford Upon Avon. The home is registered to provide care for 5 people with a Learning Disability. There is a open plan kitchen and dining area, a sizeable lounge and a relaxation room. One bedroom is located on the ground floor, two on the first floor, and two on the second floor. The home has separate accommodation for sleep- in night staff. All bedrooms have ensuite facilities. Additional shower and toilet facilities are located on the first floor. The home has a reception room to accommodate meetings at the rear of the building. There is a private rear garden. Lucy Glyn is Care Homes for Adults (18-65 years) Page 4 of 29 care home 5 Over 65 0 5 Brief description of the care home located close to a leisure centre, Stratford college, restaurants, local parks, Stratford hospital and places of worship. Information about the home is available in an information booklet provided at the home. The manager has advised on 21st January 2009 that the current fees for a place in the home are subject to, and agreed on an individual basis. Other additional charges include the hairdresser, chiropody, personal toiletries, newspapers and magazines. 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 quality rating for this service is 2 star. This means the people who use this service experience Good quality outcomes. This Key Inspection was unannounced; it was undertaken over one day on the 21st January 2009. This inspection was carried out to establish the outcomes for people living in the home and to confirm whether they are protected from harm. The pre-fieldwork inspection record was completed, as well as a site visit to the home, during which time staff, one person living in the home and the manager were spoken with. A completed annual quality assurance assessment was received from the service prior to the inspection Care Homes for Adults (18-65 years) Page 6 of 29 along with one staff survey. The manager was present throughout the inspection. Policies, procedures and care records were examined. Staff records environmental checks and risk assessments were also read. During the inspection the care of the person who lives in the home was examined in detail. This included reading assessments, care plans and other documentation, observing care offered to them and that staff have necessary skills to care for them. This is part of a process known as case tracking, where evidence is matched to outcomes for the people who live in the home. The inspector would like to thank the manager, staff, and the person who lives at Lucy Glyn. What the care home does well: What has improved since the last inspection? What they could do better: There was very little that the inspector found to be improved. Care Homes for Adults (18-65 years) Page 8 of 29 The manager should ensure that medicines are stored in compliance with their product licence to maintain their stability. The Service user Guide should be updated to reflect fees and other costs to stay at the home. There were no requirements made as a result of this inspection visit. 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. People who are considering moving into the home benefit from having their care needs assessed so that they can be sure the home can meet their needs. Prospective residents and their carers are given information about the home which is available in different formats. Evidence: One person has moved to live at the home since it opened. Their assessment and an eight stage transition plan were looked at. Both are detailed documents that demonstrate that this persons move into the home was planned with the person and their relatives involved. Information was received from other health and social care professionals prior to this person moving in. The person was visited by staff at their previous placement and had the opportunity to visit the home before moving in. The manager and staff said that they are continuing to learn new things about this Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: person everyday. This was reflected in the ongoing assessment and care plan seen. The Statement of Purpose and Service User Guide are in large print and supported by pictures and photographs which makes it easier for people with learning disabilities to understand the services in the home. The home is planning to transfer the information onto an audio CD, so they are in formats that are user friendly to the people who live there and prospective residents. Both documents provide detailed information about the home. Further information about fees and other costs should be clearly detailed in the Service User Guide. 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. Personal health, social communication and emotional care needs are recorded and planned for in good quality care plans. People are actively supported to make decisions and choices about their own lives. Any risks are identified and assessed. Evidence: The home is currently providing support to one individual. There are good descriptions in this persons care plans of how staff are to support them to make choices and decisions, and promote their independence in their every day lives. Risk assessments are in place for this person that supports information held in the care plan and assessments from other professionals. The care plan is well organised and information is easy to access. The home uses a person centred planning approach with aspects of the care plan. Weekly key worker meetings are taking place to ensure this person is involved in decisions made about their care. Staff spoken with had a very good understanding of the individuals needs. Information Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: provided by staff reflected that detailed in the care and risk assessment plans. The person who lives here was observed and appeared relaxed with staff. The staff observed were confident and relaxed with the person they support, and were seen to offer choices through out the inspection. Staff were observed communicating with the person who uses the service effectively and respectfully. Care plans detail information to guide staff how to communicate with this individual in their preferred style. All the staff spoken with were enthusiastic and had a positive attitude on promoting peoples independence. Staff receive training that covers respect, privacy, dignity, equality and diversity. 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. The people living in this home are supported to make choices about their lifestyle and to develop life skills. Daily activities promote independence and opportunity for people to live ordinary and meaningful lives in the community where they are living. Evidence: Daily records looked at showed that during the week activities to meet identified needs are regular, and support ordinary and meaningful lifestyles. There is evidence on care plans and in photographs that activities are wide and varied. Information from assessments received prior to this person moving in, shows that they have connections with particular clubs and enjoy certain activities. The home has ensured links with such clubs and preferred activities has continued. