Inspection on 16/08/07 for Merlewood

This inspection was carried out on 16th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Merlewood 08/09/09

Merlewood 05/10/06

Merlewood 02/03/06

Merlewood 14/09/05

Merlewood 14/12/04

Merlewood 19/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Merlewood 52 Park Lane Great Harwood Lancashire BB6 7RF Lead Inspector Mrs Lynn Mitton Unannounced Inspection 16th August 2007 10:00 Merlewood DS0000009586.V342584.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 Merlewood DS0000009586.V342584.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. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merlewood Address 52 Park Lane Great Harwood Lancashire BB6 7RF 01254 885355 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) Vanessahalfacre@nas.org.uk National Autistic Society Mrs Sharon Clough Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2006 Brief Description of the Service: Merlewood is registered with the Commission for Social Care Inspection to provide personal and social care for up to 6 adults with a learning disability aged over 18 years. At the time of the inspection there were five people accommodated. Merlewood is a detached property located on a busy main road in a popular residential area, within walking distance of local shops and bus routes. Parking is available at the front of the home. Merlewood had been decorated and furnished to meet the needs of service users, being mindful of the specific needs of those with Autistic Spectrum Disorder. A range of communal ground floor space was available. People using the service have their own bedroom, and share bathing facilities. At the rear of Merlewood is a large secure garden. At the time of the inspection the games room/out buildings could not be used due to dry rot. Planning permission has been approved to knock down and re-build these buildings and it is hoped this work will be completed within the 2007-2008 financial year. Fees for the cost of a weeks care at Merlewood is £2,076.59. Additional support hours are £15.82. There was information available to potential users of the service advising them of the home and giving them details about the type of service they could expect. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted on 16th August 2007. The registered manager of the home completed an Annual Quality Assurance Assessment prior to the site visit. The inspector observed the people living at the home, and spoke to the support staff on duty at the time of the inspection. Throughout the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small representative group of people using the service. Records regarding these people were inspected. One person was case tracked; their file examined in detail and one staff member’s files was also case tracked. Three of the Commissions health professional’s surveys, and one relatives survey were returned. Comments and findings of these surveys are referred to throughout this report. The inspector conducted the inspection with the registered manager, and fed back the conclusion of the inspection to the registered manager. During the inspection a number of records, policies and procedures were also viewed. What the service does well: One health professional when asked what the care service did well, wrote; “An excellent manager with a good team working well as a whole body. I feel very impressed by the high standards at this home, which are long standing and difficult to maintain”. Another health professional, when asked what the care service did well wrote; “they manage challenging behaviour, and respond to changes in that behaviour, they have a good knowledge of medication and autism specific issues and consultation. I am extremely happy with the service Merlewood provides to my client. They have responded to major changes in health/behaviour often dealing with stressful situations.” Detailed information on person centred care plans ensured that support staff could meet people’s personal and health care needs in a thorough and consistent way. The home was run to make sure that people using the service had opportunities to enjoy their life and to fulfil their potential. People were able to make day-to-day decisions about their lives, and had opportunities to fulfil their potential. Individual dietary needs were catered for. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 6 Personal support was offered in a way that promoted empowerment, choice, dignity, respect and autonomy. The complaints and adult protection policies and procedures safeguarded people from harm and abuse. Staff spoken to and observed by the inspector demonstrated a good understanding of the needs of the service users. There were sufficient staff members on duty to meet people’s needs. Most support staff had completed NVQ3 training. Other appropriate training was on offer and ongoing for support staff. Staff recruitment records, which ensure service users were safe, were available to the inspector. Excellent practice was in place with regards to meeting the specific needs of people with Autism. An experienced and competent manager runs Merlewood. Recent Quality Assurance surveys had taken place with people using the service, members of family and staff. A development plan was in place, which explained how environmental, staff training, and quality of care would be improved over the next year. A newsletter had been developed and published. General good practice was in place with regard to the safety and welfare of the staff and people using the service. What has improved since the last inspection? The contract now explained all the terms and conditions of each persons stay at Merlewood. This had been developed using personal pictures and photographs, including each person and members of staff working at Merlewood. Recent Quality Assurance surveys had taken place with people using the service, members of family and staff. A development plan was in place, which explained how environmental, staff training, and quality of care would be improved over the next year. A newsletter had been developed and published twice in 2007. Previously identified risks to the health and safety of people using the service had been as far as is possible, eliminated. Policies and procedures were now being regularly reviewed and kept up to date with current practices. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 8 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 Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA1, YA2 & YA5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Needs assessments were in place identifying the care needs of people using the service so that support staff had a clear understanding of how they needed to support them. Contracts had been personalised and now fully explained what people could expect, and what was expected of them in order for them to live at Merlewood. EVIDENCE: Additional and reviewed information was now available to potential new users of the service. There had been no new admissions since the last inspection. Whilst case tracking the inspector noted that assessments had been undertaken prior to admission to Merlewood and these were suitable documents to ascertain needs prior to admission. Detailed and individualised contracts had been developed and implemented since the last inspection. These included pictures of people using the service and the staff team and included reference to each person’s level of Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 10 understanding. These had been signed and dated by the people using the service, key worker and registered manager. