Inspection on 25/08/06 for Lyncroft

This inspection was carried out on 25th August 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lyncroft 29/10/07

Lyncroft 04/01/06

Lyncroft 06/09/05

Lyncroft 29/12/04

Lyncroft 21/05/04

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

CARE HOME ADULTS 18-65 Lyncroft 11 Bushwood Leytonstone London E11 3AY Lead Inspector Harun Rashid Unannounced Inspection 25th August 2006 10:00 Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lyncroft Address 11 Bushwood Leytonstone London E11 3AY 020 8989 5933 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Jenniffer M. E. Khan Shaista Yasmin Khan Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Special category - to include one named person with learning disabilities 4th January 2006 Date of last inspection Brief Description of the Service: Lyncroft is a privately run care home for twelve adults with mental health problems. The home is a large detached house situated in a residential area of Leytonstone, which is in the London Borough of Waltham Forest. Immediately opposite the home there is a large open land area close to the London Borough of Redbridge. The area is well served by public transport. Leytonstone underground and local bus stops are in walking distance. There are many easily accessible facilities and amenities within the local community including various local shops, supermarkets, and G.P. surgery, opticians, library and public offices. M11 link is close by the Green Man roundabout, which makes road communication very accessible to various parts of London. The home has 10 single rooms and one double bedroom. A conservatory was built and is used by the service users who smoke. The home employs ten (full and part time) care assistants and one maintenance staff. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was conducted on a weekday morning on 25/8/06. The Inspector spoke to seven service users, interviewed two members of staff and the responsible individual (the proprietor). The inspector also briefly interviewed a service user’s mother. They all expressed their satisfaction with the standard of care provided in the home. What the service does well: What has improved since the last inspection? What they could do better: The management must ensure that service users’ six monthly reviews take place on time and the minutes of review meetings are made available for inspection. Service users who are receiving support from their CPN their risk assessments must be reviewed with input from CPN at the next review meetings. The responsible individual is required to seek advice from five service users placing authorities for the management of their finances. The management is required to provide refresher adult protection training to all staff. The management is required to develop a staff training and development programme for the staff team. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 6 The responsible individual is required to appoint a manager and apply for registration with the Commission. The management must ensure that the inspection of the electrical main wiring is conducted without delay. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 3,4 and 5 The quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. The home has a satisfactory Statement of Purpose, Service users’ Guide and all service users were issued contracts. The home carried out pre-admission assessments of service users prior to the admissions. EVIDENCE: The home has a satisfactory Statement of Purpose and Service Users’ Guide. The Statement of Purpose set out the aims and objectives of the service. The Service Users’ Guide included all information regarding the service. The management of Lyncroft ensures that a full needs assessment of a prospective service user is carried out prior to the admission. Staff also obtain summary of health and social services assessments. Since the last inspection a service user was admitted to the home and the needs assessment of this service user was carried out prior to his admission. Care files examined confirmed that if any specialist needs were identified, specialist services advice were sought, such as Community Psychiatric Nurse (CPN) and Psychiatrist. A service user recently had a relapse and this service user was seen by the Psychiatrist. The medication of this service user was reviewed. The risk assessment was also reviewed. The inspector spoke to this service user who informed that she felt depressed at the time and she is all right now. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 9 A service user’s mother interviewed said that the home was ‘’ generally a good service’’. The responsible individual informed the inspector that one of the service users is recently had rehabilitated into the community after a successful stay at Lyncroft. This service user is still maintaining contact with the service users at Lyncroft by visiting them. The service user who was recently admitted to the home had an opportunity to visit the home on three occasions. He was introduced to other service users and members of staff. This service user also had an overnight stay in the home prior to the admission. However, this placement was terminated after one month of stay as this was not a suitable placement for this service user. Six service users files examined contained contracts which were signed by service users and the management of the home. The contracts included a statement of terms and conditions between the home and service users. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 and 10 The quality in this outcome area is adequate. This judgement had been made using available evidence including a visit to this service. Service users care plans must be reviewed on a six monthly basis and minutes of the meetings must be available for inspection. All service users have risk assessments, however, service users who have psychiatric input must have their risk assessments reviewed with input from them. EVIDENCE: Care files confirmed that staff completed a detailed ‘strength and needs list’ for service users. This included all information required to meet service users holistic needs. Service users have individual recording books which staff complete on daily basis. This demonstrated how service users identified needs were met. However, it was evident that service users review meeting minutes were not available for inspection. To meet this standard in full, the management must ensure that service users’ six monthly reviews take place on time and the minutes of review meetings are available for inspection. Staff of Lyncroft encourage service users to make decisions about their lives. Staff consult service users in order to encourage them to make informed decisions. Monthly service users meetings and care plans support this Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 11 statement. Staff assist five service users to manage their finances. Service users interviewed informed that they could make decisions about their lives, for example, two service users informed that they were able to cook meals when they wanted and another preferred staff to cook meals for them. The management has reviewed service users risk assessment recently. The risk assessments enable service users to take responsible risks, for example they are encouraged to travel in the local community. However, the responsible individual informed that for three service users who are receiving support from their CPN, risk assessments would be reviewed with input from CPN at the next review meetings. Staff handle information about service users in accordance with home’s policies and procedures and the Data Protection Act 1998. It was evident that service users’ individual records were maintained accurately and all files were kept locked in cabinets in the office. Staff files were kept looked in the cabinet. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 The quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. All service users maintain a good relationship with family members and they are able to travel into the local community. They are attending various training programmes and choices of menus are provided. EVIDENCE: Service users attend various college courses for example, one service user attends a computer course at Waltham Forest College and another service user attends a hairdressing course in Newham. One service user interviewed informed that he no longer wishes to attend any courses and another service user informed that her placing authority is looking for suitable day activities for her. In addition to this, service users also attend day centres for people with mental health issues. Staff encourage service users to participate in the community activities by providing a list of activities happening in Waltham Forest and in neighbouring areas. Service users are able to travel independently in the local community Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 13 and they hold freedom bus passes for travelling purposes. Service users visit the local pub, shops and church. Staff support service users to maintain appropriate relationships with their family members and friends. One service user interviewed informed the inspector that his son regularly visits him and he also has opportunity to visit him at home. Another service user informed that she has sons, daughters and grand children whom she visits regularly. At the time of the inspection a service user’s mother visited him. Daily routines promote independence and service users have freedom of movement in the house. Service users have opportunity cook meals with staff supervision. All service users are able to communicate verbally, staff communicate with them in an appropriate language. A designated smoking area is available in the conservatory at the rear of the building. Staff develop week menus in consultation with service users. Service users choose their weekly menus and involved in house shopping. A service user had an individual menu plan as part of his independent training programme. Staff support this service user to cook meals. The majority of the service users informed that they prefer staff to cook hot meals for them though they like making sandwiches, toast and drinks. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 The quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. Staff support service users to meet their health care needs and prompt them to maintain their personal care. Staff attended a medication administration seminar and support service users with self-administration of medications. EVIDENCE: Service users interviewed informed that they like their independence and they are able to choose their clothes. Staff support them in buying clothes and some are supported by their family members. Their daily routines are flexible, for example, time for getting up and going to bed. Current service users required minimum supervision with personal care and some of them are able to take shower/bath independently though prompting is required from time to time. Care files indicate that service users health care needs were assessed and procedures are in place to address any issues. Staff maintain individual health appointment record books for each service user. Three service users are able to attend some of the medical appointments and others are accompanied by members of staff. Three service users receive support from their CPN who visits the home on a fortnightly basis and administer depot injections as prescribed. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 15 Staff administer medication for service users and record in the Medication Administration Record. Records were examined and found to be satisfactory. It was observed at 12 noon and at 4pm that service users came to the office to collect their medications with glasses of water with them. The inspector’s view is that it is an institutionalised model of medication administration practise. The management should ensure that their medication administration reflects contemporary community care setting’s practise. Three service users self medicate and staff monitor their medication administration on daily basis. Staff support them to order repeat prescriptions and a local chemist delivers medications to the home. The responsible individual showed the certificates of staff who attended ‘’Treatment of Anti-psychotic and taking good care of medicine’’ seminar on 14/06/06. This was conducted in accordance with guidelines recommended by the National Minimum Standards. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The quality in this outcome area is adequate. This judgement had been made using available evidence including a visit to this service. The home follows its complaint procedure and this was displayed for all relevant parties. The home has an adult protection procedure, however, staff are required to attend refresher adult protection training. The registered provider is required to seek advice from five service users placing authorities for the management of their finances. EVIDENCE: The home has a complaint policy and procedure in place. The home maintains a complaint book which was seen. The complaints received were minor in nature and outcome of these were also recorded. Service users spoken to confirmed that they were happy with the service delivery and their complaints were listened to. A service user’s mother interviewed was also happy with the service and she mentioned that her son’s complaint was listened to. The adult protection policy and procedure contain guidance for staff to enable them to protect service users from abuse. Two staff interviewed were aware of the adult protection procedure. They had attended adult protection training. It was agreed with the responsible individual that staff would benefit from attending refresher adult protection training. The responsible individual informed that five service users finances are managed by her and other service users finances are managed by service users family members and service users themselves. Staff keep records of all financial transactions. During the inspection it was observed that when service users collected their personal allowances they and staff have signed on financial record sheets. However, the responsible individual is required to seek Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 17 advice for those five service users placing authorities to manage their finances in accordance with Regulation 20 of the Care Homes Regulations 2001. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The quality in this outcome area is adequate. This judgement had been made using available evidence including a visit to this service. The home is suitable for its stated purpose and it has an easy access to local amenities. However, it is required that the partly worn carpet of room ten is replaced. EVIDENCE: The home is a non-institutional building, similar to a large family house. The home provides a safe, comfortable, clean and odour free environment. It has access to local amenities and local transport including Leytonstone underground station. However, it is required that the partly worn carpet of room ten is replaced. The kitchen was found clean and tidy. Staff keep toilets and bathrooms clean with assistance from service users. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, 33,34,35 and 36 The quality in this outcome area is adequate. This judgement had been made using available evidence including a visit to this service. Staff attended NVQ level 2 training in care and they are receiving regular supervision. However, the management is required to develop a staff training and development programme for the staff team. EVIDENCE: Six staff files were examined all contained job descriptions and staff signed contracts with the management of Lyncroft. Two members of staff interviewed were aware of their roles and responsibilities. Staff have read the code of conduct and practise set by the General Social Care Council. Staff files examined confirmed that seven staff have completed NVQ level 2/3. Therefore, the home met this standard in full. Two staff interviewed confirmed that they have already completed their NVQ level 2 training in care and one of them is going to pursue NVQ level 3 this year. The home employs ten members of staff. At the time of the inspection two members of staff were on duty. The home is currently accommodating ten service users. All service users at Lycroft communicate verbally and staff are able to communicate with them verbally in an appropriate manner. Staff interviewed informed that staff meetings take place once a month. They all have opportunities to attend staff meetings and discuss issues if they wish to. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 20 The management of Lyncroft operates a thorough recruitment procedure based on an equal opportunities policy which reflects on their staff recruitment. Six files were examined which contained all relevant checks including CRB, two reference letters, and Photocopies of staff passports. Staff attended fire safety, first aid, food hygiene, treatment of anti-psychotic and taking good care of medicine and NAPPI (Non Aggressive, Psychological and Physical Interventions) training. Five members of staff recently attended health and safety, care plan and writing reports training with the City and Guild. Certificates of this training were shown to the inspector. However, the management is required to develop a staff training and development programme for the staff team. Staff interviewed confirmed that they are receiving regular supervision and records of supervision notes were available in staff files. For personal reasons the registered manager was not working recently. Therefore, the manager of Carmen Lodge (sister home) supervised staff and the responsible individual is always available to staff for advice and guidance. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 The quality in this outcome area is adequate. This judgement had been made using available evidence including a visit to this service. The responsible individual is required to appoint a manager and the manager to apply for registration with the Commission. The management is required to publish the results of the service users survey once this is completed and made available for all relevant parties. The management must ensure that the electrical main wiring installation is completed without delay. EVIDENCE: At the time of the inspection the registered manager was not on duty. On 27/08/06 the responsible individual informed in writing that the registered manager has now resigned from her post. She and the registered manager of Carmen Lodge will cover the management duties of Lyncroft until a new manager is appointed. The responsible individual is required to appoint a manager and the new manager is to apply for registration with the Commission. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 22 A service user’s mother interviewed informed the inspector that it is a good home. Service users interviewed informed that they were happy with the service provided. The responsible individual advised that service users satisfaction questionnaires were given to them this week to complete. The registered provider is required to publish the results of service users survey once this is completed and made available for service users, family members and to the CSCI. It was evident from the examination of documents that staff test fire alarms every week and carry out fire drills every three months. Gas and electric appliances were inspected by engineers. A valid insurance certificate against loss or damage to the property was displayed on the hallway. However, it was noticed that a five yearly inspection for electric wiring was not conducted. Therefore, the management must ensure that the inspection of the electrical main wiring is conducted without delay. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 x 2 x x 2 x Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation 13 Requirement The management must ensure that service users who have psychiatric input have risk assessments that are reviewed with input from health professionals. (This is a previous requirement must be met within new timescale). The management must ensure that service users’ six monthly reviews take place on time and the minutes of review meetings are available for inspection. The responsible individual is required to seek advice from five service users’ placing authorities to manage their finances in accordance with the Regulations. It is required that the partly worn carpet of room ten is replaced. The management is required to develop a staff training and development programme for the staff team. The responsible individual is required to appoint a manager and the manager to apply for registration with the DS0000007246.V309515.R01.S.doc Timescale for action 30/11/06 2. YA6 15 30/11/06 3 YA23 20 30/11/06 4 5 YA24 YA35 23 18 30/11/06 30/11/06 6 YA37 8 30/11/06 Lyncroft Version 5.2 Page 25 Commission. 7 YA39 35 The management is required publish the results of service users survey once this is completed and made available for service users, family members and to the CSCI. The management must ensure that the inspection of the electrical main wiring is conducted without delay. 30/11/06 8 YA42 23 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations The management should ensure that their medication administration reflects contemporary community care setting’s practise. Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford Essex IG1 4PU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lyncroft DS0000007246.V309515.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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