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Key worker meetings with the person who lives at the home, ensures they are part of any planning of activities within or outside of the home. We also observed staff offering choices during the inspection in less formal ways. Staff had a very good understanding of this persons communication and how they let them know if they want to participate in any activity. On the day of the inspection, plans were in place for the individual to participate in a particular activity. The person was able let staff know that they no longer wished to do this, and alternative arrangements were made to meet this persons wishes. Information shows that the service is supporting this persons individual needs regarding maintaining family links and cultural needs. Records show a recent from family to the home. Menus show that the services offers a well-balanced and nutritious diet. All food being stored in the kitchen looked fresh and was well within the use by date. Menu plans seen reflect the food preferences of the person who lives there. Staff are aware of the importance to promote this persons independence, and were observed to provide guidance during the preparation of the lunch and hot drinks through the day. 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. The health and personal care that people in this home receive is based on their individual needs. Staff respect the people and promote their dignity and privacy. Medication systems in place are safe. Evidence: Staff provide personal care in private, and were sensitive and discreet when supporting the person who lives there with any aspect of their personal care and support. The health record and care plan viewed shows that their right to good quality physical and mental health care is being promoted. The manager informs us that as part of promoting their health people will make regular visits to a dentist, optician, specific health consultants, learning disability nurses, their GP and a chiropodist when needed. The manager informs us that the homes therapeutic approaches combine the strategies of TEACCH (Treatment and Education of Autistic and related Handicapped Children /Adults) and SPELL (Structure, Positive Approaches, Empathy and Low Arousal and Links). With the aim to help people achieve greater independence and Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: promote positive relationships with family, friends and professionals. The person who lives at this home has been there for a short period of time. Despite this, it is evident that staff have supported this individual to make achievements in the development of their independent living skills. Medication policies and procedures are good, with medication being stored safely labeled, correctly and administered safely. Staff spoken with said that they have received training in medication administration. The pharmacist delivers medication in blister packs. The medication sheets show that the number of tablets received into the home so that they can be accounted for and that staff are signing for the medication given out. A suitable lockable cabinet is in place for the safe storage of medication at the home. The cabinet was well ordered. The temperature of the cabinet is not maintained to ensure medications are stored below the required 25 degrees. The manager has given us assurances that this will become standard practice. The home currently has no controlled drugs. 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. A staff team who have a good knowledge of how to respond to any suspicion of abuse and to keep people safe from harm support the people living at the home. Evidence: Staff were seen to be attentive to the needs of the individual who lives there using knowledge gained from other professionals, the homes care plans, and their own experience of working with this person. We observed staff taking time to listen and observe signs and cues to ensure they understood this persons views. This person appeared relaxed with staff which may indicate that they feel safe. There is an accessible complaints procedure in place at the home. The complaints procedure is displayed around the home and in the Service User Guide. For people with communication needs there are pictorial descriptions of how they let others know when they are unhappy. This is good practice. Staff spoken with were able to describe the complaints process and how the person who lives there would let them know if they were not happy. There have been no complaints made to the Commission for Social Care Inspection about the home. The complaints log was seen and shows no record of any complaints made directly to Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: the home. An adult protection procedure is in place at the home to inform staff of the measures to take to report any suspicions of abuse. Staff have a good understanding of how to recognise and report any allegations of abuse. They were able to explain in their day to day practices how they protect people from different types of abuse. Staff have all attended training in the recognition of abuse and adult protection procedures. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and furnished so that people live in a clean, comfortable environment. Evidence: A tour of the building was undertaken at the start of the inspection. There is a warm and welcoming atmosphere in the home and at the time of the visit. Lucy Glyn is a Victorian town house located near the centre of Stratford Upon Avon. There is a spacious living room and kitchen, and an additional room on the ground floor for staff meetings or to be used by those who live at the home to use the computer facilities. Communal areas are clean and modern. The home has five single bedrooms, located on the ground, first and second floor of the building. All bedrooms are en-suite with an additional communal toilet and shower on the first floor. There is a separate bedroom for sleep-in staff. Vacant rooms visited were neutral in their colours schemes; however the manager informs us that the rooms can be redecorated to meet peoples individual preferences. We visited the room of the individual who lives at the home; this room displayed a Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: number of individual possessions. This person confirmed that they liked their room. Lockable drawers are available in each room for people to keep personal items securely should they need to do so. All areas of the home were clean to a good standard. There is a choice