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA6, YA7 & YA9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Detailed information on person centred care plans ensured that support staff could meet people’s needs in a thorough and consistent way. Risk assessments were a fundamental element of the care plan and people were supported in taking responsible risks. EVIDENCE: This document had been person centred and contained comprehensive information about the person and the level of support needed for staff to ensure continuity of care. The care plan had been recently reviewed. The inspector noted that excellent detailed recording and charting of behaviours had been made for one person who had had an unsettled period. This was in order to identify trends or patterns. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 12 The inspector observed that people using the service were encouraged to make day to day decisions to the best of their ability, and numerous risk assessments were seen on the care plan. These included information explaining, once the risk had been identified, how it would be managed, and what action was to be put in place to reduce the risk to an acceptable level. All the risk assessments seen had been reviewed in 2007. All people using the service had a next of kin who represents their best interests. The registered manager is appointee for the people using the service. People’s personal allowances were managed with the support of the care staff. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA12, YA13, YA15, YA16 & YA17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was run to make sure that people using the service had opportunities to enjoy their life and to fulfil their potential. They were able to make day-to-day decisions about their lives, and had opportunities to fulfil their potential. Individual dietary needs were catered for. EVIDENCE: People using the service had regular access to their local community; and activities/resources accessed within the local community include swimming, walking, trampolining, horse riding, local supermarket, Gateway social club, newspaper rounds, Space (soft play area) and local pubs for meals. All the people using the service were seen to be accessing the local community on the day of the inspection. Programmes of activities for evenings and weekends were also seen in place. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 14 Each person had an individual activity programme, which included communitybased activities. The inspector noted that the person case tracked had an activity programme in place. Some changes and flexibility were required due to changes in availability of activities because of school holidays and also due to the person’s unsettled behaviour. Lifelong learning goals were included in the person’s care plan case tracked, and included personal skills, domestic skills, community participation, independent living, relationships, communication and leisure. People’s cultural and religious wishes were now recorded in the care plan. Each week, people living at Merlewood access the NAS Atlas St and Margaret House day centre facilities for planned activities such as cooking or computers. People at Merlewood had access to 2 vehicles, which they used to access the wider community. People using the service were supported in maintaining family relationships, and reference to this was made in the care plan. The inspector was advised that holidays or meaningful days out were being planned for everyone around the end of September and early October. People would be going to places of interest to them and going on their own with staff support or in small groups. The inspector observed people being spoken to with respect and support staff were also observed respecting peoples rights and wishes. There was not a rigid menu in place at Merlewood. Daily dietary intake was recorded for all people on their daily record sheets. During the inspection it was observed that each person was served food in accordance with his or her individual preferences. Staff were observed working closely and flexibly with people, knowing their likes and dislikes, monitoring food intake, staggering mealtimes supporting feeding, encouraging to drink more and accommodating “fads”. People are regularly weighed. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support was offered in a way that promoted empowerment, choice, dignity, respect and autonomy. People’s health needs were well documented and being met. Good practice was in place with regards to the administration, of medication. EVIDENCE: People needed varying degrees of prompting, guidance and one to one personal support. Most people needed 1:1 support in attending to their personal care routines. The inspector observed that the care staff team endeavour to ensure sensitive, consistent and flexible support by understanding each persons preferred routines, likes and dislikes. The care plan case tracked included very detailed preferences and had been written as though by the people using the service. The person case tracked had a health action plan dated July 2007. There was detailed information regarding meeting all health needs. This included regular weight checks and dietary intake monitoring, and records of all optical, dental GP, chiropody, hospital appointments and mental health needs. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 16 Policies and practices for managing and administering medication were in place. Medication was administered using the Boots Monitored Dosage System. Everyone had their medication administered by care staff. Information regarding consent to medication being administered by staff was on the care plan case tracked. All staff had completed basic Boots medication system training, and accredited training for staff regarding the safe administration of medication had completed since the last inspection in November 2006. Administration records were completed correctly. Patient information leaflets were in place. Medication not suitable for the MDS was stored in plastic boxes named for each service user. The inspector advised that temperatures of the medication storage area should be taken and recorded daily. People’s medication was being regularly reviewed. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The complaints and adult protection policies and procedures safeguarded people from harm and abuse. EVIDENCE: One health professional when asked if the care service responded appropriately if concerns were raised, wrote; “With close consultation and the care staff team are happy to involve social services regarding important decisions”. There had been no complaints to the home since the last inspection. The complaints procedure was in a pictorial format, which was appropriate for some people living at Merlewood. The complaints and prevention of abuse policy and procedure were seen – these had been reviewed in January and March 2007. Staff spoken to were able to describe the complaints procedure and how they would deal with someone making a complaint. All staff had undertaken prevention of abuse training, and staff on duty at the time of the inspection could describe to the inspector the different types of abuse and what they would do if they had any concerns. Merlewood DS0000009586.V342584.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. JUDGEMENT – we looked at outcomes for the following standard(s): YA24 & YA30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was clean, tidy and free from malodours. EVIDENCE: At the time of the inspection the homes out buildings, which included a games room for people using the service, and continued to be out of commission. In addition, staff sleeping in facilities, which also doubled up as the homes office, were not suitable for their purpose. There were no facilities within the home to conduct private discussions, or private staff changing facilities. The inspector was advised that financial and building plans to build an extension to the home had now been approved, and that tenders were out for this work to be completed within the 2007-2008 financial year. The plan is to Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 19 knock down the out buildings and re-build a single storey building which would consist of a food store, laundry, staff room, office and sleep-in and en-suite. The oil storage tank is to be removed as the fuel supply had been converted to gas. The spare bedroom was being used as an additional office whilst it was vacant. The conservatory roof was leaking and in need of repair. The conservatory looked looked tired and in need of refurbishment. The inspector was advised that it was also hoped that this would be replaced in this financial year. The inspector was advised that 3 bedrooms had been redecorated and all bedrooms had been new flooring/carpeting. New carpeting had also been fitted in the lounge/stairs and landing areas. The home employed domestic support staff for 15 hours each week, which helped to maintain the cleanliness of the home. A handy man was also employed for the East Lancashire service, which meant that minor DIY and maintenance jobs could be completed quickly. No aids or adaptations were required for the people living at Merlewood. The home was clean, tidy, warm, and free from offensive odours. Laundry facilities which were included in the outbuildings consisted of industrial standard washer and dryer and were in good order. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): YA32, YA34 & YA35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff spoken to and observed by the inspector demonstrated a good understanding of the needs of the service users. There were sufficient staff members on duty to meet people’s needs. Most support staff had completed NVQ3 training and other appropriate training was on offer. Staff recruitment records, which ensure service users were safe, were in place. Excellent practice was in place with regards to meeting the specific needs of people with Autism. EVIDENCE: One health professional when asked if care staff had the right skills and experience to support individuals needs, wrote; “It appears that staff turnover issues have been resolved. I have a good working relationship with the staff team who always consult regarding decisions made”. The inspector noted that 13 out of 17 care staff members had now obtained their NVQ level 3. One person was awaiting verification, and 3 had either started or were due to start this training in September 2007. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 21 All new support staff completed the City and Guilds Induction Award. Each member of staff had a training and development programme. A training matrix was in place, which demonstrated that staff training was ongoing and relevant to the people living at Merlewood. The inspector case tracked one staff member’s file. There was information demonstrating that checks had been taken to ensure that people using the service were safeguarded. The staffing rota was seen this demonstrated that there were at usually 4 members of staff on duty during the waking day, and 1 wake and watch and 1 sleep in person during the night. Records of staff meetings were seen and these demonstrated that these were held regularly, and focused on peoples changing needs and household issues. The inspector observed service users being supported by competent and caring staff. The inspector noted that the staff on duty wore plain black tops, this was in order to help people using the service focus/maintain eye contact with staff, and was considered to be excellent practice by the inspector. Since the previous inspection, a “Board Maker” computer programme had been bought. This programme of symbols and signs promotes communication and inclusion, for example, of policies and procedures and other important documents with people using the service. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager at Merlewood is experienced and competent and ensures the home is run in the best interests of those living there. Good practice was in place with regard to the safety and welfare of the staff and people using the service. EVIDENCE: The registered manager had completed management training in 2006, and had recently undertaken a “training the trainer” course. The inspector was satisfied that there were clear lines of accountability within the home and with the registered person. Quality assurance survey’s for people using the service and relatives had taken place in January and March 2007. The resident’s surveys had been Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 23 individualised using the board maker, and the results of both surveys collated and published. A newsletter had been developed and published twice in 2007. A development plan for Merlewood was in place and seen by the inspector. Appropriate accident records were being completed. Fire evacuation drills were completed monthly, and fire alarm tests were completed weekly. The fire safety file had been reviewed in order to improve clarity. Safety certificates were seen for gas and electrical installations and appliances. Risk assessments for around the home had been completed. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 2 X 3 X 4 X X 3 X Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 25 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 YA24 Regulation 23(2)(3) Requirement The homes premises must be suitable for their stated purpose and safe and well maintained. Timescale for action 30/03/08 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 Temperatures of the medication storage area should be taken and recorded daily. Merlewood DS0000009586.V342584.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Merlewood DS0000009586.V342584.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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