of two lounges for people to relax in. Individual bedrooms are spacious and each has a settee for people to spend private time in the their room or with any visitors. There is no lift in the home to support people with mobility needs to the first and second floors. Information about this is detailed in the homes Statement of Purpose. Stratford District Council conducted a Health and safety inspection in September 2008. No recommendations were made as the home met all standards. The manager informs us that the inspector commended the risk assessment in place for stress management within the work place, and the accident and incident recording mechanisms. The home was also visited by Environmental Health on the day of the inspection. Prior to this visit the home had been awarded a silver rating. There are adequate temporary laundry facilities at the home. The manager informs us that plans are in place to change the laundry facilities. The home has liaised with Heartlands Hospital in Birmingham and an Infection Control Nurse from Whitnash Lodge for advice to ensure good infection control management in the home during this interim. Gloves and aprons are available in the home for staff use, and all bathrooms have a soap dispenser and paper towels. Staff were seen following infection control procedures. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in this home are protected by robust recruitment practices and supported by a skilled and competent staff team. Evidence: It was evident from watching staff at work that they have formed a meaningful relationship with the person who lives there despite this being of a short period of time. On the day of the visit there were three staff on duty including the manager. Staff rotas looked at show that there is a minumn of two staff on duty at any time. There are currently two members of sleep-in staff over night. The manager informs us that staffing levels will change when more people move into the home, and will reflect peoples needs. Pre-inspection information and the training chart in the home shows that all staff have completed training in the full range of mandatory, health and safety related training, (e.g. medication, first aid, adult protection, food hygiene and fire safety) as well as specialist care courses, such as epilepsy, self harming, autism and communication . Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Two staff files were seen, they included all of the necessary documentation to demonstrate that the staff are suitable to work with people living at the home. They included CRB (Criminal Records Bureau) checks and two references. The manager informs us that the home aims to involve people who live at the home in the future recruitment of staff. The total number of staff within the home is seven; this includes the post of a full time manager and full time deputy manager. The staff team will increase as more residents move into the home. Information supplied by the manager states that 6 members of care staff are qualified to National Vocational Qualification in Care Level 2 (NVQ level 2). This is above the national Minimum Standard for 50 of staff to be qualified. This should mean that residents benefit from having their needs met by staff that are appropriately experienced and qualified. All staff have attained their LDQ (Learning Disability Qualification). Records show that staff are receiving regular formal supervision. This was confirmed by staff spoken to. The home employs a part time social worker to carry our Regulation 26 visits. This is to report on the standard of care provided and the reports are made available within the home. Records show that these visits are being carried out every 4 - 6 weeks. Staff present during this visit were able to answer our questions about meeting the needs of the person who lives at the home, and have clearly got to know this person well. Staff interacted with this individual in a positive, relaxed and calm manner, being attentive to needs, and responding in ways that upheld their dignity and well-being. The home does not have any domestic or catering staff. Care staff take on these duties during their shifts. All staff are trained in food hygiene. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported in a consistent, well-managed home by a manager and staff team that is committed to their rights, well-being and best interests. Evidence: The manager is a Registered Learning Disability Nurse, and has experience of working with people with learning disabilities for twelve years. She is suitably qualified to run the home. The manager is currently completing her Registered Managers Award. The Annual Quality Assurance Assessment (AQAA) completed by the manager was completed to a high standard. Information provided was supported by a range of evidence, and the Annual Quality Assurance Assessment (AQAA) informed us about the development of the service since it became registered and future plans for improvement. During the visit staff appeared confident in their roles, the home was relaxed and the person who lives there appeared at ease and comfortable. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Records show that there are regular staff meetings, minutes are recorded. There is a staff agenda book which enables staff to write down any topics they wish to discuss at the forthcoming meeting. Information provided by the manager in the pre-inspection questionnaire indicates that relevant Health and Safety checks and maintenance are being carried out at the home. A number of Health and Safety records were checked, including the fire safety log. These records showed that health and safety matters are well managed. The fire alarms are tested on a weekly basis and a fire risk assessment is in place. The personal monies of the individual living in the home are kept securely and accurate records of income and expenditure are kept. An audit of this individuals personal monies was found to be correct. Advocacy support is in place to ensure this individuals rights are upheld and best interests safeguarded. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 The home needs to ensure that the information provided to prospective residents details information on what is included in the weekly fees and any other costs. The purchase of a maximum, minimum thermometer is advised to accurately read the maximum, minimum and current temperatures on a daily basis to ensure that the medicines held in the medication refrigerator are stored in compliance with their product licence to maintain their stability. Continue with plans to provide good laundry facilities that are safe and accessible to people who live there. 2 20 3 30 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 © (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. 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